Compre- hensive HA Items |
CMS Medicare Annual Wellness Visit |
CMS Meaningful Use - Stage 1 |
NCQA HEDIS Measures 2012 |
NCQA PCMH (2011)b |
PQRS Measures 2011 |
Joint Commission Core Measure Sets |
USPSTF "A" or "B" grade recs |
---|---|---|---|---|---|---|---|
ADLs and Instrumental ADLs | X | ||||||
Alcohol Use | X | X | X | X | Xb | ||
Anxiety | X | ||||||
Cognitive impairment | X | ||||||
Depression | X | X | Xb | Xb | |||
Diet / Nutrition |
X | ||||||
Fall Risk | Xc | X | |||||
Fatigue | |||||||
Frailty | X | ||||||
Health Status / Well Being |
X | ||||||
Level of Safety |
|
||||||
Oral Health | |||||||
Pain | X | ||||||
Physical Activity |
X | Xc | |||||
Physical Functioning | X | ||||||
Seat Belt Use/ Driving Safety |
|||||||
Sexual Practices |
|||||||
Sleep | |||||||
Social Isolation / Social Support |
X | ||||||
Stress | X | ||||||
Substance Use/ Abuse |
|||||||
Tobacco Use/ Smoking |
X | Xb | X | Xb | X | Xb | |
dBMI Assess- ment / Height + Weight |
X | Xb,e | X | X | Xb,e | Xe | |
dCancer Screenings | X | X | |||||
dHTN / Blood pressure |
X | X | X | ||||
dImmunizations | X | X | |||||
dDemographic Data (age, gender, race) |
X |
a. PCMH: Requirement 2C Comprehensive Health Assessment includes "Behaviors affecting health."
b. Includes assessment and follow-up action (e.g., referral, counseling, other intervention).
c. Medicare patients only.
d. Information in these categories may already exist in medical records and may not be needed in a health assessment.
e. Includes children and adolescents.
Sources:
- Centers for Medicare & Medicaid Services, Meaningful Use, http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html
- National Committee for Quality Assurance, HEDIS Measures, http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures.aspx.
- National Committee for Quality Assurance, Patient-Centered Medical Home Recognition Program, http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx.
- Centers for Medicare & Medicaid Services, Physician Quality Reporting System, http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html
- The Joint Commission, Core Measures Sets, http://www.jointcommission.org/core_measure_sets.aspx.
- U.S. Preventive Services Task Force A and B Recommendations, http://www.uspreventiveservicestaskforce.org/uspstf/uspsabrecs.htm