Health Assessments in Primary Care

Appendix 8:  Crosswalk of Health Assessments Related to Incentive and Quality Programs










Compre-
hensive
HA Items
CMS
Medicare
Annual
Wellness
Visit
CMS
Meaningful
Use -
Stage 1
NCQA
HEDIS
Measures
2012
NCQA
PCMH
(2011)b
PQRS
Measures
2011
Joint
Commission
Core
Measure
Sets
USPSTF
"A" or "B"
grade recs
ADLs and Instrumental ADLs X            
Alcohol Use X     X X X Xb
Anxiety X            
Cognitive impairment X            
Depression X     X Xb   Xb
Diet /
Nutrition
X            
Fall Risk     Xc   X    
Fatigue              
Frailty X            
Health
Status /
Well Being
X            
Level of Safety          

 

 
Oral Health              
Pain X            
Physical
Activity
X   Xc        
Physical Functioning X            
Seat Belt Use/
Driving Safety
             
Sexual
Practices
             
Sleep              
Social
Isolation /
Social
Support
X            
Stress X            
Substance Use/
Abuse
             
Tobacco Use/
Smoking
X Xb   X Xb X Xb
dBMI Assess-
ment /
Height + Weight
X Xb,e X X Xb,e   Xe
dCancer Screenings X           X
dHTN /
Blood pressure
X X         X
dImmunizations X           X
dDemographic Data
(age, gender, race)
X            

a. PCMH: Requirement 2C Comprehensive Health Assessment includes "Behaviors affecting health."
b. Includes assessment and follow-up action (e.g., referral, counseling, other intervention).
c. Medicare patients only.
d. Information in these categories may already exist in medical records and may not be needed in a health assessment.
e. Includes children and adolescents.

Sources: 

  1. Centers for Medicare & Medicaid Services, Meaningful Use, http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html
  2. National Committee for Quality Assurance, HEDIS Measures,  http://www.ncqa.org/HEDISQualityMeasurement/HEDISMeasures.aspx.
  3. National Committee for Quality Assurance, Patient-Centered Medical Home Recognition Program, http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx.
  4. Centers for Medicare & Medicaid Services, Physician Quality Reporting System, http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html
  5. The Joint Commission, Core Measures Sets, http://www.jointcommission.org/core_measure_sets.aspx.
  6. U.S. Preventive Services Task Force A and B Recommendations, http://www.uspreventiveservicestaskforce.org/uspstf/uspsabrecs.htm
Page last reviewed September 2013
Internet Citation: Appendix 8:  Crosswalk of Health Assessments Related to Incentive and Quality Programs. September 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/health-assessments/health-assessment-ap8.html