NQF 0013 (Core): Hypertension: Blood Pressure Measurement

Measure:  NQF 0013 (Core Measurement)

Measure Title:  Hypertension: Blood Pressure Measurement

Measure Description:  Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits, with blood pressure (BP) recorded.

Quality Measure Documentation Workflow

In order for the Clinical Quality Measure report to generate, the following must be documented in the relevant patient's chart:

 

1. The patient must be at least 18 years of age or older at the start of the reporting period and have at least two face-to-face encounters with the provider during the reporting period.

2.  A diagnosis of Hypertension (recorded by using any of the ICD codes listed below) must be recorded in the patient's Summary Active Problems field OR encounter Assessment field.

(401.0, 401.1, 401.9, 402.00, 402.01, 402.10, 402.11, 402.90, 402.91, 403.00, 403.01, 403.10, 403.11, 403.90, 403.91, 404.00, 404.01, 404.02, 404.03, 404.10, 404.11, 404.12, 404.13, 404.90, 404.91, 404.92, 404.93)

3. At least one Blood Pressure reading should be performed and documented during the reporting period in the Vital Signs chart section.

* If the above is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient has a diagnosis of hypertension and has been seen for at least 2 office visits, with blood pressure (BP) recorded.

Measurement Calculation Details

Numerator Calculation:

The numerator for this measurement is calculated based on the following:

1.  The number of patients in the denominator who have at least one blood pressure reading performed and recorded in the Vital Signs chart section during the reporting period.

Denominator Calculation:

The denominator for this measurement is calculated based on the following:

1.  The number of patients who are age 18 years and older and have at least two face-to-face encounters with the provider during the reporting period;

2.  And have a diagnosis of Hypertension in the Summary Active Problems field or encounter Assessment field:

(401.0, 401.1, 401.9, 402.00, 402.01, 402.10, 402.11, 402.90, 402.91, 403.00, 403.01, 403.10, 403.11, 403.90, 403.91, 404.00, 404.01, 404.02, 404.03, 404.10, 404.11, 404.12, 404.13, 404.90, 404.91, 404.92, 404.93)

Report Clinical Quality Measures to CMS/States

All of the items listed in the above steps need to be documented as structured data (as detailed above) in order to allow the user to capture the numerator, denominator and percentage for this quality measure.  

For information on how to export the numerator, denominator and percentage for each Clinical Quality Measure, click here.

For more information on reporting clinical quality measures, click here.