Skip to main content

Controlling High Blood Pressure for People with Serious Mental Illness

CBE ID
2602
1.4 Project
Behavioral Health and Substance Use
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Spring 2020
Is Under Review
No
1.3 Measure Description

The percentage of patients 18-85 years of age with serious mental illness who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled during the measurement year.

Note: This measure is adapted from an existing health plan measure used in a variety of reporting programs for the general population (NQF #0018: Controlling High Blood Pressure). It was originally endorsed in 2009 and is owned and stewarded by NCQA. The specifications for the existing measure (Controlling High Blood Pressure NQF #0018) have been updated based on 2013 JNC-8 guideline. NCQA will submit the revised specification for Controlling High Blood Pressure NQF #0018 in the 4th quarter 2014 during NQF’s scheduled measure update period. This measure uses the new specification to be consistent with the current guideline.

    • 1.14 Numerator

      Patients whose most recent blood pressure (BP) is adequately controlled during the measurement year (after the diagnosis of hypertension) based on the following criteria:
      -Patients 18-59 years of age as of December 31 of the measurement year whose BP was <140/90 mm Hg.
      -Patients 60-85 years of age as of December 31 of the measurement year and flagged with a diagnosis of diabetes whose BP was <140/90 mm Hg.
      -Patients 60-85 years of age as of December 31 of the measurement year and flagged as not having a diagnosis of diabetes whose BP was <150/90 mm Hg.

    • 1.15 Denominator

      All patients 18-85 years of age as of December 31 of the measurement year with at least one acute inpatient visit or two outpatient visits for schizophrenia or bipolar I disorder, or at least one inpatient visit for major depression during the measurement year AND a diagnosis of hypertension on or before June 30th of the measurement year.

    • Exclusions

      All patients who meet one or more of the following criteria should be excluded from the measure:
      - Evidence of end-stage renal disease (ESRD) or kidney transplant
      - A diagnosis of pregnancy

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Behavioral Health and Substance Use Spring Cycle 2020
      Initial Endorsement
      Last Updated
      Removal Date