Hypertension: Improvement in Blood Pressure

Last updated: June 9, 2017

CMS Measure ID: CMS65v6
Version: 6
NQF Number: None
Measure Description:

Percentage of patients aged 18-85 years of age with a diagnosis of hypertension whose blood pressure improved during the measurement period.

Initial Patient Population:

All patients aged 18-85 years of age, who had at least one outpatient visit in the first six months of the measurement year, who have a diagnosis of essential hypertension documented during that outpatient visit, and who have uncontrolled baseline blood pressure at the time of that visit

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

Exclude from the denominator all patients with evidence of end-stage renal disease (ESRD) on or prior to December 31 of the measurement year. Documentation of dialysis or kidney transplant also meets the criteria for evidence of ESRD.

Exclude from the denominator all patients with a diagnosis of pregnancy during the measurement year.

Numerator Statement:

Patients whose follow-up blood pressure is at least 10 mmHg less than their baseline blood pressure or is adequately controlled.

If a follow-up blood pressure reading is not recorded during the measurement year, the patient's blood pressure is assumed not improved.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: Centers for Medicare & Medicaid Services (CMS)
Domain: Effective Clinical Care
Next Version: Hypertension: Improvement in Blood Pressure
Previous Version: Hypertension: Improvement in Blood Pressure
Improvement Notation:

A higher score indicates better quality

Guidance:

Blood pressure readings must be taken while the patient is sitting. If multiple measurements occur on the same date, the last systolic and diastolic readings should be used.

Occurrence A of Physical Exam, Performed: Systolic Blood Pressure (result) represents the baseline blood pressure, which must occur prior to Occurrence B of Physical Exam, Performed: Systolic Blood Pressure (result), which represents the follow-up blood pressure.

To calculate the Physical Exam, Performed: Delta systolic blood pressure (result) data element, subtract the value of Occurrence B of Physical Exam, Performed: Systolic Blood Pressure (result) from the value of Occurrence A of Physical Exam, Performed: Systolic Blood Pressure (result).

The data element Physical Exam, Performed: Delta systolic blood pressure (result) is intended to represent the result of the mathematic comparison between systolic blood pressures taken during two separate visits. This is a calculation artifact, and there's no requirement to document the delta data element in the medical record.

Addendum Notes: ICD-10 Value Set addition
Quality ID: 373
High Priority Measure: Yes
Data Submission Method: EHR

Specifications

Release Notes

Header

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Updated Rationale.

    Section: Rationale

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

Logic

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Denominator Exclusions

    Source: QDM Standards

  • Adjusted timing statement to capture the time period specified in the measure description.

    Section: Initial Population

    Source: Measure Lead

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

Value Set

  • Value set Kidney Transplant (2.16.840.1.113883.3.464.1003.109.12.1012): Added 1 HCPCS code

    (S2065).

    Section: None

    Source: None

  • Value set Pregnancy (2.16.840.1.113883.3.526.3.378): Added 40 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

External Resources