Quality Positioning System (QPS)

Measure Description Display Information

0018: Controlling High Blood Pressure
Controlling High Blood Pressure
STEWARD: National Committee for Quality Assurance
Measure Description:
The percentage of patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90) during the measurement year.
Numerator Statement:
The number of patients in the denominator whose most recent BP is adequately controlled during the measurement year. For a patient’s BP to be controlled, both the systolic and diastolic BP must be <140/90 (adequate control). To determine if a patient’s BP is adequately controlled, the representative BP must be identified.
Denominator Statement:
Patients 18 to 85 years of age by the end of the measurement year who had at least one outpatient encounter with a diagnosis of hypertension (HTN) during the first six months of the measurement year.
Exclude all patients with evidence of end-stage renal disease (ESRD) on or prior to the end of the measurement year. Documentation in the medical record must include a related note indicating evidence of ESRD. Documentation of dialysis or renal transplant also meets the criteria for evidence of ESRD.

Exclude all patients with a diagnosis of pregnancy during the measurement year.

Exclude all patients who had an admission to a nonacute inpatient setting during the measurement year.
Risk Adjustment:
Measure Type:
Measure Format:
Use in Federal Program:
Medicaid, Medicare Physician Quality Reporting System (PQRS), Medicare Shared Savings Program (MSSP), Million Hearts, Physician Feedback/Quality and Resource Use Reports (QRUR), Physician Value-Based Payment Modifier (VBM), Qualified Health Plan (QHP) Quality Rating System (QRS)
Cardiovascular, Cardiovascular: Hypertension
Non-Condition Specific:
Care Setting:
Outpatient Services
National Quality Strategy Priorities:
Prevention and Treatment
Actual/Planned Use:
Payment Program, Public Reporting, Quality Improvement (Internal to the specific organization), Regulatory and Accreditation Programs
Data Source:
Claims, Electronic Health Records, Paper Medical Records
Level of Analysis:
Health Plan, Integrated Delivery System
Target Population:
Elderly, Populations at Risk
Measure Selection Attributes (Learn more):
Outcome-Focused, Highest Opportunity for Improvement
Measure Steward Contact Information:
For additional measure specification information, please contact the Measure Steward.
Organization Name:
National Committee for Quality Assurance
Email Address:
Website URL:

Measure Disclaimer:
NQF Disclaimer: Measures may be used for non-commercial implementation and/or reporting of performance data. Contact the Measure Steward if you wish to use the measure for another purpose. NQF is not responsible for the application or outcomes of measures.