CMS 165v12: Controlling High Blood Pressure

Measure: Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period
Measure Type High Priority Measure Scoring
Outcome Yes A higher percentage indicates better quality
Denominator Patients 18-85 years of age by the end of the measurement period who had a visit and diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period
Numerator Patients whose most recent blood pressure is adequately controlled (systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during the measurement period
Denominator Exceptions None
Denominator Exclusions
  • Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period
  • Patients with a diagnosis of pregnancy during the measurement period
  • Patients in hospice care for any part of the measurement period
  • Patients receiving palliative care for any part of the measurement period
  • Patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period
  • Patients 66-80 by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:
    • Advanced illness with two outpatient encounters during the measurement period or the year prior
    • OR advanced illness with one inpatient encounter during the measurement period or the year prior
    • OR taking dementia medications during the measurement period or the year prior
  • Patients 81 and older by the end of the measurement period with an indication of frailty for any part of the measurement period

 

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