Measure: 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:
| ||
| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | Patients 3-17 years of age by the end of the measurement period with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period |
| 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 |
| Denominator Exceptions | None |
| Denominator Exclusions |
|
Denominator
Patients who meet the following criteria will be included in the denominator:
Age is 3 years to 17 years at the end of the Measurement Period
AND
Have at least one eligible encounter during the Measurement Period finalized by the EC
AND
- EC must be a primary care provider or an obstetrician/gynecologist
Encounter Codes Eligible for Denominator
CPT: 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99401, 99402, 99403, 99404, 99411, 99412, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 99384, 99382, 99381, 99383, 99394, 99392, 99391, 99393, 98966, 98967, 98968, 99441, 99442, 99443
Denominator Exclusions
A patient will be excluded from the measure if they have an active diagnosis of pregnancy during the Measurement Period or were in hospice care for any part of the Measurement Period.
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for pregnancy can be located here.
Hospice Care Services
To document hospice care ambulatory services, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
CPT: 99377, 99378
HCPCS: G0182
Order Status must be marked as Pending or Complete.
To document hospice care encounter services, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
HCPCS: G9473, G9474, G9475, G9476, G9477, G9478, G9479, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5010, S9126, T2042, T2043, T2044, T2045, T2046
Order Status must be marked as Complete.
Numerator
Three separate actions are required for the numerator. A patient will be counted in the numerator if during the Measurement Period:
- Their height, weight, and BMI was documented
- They received counseling for nutrition
- They received counseling for physical activity
Numerator 1: Documenting Height, Weight, and BMI
BMI and BMI percentile are calculated based on the patient height and weight as entered in the Vitals tab of an encounter. To document height and weight, go to Encounter > Vitals > click Add Column
Numerator 2: Documenting Counseling for Nutrition
- Go to Encounter > Flowsheets/Labs > Standard
- From the BMI – Pediatric flowsheet, click Add Column
- Select the Done checkbox for Nutrition Counseling
- Click OK to save
Numerator 3: Documenting Counseling for Physical Activity
- Go to Encounter > Flowsheets/Labs > Standard
- From the BMI – Pediatric flowsheet, click Add Column
- Select the Done checkbox for Physical Activity Counseling
- Click OK to save
eCQI Reference
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