Measure: CMS155
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Measure Versions
eMeasure Code |
Measure Year |
Full Version Number |
Title |
CMS155v12 |
2024 |
12.0.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents |
CMS155v11 |
2023 |
11 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents |
CMS155v10 |
2022 |
10.0.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents |
CMS155v9 |
2021 |
9.2.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents |
CMS155v8 |
2020 |
8.1.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents |
CMS155v7 |
2019 |
7.2.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents |
CMS155v6 |
2018 |
6.1.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents |
CMS155v5 |
2017 |
5.0.000 |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents |
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
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, rather than an absolute BMI value, is assessed.
Patient Group Definitions
Group |
Description |
Instructions Links |
Initial 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 | Webchart Instructions |
Denominator | Equals Initial Population | Webchart Instructions |
Denominator Exclusions | Patients who have a diagnosis of pregnancy during the measurement period.
Exclude patients whose hospice care overlaps the measurement period. | Webchart Instructions |
Numerator | 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 the measurement period
Numerator 3: Patients who had counseling for physical activity during the measurement period | Webchart Instructions |
Numerator Exclusions | Not Applicable | Webchart Instructions |
Denominator Exceptions | None | |
Details
Full eMeasure Code |
eMeasure Identifier |
Measure Year |
Version |
NQF # |
GUID |
CMS155v8 |
155 |
2020 |
8.1.000 |
Not Applicable |
0b63f730-25d6-4248-b11f-8c09c66a04eb |
Steward |
Developer |
Endorsed By |
National Committee for Quality Assurance |
National Committee for Quality Assurance |
|
Scoring Method |
Measure Type |
Stratification |
Risk Adjustment |
Proportion |
PROCESS |
Report a total score, and each of the following strata:
Stratum 1 - Patients age 3-11
Stratum 2 - Patients age 12-17 |
None |
Rate Aggregation
None
Improvement Notation
Higher score indicates better quality
Rationale
Over the last three decades, childhood obesity has more than doubled in children and tripled in adolescents. Approximately 15 percent of children and adolescents in the United States are overweight and 17 percent are obese (Fryar, Carroll, & Ogden, 2014). Childhood obesity has both immediate and long-term effects on health and well-being.
Children who are obese are more likely to be obese as adults and are therefore at risk for adult health problems, such as heart disease, type 2 diabetes, stroke and several types of cancer (Centers for Disease Control and Prevention, 2013.
The direct medical costs associated with childhood obesity total about $19,000 per child, contributing to the $14 billion spent on care related to childhood obesity in the United States (Finkelstein, Graham, & Malhotra, 2014).
Since obesity can become a lifelong health issue, it is important to screen for obesity in children and adolescents, and to provide interventions that promote weight loss (U.S. Preventive Services Task Force, 2017).
Clinical Recommendation Statement
U.S. Preventive Services Task Force (2017) - The task force recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. (B recommendation)
American Academy of Pediatrics – Bright Futures (Hagan, Shaw, & Duncan, 2017) -
- Plot and assess BMI percentiles routinely for early recognition of overweight and obesity.
- Assess barriers to healthy eating and physical activity.
- Provide anticipatory guidance for nutrition and physical activity.
Definition
None
Transmission Format
TBD
Applicable Value Sets
Category |
Value Set |
OID |
Diagnosis |
Pregnancy |
2.16.840.1.113883.3.526.3.378 |
Encounter, Performed |
Encounter Inpatient |
2.16.840.1.113883.3.666.5.307 |
Encounter, Performed |
Home Healthcare Services |
2.16.840.1.113883.3.464.1003.101.12.1016 |
Encounter, Performed |
Office Visit |
2.16.840.1.113883.3.464.1003.101.12.1001 |
Encounter, Performed |
Preventive Care - Established Office Visit, 0 to 17 |
2.16.840.1.113883.3.464.1003.101.12.1024 |
Encounter, Performed |
Preventive Care Services - Group Counseling |
2.16.840.1.113883.3.464.1003.101.12.1027 |
Encounter, Performed |
Preventive Care Services-Individual Counseling |
2.16.840.1.113883.3.464.1003.101.12.1026 |
Encounter, Performed |
Preventive Care- Initial Office Visit, 0 to 17 |
2.16.840.1.113883.3.464.1003.101.12.1022 |
Intervention, Order |
Hospice care ambulatory |
2.16.840.1.113762.1.4.1108.15 |
Intervention, Performed |
Counseling for Nutrition |
2.16.840.1.113883.3.464.1003.195.12.1003 |
Intervention, Performed |
Counseling for Physical Activity |
2.16.840.1.113883.3.464.1003.118.12.1035 |
Intervention, Performed |
Hospice care ambulatory |
2.16.840.1.113762.1.4.1108.15 |
Patient Characteristic Ethnicity |
Ethnicity |
2.16.840.1.114222.4.11.837 |
Patient Characteristic Payer |
Payer |
2.16.840.1.114222.4.11.3591 |
Patient Characteristic Race |
Race |
2.16.840.1.114222.4.11.836 |
Patient Characteristic Sex |
ONC Administrative Sex |
2.16.840.1.113762.1.4.1 |
Physical Exam, Performed |
BMI percentile |
2.16.840.1.113883.3.464.1003.121.12.1012 |
Physical Exam, Performed |
Height |
2.16.840.1.113883.3.464.1003.121.12.1014 |
Physical Exam, Performed |
Weight |
2.16.840.1.113883.3.464.1003.121.12.1015 |
References
Centers for Disease Control and Prevention. (2013). Adolescent and school health: Childhood obesity facts. Retrieved from https://www.cdc.gov/obesity/data/childhood.html
Finkelstein, E. A., Graham, W. C. K., & Malhotra, R. (2014). Lifetime direct medical costs of childhood obesity. Pediatrics, 133(5), 854-862. Retrieved from http://pediatrics.aappublications.org/content/early/2014/04/02/peds.2014-0063.full.pdf+html
Fryar, C. D., Carroll, M. D., & Ogden, C. L. (2014). Prevalence of overweight and obesity among children and adolescents: United States, 1963-1965 through 2011-2012. Health E-Stats. Retrieved from https://www.cdc.gov/nchs/data/hestat/obesity_child_11_12/obesity_child_11_12.htm
Hagan, J. F., Shaw, J. S., & Duncan, P. M. (eds.). (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents, 4th ed. Elk Grove Village, IL: American Academy of Pediatrics.
U.S. Preventive Services Task Force. (2017). Screening and interventions for overweight in children and adolescents: Recommendation statement. Rockville, MD: Agency for Healthcare Research and Quality. https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/obesity-in-children-and-adolescents-screening
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Source:
https://ecqi.healthit.gov/ecqm/measures/cms155v8