20 Appendix A. HBP Measure Set Performance Measures for HBP Short Title: PM-1a: ACC/AHA Stage 2 HBP Control SBP <140 mmHg (Harmonizing Measure) PM-1a: Percentage of Patients 18 to 85 years of Age Who Had a Diagnosis of ACC/AHA Stage 2 HBP and Whose SBP Was <140 mmHg During the Measurement Year Measure Description: Percentage of patients with ACC/AHA stage 2 HBP with SBP <140 mmHg (harmonizes with current performance measure Controlling High Blood Pressure in widespread use) Numerator Patients with SBP <140 mmHg Denominator All patients 18 85 y of age with ACC/AHA stage 2 HBP who had at least 1 outpatient encounter with a diagnosis of HBP during the first 6 mo of the measurement year or any time before the measurement period Denominator Exclusions End-stage renal disease, kidney transplantation, pregnancy, BP readings taken during an inpatient stay Denominator Exceptions Documentation of a medical reason (eg, treatment intolerance, significant risk of treatment intolerance, especially for frail patients 65 y of age) Documentation of a patient reason (eg, economic/access issues) Measurement Period 12 mo/measurement year Sources of Data Paper medical record/prospective data collection flow sheet, Qualified Electronic Health Record, QCDR, electronic administrative data (claims), expanded (multiple source) administrative data, electronically or telephonically transmitted BP readings Attribution Healthcare provider (healthcare provider, physician group practice, accountable care organization, clinically integrated network, health plan, integrated delivery system) Care Setting Outpatient (office, clinic, home, or ambulatory) Rationale Effective management of BP in patients with hypertension can help prevent cardiovascular events, including MI, stroke, and the development of HF, and reduce the risk of death from these complications. This performance measure harmonizes with NCQA HEDIS 2019, ICSI, VHA, NQF Measure 0018, Medicaid, Medicare Physician QPP (formerly PQRS), MSSP, Million Hearts, physician feedback/QRUR, physician VBM, QHP, QRS commonly used in payment programs, public reporting, quality improvement (internal to the specific organization), and regulatory and accreditation programs. 