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% of hypertensive patients with BP under control [OP 2011 NQF endorsed


Name:% of hypertensive patients with BP under control [OP 2011 NQF endorsed
Type:Data Element
Source:Agency for Healthcare Research and Quality
Definition:Title Controlling High Blood Pressure* Description: Percentage of patients with last BP < 140/80 mm Hg. Numerator: Patients with last blood pressure measurement adequately controlled to systolic blood pressure < 140 mm Hg and diastolic blood pressure < 80 mm Hg during the measurement year. Denominator: All patients > 18 years of age with a diagnosis of hypertension in the first six months of the measurement year or any time prior. Patient Selection: ICD&#8208;9&#8208;CM codes for Hypertension: 401.0, 401.1, 401.9, 402.xx, 403.xx, 404.xx A patient is considered to be hypertensive if there is at least one outpatient encounter (outpatient or other outpatient services &#8208;99201&#8208;99205, 99211&#8208;99215, 99241, 99245) with a diagnosis of hypertension (applicable ICD&#8208;9 codes) during the first six months of the measurement year. To confirm the diagnosis of hypertension, notation of the following must be found in the medical record on or before June 30 of the measurement year: • HTN • high blood pressure (HBP) • elevated blood pressure • borderline HTN • intermittent HTN • history of HTN. The notation of hypertension may appear anytime on or before June 30 of the measurement year, including prior to the measurement year. It does not matter if hypertension was treated or is currently being treated. The notation indicating a diagnosis of hypertension may be recorded on any of the following documents: • a problem list • office note, • subjective, objective, assessment, plan (SOAP) note, • encounter form, • telephone call record, • diagnostic report, and/or • hospital discharge summary. Statements such as “rule out hypertension,” “possible hypertension,” “white&#8208;coat hypertension,” “questionable hypertension,” and “consistent with hypertension” are not sufficient to confirm the diagnosis of hypertension if such statements are the only notations of hypertension in the medical record. Exclusions: None [OP] NCQA
Registration Authority:Agency for Healthcare Research and Quality
Status:Incomplete
Comment:QDS Datatype/HITEP: ]age ]hypertension diagnosis ]elevated blood pressure diagnosis ]borderline hypertension diagnosis ]intermittent hypertension diagnosis ]history of hypertension ]ambulatory encounter ]systolic blood pressure result ]diastolic blood pressure result
Administrative Note:Recommend: History of hypertension currently from ICD code list. For retooling ´notation´ should indicate presence on the Problem List.
Administrative Attributes
Responsible Organization:Agency for Healthcare Research and Quality
Submitting Organization:Agency for Healthcare Research and Quality
Steward Organization:Agency for Healthcare Research and Quality
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