Quality ID #236 (NQF 0018): Controlling High Blood Pressure

Quality ID #236 (NQF 0018): Controlling High Blood Pressure – National Quality Strategy Domain:
Effective Clinical Care
2018 OPTIONS FOR INDIVIDUAL MEASURES:
REGISTRY ONLY
MEASURE TYPE:
Intermediate Outcome
DESCRIPTION:
Percentage of patients 18 - 85 years of age who had a diagnosis of hypertension and whose blood pressure was
adequately controlled (< 140/90 mmHg) during the measurement period
INSTRUCTIONS:
This measure is to be submitted a minimum of once per performance period for patients with hypertension seen
during the performance period. The performance period for this measure is 12 months. The most recent quality code
submitted will be used for performance calculation. This measure may be submitted by eligible clinicians who perform
the quality actions described in the measure based on the services provided and the measure-specific denominator
coding.
NOTE: In reference to the numerator element, only blood pressure readings performed by a clinician in the provider
office are acceptable for numerator compliance with this measure. Do not include blood pressure readings that meet the
following criteria:
•
•
Blood pressure readings from the patient's home (including readings directly from monitoring devices).
Taken on the same day as a diagnostic test or diagnostic or therapeutic procedure that requires a change in
diet or change in medication on or one day before the day of the test or procedure, with the exception of fasting
blood tests.
If no blood pressure is recorded during the measurement period, the patient’s blood pressure is assumed “not
controlled”.
Measure Submission:
The listed denominator criteria is used to identify the intended patient population. The numerator options included in this
specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to
be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize
claims data.
The intent of the exclusion for individuals age 65 and older residing in long-term care facilities, including nursing homes,
is to exclude individuals who may have limited life expectancy and increased frailty where the benefit of the process
may not exceed the risks. This exclusion is not intended as a clinical recommendation regarding whether the measures
process is inappropriate for specific populations, instead the exclusions allows clinicians to engage in shared decision
making with patients about the benefits and risks of screening when an individual has limited life expectancy.
DENOMINATOR:
Patients 18-85 years of age who had a diagnosis of essential hypertension within the first six months of the
measurement period or any time prior to the measurement period
Denominator Criteria (Eligible Cases):
Patients18 to 85 years of age on date of encounter
AND
Diagnosis for hypertension (ICD-10-CM): I10
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AND
Patient encounter during performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205,
99212, 99213, 99214, 99215, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, G0402,
G0438, G0439
AND NOT
DENOMINATOR EXCLUSIONS:
Hospice services given to patient any time during the measurement period: G9740
OR
Documentation of end stage renal disease (ESRD), dialysis, renal transplant before or during the
measurement period or pregnancy during the measurement period: G9231
OR
Patients age 65 or older in Institutional Special Needs Plans (SNP) or residing in long-term care with
POS code 32, 33, 34, 54, or 56 any time during the measurement period: G9910
NUMERATOR:
Patients whose blood pressure at the most recent visit is adequately controlled (systolic blood pressure < 140 mmHg
and diastolic blood pressure < 90 mmHg) during the measurement period
Numerator Instructions: To describe both systolic and diastolic blood pressure values, each must be
submitted separately. If there are multiple blood pressures on the same date of service, use the lowest
systolic and lowest diastolic blood pressure on that date as the representative blood pressure.
NUMERATOR NOTE: In reference to the numerator element, only blood pressure readings performed by an
eligible clinician in the provider office are acceptable for numerator compliance with this measure. Blood
pressure readings from the patient's home (including readings directly from monitoring devices) are not
acceptable.
If no blood pressure is recorded during the measurement period, the patient's blood pressure is assumed "not
controlled."
If there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic
reading as the most recent blood pressure reading.
OR
Numerator Options:
Performance Met:
Most recent systolic blood pressure < 140 mmHg (G8752)
Performance Not Met:
Most recent systolic blood pressure ≥ 140 mmHg (G8753)
AND
OR
Performance Met:
Most recent diastolic blood pressure < 90 mmHg (G8754)
Performance Not Met:
OR
Performance Not Met:
Most recent diastolic blood pressure ≥ 90 mmHg (G8755)
No documentation of blood pressure measurement, reason
not given (G8756)
RATIONALE:
Hypertension, or high blood pressure, is a very common and dangerous condition that increases risk for heart disease
and stroke, two of the leading causes of death for Americans (Farley et al., 2010). Compared with other dietary, lifestyle,
and metabolic risk factors, high blood pressure is the leading cause of death in women and the second-leading cause of
death in men, behind smoking (Danaei et al., 2011). Approximately 1 in 3 U.S. adults, or about 70 million people, have
high blood pressure but only about half (52%) of these people have their high blood pressure under control. Additionally,
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data from NHANES 2011 to 2012 found that 17.2% of U.S. adults are not aware they have hypertension (Nwankwo et
al., 2013). Projections show that by 2030, approximately 41.4% of US adults will have hypertension, an increase of
8.4% from 2012 estimates (Heidenreich et al., 2011).
The estimated direct and indirect cost of high blood pressure for 2011 is $46.4 billion. This total includes direct costs
such as the cost of physicians and other health professionals, hospital services, prescribed medications and home
health care, as well as indirect costs due to loss of productivity from premature mortality (Mozaffarian et al., 2015).
Projections show that by 2030, the total cost of high blood pressure could increase to an estimated $274 billion
(Heidenreich et al., 2011).
CLINICAL RECOMMENDATION STATEMENTS:
The United States Preventive Services Task Force (2007) recommends screening for high blood pressure in adults age
18 years and older. This is a grade A recommendation.
Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (2003):
Treating systolic blood pressure and diastolic blood pressure to targets that are < 140/90 mmHg is associated with a
decrease in cardiovascular disease complications.
COPYRIGHT:
The measures and specifications were developed by and are owned by the National Committee for Quality Assurance
(“NCQA”). NCQA holds a copyright in the measures and specifications and may rescind or alter these measures and
specifications at any time. Users of the measures and specifications shall not have the right to alter, enhance or
otherwise modify the measures and specifications, and shall not disassemble, recompile or reverse engineer the
measures and specifications. Anyone desiring to use or reproduce the materials without modification for a noncommercial purpose may do so without obtaining any approval from NCQA. All commercial uses or requests for
alteration of the measures and specifications must be approved by NCQA and are subject to a license at the discretion
of NCQA.
The measures and specifications are not clinical guidelines, do not establish a standard of medical care and have not
been tested for all potential applications. The measures and specifications are provided “as is” without warranty of any
kind. NCQA makes no representations, warranties or endorsements about the quality of any product, test or protocol
identified as numerator compliant or otherwise identified as meeting the requirements of a measure or specification.
NCQA also makes no representations, warranties or endorsements about the quality of any organization or clinician
who uses or reports performance measures. NCQA has no liability to anyone who relies on measures and specifications
or data reflective of performance under such measures and specifications. ©2004-2017 National Committee for Quality
Assurance, all rights reserved.
Performance measures developed by NCQA for CMS may look different from the measures solely created and owned
by NCQA.
Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code
sets should obtain all necessary licenses from the owners of these code sets. NCQA disclaims all liability for use or
accuracy of any coding contained in the specifications.
The American Medical Association holds a copyright to the CPT® codes contained in the measures specifications.
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2018 Registry Flow For Quality ID
#236 NQF #0018: Controlling High Blood Pressure
Please refer to the specific section of the specification to identify the denominator and numerator information for use in
submitting this Individual Specification. This flow is for registry data submission.
1. Start with Denominator
2. Check Patient Age:
a. If the Age is equal to 18 to 85 years of age on Date of Service equals No during the measurement period,
do not include in Eligible Patient Population. Stop Processing.
b. If the Age is equal to 18 to 85 years of age on Date of Service equals Yes during the measurement period,
proceed to Check Patient Diagnosis.
3. Check Patient Diagnosis:
a. If Diagnosis of Essential Hypertension as Listed in the Denominator equals No, do not include in Eligible
Patient Population. Stop Processing.
b. If Diagnosis of Essential Hypertension as Listed in the Denominator equals Yes, proceed to Check
Encounter Performed.
4. Check Encounter Performed:
a. If Encounter as Listed in the Denominator equals No, do not include in Eligible Patient Population. Stop
Processing.
b. If Encounter as Listed in the Denominator equals Yes, proceed to Check Hospice Services Given to Patient
Any Time During the Measurement Period.
5. Check Hospice Services Given to Patient Any Time During the Measurement Period:
a. If Hospice Services Given to Patient Any Time During the Measurement Period equals No, proceed to
Check Documentation of End Stage Renal Disease (ESRD), Dialysis, Renal Transplant Before or During
the Measurement Period or Pregnancy During the Measurement Period
b. If Hospice Services Given to Patient Any Time During the Measurement Period equals Yes, do not include
in Eligible Patient Population. Stop Processing.
6. Check Documentation of End Stage Renal Disease (ESRD), Dialysis, Renal Transplant Before or During the
Measurement Period or Pregnancy During the Measurement Period:
a. If Documentation of End Stage Renal Disease (ESRD), Dialysis, Renal Transplant Before or During the
Measurement Period or Pregnancy During the Measurement Period equals No, proceed to Check Patients
age 65 or older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with POS code
32, 33, 34, 54, or 56 any time during the measurement period.
b. If Documentation of End Stage Renal Disease (ESRD), Dialysis, Renal Transplant Before or During the
Measurement Period or Pregnancy During the Measurement Period equals Yes, do not include in Eligible
Patient Population. Stop Processing.
7. Check Patients age 65 or older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with
POS code 32, 33, 34, 54, or 56 any time during the measurement period
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a. If Patient age is 65 or older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with
POS code 32, 33, 34, 54, or 56 any time during the measurement period equals No, include in the Eligible
Population.
b. If Patient age is 65 or older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with
POS code 32, 33, 34, 54, or 56 any time during the measurement period equals Yes, do not include in the
Eligible Population. Stop processing.
8. Denominator Population:
a. Denominator population is all Eligible Patients in the denominator. Denominator is represented as
Denominator in the Sample Calculation listed at the end of this document. Letter d equals 80 patients in the
sample calculation.
9. Start Numerator
10. Check Most Recent Blood Pressure Measurement Performed - Systolic Pressure <140 mmHG AND Most
Recent Blood Pressure Measurement Performed -Diastolic Pressure <90 mmHG:
a. If Most Recent Blood Pressure Measurement Performed - Systolic Pressure <140 mmHG AND Most
Recent Blood Pressure Measurement Performed -Diastolic Pressure <90 mmHG equals Yes, include in
Data Completeness Met and Performance Met.
b. Data Completeness Met and Performance Met letter is represented as Data Completeness and
Performance Rate in the Sample Calculation listed at the end of this document. Letter a equals 30 patients
in Sample Calculation.
c. If Most Recent Blood Pressure Measurement Performed - Systolic Pressure <140 mmHG AND Most
Recent Blood Pressure Measurement Performed -Diastolic Pressure <90 mmHG equals No, proceed to
Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure <90 mmHG.
11. Check Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most
Recent Blood Pressure Measurement Performed- Diastolic Pressure <90 mmHG:
a. If Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure <90 mmHG equals Yes, include in Data
Completeness Met and Performance Not Met.
b. Data Completeness Met and Performance Not Met letter is represented as Data Completeness in the
Sample Calculation listed at the end of this document. Letter c1 equals 20 patients in the Sample
Calculation.
c. If Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure <90 mmHG equals No, proceed to Most
Recent Blood Pressure Measurement Performed- Systolic Pressure <140 mmHG AND Most Recent Blood
Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG.
12. Check Most Recent Blood Pressure Measurement Performed- Systolic Pressure <140 mmHG AND Most
Recent Blood Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG:
a. If Most Recent Blood Pressure Measurement Performed- Systolic Pressure <140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG equals Yes, include in Data
Completeness Met and Performance Not Met.
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b. Data Completeness Met and Performance Not Met letter is represented as Data Completeness in the
Sample Calculation listed at the end of this document. Letter c2 equals 10 patients in the Sample
Calculation.
c. If Most Recent Blood Pressure Measurement Performed- Systolic Pressure <140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG equals No, proceed to Most
Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most Recent Blood
Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG.
13. Check Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most
Recent Blood Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG:
a. If Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG equals Yes, include in Data
Completeness Met and Performance Not Met.
b. Data Completeness Met and Performance Not Met letter is represented as Data Completeness in the
Sample Calculation listed at the end of this document. Letter c3 equals 0 patient in the Sample Calculation.
c. If Most Recent Blood Pressure Measurement Performed- Systolic Pressure ≥140 mmHG AND Most Recent
Blood Pressure Measurement Performed- Diastolic Pressure ≥90 mmHG equals No, proceed to Blood
Pressure Measurement Not Documented, Reason Not Given.
14. Check Blood Pressure Measurement Not Documented, Reason Not Given:
a. If Blood Pressure Measurement Not Documented, Reason Not Given equals Yes, include in the Data
Completeness Met and Performance Not Met.
b. Data Completeness Met and Performance Not Met letter is represented as Data Completeness in the
Sample Calculation listed at the end of this document. Letter c4 equals 10 patients in the Sample
Calculation.
c. If Blood Pressure Measurement Not Documented, Reason Not Given equals No, proceed to Data
Completeness Not Met.
15. Check Data Completeness Not Met
a. If Data Completeness Not Met equals No, Quality Data Code or equivalent was not submitted. 10 patients
have been subtracted from the Data Completeness Numerator in the Sample Calculation.
SAMPLE CALCULATIONS:
Data Completeness=
Performance Met (a =30 patients) + Performance Not Met (c1+c2+c3+c4 =40 patients) = 70 patients = 87.50%
Eligible Population / Denominator (d=80 patients)
= 80 patients
Performance Rate=
Performance Met (a=30 patients)
Data Completeness Numerator (70 patients)
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= 30 patients = 42.86%
= 70 patients
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