CMS 155 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Overview

CMS155v8 (2020)

CMS155v9 (2021)

CMS155v10 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS155v10239

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionPercentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Percentage of patients with height, weight, and body mass index (BMI) percentile documentationPercentage of patients with counseling for nutritionPercentage of patients with counseling for physical activity
Initial Patient PopulationPatients 3-17 years of age with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period
DenominatorEquals Initial Population
Denominator Exclusions
  • Patients who have a diagnosis of pregnancy during the measurement period.
  • Exclude patients who are in hospice care for any part of the measurement period.
NumeratorPatients who had a height, weight and body mass index (BMI) percentile recorded during the measurement periodPatients who had counseling for nutrition during the measurement periodPatients who had counseling for physical activity during the measurement period
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
Stratification
  • 3-11 years
  • 12-17 years
GranularityPatient
Improvement NotationHigher score indicates better quality
DomainCommunity/Population Health

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

  1. Height, weight and BMI observations will need to be documented for the patient within the Visit encounter.  If the patient’s BMI is out of range, a warning message will display asking if a dietary consult order should be created.  User should click Ok to have the Dietary Consult order ordered within the Plan section of the Visit encounter.  An order item of Physical Activity consult should also be ordered as well.

Evidence

Initial Patient Population

NameValue Set
Encounter, Performed: Home Healthcare Services2.16.840.1.113883.3.464.1003.101.12.1016
Encounter, Performed: Office Visit2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Preventive Care Services - Group Counseling2.16.840.1.113883.3.464.1003.101.12.1027
Encounter, Performed: Preventive Care Services, Initial Office Visit, 0 to 172.16.840.1.113883.3.464.1003.101.12.1022
Encounter, Performed: Preventive Care Services-Individual Counseling2.16.840.1.113883.3.464.1003.101.12.1026
Encounter, Performed: Preventive Care, Established Office Visit, 0 to 172.16.840.1.113883.3.464.1003.101.12.1024
Encounter, Performed: Telephone Visits2.16.840.1.113883.3.464.1003.101.12.1080

Denominator Exclusions

NameValue Set
Diagnosis: Pregnancy2.16.840.1.113883.3.526.3.378
Encounter, Performed: Encounter Inpatient2.16.840.1.113883.3.666.5.307
Intervention, Order: Hospice care ambulatory2.16.840.1.113762.1.4.1108.15
Intervention, Performed: Hospice care ambulatory2.16.840.1.113762.1.4.1108.15

Numerator

NameValue Set
Intervention, Performed: Counseling for Nutrition2.16.840.1.113883.3.464.1003.195.12.1003
Intervention, Performed: Counseling for Physical Activity2.16.840.1.113883.3.464.1003.118.12.1035
Physical Exam, Performed: BMI percentile2.16.840.1.113883.3.464.1003.121.12.1012
Physical Exam, Performed: Height2.16.840.1.113883.3.464.1003.121.12.1014
Physical Exam, Performed: Weight2.16.840.1.113883.3.464.1003.121.12.1015

Source(s)

eCQI CMS155


WebChart Documentation

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