Measure: Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter. Normal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2 | ||
| Measure Type | High Priority Measure | Scoring |
| Process | No | A higher percentage indicates better quality |
| Denominator | All patients 18 and older on the date of the encounter with at least one eligible encounter during the measurement period |
| Numerator | Patients with a documented BMI during the encounter or during the previous twelve months, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter |
| Denominator Exceptions |
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| Denominator Exclusions |
|
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 18 years at the beginning of the Measurement Period
AND
- Have at least one encounter during the Measurement Period finalized by the EC/EP
Encounter Codes Eligible for Denominator
CPT: 90791, 90792, 90832, 90834, 90837, 96150, 96151, 96152, 97161, 97162, 97163, 97165, 97166, 97167, 97802, 97803, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99236, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99339, 99340, 99385, 99386, 99387, 99395, 99396, 99397, 99401, 99402
HCPCS: G0101, G0108, G0270, G0271, G0402, G0438, G0439, G0447, G0473
Denominator Exceptions
A patient will be counted as an exception if there is a medical reason for not documenting their BMI or for not providing a BMI follow-up plan if BMI was out of normal range. The reason for exception must be documented on the day of the encounter or in the 12 months prior.
Document an Exception
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- From the BMI – Adult flowsheet, click Add Column
- Select Emergent situation or Medical reason from the Patient is an exclusion or exception due to the following reason list
- Click OK to save
Denominator Exclusions
A patient will be excluded from this measure if they meet any of the following conditions:
- Are receiving palliative care during the Measurement Period
- Have an active diagnosis of pregnancy during the Measurement Period
- Refuse to have their BMI documented or refuse a follow-up plan if BMI is out of normal range
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible pregnancy diagnosis codes can be located here.
Document an Exclusion from the BMI – Adult Flowsheet
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- From the BMI – Adult flowsheet, click Add Column
- Select Has a terminal illness, Pregnant, or Refuses BMI from the Patient is an exclusion or exception due to the following reason list
- Click OK to save
Numerator
A patient will be counted in the numerator if their BMI was documented during the encounter or in the 12 months prior. If the patient’s BMI is outside of the normal range (as defined by this measure), a BMI Management plan must be provided to be counted in the numerator.
Note
If more than one BMI is documented during the Measurement Period, the most recent BMI will be used to determine if the measure performance has been met
Documenting 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 and click Add/Retake Vitals
Documenting BMI Follow-Up Plan
For patients whose BMI falls outside of the normal range, a follow-up plan for BMI management must be provided. BMI management can be documented in the BMI – Adult flowsheet, as a diagnosis, as a procedure, or through the prescription of a medication.
Document BMI Follow-Up Plan from the BMI – Adult Flowsheet
- Go to Encounter > Flowsheets/Labs > Standard Flowsheets
- From the BMI – Adult flowsheet, click Add Column
- Select the Done checkbox for BMI Management Plan
- Click OK to save
Diagnosis
Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for BMI management can be located here.
Medication
To prescribe a medication, go to Encounter > Medications > Manage/Prescribe Meds > Prescribe a Medication. A comprehensive list of eligible BMI management medications can be located here.
Procedure Codes
To document a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add an eligible code. Order Status must be marked as Complete in order to count toward the numerator. A comprehensive list of eligible procedure codes for BMI management can be located here.
eCQI Reference
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