Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Last updated: June 9, 2017

CMS Measure ID: CMS155v5
Version: 5
NQF Number: 0024
Measure Description:

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

  • Percentage of patients with height, weight, and body mass index (BMI) percentile documentation
  • Percentage of patients with counseling for nutrition
  • Percentage of patients with counseling for physical activity
Initial Patient Population:

Patients 3-17 years of age with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

Patients who have a diagnosis of pregnancy during the measurement period

Numerator Statement:

Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period

Numerator 2: Patients who had counseling for nutrition during a visit that occurs during the measurement period

Numerator 3: Patients who had counseling for physical activity during a visit that occurs during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Community/Population Health
Next Version: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Previous Version: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Improvement Notation:

Higher score indicates better quality

Guidance:

The visit must be performed by a PCP or OB/GYN.

Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile is assessed rather than an absolute BMI value.

Addendum Notes: ICD-10 Value Set addition
Quality ID: 239
High Priority Measure: No
Data Submission Method: EHR
Specialty Measure Set: Pediatrics

Specifications

Release Notes

Header

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

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

  • 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 Pregnancy (2.16.840.1.113883.3.526.3.378): Added 40 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

External Resources