Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Last updated: May 3, 2018

CMS Measure ID: CMS22v3
Version: 3
NQF Number: None
Measure Description:

Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated

Initial Patient Population:

All patients aged 18 years and older before the start of the measurement period

Denominator Statement:

Equals Initial Patient Population

Denominator Exclusions:

Patient has an active diagnosis of hypertension

Numerator Statement:

Patients who were screened for high blood pressure AND have a recommended follow-up plan documented, as indicated if the blood pressure is pre-hypertensive or hypertensive

Numerator Exclusions:

Not Applicable.

Denominator Exceptions:

Patient Reason(s):

Patient refuses to participate


Medical Reason(s):

Patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status. This may include but is not limited to severely elevated BP when immediate medical treatment is indicated.

Measure Steward: Centers for Medicare and Medicaid Services
Domain: Community, Population and Public Health
Next Version:
Measure Score: Proportion
Score Type: Process
Improvement Notation:

Higher score indicates better quality.


Both the systolic and diastolic blood pressure measurements are required for inclusion. 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.

Eligible professionals who report the measure must perform the blood pressure screening at the time of a qualifying visit by an eligible professional and may not obtain measurements from external sources.

The documented follow up plan must be related to the current BP reading as indicated, example: Patient referred to primary care provider for BP management.


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