eCQM Title | Controlling High Blood Pressure |
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eCQM Identifier (Measure Authoring Tool) | 165 | eCQM Version number | 7.3.000 |
NQF Number | 0018 | GUID | abdc37cc-bac6-4156-9b91-d1be2c8b7268 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | National Quality Forum | ||
Description | |||
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Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Intermediate Clinical Outcome | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
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Clinical Recommendation Statement | |||
Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[18, 85 ) and exists "Essential Hypertension Diagnosis" and exists AdultOutpatientEncounters."Qualifying Encounters"
"Initial Population"
Hospice."Has Hospice" or exists "Pregnancy Or Renal Diagnosis Exclusions" or ( exists "End Stage Renal Disease Procedures" or exists "End Stage Renal Disease Encounter" )
"Has Diastolic Blood Pressure Less Than 90" and "Has Systolic Blood Pressure Less Than 140"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Annual Wellness Visit"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Home Healthcare Services"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
"Initial Population"
Hospice."Has Hospice" or exists "Pregnancy Or Renal Diagnosis Exclusions" or ( exists "End Stage Renal Disease Procedures" or exists "End Stage Renal Disease Encounter" )
["Physical Exam, Performed": "Diastolic blood pressure"] DiastolicBP where DiastolicBP.result is not null and DiastolicBP.authorDatetime during "Measurement Period"
["Encounter, Performed": "ESRD Monthly Outpatient Services"] ESRDEncounter where ESRDEncounter.relevantPeriod starts before end of "Measurement Period"
( ["Procedure, Performed": "Vascular Access for Dialysis"] union ["Procedure, Performed": "Kidney Transplant"] union ["Procedure, Performed": "Dialysis Services"] ) ESRDProcedure where ESRDProcedure.relevantPeriod starts before end of "Measurement Period"
["Diagnosis": "Essential Hypertension"] Hypertension where Hypertension.prevalencePeriod starts 6 months or less on or after start of "Measurement Period" or Hypertension.prevalencePeriod overlaps before "Measurement Period"
Last("Diastolic Blood Pressure Exam" LastDiastolicBP with "Most Recent Visit With Blood Pressure" HypertensionNumeratorEncounter such that LastDiastolicBP.relevantPeriod during HypertensionNumeratorEncounter.relevantPeriod sort by start of relevantPeriod ).result < 90 'mm[Hg]'
Last("Systolic Blood Pressure Exam" LastSystolicBP with "Most Recent Visit With Blood Pressure" HypertensionNumeratorEncounter such that LastSystolicBP.relevantPeriod during HypertensionNumeratorEncounter.relevantPeriod sort by start of relevantPeriod ).result < 140 'mm[Hg]'
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[18, 85 ) and exists "Essential Hypertension Diagnosis" and exists AdultOutpatientEncounters."Qualifying Encounters"
Last((["Encounter, Performed": "Adult Outpatient Visit"] OutpatientVisit with "Essential Hypertension Diagnosis" HypertensionDiagnosis such that HypertensionDiagnosis.prevalencePeriod overlaps OutpatientVisit.relevantPeriod with "Diastolic Blood Pressure Exam" DiastolicBP such that OutpatientVisit.relevantPeriod overlaps DiastolicBP.relevantPeriod with "Systolic Blood Pressure Exam" SystolicBP such that OutpatientVisit.relevantPeriod overlaps SystolicBP.relevantPeriod)VisitWithBP where VisitWithBP.relevantPeriod during "Measurement Period" sort by start of relevantPeriod )
"Has Diastolic Blood Pressure Less Than 90" and "Has Systolic Blood Pressure Less Than 140"
( ["Diagnosis": "Pregnancy"] union ["Diagnosis": "End Stage Renal Disease"] union ["Diagnosis": "Kidney Transplant Recipient"] union ["Diagnosis": "Chronic Kidney Disease, Stage 5"] ) PregnancyESRDDiagnosis where PregnancyESRDDiagnosis.prevalencePeriod overlaps "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Physical Exam, Performed": "Systolic blood pressure"] SystolicBP where SystolicBP.result is not null and SystolicBP.authorDatetime during "Measurement Period"
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 |