May 1, 2022
BLOOD PRESSURE CONTROL
DESCRIPTION:
Percentage of patients 18 - 85 years of age who had a diagnosis of hypertension and whose most recent blood pressure was adequately controlled (< 140/90 mmHg) during the measurement period.
EXCLUSIONS:
- Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period.
- Patients over 81 years with frailty alone.
- A diagnosis of pregnancy during the measurement period.
- Patients aged 66 and older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care for more than 90 days during the measurement period.
- Patients 66 – 80 years of age and older with at least one claim/encounter for frailty during the measurement period AND:
- a dispensed medication for dementia during the measurement period or the year prior to the measurement period OR
- oone acute inpatient encounter with a diagnosis of advanced illness OR
- two outpatient, observation, ED, telephone, e-visits, virtual check ins or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period.
- Patients in palliative or hospice care anytime during the current year
ELIGIBLE MEMBER BP READINGS:
|
Value Set
|
Numerator Compliance
|
CPT-2 Code
|
|
Systolic Less Than 140
|
Systolic compliant
|
3075F or 3074F
|
|
Systolic Greater or Equal To 140
|
Systolic not compliant
|
3077F
|
|
Diastolic Less Than 80
|
Diastolic compliant
|
3078F
|
|
Diastolic 80–89
|
Diastolic compliant
|
3079F
|
|
Diastolic Greater or Equal To 90
|
Diastolic not compliant
|
3080F
|
Identify the most recent BP reading taken during an outpatient visit, telephone visit, e-visit or virtual check-in, a nonacute inpatient encounter, or remote monitoring event during the measurement year. The BP reading must occur on or after the date of the second diagnosis of hypertension. If there are multiple BPs on the same date of service, use the lowest systolic and lowest diastolic BP on that date as the representative BP.
REFERENCE:
https://www.cms.gov/files/document/2022-qrs-measure-tech-specs.pdf
MPP has partnered with the Michigan Peer Review Organization (MPRO) in a Cardiac Learning and Action Network to improve this metric across our populations. One way to help improve this measure is accurate blood pressure reading. Errors in technique lead to inaccurate measurement. MPP is providing a Blood Pressure Measurement Competency Training video and reference materials at no cost.
We ask all of our practices to participate in this training.
McLaren Employed Practices
An education module on this metric, Strategies and Techniques for Blood Pressure Management – Blood Pressure Competency Training, will be part of McLaren University for the Medical Assistants and other clinical staff working in the employed and residency practices. The training will occur in July 2022 and will include a pre- and post-test and reference materials.
Independent Practices
Access to the training module, Strategies and Techniques for Blood Pressure Management – Blood Pressure Competency Training, and related materials including a pre- and post-test and reference materials, have been sent to office managers for independent practices, but if you have not received this information, please reach out to:
Dawn Smith
p (248) 484-4942, f (248) 484-4999
Dawn.smith@mclaren.org