NUMERATOR / DENOMINATOR / EXCLUSION
- DENOMINATOR: Number of unique patients (age 3 or over for blood pressure) seen by the Eligible Physician (EP) or other eligible professional during the EHR reporting period.
- NUMERATOR: Number of patients in the denominator who have at least one entry of their height, weight and blood pressure (ages 3 and over) recorded as structured data.
- EXCLUSION: Any EP who:
- Sees no patients 3 years or older is excluded from recording blood pressure;
- Believes that all three vital signs of height, weight, and blood pressure have no relevance to their scope of practice is excluded from recording them;
- Believes that height and weight are relevant to their scope of practice, but blood pressure is not, is excluded from recording blood pressure; or
- Believes that blood pressure is relevant to their scope of practice, but height and weight are not, is excluded from recording height and weight.
EP's must select NO next to the appropriate exclusion, then click the APPLY button in order to attest to the exclusion.
The resulting percentage (Numerator ÷ Denominator) must be more than 50 percent in order for an EP to meet this measure.
- The EP is permitted, but not required, to limit the measure of this objective to those patients whose records are maintained using certified EHR technology.
- The only information required to be inputted by the EP is the height, weight, and blood pressure of the patient. The certified EHR technology will calculate BMI and the growth chart if applicable to patient based on age.
- Height, weight, and blood pressure do not have to be updated by the EP at every patient encounter. The EP can make the determination based on the patient’s individual circumstances as to whether height, weight, and blood pressure need to be updated.
- Height, weight, and blood pressure can get into the patient’s medical record as structured data in a number of ways. Some examples include entry by the EP, entry by someone on the EP’s staff, transfer of the information electronically or otherwise from another provider or entered directly by the patient through a portal or other means.