Core 8: Record Vital Signs

Objective
Record and chart changes in the following vital signs:

  • Height
  • Weight
  • Blood Pressure
  • Calculate and display body mass index (BMI)
  • Plot and display growth charts for children 0-20 years, including BMI

In English?
Take a set of vitals for each unique patient you see during the reporting period.

Measure
For more than 50 percent of all unique patients seen by the EP during the EHR reporting period have blood pressure (for patients age 3 and over only) and height and weight (for all ages) recorded as structured data. 

DENOMINATOR: Number of unique patients (age 3 or over for blood pressure) seen by the EP during the EHR reporting period.

NUMERATOR: Number of patients in the denominator who have at least one entry of their height, weight and blood pressure (ages 3 and over) recorded as structured data.

The resulting percentage (Numerator ÷ Denominator) must be more than 50 percent in order for an EP to meet this measure. 

Exclusion 

Any EP who:

  1. Sees no patients 3 years or older is excluded from recording blood pressure
  2. Believes that all three vital signs of height, weight, and blood pressure have no relevance to their scope of practice is excluded from recording them. 
  3. Believes that height and weight are relevant to their scope of practice, but blood pressure is not, is excluded from recording blood pressure.
  4. Believes that blood pressure is relevant to their scope of practice, but height and weight are not, is excluded from recording height and weight. 

For additional information on Core 8: Record Vital Signs from the CMS click here.

How to (website)

Step 1: From the schedule, click on a patients appointment to view appointment details.

 


Step 2: Navigate to the Vitals tab in the appointment screen. 

Step 3: Once you have entered in the patients vitals navigate back to the Appointment tab and click on Save & Close to save the Vital information. 

 

How to (iPad)


1. Select a patient and click Patient Chart

 

Step 2: On the top right of the screen, click Vitals next to the chief complaint field. 

Step 3: Fill out the vital information and click Save at the top right of your screen.

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