Download HEDIS Tip Sheet - Controlling High Blood Pressure

Cardiovascular Conditions® HEDIS
(Healthcare Effectiveness Data and Information Set)1
Controlling High Blood
Pressure (CBP)
High blood pressure, or hypertension, increases the risk of heart disease and stroke,
which is the leading cause of death in the United States. Controlling high blood pressure
is an important step in preventing heart attacks, heart failure, stroke, and kidney disease.
Healthcare providers can help individuals manage their high blood pressure by prescribing
medications and encouraging low-sodium diets, increased physical activity and
smoking cessation3.
Measure
Data Source for control—chart review
This measure is the percentage of patients 18 to 85
years of age who had a diagnosis of hypertension and
whose blood pressure (BP) was adequately controlled
during the measurement year, based on the
following criteria:
Patients age 18-59 whose most recent BP was
<140/90 mm Hg.
• Patients 18 to 59 years of age whose BP was less
than 140/90 mm Hg
• Patients 60 to 85 years of age with a diagnosis of
diabetes whose BP was less than 140/90 mm Hg
• Patients 60 to 85 years of age without a diagnosis of
diabetes whose BP was less than 150/90 mm Hg 2
033017 (10-2015)
Patients age 60-85 with a dx of diabetes whose most
recent BP was <140/90 mm Hg.
Patients age 60-85 without a dx of diabetes whose
most recent BP was <150/90 mm Hg.
Exclusions
Patients with end-stage renal disease, or pregnancy, or
transient or “white coat” hypertension
Cardiovascular Conditions® HEDIS
(Healthcare Effectiveness Data and Information Set)1
What to look for
Source
• Diagnosis of diabetes, HTN, high BP, elevated BP,
border HTN, intermittent HTN, history of HTN,
HVD, hyperpiesia
1
2
US Department of Health and Human Services., Agency
for Healthcare Research and Quality., “National Quality
Measures Clearing House Accessed January 28,
2015 http://www.qualitymeasures.ahrq.gov/content.
aspx?id=48620
3
US Department of Health and Human Services. , National
Institutes of Health., National Heart, Lung, and Blood
Institute., National High blood Pressure Education Program.,
“National High Blood Pressure Education Program” NIH
Publication No. 03-5233 December 2003 Accessed March
31, 2015
• The most recent BP (must use last BP measurement
in the year being assessed)
Tips for provider when talking to
the patient 3*
• Before taking a patient’s blood pressure, have the
patient sit quietly with back supported, feet on floor,
arm at heart level.
• Always record the blood pressure using the same
arm. Record which arm is used and the size of the
cuff. Use the correct cuff to fit the patient’s arm.
• Take it twice: If the patient has a high blood
pressure reading at the beginning of the visit,
retake and record it at the end of the visit.
• Remind patients with hypertension about the
importance of taking prescribed medication.
• Ask your patient if they are taking medications as
prescribed. (If they aren’t, document this.)
• Encourage your patients to keep a frequent record
of their blood pressure, taking it at approximately the
same time every day and using the same arm. If the
patient does not own a blood pressure cuff, many
pharmacies can take their blood pressure.
• If the patient owns a blood pressure cuff, encourage
them to bring the cuff with them at least yearly so
that you can check its accuracy.
HEDIS is a registered trademark of the National Committee
for Qualtiy Assurance (NCQA).
http://www.nhlbi.nih.gov/files/docs/guidelines/express.pdf
* This information is from current medical literature and
provided to you solely for informational purposes. It does
not constitute medical advice and is not intended for use in
medical diagnosis or treatment.