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Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

CBE ID
0421
1.4 Project
Prevention and Population Health
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Spring 2020
Is Under Review
No
1.3 Measure Description

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

    • 1.14 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.

    • 1.15 Denominator

      All patients aged 18 and older on the date of the encounter with at least one eligible encounter during the measurement period

    • Exclusions

      Not Eligible for BMI Calculation or Follow-Up Plan (Denominator Exclusion) – A patient is not eligible if one or more of the following reasons are documented:
      Patients receiving palliative care on the date of the current encounter or any time prior to the current encounter
      Patients who are pregnant on the date of the current encounter or any time during the measurement period prior to the current encounter
      Patients who refuse measurement of height and/or weight or refuse follow-up on the date of the current encounter or any time during the measurement period prior to the current encounter
      Patients with a documented BMI outside normal limits and a documented reason for not completing BMI follow-up plan during the current encounter or within the previous 12 months of the current encounter (Denominator Exception):
      Patients with a documented Medical Reason. The Medical Reason exception could include, but is not limited to, the following patients as deemed appropriate by the health care provider
      Elderly Patients (65 or older) for who weight reduction/weight gain would complicate other underlying health conditions such as the following examples:
      Illness or physical disability
      Mental illness, dementia, confusion
      Nutritional deficiency, such as vitamin/mineral deficiency
      Patient is in an urgent or emergent medical situation where time is of the essence, and to delay treatment would jeopardize the patient’s health status

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Prevention and Population Health Spring Cycle 2020
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization Email
      [email protected]
      Steward Organization Copyright

      These measures were developed by Quality Insights of Pennsylvania as a special project under the Quality Insights´ Medicare Quality Improvement Organization (QIO) contract HHSM-500-2005-PA001C with the Centers for Medicare & Medicaid Services. These measures are in the public domain.
      Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights of Pennsylvania disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications. CPT® contained in the Measures specifications is copyright 2004-2015 American Medical Association. All Rights Reserved. These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications.