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Clinical Quality Measures Report - Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

This article covers the Clinical Quality Measure Report "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented". This report is used to meet Clinical Quality Measure requirements for MIPS and Medicaid reporting programs. We'll cover the structure of the report and how it works so you can meet your Clinical Quality Measure requirements.

Overview of Measure
The "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented" report tracks the percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated.

A patient will be in the denominator when they have all of the following:

  • An age of 18+ years at the beginning of the reporting period
  • A visit during your reporting period

A patient will be in the numerator when they have all of the following:

  • A Diastolic Blood Pressure LNC code (8462-4) entered on imported as a Lab Order with a Received Date matching the Procedure Date of their visit
  • A Systolic Blood Pressure LNC code (8480-6) entered on imported as a Lab Order with a Received Date matching the Procedure Date of their visit
    • If their Systolic BP is under 120 and their Diastolic BP is under 80, they have a normal BP and will be in the numerator
    • If their Systolic BP is between 120 and 140 and their Diastolic BP is between 80 and 90, they will also need one of the following-
      • A Referral to Alternative Provider / Primary Care provider SNOMED code entered into their EMR or EHR form with a Start Date and End Date matching the Procedure Date of their visit
      • A Followup Within One Year SNOMED code entered into their EMR or EHR form with a Start Date and End Date matching the Procedure Date of their visit
    • If their Systolic BP is over 140 and their Diastolic BP is over 90, they will also need one of the following-
      • A Referral to Alternative Provider / Primary Care provider SNOMED code entered into their EMR or EHR form with a Start Date and End Date matching the Procedure Date of their visit
      • A Followup Within 4 Weeks SNOMED code entered into their EMR or EHR form with a Start Date and End Date matching the Procedure Date of their visit

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Results

Unexpanded

  • Group Name: For reports with multiple numerator requirements, this identifies the numerator that is being checked for. In this report's case, there is only one numerator requirement.
  • Numerator: The number of patient that meet the numerator requirements described above.
  • Denominator: The number of patients that meet the denominator requirements described above.
  • Percentage: The percentage of patients meeting both the numerator and denominator requirements.

First expansion

  • Patient #: The Patient Account Number for the Patient in question.
  • Patient Name: The name of the patient in question, formatted as last name/first name.
  • In Numerator (Yes/No): This column identifies whether the patient in question meets the numerator requirements.
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