NQF 0061/PQRI 3 (Additional)- Diabetes: Blood Pressure Management

Measure: NQF 0061 (Additonal Measurement)

Measure Title: Diabetes: Blood Pressure Management

Measure Description: The percentage of patients 18–75 years of age with diabetes (type 1 or type 2) who had BP <140/90 mmHg.

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

Quality Measure Documentation Workflow

Quality Measure Documentation Workflow

1.  The patient must be between the ages of 18 and 75 years old 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 Diabetes (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.

250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73, 250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92, 250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04

3.  In addition, there should be documentation during the reporting period of the patients blood pressure reading in the Vital Signs chart section.  If the patients blood pressure reading is <140/90, it will increment the numerator for this measure.

Measurement Calculation Details

Numerator Calculation:

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

1.  The number of patients in the denominator that have a blood pressure reading documented during the reporting period, in the Vital Signs chart section.  If the patients blood pressure reading was <140/90 the numerator will increase.

Denominator Calculation:

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

1.  The number of patients that were between 18 and 75 years old at the start of the reporting period have have at least one face-to-face encounter with the provider during the reporting period.

2.  And have a diagnosis of Diabetes (recorded by using one of the ICD9 codes listed below) must be recorded in the patient's Summary Active Problems field OR encounter Assessment field:

250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73, 250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92, 250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04

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.