Controlling High Blood Pressure

eCQM / NQF #: CMS165v7 / 0018
Measure: Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (less than 140/90mmHg) during the measurement period
Numerator: Patients whose blood pressure at the most recent visit is adequately controlled (systolic blood pressure  less than 140 mmHg and diastolic blood pressure less than 90 mmHg) during the measurement period.
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 Exclusions: Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period. Also, exclude patients with a diagnosis of pregnancy during the measurement period. Exclude patients who were in hospice care during the measurement year.
Domain: Effective Clinical Care

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient (age 18-85) at least one time during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator:

Required Data Elements for the Numerator:

EXCLUSION DETAILS:

Exclusions include an active diagnosis of pregnancy, end stage renal disease, or chronic kidney disease, stage 5 starting before or during the measurement period and not ending before the measurement period. This is captured by adding a diagnosis with a valid ICD10/ICD9 or SNOMED code using the diagnosis widget in a note.

In order to meet the requirements for this exclusion, at least one of the following must be documented in the chart and start before or during the measurement period:

ADDITIONAL INFORMATION:

•  The patient must be at least 18 years old but younger than 85 before the start of the measurement period.

•  The minimum blood pressure should be

•  If using a SNOMED code for the services exclusions, it must be attached a procedure code other than the office visit.  The procedure codes listed for those services may be used.  If no procedure codes are listed, another relevant CPT or In House code should be entered.

• If using a SNOMED code for the education exclusion, it must be attached a procedure code other than the office visit.  The procedure codes listed for those services may be used.  If no procedure codes are listed, another relevant CPT or In House code should be entered.

•  The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes