QCDR Measure Specifications

Controlling High Blood Pressure: eGFR Test Annually

Measure ID: WCHQ32
Measure Name: Controlling High Blood Pressure: eGFR Test Annually
NQS Domain: Effective Clinical Care
Measure Type: Process
Meaningful Measure Area: Management of Chronic Conditions
NQF Number: N/A
Denominator Description: Patients with essential hypertension 18-85 years of age and alive as of the last day of the measurement period.
A minimum of two hypertension (HTN) coded office visits and must be seen by a PCP / Cardiologist for two office visits in 24 months and one office visit in 12 months. At least one diagnosis of HTN must be within the year prior to the MP or within the first six months of the MP to provide opportunity to establish control.
Denominator Exclusions: Patients with one diagnosis of ESRD within the prior 24 months or with an active problem list diagnosis or one diagnosis of pregnancy within the measurement period are excluded from the denominator.
Inpatient Stays, Emergency Room Visits, Urgent Care Visits, and Patient Self-Reported BP’s (Home and Health Fair BP results)
Numerator Description: An eGFR (Estimated Glomerular Filtration Rate) test annually
Numerator Exclusions: None
Risk Adjusted?: No
Performance Rates Required: 1
QCDR Measure Type: Existing Approved QCDR Measure With No Changes
High Priority?: No
Inverse Measure?: No
Result Type: Proportional

Screening For Osteoporosis

Measure ID: WCHQ15
Measure Name: Screening For Osteoporosis
NQS Domain: Effective Clinical Care
Measure Type: Process
Meaningful Measure Area: Preventive Care
NQF Number: N/A
Denominator Description: Female patients 65-85 years of age & alive as of the last day of the measurement period
Patients with two office visits in 36 months and one office visit in 24 months with a PCP / OB-GYN regardless of diagnosis
Denominator Exclusions: None
Numerator Description: Women who have had a bone densitometry test performed at age 60 or above or who have a diagnosis of osteoporosis or osteopenia prior to the end of the measurement period.
Numerator Exclusions: None
Risk Adjusted?: No
Performance Rates Required: 1
QCDR Measure Type: Existing Approved QCDR Measure With No Changes
High Priority?: No
Inverse Measure?: No
Result Type: Proportional

Diabetes Care All or None Outcome Measure: Optimal Control

Measure ID: WCHQ10
Measure Name: Diabetes Care All or None Outcome Measure: Optimal Control
NQS Domain: Effective Clinical Care
Measure Type: Intermediate Outcome
Meaningful Measure Area: Management of Chronic Conditions
NQF Number: N/A
Denominator Description: Patients with diabetes 18-75 years of age and alive as of the last day of the measurement period.
A minimum of two diabetes coded office visits and must be seen by a PCP / Endocrinologist for two office visits in 24 months and one office visit in 12 months.
Denominator Exclusions: Gestational Diabetes is excluded.
Numerator Description:
  • Most recent A1C is less than 8.0% AND
  • Most recent BP is less than 130/80 mm Hg AND
  • Most recent tobacco status is Tobacco Free (NOTE: If there is No Documentation of Tobacco Status the patient is not compliant for this measure) AND
  • Daily Aspirin or Other Antiplatelet for Diabetes Patients with the Diagnosis of Ischemic Vascular Disease Unless Contraindicated. (NOTE: If there is no diagnosis of IVD, the patient is automatically numerator compliant for this measure) AND
  • Statin Use (NOTE: If the patient is less than age 40 and there is no diagnosis of IVD, the patient is automatically numerator compliant for this measure)
Numerator Exclusions: None
Risk Adjusted?: No
Performance Rates Required: 1
QCDR Measure Type: Existing Approved QCDR Measure With No Changes
High Priority?: Yes
Inverse Measure?: No
Result Type: Proportional

Diabetes Care All or None Process Measure: Optimal Testing

Measure ID: WCHQ09
Measure Name: Diabetes Care All or None Process Measure: Optimal Testing
NQS Domain: Effective Clinical Care
Measure Type: Process
Meaningful Measure Area: Management of Chronic Conditions
NQF Number: N/A
Denominator Description: Patients with diabetes 18-75 years of age and alive as of the last day of the measurement period.
A minimum of two diabetes coded office visits and must be seen by a PCP / Endocrinologist for two office visits in 24 months and one office visit in 12 months.
Denominator Exclusions:
  • Non-warranted eGFR
  • Gestational Diabetes is excluded
  • Patient was a permanent nursing home resident at any time during the measurement period
  • Patient was in hospice or receiving palliative care at any time during the measurement period
  • Patient died prior to the end of the measurement period
  • Patient was pregnant (Diabetes with Pregnancy Value Set) at any time during measurement period
Numerator Description:
  • Two A1C tests AND
  • One kidney function test and/or diagnosis and treatment of kidney disease AND
  • One eGFR test annually
  • All of the above are during the time period specified by the measure
Numerator Exclusions: None
Risk Adjusted?: No
Performance Rates Required: 1
QCDR Measure Type: Existing Approved QCDR Measure With No Changes
High Priority?: No
Inverse Measure?: No
Result Type: Proportional
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