NQF 0018 (Additional): Controlling High Blood Pressure

Measure:  NQF 0018 (Additional Measure)

Measure Title:  Controlling High Blood Pressure

Measure Description:  The percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose BP was adequately controlled during the measurement year.

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 between the ages of 18-85 at the start of the reporting period and have at least one face to face encounter with the provider during the reporting period.

2.  A diagnosis of Hypertension (recorded by using any of the ICD9 codes listed below) must be recorded in the patient's Summary Active Problems field OR encounter Assessment field using one of the following ICD9 codes: 401, 401.0, 401.1, or 401.9.

3.  Patient must have documentation of a blood pressure reading that was adequately controlled during the measurement year.  To document this, the patient's last blood pressure reading must be a blood pressure reading < 140/90 recorded 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 who had a diagnosis of hypertension had a BP that was adequately controlled during the measurement year.

Measurement Calculation Details

Numerator Calculation:

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

1.  The number of patients in the denominator whose last blood pressure reading was < 140/90 and was recorded in the Vital Signs chart section.

Denominator Calculation:

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

1.  The number of patients ages 18-85 with at least one face to face encounter during the reporting period;

2.  And has a diagnosis in the Summary Active Problems field or encounter Assessment field using one of the following ICD9 codes: 401, 401.0, 401.1, or 401.9.

 

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.