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

Last updated: May 17, 2016

CMS Measure ID: CMS155v4
Version: 4
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
National Quality Strategy Domain: Community, Population and Public 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
Measure Score: Proportion
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.

Specifications

Release Notes

Header

  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.
  • eMeasure version number incremented from 4.0.000 to 4.1.000.

Logic

  • Added 'during Measurement Period' for each AND statement to clarify the logic in the left-hand side or right-hand side of a timing clause.
  • Changed data type of 'result' or 'finding' to 'performed'.
  • Introduced the new timing operator 'overlaps' to replace two lines of logic (AND/AND NOT) or to enforce when an event or set of events occur to meet the measure intent.
  • Introduced variable $OutpatientVisits to allow re-use of logical expressions and reduce redundancy/complexity.
  • Removed extraneous AND from Numerator.
  • Replaced 'ORs' with 'Union of' operator to provide a mechanism for specifying that qualifying event(s) must be a member of at least one of the data elements being unioned (if appropriate for measure intent).
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.
  • The top level logical operator for the Numerator Exclusions, Denominator Exclusions, Denominator Exceptions, and Measure Population Exclusions defaults to 'OR'.

Value Sets

  • Value set Counseling for Nutrition (OID 2.16.840.1.113883.3.464.1003.195.12.1003): Deleted 1 SNOMED Code (183101003).
  • Value set Counseling for Physical Activity (OID 2.16.840.1.113883.3.464.1003.118.12.1035): Deleted 3 SNOMED codes (183073003, 429778002, 439140001).
  • Value set Weight (OID 2.16.840.1.113883.3.464.1003.121.12.1015): Added 1 LOINC code (8349-3).

XML

  • This measure contains multiple Population Criteria sections. The earlier version of this measure contained mismatches between the applicable Population Criteria human readable narrative sections and their associated computer-readable sections in the XML file. This issue has been corrected.

External Resources