SOAPware Learning CenterClinical Quality Measures User Guide (for 2011) Additional Measures (Choose 3 Additional Measures)NQF 0073 (Additional): Ischemic Vascular Disease (IVD): Blood Pressure Management

NQF 0073 (Additional): Ischemic Vascular Disease (IVD): Blood Pressure Management

Measure: NQF 0073 (Additional Measure)

Measure Title: Ischemic Vascular Disease (IVD): Blood Pressure Management

Measure Description: The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA) from January 1–November 1 of the year prior to the measurement year, or who had a diagnosis of ischemic vascular disease (IVD) during the measurement year and the year prior to the measurement year and whose most recent blood pressure is in control (<140/90 mmHg).

*REQUIRED FOR MEANINGFUL USE (MU): Click here to view the Meaningful Use Criteria.

Quality Measure Documentation Workflow

Quality Measure Documentation Workflow

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

2.  Documentation that the patient was discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous trasluminal coronary angioplasty (PTCA) from January 1-November 1 of the year prior to the measurement year.  Or documentation that the patient was diagnosed with ischemic vascular disease (IVD) during the measurement year and the year prior to the measurement year and whose most recent blood pressure is in control (<140/90 mmHg).  Inserting the shortcut code "PQRIivd" in the encounter Plan field will allow the user to select from a group of specific SMARText codes that can be used to documented for this measure. The encounter Plan field should include the following code to document this information: 0073b.

Measure Calculation Details

Numerator Calculation:

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

1.  The number of patient in the denominator that have the following SMARText custom code in the encounter Plan field:

  • 0073b: BP <140/90, Pt had either MI, CABG or PTCA last calendar year, or IVD in past 2 years.

Denominator Calculation:

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

1.  The number of patients that were 18 years of age or older and have at least one face-to-face encounter with the provider during the reporting period.

2.  And have documentation that the patient was discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous trasluminal coronary angioplasty (PTCA) from January 1-November 1 of the year prior to the measurement year. Or documentation that the patient was diagnosed with ischemic vascular disease (IVD) during the measurement year and the year prior to the measurement year. This can be documented by using the shortcut code "PQRIivd" in the encounter Plan field and inserting one of the following codes:

  • 0068c: Pt had MI, CABG or PTCA last calendar year, or IVD in past 2 years.
  • 0073b: BP <140/90, Pt had either MI, CABG or PTCA last calendar year, or IVD in past 2 years.

*Note: 0068a, 0068b, 0075a and 0075b will not increase the denominator.

Report Clinical Quality Measures to CMS/States

All of the items 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 more 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.