Contraceptive Use eCQMs, Non-Postpartum

Inclusion criteria: All women 15 – 44 years of age with a visit in a one-year period, who said either “yes” to SINC or did not have any documented SINC responses

Level of analysis: This measure can be calculated and analyzed at both the clinician group/practice level and the facility level. 

Measurement period: The measurement period is one calendar year. This measure is calculated using two consecutive calendar years of data: the year prior to the measurement period, and the measurement period, in order to better capture inclusion and exclusion information. 

• The denominator for the CU-SINC primary and LARC-SINC submeasure are the same.
• The measure denominator includes patients assigned female at birth aged 15-44 who had a qualifying encounter (see VSAC for full list of qualifying encounter types) during the measurement period. Age is calculated with the start of the measurement period as an anchor date.
• Patients are excluded from the denominator if:
  • They had a live birth and are eligible for postpartum contraception during the measurement period (i.e., had a prenatal care visit plus a documented live birth delivery date or documented estimated delivery date without a non-live birth event between three months prior to the measurement period and nine months into the measurement period)
  • They are anatomically infecund (i.e., due to removal of uterus and/or both ovaries)
  • They did not want to discuss their contraceptive needs from among those who were not provided nor were documented to be using a most or moderately effective method throughout the measurement period. (SINC)

• The numerator of the primary measure (CU-SINC) includes patients in the denominator who were provided or were documented to be using a most (i.e., sterilization, implants, intrauterine devices or systems) or moderately effective (i.e., injectables, oral pills, patch, or ring) method during the measurement period. 
• The numerator of the LARC-SINC submeasure includes patients in the denominator who were provided a long-acting reversible method (i.e., IUD or implant) during the measurement period. 

Codebook for CU-SINC measures, Non-Postpartum (VSAC) coming soon

Quick start guide coming soon

Inclusion Flow Diagram CU-SINC Non-Postpartum