Are patients with hypertension excluded from CMS 165 if the patient has an LVAD

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      Thank you for your inquiry regarding CMS165v13 (2025 Performance Period). The intent of this measure is to assess blood pressure control in patients diagnosed with essential hypertension during the measurement period. It is not appropriate to accept arterial readings in lieu of systolic and diastolic blood pressure readings. At this time, this measure is not specified to capture and exclude patients with LVAD. We will consider updates in a future iteration of the measure.

      Additional guidance on qualifying blood pressure readings can be found in the "Guidance" section of the measure specification. Please review the measure specification for further details about measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS165v13.html. If you need assistance reading an eCQM, resources are available at the eCQI Resource Center, including the "Guide for Reading eCQMs" and the "Implementation Checklist eCQM Annual Update": https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs
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      Thank you for your inquiry regarding CMS165v13 (2025 Performance Period). The intent of this measure is to assess blood pressure control in patients diagnosed with essential hypertension during the measurement period. It is not appropriate to accept arterial readings in lieu of systolic and diastolic blood pressure readings. At this time, this measure is not specified to capture and exclude patients with LVAD. We will consider updates in a future iteration of the measure. Additional guidance on qualifying blood pressure readings can be found in the "Guidance" section of the measure specification. Please review the measure specification for further details about measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS165v13.html . If you need assistance reading an eCQM, resources are available at the eCQI Resource Center, including the "Guide for Reading eCQMs" and the "Implementation Checklist eCQM Annual Update": https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs
    • CMS0165v13

      Patients with hypertension and an LVAD are monitored using mean arterial blood pressure, as measurements of systolic and diastolic BP are unreliable. Are mean arterial readings accepted in lieu of systolic and diastolic readings... or are these patients excluded. In my review of exclusions for Controlling HTN, I don't see LVAD as an exclusion.

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Peter Basch
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