URSA-MSSP-ECQM-BP: Controlling High Blood Pressure (CMS165v13)

  • Published on Aug 21, 2025
  • 2 minute(s) read
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Measure Description

Among patients aged 18 to 85 with hypertension, the percentage with controlled blood pressure on their most recent reading.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Entity
  • Component Class: Normal-Form
  • Denominator Case Field: Patient ID
  • Target Direction: Up

Denominator Description

One per patient aged 18 to 85 with two or more qualifying visits with a diagnosis of hypertension in the 18-month period ending 6 months prior to the snapshot date.

Numerator Description

One per qualifying denominator patient with documentation of blood pressure < 140/90 in the past 12 months and after the second denominator visit.

Published Fields

  • Data Model Keys

    • Patient ID
    • Affiliated Program Entity ID
    • Affiliated Program Entity Provider ID
    • Primary Payor ID
    • Primary Plan ID
    • Primary Plan Attributee Individual Provider ID
    • Primary Plan Attributee Provider Group Provider ID
    • Primary Plan Attributee Provider Contract ID

  • Operations Support Fields

    • Is Patient Affiliated to a Program Entity
    • Program Entity Operational ID
    • Program Operational ID
    • Patient Operational ID

  • Patient Fields

    • Is Patient Alive
    • Patient Age Integer
    • Patient Date of Birth
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • UW HIP ADI Quintile Category
    • UW HIP ADI Decile Category
    • Is Patient Sex Female
    • Is Patient Sex Male

  • Date Fields

    • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.

  • Provider Fields

    • Primary Plan Attributee Provider ID
    • Primary Plan Attributee Provider Description

  • Insurance Fields

    • Member MBI
    • Is Any Current Plan Membership
    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Denominator Fields

    • Is Denominator Event Criterion Met
    • Is Required Exclusion for ESRD Encounter
    • Is Required Exclusion for ESRD Procedure
    • Is Required Exclusion for Renal Diagnosis
    • Is Any Required Exclusion
    • Is Eligible Population
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Pregnancy
    • Is Required Exclusion for Patient Death
    • Is Required Exclusion for Age 66-80 with Advanced Illness and Frailty
    • Is Required Exclusion for Age 81+ with Frailty
    • Is Required Exclusion for Age 66+ and Living Long Term in a Nursing Home
    • Is Required Exclusion for Palliative Care
    • Qualifying Denominator Visit Date

  • Numerator Fields

    • Numerator Contribution Using Standard End-of-Year Timing
    • Numerator Source ID
    • Numerator Documentation Date
    • Numerator SBP Document ID
    • Numerator SBP HCPCS Code
    • Numerator SBP HCPCS Description
    • Numerator SBP Result Numeric
    • Numerator DBP Document ID
    • Numerator DBP HCPCS Code
    • Numerator DBP HCPCS Description
    • Numerator DBP Result Numeric

  • Measure Fields

    • Denominator