As you know, hypertension is our first National Ambulatory Clinical Goal as CommonSpirit Health. This goal will contribute to our collective efforts to build healthier populations and communities as we advance a coordinated, systematic and customizable approach to serving those with acute, chronic and complex conditions.
Various tools, resources and recorded videos will continue to be created and shared with your practice. Current resources are available on the SJQCN secure Provider Portal.
FY20 Ambulatory Quality Measure
Measure |
Hypertension (high blood pressure) management in attributable CommonSpirit Health Clinic patients |
Description |
% of patients 18-85 years who had diagnosis and/or active problem of hypertension and whose blood pressure was adequately controlled (<140/90 mmHg) during measurement period |
Numerator |
Patients whose blood pressure at the most recent visit is adequately controlled (<140 systolic and <90 diastolic) |
Denominator |
Patients 18-85 years with diagnosis or active problem of HTN who had an encounter during the performance period (E/M CPT codes) |
Measure definition and exclusion criteria aligned with CMS Merit-based Incentive Payment System (MIPS) enables benchmarking against MIPS percentile scale based on measure performance rate
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Progress Update on CommonSpirit Hypertension Goal
The one-year ambulatory quality goal is to improve the percentage of patients with a diagnosis or active problem of hypertension and whose blood pressure is adequately controlled (less than 140/90 mmHg).
The latest prevalence estimates show that 46 percent of adults in the United States have high blood pressure. The performance period for this goal is October 2019 through June 2020. During the most recent measurement period (October 2019 – February 2020), CommonSpirit Health data demonstrated a rate of 70 percent, achieving the enterprise Target Level performance goal. This current performance represents the 77th percentile within the 2018 CMS Merit-based Incentive Payments (CMS-MIPs) benchmark results for hypertension control.
Strategies underway to sustain hypertension improvement efforts include enterprise-wide deployment of a video demonstration to support accurate blood pressure measurement and enhanced reporting of clinic and provider level data. In addition, the national ambulatory quality team, in coordination with local leadership, conducted on-site evaluations for high-volume, low-performing clinics in the Greater Sacramento, Tennessee and Kentucky markets to identify opportunities for improvement and resource needs.