This measure has been removed as an eCQM for Traditional MIPS reporting. This measure is still an applicable eCQM in other programs and is still available in Elation. It will not be eligible to be counted towards Traditional MIPS submissions via QRDA in the 2025 MIPS Performance Year. There are additional ways to report MIPS, please see our MIPS (2025) Overview article to better understand 2025 MIPS measure options.
Measure Details
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the measurement period AND who had a follow-up plan documented if most recent BMI was outside of normal parameters.Measure Parameters
Numerator: Patients with a documented BMI during the encounter or during the measurement period, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the measurement period. Denominator: All patients aged 18 and older on the date of the encounter with at least one qualifying encounter during the measurement period Exclusions/Exceptions:- Patients who are pregnant (with a diagnosis of pregnancy documented in their chart using ICD-10 codes)
- Patients receiving palliative or hospice care
- Patients with a documented medical reason for not documenting BMI or for not documenting a follow-up plan for a BMI outside normal parameters (e.g., elderly patients (65 or older) for whom weight reduction/weight gain would complicate other underlying health conditions such as illness or physical disability, mental illness, dementia, confusion, or nutritional deficiency such as vitamin/mineral deficiency.
- Patients in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status.
- Patients who refuse measurement of height and/or weight and there’s documentation of the refusal during the encounter.
- CQM EXCL: BMI MEAS REFUSED
- CQM EXC: BMI ABOVE NORM FOLL REJ
- CQM EXC: BMI ABOVE NORM MEDS REJ
- CQM EXC: BMI BELOW NORM FOLL REJ
- CQM EXC: BMI BELOW NORM MEDS REJ
- CQM EXC: BMI REF WT ASSESSMT REJ
Elation Workflows
- Document the patient’s BMI by recording height and weight in the visit note. If the patient’s BMI is within normal parameters (between 18.5 and 25), no further action is needed.
- If the patient’s BMI is outside normal parameters (either BMI: Overweight or BMI: Underweight), a second Clinical Reminder will appear within a few seconds. Click “Address” next to the clinical reminder and select any of the pop up dialog boxes.
- Documenting one of the following document tags in a visit note or report (Reference: Tag Reports and Notes with Document Tags):
- Ref to Diet Svc
- Ref to Dietitian
- Ref to Wt Mgt Program
- Diet Cnsl
- Exc Cnsl
- Nutrition Cnsl