eMeasure Title

Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
eMeasure Identifier (Measure Authoring Tool) 74 eMeasure Version number 6.1.000
NQF Number Not Applicable GUID 0b81b6ba-3b30-41bf-a2f3-95bdc9f558f2
Measurement Period January 1, 20XX through December 31, 20XX
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Measure Developer National Committee for Quality Assurance
Endorsed By None
Description 
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period.
Copyright 
Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any CPT or other codes contained in the specifications. 

CPT(R) contained in the Measure specifications is copyright 2004-2015 American Medical Association. LOINC(R) copyright 2004-2015 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2015 International Health Terminology Standards Development Organisation. ICD-10 copyright 2015 World Health Organization. All Rights Reserved.
Disclaimer 
These performance Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications.

THE MEASURES AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.

Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
Measure Scoring Proportion
Measure Type Process
Stratification 
Population 1: age 0-5
Population 2: age 6-12
Population 3: age 13-20
Risk Adjustment 
None
Rate Aggregation 
None
Rationale 
The literature reflects that fluoride varnish when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries.
Clinical Recommendation Statement 
ADA Clinical recommendations for use of professionally applied or prescription-strength:

- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months

- 6-18 Years - 2.26 percent fluoride varnish at least every three to six Months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months

- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months.
Improvement Notation 
A higher score indicates better quality
Reference 
JA. Wentraub, F. Ramos-Gomez, B. Jue, S. Shain, CI. Hoover, JDB. Featherstone, and SA. Gansky. Fluoride Varnish Efficacy in Prevention ECC. J Dent Res 85(2): 172-176, 2006.
Reference 
Weyant RJ, Tracy SL, Anselmo TT, Beltrán-Aguilar ED, Donly KJ, Frese WA, Hujoel PP, Iafolla T, Kohn W, Kumar J, Levy SM, Tinanoff N, Wright JT, Zero D, Aravamudhan K, Frantsve-Hawley J, Meyer DM. American Dental Association Council on Scientific Affairs Expert Panel on Topical Fluoride Caries Preventive Agents. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc. 2013;144:1279-1291. doi: 10.14219/jada.archive.2013.0057.
Definition 
None
Guidance 
None
Transmission Format 
TBD
Initial Population 
Children, age 0-20 years, with a visit during the measurement period
Denominator 
Equals Initial Population
Denominator Exclusions 
None
Numerator 
Children who receive a fluoride varnish application
Numerator Exclusions 
Not Applicable
Denominator Exceptions 
None
Supplemental Data Elements 
For every patient evaluated by this measure also identify payer, race, ethnicity and sex

Table of Contents


Population Criteria

Data Criteria (QDM Variables)

Data Criteria (QDM Data Elements)

Supplemental Data Elements

Risk Adjustment Variables


Measure Set 
Not Applicable