Health Assessments in Primary Care: A How-to Guide

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 ADLsX      
Alcohol UseX  XXXXb
AnxietyX      
Cognitive impairmentX      
DepressionX  XXb Xb
Diet /
Nutrition
X      
Fall Risk  Xc X  
Fatigue       
FrailtyX      
Health
Status /
Well Being
X      
Level of Safety     

 

 
Oral Health       
PainX      
Physical
Activity
X Xc    
Physical FunctioningX      
Seat Belt Use/
Driving Safety
       
Sexual
Practices
       
Sleep       
Social
Isolation /
Social
Support
X      
StressX      
Substance Use/
Abuse
       
Tobacco Use/
Smoking
XXb XXbXXb
dBMI Assess-
ment /
Height + Weight
XXb,eXXXb,e Xe
dCancer ScreeningsX     X
dHTN /
Blood pressure
XX    X
dImmunizationsX     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
Current as of September 2013
Internet Citation: Health Assessments in Primary Care: A How-to Guide: 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