| Title |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents |
||
|---|---|---|---|
| CMS eCQM ID | CMS155v14 | CBE ID | Not Applicable |
| MIPS Quality ID | 239 | ||
| Measure Steward | National Committee for Quality Assurance | ||
| Description | Percentage 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.
– Percentage of patients with height, weight, and body mass index (BMI) percentile documentation – Percentage of patients with counseling for nutrition – Percentage of patients with counseling for physical activity |
||
| Measure Scoring | Proportion | ||
| Measure Type | Process | ||
| Stratification | Report a total score, and each of the following strata:
Stratum 1 – Patients age 3-11 years at the end of the measurement period Stratum 2 – Patients age 12-17 years at the end of the measurement period |
||
| Risk Adjustment | None | ||
| Rationale | Over the last four decades, childhood obesity has more than tripled in children and adolescents 2 to 19 years of age (from a rate of approximately 5 percent to 18.5 percent) (Fryar, Carroll, & Ogden, 2014; Hales et al., 2017). Non-Hispanic black and Hispanic youth are more likely to be obese than their non-Hispanic white and non-Hispanic Asian counterparts. In 2015-2016, approximately 22 percent of non-Hispanic black and 26 percent of Hispanic youth were obese compared to approximately 14 percent of non-Hispanic white and 11 percent of non-Hispanic Asian youth (Hales et al., 2017).
Childhood obesity has both immediate and long-term effects on health and well-being. Children who are obese have higher rates of physical health conditions, such as risk factors for cardiovascular disease (like high blood pressure and high cholesterol), type 2 diabetes, asthma, sleep apnea, and joint problems. There is also a correlation between childhood obesity and mental health conditions, such as anxiety and depression (Centers for Disease Control and Prevention [CDC], 2016). In addition, children who are obese are more likely to be obese as adults and are therefore at risk for adult health problems, such as heart disease, type 2 diabetes, and several types of cancer (CDC, 2016). The direct medical costs associated with childhood obesity total $1.32 billion per year (Ward et al., 2021). Because obesity can become a lifelong health issue, it is important to screen for obesity in children and adolescents, and to provide interventions that promote weight loss (U.S. Preventive Services Task Force, 2017). |
||
| Clinical Recommendation Statement | U.S. Preventive Services Task Force (2017) – The Task Force recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. (B recommendation)
American Academy of Pediatrics – Bright Futures (Hagan, Shaw, & Duncan, 2017) – Plot and assess BMI percentiles routinely for early recognition of overweight and obesity. – Assess barriers to healthy eating and physical activity. – Provide anticipatory guidance for nutrition and physical activity. |
||
| Improvement Notation | Higher score indicates better quality | ||
| Definition | None | ||
| Guidance | The visit must be performed by a PCP or OB/GYN. Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile, rather than an absolute BMI value, is assessed.
This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM. |
||
| Initial Population | Patients 3-17 years of age by the end of the measurement period, with at least one outpatient visit with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period | ||
| Denominator | Equals Initial Population | ||
| Denominator Exclusions | Exclude patients who are in hospice care for any part of the measurement period.
Patients who have a diagnosis of pregnancy during the measurement period. |
||
| Numerator | Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period.
Numerator 2: Patients who had counseling for nutrition during the measurement period. Numerator 3: Patients who had counseling for physical activity during the measurement period. |
||
| Numerator Exclusions | None | ||
| Denominator Exceptions | None | ||
| Telehealth Eligible | Yes | ||
| Next Version | No Version Available | ||
| Previous Version | CMS155v13 | ||
Stay updated with the latest news regarding MACRA and MIPS
The Healthmonix Advisor is a free news source that connects you to the latest in the value-based care industry!