Measure: CMS22
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Measure Versions
| eMeasure Code | Measure Year | Full Version Number | Title |
|---|---|---|---|
| CMS22v12 | 2024 | 12.1.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v11 | 2023 | 11 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v10 | 2022 | 10.0.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v9 | 2021 | 9.3.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v8 | 2020 | 8.2.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v7 | 2019 | 7.1.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v6 | 2018 | 6.0.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS22v5 | 2017 | 5.1.000 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
Description
Percentage of patient visits for patients aged 18 years and older seen during the measurement period who were screened for high blood pressure AND a recommended follow-up plan is documented, as indicated, if blood pressure is elevated or hypertensive.Guidance
Patient Group Definitions
| Group | Description | Instructions Links |
|---|---|---|
| Initial Population | All patient visits for patients aged 18 years and older at the beginning of the measurement period | Webchart Instructions |
| Denominator | Equals Initial Population | Webchart Instructions |
| Denominator Exclusions | Patient has an active diagnosis of hypertension | Webchart Instructions |
| Numerator | Patient visits where patients were screened for high blood pressure AND have a recommended follow-up plan documented, as indicated, if the blood pressure is elevated or hypertensive | Webchart Instructions |
| Numerator Exclusions | Not Applicable | Webchart Instructions |
| Denominator Exceptions | Documentation of medical reason(s) for not screening for high blood pressure (e.g., patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient's health status). Documentation of patient reason(s) for not screening for blood pressure measurements or for not ordering an appropriate follow-up intervention if patient BP is elevated or hypertensive (e.g., patient refuses). | Webchart Instructions |
Details
| Full eMeasure Code | eMeasure Identifier | Measure Year | Version | NQF # | GUID |
|---|---|---|---|---|---|
| CMS22v11 | 22 | 2023 | 11 | N/A | 9a033a94-3d9b-11e1-8634-00237d5bf174 |
| Steward | Developer | Endorsed By |
|---|---|---|
| Centers for Medicare & Medicaid Services (CMS) | Mathematica | None |
| Scoring Method | Measure Type | Stratification | Risk Adjustment |
|---|---|---|---|
| Proportion | Process | None | None |
Rate Aggregation
None
Improvement Notation
Higher score indicates better qualityRationale
Clinical Recommendation Statement
Definition
Transmission Format
Applicable Value Sets
| Category | Value Set | OID |
|---|---|---|
| Diagnosis | Diagnosis of hypertension | 2.16.840.1.113883.3.600.263 |
| Encounter, Performed | BP Screening Encounter Codes | 2.16.840.1.113883.3.600.1920 |
| Intervention, Not Ordered | Dietary Recommendations | 2.16.840.1.113883.3.600.1515 |
| Intervention, Not Ordered | Follow Up Within 4 Weeks | 2.16.840.1.113883.3.526.3.1578 |
| Intervention, Not Ordered | Lifestyle Recommendation | 2.16.840.1.113883.3.526.3.1581 |
| Intervention, Not Ordered | Physical Activity Recommendation | 2.16.840.1.113883.3.600.1518 |
| Intervention, Not Ordered | Referral or Counseling for Alcohol Consumption | 2.16.840.1.113883.3.526.3.1583 |
| Intervention, Not Ordered | Referral to Primary Care or Alternate Provider | 2.16.840.1.113883.3.526.3.1580 |
| Intervention, Not Ordered | Weight Reduction Recommended | 2.16.840.1.113883.3.600.1510 |
| Intervention, Order | Dietary Recommendations | 2.16.840.1.113883.3.600.1515 |
| Intervention, Order | Follow Up Within 4 Weeks | 2.16.840.1.113883.3.526.3.1578 |
| Intervention, Order | Lifestyle Recommendation | 2.16.840.1.113883.3.526.3.1581 |
| Intervention, Order | Physical Activity Recommendation | 2.16.840.1.113883.3.600.1518 |
| Intervention, Order | Referral or Counseling for Alcohol Consumption | 2.16.840.1.113883.3.526.3.1583 |
| Intervention, Order | Referral to Primary Care or Alternate Provider | 2.16.840.1.113883.3.526.3.1580 |
| Intervention, Order | Weight Reduction Recommended | 2.16.840.1.113883.3.600.1510 |
| Laboratory Test, Not Ordered | Laboratory Tests for Hypertension | 2.16.840.1.113883.3.600.1482 |
| Laboratory Test, Order | Laboratory Tests for Hypertension | 2.16.840.1.113883.3.600.1482 |
| Medication, Not Ordered | Pharmacologic Therapy for Hypertension | 2.16.840.1.113883.3.526.1577 |
| Medication, Order | Pharmacologic Therapy for Hypertension | 2.16.840.1.113883.3.526.1577 |
| 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 |