Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
MIPS High Priority Measure:
Eligible for Quality Programs:
Performance Benchmark for MIPS:
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Numerator 1: Patients who had a height, weight and body mass index (BMI) percentile recorded during the measurement period.
Numerator 2: Patients who had counseling for nutrition during a visit that occurs during the measurement period.
Numerator 3: Patients who had counseling for physical activity during a visit that occurs during the measurement period.
Denominator: Patients 3-17 years of age with at least one eligible outpatient visit (defined as a signed chart note with one of the following encounter types: Office Visit, Home Visit, Nurse Visit, or Nursing Home Visit) with a primary care physician (PCP) or an obstetrician/gynecologist (OB/GYN) during the measurement period.
Denominator Exclusion: Patients who have a diagnosis of pregnancy during the measurement period.
Denominator Exceptions: None
eCQM Patient Reports
eCQM Patient Reports can help you identify patient care gaps and improve the performance of your quality measures. Click on the blue result numbers in the eCQM Dashboard to see the patient report for this measure.
The eCQM Patient Reports list the individual patients included in the measure’s population, which measure cohorts the patient is in, and contact information for the patient to streamline any downstream communication that may be needed to fulfill the measure requirements. You can choose to print the patient list for a measure or export it as a CSV.
The measure cohorts included in the eCQM Patient Report for CMS 155v5 are:
- Initial patient population
Practice Fusion Suggested Workflow
Practice Fusion suggests the following workflow to help ensure that you are able to meet the requirements of this measure within the Practice Fusion EHR.
For all patients age 3-17 years, record their height and weight in the vitals flowsheet within the patient encounter (Numerator 1). Once entered, the BMI value and percentile will automatically calculate and can be viewed in the flowsheet or growth chart.
For more information on documenting vitals in flowsheets, click here.
When appropriate, document that counseling for nutrition was performed, using the suggested workflow in Table 3. (Numerator 2)
When appropriate, document that counseling for physical activity was performed, using the suggested workflow in Table 3. (Numerator 3)
Table 3. Practice Fusion Suggested Workflow for Counseling for Nutrition
Type of counseling performed
Practice Fusion Suggested Workflow
Counseling for Nutrition
Counseling for Physical Activity
To view a complete list of the applicable nutrition and physical activity recommendations that qualify for numerator credit, please visit the United States Health Information Knowledgebase (USHIK). This site is produced by the Agency for Healthcare Research and Quality (AHRQ) in partnership with CMS and the National Library of Medicine (NLM). A free Unified Medical Language System® (UMLS) license, available from NLM, is required to access USHIK.
Additional Measure Information
- To be recognized for the denominator exclusion, the patient must have a diagnosis of pregnancy during the measurement period recorded in his or her chart.
- Because BMI norms for youth vary with age and sex, this measure evaluates whether BMI percentile is assessed rather than an absolute BMI value.
- For the CMS specifications for this measure, please click here.
- To learn more about MIPS quality measure reporting requirements for 2017, visit What are the Quality measure reporting requirements for MIPS?
- For additional information about quality measures, you may also visit the CQM Quality Payment Programs website and Practice Fusion’s Quality Payment Program Center.