The National Committee for Quality Assurance (NCQA) updated its technical specifications for health care’s most widely used performance improvement tool, the Healthcare Effectiveness Data and Information Set (HEDIS®) for 2022:
The blood pressure performance measure was revised to reflect a new blood pressure target of <140/90 mmHg for adults age 18–85 with hypertension, in accordance with updated clinical guideline recommendations. Blood pressure measurements in patients ≥ age 81 years meeting frailty criteria are excluded in the 2021 update.
This update retains the 2019 revision replacing blood pressure quality measure target in those ≥ age 60 from <150/90 mmHg with the target of <140/90 mmHg.
In addition, the update for 2022 includes out-of-office blood pressure measures obtained using digital devices (but not manual readings) at phone and virtual visits.
It should be noted that the HEDIS “blood pressure control performance or quality measure” is used to assess quality of care within a clinic or organization based on the “percent of patients” with blood pressures at a given target. This differs from a “blood pressure target” recommended for an “individual patient” by a clinical guideline (e.g., 2017 ACC/AHA Hypertension Guideline) based on evidence that this target will reduce the risk of a hypertension-related clinical outcome in that specific patient.
National Committee for Quality Assurance. Healthcare Effectiveness Data and Information Set Volume 2 Measure Year 2022 Summary Table of Measures, Product Lines and Changes.