Controlling High Blood Pressure for People with Serious Mental Illness

CBE ID

2602

1.5 Project

Behavioral Health and Substance Use

Endorsement Status

Endorsement Removed

1.0 New or Maintenance

Maintenance

1.1 Measure Structure

Single Measure

Previous Endorsement Cycle

Spring 2020

Is Under Review

1.6 Measure Description

The percentage of patients 18-85 years of age with serious mental illness who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled during the measurement year.

Note: This measure is adapted from an existing health plan measure used in a variety of reporting programs for the general population (NQF #0018: Controlling High Blood Pressure). It was originally endorsed in 2009 and is owned and stewarded by NCQA. The specifications for the existing measure (Controlling High Blood Pressure NQF #0018) have been updated based on 2013 JNC-8 guideline. NCQA will submit the revised specification for Controlling High Blood Pressure NQF #0018 in the 4th quarter 2014 during NQF’s scheduled measure update period. This measure uses the new specification to be consistent with the current guideline.

Measure Specs

General Information

1.7 Measure Type

Outcome

1.3 Electronic Clinical Quality Measure (eCQM)

1.8 Level of Analysis

Health Plan

1.9 Care Setting

Outpatient Services

1.20 Types of Data Sources

Claims Data

Electronic Health Records: Electronic Health Records

Paper Patient Medical Records

Numerator

1.14 Numerator

Patients whose most recent blood pressure (BP) is adequately controlled during the measurement year (after the diagnosis of hypertension) based on the following criteria:
-Patients 18-59 years of age as of December 31 of the measurement year whose BP was <140/90 mm Hg.
-Patients 60-85 years of age as of December 31 of the measurement year and flagged with a diagnosis of diabetes whose BP was <140/90 mm Hg.
-Patients 60-85 years of age as of December 31 of the measurement year and flagged as not having a diagnosis of diabetes whose BP was <150/90 mm Hg.

Denominator

1.15 Denominator

All patients 18-85 years of age as of December 31 of the measurement year with at least one acute inpatient visit or two outpatient visits for schizophrenia or bipolar I disorder, or at least one inpatient visit for major depression during the measurement year AND a diagnosis of hypertension on or before June 30th of the measurement year.

Exclusions

All patients who meet one or more of the following criteria should be excluded from the measure:
- Evidence of end-stage renal disease (ESRD) or kidney transplant
- A diagnosis of pregnancy

Measure Record

Most Recent Endorsement Activity

Measure Retired and Endorsement Removed Behavioral Health and Substance Use Spring Cycle 2020

Initial Endorsement

2015-03