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12.11.2014 Cervical Cancer Overscreening (CCO) The specifications indicate that three rates are reported (two rates for steps 1 and 2 and a total rate). The measure description describes each rate but it is unclear what the denominator for each rate should be. Are the denominators the same for the three rates?

The eligible population for the measure is all women 24–64 years of age as of December 1 of the measurement year, except those that meet the required exclusion. The denominator for each individual reported rate is also the total eligible population. 
The denominator for the step 1 rate is all women 24–64; the numerator for step 1 is all women who had two or more Pap tests in the MY or the two years prior. 

The denominator for step 2 is all women 24–64. The numerator is those who had two or more co-tests in the MY or the four years prior.
 
The description of the three rates should read as follows:

  • Women age 21-64 with more than one cervical cytology performed every three years (denominator is the total eligible population).
  • Women age 30-64 with more than one cervical cytology/HPV co-test performed every 5 years (denominator is the total eligible population).
  • Total rate (the sum of the two numerators divided by the eligible population).

ALL 2014