Childhood Immunization Status and Lead Screening in Children for HEDIS

HEDIS^® measurement year 2023 documentation for Childhood Immunization Status (CIS)

Measure description: The percentage of children who turn 2 years of age in the measurement year who had the following vaccines on or before their second birthday:

• Four DTaP (diphtheria, tetanus, and acellular pertussis)
• Three IPV (polio)
• One MMR (measles, mumps, and rubella)
• Three HiB (Haemophilus influenza type B)
• Three hep B (hepatitis B)
• One VZV (chicken pox)
• Four PCV (pneumococcal conjugate)
• One hep A (hepatitis A)
• Two or three RV (rotavirus)
• Two flu (influenza)

The measure calculates a rate for each vaccine and three combination rates.

HEDIS measurement year 2023 documentation for Lead Screening in Children (LSC)

Measure description: The percentage of children 2 years of age who had one or more capillary or venous lead blood tests for lead poisoning by their second birthday.

In provider medical records, we look for the following:

• Immunization records from birth (Department of Health immunization records are acceptable).
• If available, newborn inpatient records documenting hepatitis B.
• For immunizations not recorded on the immunization record, provide progress notes for:
  • Immunizations administered.
  • Patient’s history of diseases (chickenpox, hep A, hep B, measles, mumps, rubella).
• Lead testing results and date (capillary or venous) on or before the second birthday.
• Evidence of hospice services in 2023.
• Evidence patient expired in 2023.

Helpful hints:

• Childhood immunizations and lead blood tests must be completed by the child’s second birthday.
• Assess immunization needs at every clinical encounter and, when indicated, immunize.
• Ensure immunization records include all vaccines that were ever given including hospitals, health departments, and all former providers, including refusals and contraindications.
• FluMist (LAIV) vaccination (only approved for ages 2 to 49) may be used for the second vaccination; however, it must be given on the child’s second birthday to be compliant.