Clinical Quality Measure
CMS069v2 (NQF 0421) - Adult Recommended Core Measure

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current visit documented in the medical record AND if the most recent BMI is outside parameters, a follow-up plan is documented.



NQS DOMAIN:   Population/Public Health




Description and Implementation within the EMR software

There are 2 denominators each having 1 numerator in this measure and this translates to 2 sets in total.

Denominator 1: All patients 65 years or older with at least 1 encounter within the last 6 months.

Numerator 1: Patients in the above mentioned list whose last calculated BMI during the meaningful-use reporting period was either in the normal range (22-30) or fell outside the normal range but had a follow-up plan is documented. UniCharts looks for the custom code QM421A: [Quality Measure] Calculated BMI outside parameters (G8417/G8418), follow-up plan documented within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

Denominator 2: All patients 18 to 64 years of age with at least 1 encounter within the last 6 months.

Numerator 1: Patients in the above mentioned list whose last calculated BMI during the meaningful-use reporting period was either in the normal range (18.5-25) or fell outside the normal range but had a follow-up plan is documented. UniCharts looks for the custom code QM421A: [Quality Measure] Calculated BMI outside parameters (G8417/G8418), follow-up plan documented within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

Note that the system automatically calculates the BMI value. Just make sure that patient weight and height are entered in the VITAL SIGNS section on the ENCOUNTER form.

Exceptions: UniCharts looks for the custom code QM421E: [Exception] Action specified in CMS069v2 not performed due to medical, patient, or system reasons within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

Note: The system will automatically exclude patients with ICD O00.1 (Tubal pregnancy), Z33.1 (Pregnant state, incidental) or O62.3 (Precipitate labor) from the denominator

UniCharts Certified EMR software
UnisonCare Corporation 2003 - 2016. All Rights Reserved.