This measure has been removed as an eCQM for Traditional MIPS reporting .
It remains an applicable eCQM for other programs and will continue to be available in Elation. However, it will not be eligible to count toward Traditional MIPS submissions via QRDA for the 2026 MIPS Performance Year. For a list of 2026 MIPS eligible eCQMs, see our MIPS (2026) Overview article.
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 periodExclusions/Exceptions
- Exclude patients who are pregnant during the measurement period.
- Exclude patients receiving palliative or hospice care.
- Except 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.
- Except patients who refuse measurement of height and/or weight.
Elation Workflows
Documenting measure requirements using a Clinical Reminder in a visit note
| 1 | Create a visit note with a date within the measurement period and record the patient’s height and weight in the vitals section. After a few seconds, the BMI will be calculated and the Clinical Reminders will updated.  |
|---|---|
| 2 | 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 of normal parameters, proceed to Step 3. |
| 3 | Click on the BMI is out of range… Clinical Reminder at the top of the visit note and select the appropriate follow-up plan.  |
| 4 | The appropriate Document Tag will be appended to the visit note to indicate that the numerator requirements were met during the encounter. |
Documenting measure requirements from a report
Click here for more details about Document Tags.