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. Three rates are reported:
| ||
| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | 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 |
| 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 a visit that occurs during the measurement period Numerator 3: Patients who had counseling for physical activity during a visit that occurs during the measurement period |
| Denominator Exceptions | None |
| Denominator Exclusions | Patients:
|
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 3 years and < 17 years at the beginning of the Measurement Period
AND
Must have at least one encounter during the Measurement Period finalized by the EC/EP
AND
- Encounter must be with a primary care physician or an obstetrician/gynecologist
Encounter Codes Eligible for Denominator
CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99401, 99402, 99403, 99404, 99411, 99412, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99384, 99382, 99381, 99383, 99394, 99392, 99391, 99393
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 during the measurement year.
Pregnancy Diagnosis
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for pregnancy can be located here.
Document an Exclusion From the BMI – Pediatric Flowsheet
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- From the BMI – Pediatric flowsheet, click Add Column
- Select Pregnant from the Patient excluded due to following reason list
- Click OK to save
Hospice Care Services
To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
SNOMED CT: 385763009, 385765002
Order Status must be marked as Complete.
Note
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
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 is 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/Retake Vitals
Numerator 2: Documenting Counseling for Nutrition
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- 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 Flowsheets
- From the BMI – Pediatric flowsheet, click Add Column
- Select the Done checkbox for Physical Activity Counseling
- Click OK to save
eCQI Reference
Return to 2019 eCQMs