Long-Term Indicators

Control High Blood Pressure Indicators

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Use of evidence-based services

Potential Measures

Potential Measures

Potential Measures

Frequency

Frequency

Frequency

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CMS 347) NQF, Million Hearts

  • Percentage of the following patients- all considered at high risk of cardiovascular events- who were prescribed or were on statin therapy during the measurement period:
    • Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR
    • Adults aged >21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR

Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL

Potential Measures

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CMS 347) NQF, Million Hearts

  • Percentage of the following patients- all considered at high risk of cardiovascular events- who were prescribed or were on statin therapy during the measurement period:
    • Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR
    • Adults aged >21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia; OR

Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL

Monthly or quarterly

Frequency

Monthly or quarterly

Health outcomes

Potential Measures

Potential Measures

Potential Measures

Frequency

Frequency

Frequency

Controlling High Blood Pressure (NQF 0018) HEDIS, Medicaid, NQF

  • The percentage of patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90) during the measurement year.

Note:

  • Some health care professionals diagnose patients with hypertension if their blood pressure is consistently 140/90 mm Hg or higher. This limit is based on guidelines and recommendations released in 2003 and 2014.1,2

Other health care professionals diagnose patients with hypertension if their blood pressure is consistently 130/80 mm Hg or higher. This limit is based on the American College of Cardiology and American Heart Association’s (ACC/AHA) hypertension clinical practice guideline that was released in 2017.3

Potential Measures

Controlling High Blood Pressure (NQF 0018) HEDIS, Medicaid, NQF

  • The percentage of patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90) during the measurement year.

Note:

  • Some health care professionals diagnose patients with hypertension if their blood pressure is consistently 140/90 mm Hg or higher. This limit is based on guidelines and recommendations released in 2003 and 2014.1,2

Other health care professionals diagnose patients with hypertension if their blood pressure is consistently 130/80 mm Hg or higher. This limit is based on the American College of Cardiology and American Heart Association’s (ACC/AHA) hypertension clinical practice guideline that was released in 2017.3

Annually

Frequency

Annually

Legend

HEDIS HEDIS Measure

Medicaid Medicaid Core Set Measure

NQF National Quality Forum (NQF) Endorsed Measure

MIPS MIPS Measure

Million Hearts Million Hearts Measure

Indicators in this Section