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Measure 8 Record Vital Signs
8 of 15 Core
Stage 1
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Record Vital Signs
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Objective
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Record and chart changes in the following vital signs:
(A) Height
(B) Weight
(C) Blood pressure
(D) Calculate and display body mass index (BMI)
(E) Plot and display growth charts for children 2-20 years, including BMI
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Measure
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For more than 50 percent of all unique patients age 2 and over seen by the EP, height, weight, and blood pressure are recorded as structured data.
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Exclusion
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Any EP who either see no patients 2 years or older, or who believes that all three vital signs of height, weight, and blood pressure of their patients have no relevance to their scope of practice.
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Definition of Terms
Unique Patient - If a patient is seen by an EP more than once during the EHR reporting period, then for purposes of measurement that patient is only counted once in the denominator for the measure. All the measures relying on the term " Unique Patient" relate to what is contained in the patient's medical record. Not all of this information will need to be update or even be needed by the provider at every patient encounter. This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same EHR reporting period.
Attestation Requirements
NUMERATOR / DENOMINATOR
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DENOMINATOR: Number of unique patients seen by the EP during the EHR reporting period.
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NUMERATOR: Number of patients in the denominator who have at least one entry of their height, weight and blood pressure are recorded as structured data.
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EXCLUSION: An EP who sees no patients 2 years or older would be excluded from this requirement. Additionally, an EP who believes that all three vital signs, height, weight, and blood pressure have no relevance to their scope of practice would be excluded from this requirement. EP's must select NO next to the appropriate exclusion, chen click APPLY button in order to attest to the exclusion.
The resulting percentage must be more than 50 percent in order for an EP to meet this measure.
Addtional Information
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The provider is permitted, but not required, to limit the measure of this objective to those patients whose records are maintained using certified EHR technology.
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The only information required to be inputted by the provider is the height, weight, and blood pressure of the patient. The certified EHR technology will calculate BMI and the growth chart if applicable to patient based on age.
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Height, weight, and blood pressure do not have to be updated by the EP at every patient encounter. The EP can make the determination based on the patients individual circumastances as to whether height, weight, and blood pressure need to be updated.
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Height, weight, and blood pressure can get into the patient's medical record as structured data in a number of ways. Some examples include entry by the EP, enty by someone on the EP's staff, transfer of the information electronically or otherwise from another provider or entered directly by the patient through a portal or other means.
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