Controlling High Blood Pressure (CBP)

HEDIS® Measurement Description: The percentage of members 18-85 years of age who had a diagnosis of hypertension (HTN) and whose BP was adequately controlled during the measurement year based on the following criteria:

• Members 18-59 years of age whose BP was <140/90 mm Hg.
• Members 60-85 years of age with a diagnosis of diabetes whose BP was <140/90 mm Hg.
• Members 60-85 years of age without a diagnosis of diabetes whose BP was <150/90 mm Hg.

Note: Use the Hybrid Method for this measure. A single rate is reported and is the sum of all three groups.

Hybrid Methodology: Organizations look for numerator compliance in both administrative and medical record data. The denominator consists of a systematic sample of members drawn from the measure's eligible population. Organizations review administrative data to determine if members in the systematic sample received the service, and review medical record data for members who do not meet the numerator criteria through administrative data. The reported rate is based on members in the sample who received the service required for the numerator.

Measure Identifier: HEDIS_CBP.H