eCQM Title | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan |
||
eCQM Identifier (Measure Authoring Tool) | 69 | eCQM Version number | 8.2.000 |
NQF Number | 0421e | GUID | 9a031bb8-3d9b-11e1-8634-00237d5bf174 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | Centers for Medicare & Medicaid Services (CMS) | ||
Measure Developer | Quality Insights | ||
Endorsed By | National Quality Forum | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Reference | |||
Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
exists ( "Qualifying Encounters During the Measurement Period" )
"Initial Population"
exists ( "Palliative or Hospice Care Order or Encounter" ) or exists ( "No BMI Due to Patient Refusal" ) or exists ( "Pregnancy During Measurement Period" )
"Has Normal BMI" is not null or "Has High BMI with Follow Up" or "Has Low BMI with Follow Up"
exists ( "No BMI Due to Medical Reason" ) or exists ( "No Medication Order For High BMI Due to Medical Reason" ) or exists ( "No Follow Up For High BMI Due to Medical Reason" ) or exists ( "No Medication Order For Low BMI Due to Medical Reason" ) or exists ( "No Follow Up For Low BMI Due to Medical Reason" ) or exists ( "No BMI Referral Due to Medical Reason" )
"Initial Population"
exists ( "No BMI Due to Medical Reason" ) or exists ( "No Medication Order For High BMI Due to Medical Reason" ) or exists ( "No Follow Up For High BMI Due to Medical Reason" ) or exists ( "No Medication Order For Low BMI Due to Medical Reason" ) or exists ( "No Follow Up For Low BMI Due to Medical Reason" ) or exists ( "No BMI Referral Due to Medical Reason" )
exists ( "Palliative or Hospice Care Order or Encounter" ) or exists ( "No BMI Due to Patient Refusal" ) or exists ( "Pregnancy During Measurement Period" )
Last(["Physical Exam, Performed": "Body mass index (BMI) [Ratio]"] LastBMI with "High BMI Follow Up Encounters" HighBMIEncounter such that LastBMI.relevantPeriod starts 12 months or less on or before end of HighBMIEncounter.relevantPeriod sort by authorDatetime ).result >= 25 'kg/m2'
Last(["Physical Exam, Performed": "Body mass index (BMI) [Ratio]"] LastBMI with "Low BMI Follow Up Encounters" LowBMIEncounter such that LastBMI.relevantPeriod starts 12 months or less on or before end of LowBMIEncounter.relevantPeriod sort by authorDatetime ).result < 18.5 'kg/m2'
"Most Recent Documented BMI" BMIValue where BMIValue.result included in Interval[18.5 'kg/m2', 25 'kg/m2' )
"Qualifying Encounters During the Measurement Period" QualifyingEncounter with ( ["Intervention, Order": "Above Normal Follow-up"] union ["Intervention, Performed": "Above Normal Follow-up"] union ( ["Intervention, Order": "Referrals where weight assessment may occur"] Referral where Referral.reason in "Overweight or Obese" ) union ["Medication, Order": "Above Normal Medications"] ) HighBMIInterventions such that Coalesce(start of HighBMIInterventions.relevantPeriod, HighBMIInterventions.authorDatetime)12 months or less on or before end of QualifyingEncounter.relevantPeriod
exists ( "Qualifying Encounters During the Measurement Period" )
"Qualifying Encounters During the Measurement Period" QualifyingEncounter with ( ["Intervention, Order": "Below Normal Follow up"] union ["Intervention, Performed": "Below Normal Follow up"] union ( ["Intervention, Order": "Referrals where weight assessment may occur"] Referral where Referral.reason in "Underweight" ) union ["Medication, Order": "Below Normal Medications"] ) LowBMIInterventions such that Coalesce(start of LowBMIInterventions.relevantPeriod, LowBMIInterventions.authorDatetime)12 months or less on or before end of QualifyingEncounter.relevantPeriod
Last(["Physical Exam, Performed": "Body mass index (BMI) [Ratio]"] LastBMI with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that(LastBMI.relevantPeriod starts 12 months or less on or before start of QualifyingEncounter.relevantPeriod or LastBMI.relevantPeriod starts during QualifyingEncounter.relevantPeriod ) and LastBMI.result is not null sort by authorDatetime )
["Physical Exam, Not Performed": "Body mass index (BMI) [Ratio]"] NoBMI with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that NoBMI.negationRationale in "Medical or Other reason not done" and NoBMI.authorDatetime 12 months or less on or before day of QualifyingEncounter.relevantPeriod
["Physical Exam, Not Performed": "Body mass index (BMI) [Ratio]"] NoBMI with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that NoBMI.negationRationale in "Patient Reason refused" and NoBMI.authorDatetime during QualifyingEncounter.relevantPeriod
["Intervention, Not Ordered": "Referrals where weight assessment may occur"] NoReferral with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that NoReferral.negationRationale in "Medical or Other reason not done" and NoReferral.authorDatetime 12 months or less on or before day of QualifyingEncounter.relevantPeriod
( ["Intervention, Not Ordered": "Above Normal Follow-up"] union ["Intervention, Not Performed": "Above Normal Follow-up"] ) HighBMINoFollowup with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that HighBMINoFollowup.negationRationale in "Medical or Other reason not done" and HighBMINoFollowup.authorDatetime 12 months or less on or before day of QualifyingEncounter.relevantPeriod
( ["Intervention, Not Ordered": "Below Normal Follow up"] union ["Intervention, Not Performed": "Below Normal Follow up"] ) LowBMINoFollowUp with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that LowBMINoFollowUp.negationRationale in "Medical or Other reason not done" and LowBMINoFollowUp.authorDatetime 12 months or less on or before day of QualifyingEncounter.relevantPeriod
["Medication, Not Ordered": "Above Normal Medications"] HighBMINoMedications with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that HighBMINoMedications.negationRationale in "Medical or Other reason not done" and HighBMINoMedications.authorDatetime 12 months or less on or before day of QualifyingEncounter.relevantPeriod
["Medication, Not Ordered": "Below Normal Medications"] LowBMINoMedications with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that LowBMINoMedications.negationRationale in "Medical or Other reason not done" and LowBMINoMedications.authorDatetime 12 months or less on or before day of QualifyingEncounter.relevantPeriod
"Has Normal BMI" is not null or "Has High BMI with Follow Up" or "Has Low BMI with Follow Up"
["Encounter, Performed": "Palliative care encounter"] PalliativeCareEncounter with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that PalliativeCareEncounter.relevantPeriod starts on or before end of QualifyingEncounter.relevantPeriod
"Palliative or Hospice Care Ordered" union "Palliative Care Encounter Performed"
["Intervention, Order": "Palliative or Hospice Care"] PalliativeOrHospiceCareOrder with "Qualifying Encounters During the Measurement Period" QualifyingEncounter such that PalliativeOrHospiceCareOrder.authorDatetime on or before end of QualifyingEncounter.relevantPeriod
["Diagnosis": "Pregnancy Dx"] Pregnancy where Pregnancy.prevalencePeriod overlaps "Measurement Period"
["Encounter, Performed": "BMI Encounter Code Set"] BMIEncounter with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of BMIEncounter.relevantPeriod)>= 18 where BMIEncounter.relevantPeriod during "Measurement Period" sort by start of relevantPeriod
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |