Adult Immunization Status (AIS-E)

HEDIS Measure

Adult Immunization Status (AIS-E)

Line of business: Commercial Medicaid Medicare

Data Collection Method:

Administrative (Claims)
Supplemental Data Submission

• Standard - Electronic Clinical Data System (ECDS) Layout

Measure Description

The percentage of members 19 years of age and older who are up to date on recommended routine vaccines for influenza, tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap), zoster and pneumococcal.

Numerator Compliance

Numerator 1—Immunization Status: Influenza
Members who received an influenza vaccine on or between July 1 of the year prior to the measurement period and June 30 of the measurement period.

Numerator 2—Immunization Status: Td/Tdap
Members who received at least one Td vaccine or one Tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period.

Numerator 3—Immunization Status: Zoster
Members who received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine at least 28 days apart, any time on or after the member's 50th birthday and before or during the measurement period.

Numerator 4—Immunization Status: Pneumococcal
Members who were administered at least one dose of an adult pneumococcal vaccine on or after the member's 19th birthday and before or during the measurement period.

Best Practices

• Schedule appointments to coincide with required timeframes for immunization administration
• Use your electronic medical record (EMR) system to set reminder flags
• During visits, talk about the importance of being immunized
• Ensure the member's medical record includes immunization history from all sources (NOTE: “Up to date with all immunizations” does not meet compliance)
• Reference the CDC Immunization Vaccine Schedule: cdc.gov/vaccines/schedules

Quality Value Set Directory Coding Tips

Adult Influenza Immunization

Adult Influenza Vaccine Procedure

Adult Pneumococcal Immunization

Adult Pneumococcal Vaccine Procedure

Herpes Zoster Live Immunization

Herpes Zoster Live Vaccine Procedure

Herpes Zoster Recombinant Immunization

Herpes Zoster Recombinant Vaccine Procedure

Influenza Virus LAIV Immunization

Influenza Virus LAIV Vaccine Procedure

Td Immunization

Td Vaccine Procedure

Tdap Immunization

Tdap Vaccine Procedure