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[CMS155v4] NQF 0024 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Last Updated: Jun 26, 2019 03:20AM PDT

1. Measure Details.
2. Measure Parameters
3. Meeting the Measure in Elation
4. Measure Information


1. Measure Details
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.

2. Measure Parameters:
Denominator: Patients 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.

Numerator 1: Patients in the denominator have their height, weight, and BMI recorded in EHR.

Numerator 2: Patients in the denominator that have had counseling for nutrition.  

Numerator 3: Patients in the denominator that have had counseling for physical activity.

Exclusions/Exceptions: Patients who have a diagnosis of pregnancy during the measurement period

3. Elation Workflows

1/ To meet Numerator 1, ensure that the patient has had their height and weight recorded in a visit note during the measurement period. Once these are recorded, the BMI will be automatically calculated.

2/ To meet Numerator 2 and Numerator 3, use the Clinical Reminders rules that apply to this measure, one to meet the requirement for Exercise Counseling, and the other to meet the requirement for Nutrition Counseling.

4. Measure Information
One of the most important developments in pediatrics in the past two decades has been the emergence of a new chronic disease: obesity in childhood and adolescence. The rapidly increasing prevalence of obesity among children is one of the most challenging dilemmas currently facing pediatricians. 

In addition to the growing prevalence of obesity in children and adolescents, the number of overweight children at risk of becoming obese is also of great concern. Evidence suggests that overweight children and adolescents are more likely to become obese as adults.
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