At this time, we do not suggest that SOAPware users select this particular quality measure. We are in the process of adjusting the work flow and reporting in order to be more consistent with the reporting requirements.

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 between the ages of 2-17 at the start of the reporting period and have at least one face-to-face encounter with the physician during the reporting period.

2.  Documentation of weight counseling recorded during the reporting period.  Inserting the shortcut code "PQRIwei" in the encounter Plan field or Summary Interventions field will insert a pick list that will provide a list of criteria from which to document weight and nutrition counseling.  To record that weight counseling has been performed, use the following CPT code: S9451.  

3.  Documentation of nutrition counseling recorded during the reporting period.  Inserting the shortcut code "PQRIwei" in the encounter Plan field or Summary Interventions field will insert a pick list that will provide a list of criteria from which to document nutrition counseling.  To record the nutrition counseling has been performed, use one of the following CPT codes: G0270, GG0271, S9449, S9452, S9470, 97802, 97803, 97804.

*IMPORTANT: Exercise class and/or counseling (#S9451) MUST BE SELECTED, PLUS ONE ADDITIONAL CPT CODE FROM THE PICK LIST SUPPLIED MUST BE SELECTED TO DOCUMENT NUTRITION COUNSELING.

4.  Documentation of patient's BMI recorded in the Vital Signs chart section during the reporting period.

* If the above is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient aged 2-17 had an outpatient visit with a PCP or OB/GYN and had BMI percentile documentation, counseling for nutrition and counseling for physical activity during the measurement year.

Numerator Calculation:

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

1.  The number of patients in the denominator who have documentation of weight counseling (CPT S9451) and nutrition counseling (CPT G0270, GG0271, S9449, S9452, S9470, 97802, 97803, or 97804) in the encounter Plan field during the reporting period;

2.  And have a BMI reading 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 that were between ages 2-17 at the start of the reporting period and have at least one face-to-face encounter with the provider during the reporting period.

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.