Body Mass Index (BMI) Screening and Follow-Up Plan
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Numerator
Patients with a documented BMI during the encounter or during the previous twelve months, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter.
Denominator
All patients aged 18 and older on the date of the encounter with at least one eligible encounter during the measurement period
Exclusions
A patient is not eligible if one or more of the following reasons are documented: Patients receiving palliative care on the date of the current encounter or any time prior to the current encounter Patients who are pregnant on the date of the current encounter or any time during the measurement period prior to the current encounter Patients who refuse measurement of height and/or weight or refuse follow-up on the date of the current encounter or any time during the measurement period prior to the current encounter Patients with a documented BMI outside normal limits and a documented reason for not completing BMI follow-up plan during the current encounter or within the previous 12 months of the current encounter (Denominator Exception): Patients with a documented Medical Reason. The Medical Reason exception could include, but is not limited to, the following patients as deemed appropriate by the health care provider Elderly Patients (65 or older) for who weight reduction/weight gain would complicate other underlying health conditions such as the following examples: Illness or physical disability Mental illness, dementia, confusion Nutritional deficiency, such as vitamin/mineral deficiency Patient is in an urgent or emergent medical situation where time is of the essence, and to delay treatment would jeopardise the patient's health status
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Claims Data and Registry data.