Clinical Quality Measure
CMS155v2 (NQF 0024) - Pediatric Recommended Core Measure

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or OB/GYN and who had evidence of BMI percentile documentation, counseling for nutrition and counseling for physical activity during the measurement year.

NQS DOMAIN:   Population/Public Health




Description and Implementation within the EMR software

There are 3 denominators each having 3 numerators in this measure and this translates to 9 sets in total.

Denominator 1: All patients 3 to 17 years of age with at least 1 encounter within the reporting period.
Numerator 1: Patients in the above mentioned list for whom BMI was computed. UniCharts automatically calculates the BMI value - just make sure that patient weight and height are entered in the VITAL SIGNS section on the ENCOUNTER form
Numerator 2: Patients in the above mentioned list who received counseling for nutrition. UniCharts looks for the custom code QM024B: [Quality Measure] Only nutrition counseling/therapy provided (S9452), exercise class/counseling not provided within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation. If both exercise and nutrition classes/counseling has been provided, user should select the custom code QM024A: [Quality Measure] Both nutrition counseling/therapy (S9452) and exercise class/counseling (S9451) provided instead.
Numerator 3: Patients in the above mentioned list who received counseling for physical activity. UniCharts looks for the custom code QM024C: [Quality Measure] Only exercise class/counseling provided (S9451), nutrition counseling/therapy not provided within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation. If both nutrition and exercise classes/counseling is provided, user should select the custom code QM024A: [Quality Measure] Both nutrition counseling/therapy (S9452) and exercise class/counseling (S9451) provided instead.

Denominator 2: All patients 3 to 11 years of age with at least 1 encounter within the reporting period.
Numerator 1: As above.
Numerator 2: As above
Numerator 3: As above.

Denominator 3: All patients 12 to 17 years of age with at least 1 encounter within the reporting period.
Numerator 1: As above.
Numerator 2: As above.
Numerator 3: As above.

Exceptions: None

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

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