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  • Measure Summary
  • NQMC:010738
  • Jan 2014

Wellness and health promotion: percentage of individuals 18 years of age and older who completed a health appraisal (HA) during the program period.

National Committee for Quality Assurance (NCQA). Technical specifications for wellness & health promotion. Washington (DC): National Committee for Quality Assurance (NCQA); 2013. 48 p.

This is the current release of the measure.

Primary Measure Domain

Population Health Quality Measures: Population Process

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess the percentage of individuals 18 years of age and older who completed a health appraisal (HA) during the program period.

Rationale

Health appraisals are an important part of comprehensive health promotion programs. They can be used to assess a broad range of health risks in the population and to divide the population into subgroups by risk, which allows for the implementation of targeted interventions. In 2007, the Community Preventive Services Task Force (established by the U.S. Department of Health and Human Services in 1996 to identify population health interventions that are scientifically proven to save lives, increase lifespans, and improve quality of life) published a recommendation for the use of health risk assessments. The Task Force recommended the use of health risk assessments when combined with feedback to participants and health education. This recommendation was based on strong evidence that health risk assessments plus feedback and health education improve one or more health behaviors or conditions in the working population (The Guide to Community Preventive Services, 2007).

Despite the evidence for the use of health appraisals when combined with feedback and health education, the completion of health appraisals can vary by organization, over time and by type/amount of incentive offered (Chapman, 2006; Musich et al., 2001; Stein, Shakour, & Zuidema, 2000).

Evidence for Rationale

Chapman L. Employee participation in workplace health promotion and wellness programs: how important are incentives, and which work best?. N C Med J. 2006 Nov-Dec;67(6):431-2. PubMed External Web Site Policy

Musich S, Adams L, DeWolf G, Edington DW. A case study of 10-year health risk appraisal participation patterns in a comprehensive health promotion program. Am J Health Promot. 2001 Mar-Apr;15(4):237-40, iii. PubMed External Web Site Policy

Stein AD, Shakour SK, Zuidema RA. Financial incentives, participation in employer-sponsored health promotion, and changes in employee health and productivity: HealthPlus Health Quotient Program. J Occup Environ Med. 2000 Dec;42(12):1148-55. PubMed External Web Site Policy

The Guide to Community Preventive Services. Assessment of health risks with feedback to change employees' health. [internet]. Atlanta (GA): The Community Guide; 2007 Feb [accessed 2016 Feb 05].

Primary Health Components

Health appraisal

Denominator Description

Individuals 18 years of age and older during the program period who are eligible to complete a health appraisal (HA) any time during the program period (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Individuals who complete the health appraisal (HA) during the program period. The HA is considered complete if all of the following variables are addressed:

  • Age
  • Gender
  • Height and weight (used for body mass index [BMI] assessment)
  • Smoking or tobacco use status
  • Physical activity level

See the related "Numerator Inclusions/Exclusions" field.

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A formal consensus procedure, involving experts in relevant clinical, methodological, public health and organizational sciences
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

All of the National Committee for Quality Assurance's Wellness and Health Promotion measures undergo systematic assessment of face validity with review by measurement advisory panels, expert panels, a formal public comment process and approval by the NCQA's Committee on Performance Measurement and Board of Directors.

Evidence for Extent of Measure Testing

Williams-Bader J. (Director, Performance Measurement, National Committee for Quality Assurance, Washington, DC). Personal communication. 2016 Jul 6.  1 p.

State of Use

Current routine use

Current Use

Accreditation

Certification

Decision-making by consumers about health plan/provider choice

Decision-making by health plans about provider contracting

Internal quality improvement

Population health improvement

Measurement Setting

Other

Professionals Involved in Delivery of Health Services

Does not apply to this measure (e.g., measure is not provider specific)

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Specified

Target Population Age

Age greater than or equal to 18 years

Target Population Gender

Either male or female

National Quality Strategy Aim

Healthy People/Healthy Communities

National Quality Strategy Priority

Health and Well-being of Communities
Person- and Family-centered Care
Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Staying Healthy

IOM Domain

Effectiveness

Patient-centeredness

Case Finding Period

Program Period: The period when the Wellness and Health Promotion (WHP) program is administered for an employer or plan sponsor, usually a 12-month span from the beginning of the contract period to the end of the contract period. The program must end in the calendar year prior to the reporting year.

Denominator Sampling Frame

Organizationally defined (non-health care organizations)

Denominator (Index) Event or Characteristic

Patient/Individual (Consumer) Characteristic

Denominator Time Window

Time window brackets index event

Denominator Inclusions/Exclusions

Inclusions
Individuals 18 years of age and older during the program period who are eligible to complete a health appraisal (HA) any time during the program period

Note: Continuous Eligibility: The program period.

Exclusions
Unspecified

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Individuals who completed the health appraisal (HA) during the program period. The HA is considered complete if all of the following variables are addressed:

  • Age
    • This variable may be obtained from a source other than the HA, such as eligibility files.
  • Gender
    • This variable may be obtained from a source other than the HA, such as eligibility files.
  • Height and weight (used for body mass index [BMI] assessment)
  • Smoking or tobacco use status
  • Physical activity level

Note:

  • Individuals are not numerator compliant if any of the required items (referenced above) are incomplete.
  • Refer to the original measure document for details.

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Patient/Individual survey

Other

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Measure is disaggregated into categories based on different definitions of the denominator and/or numerator

Basis for Disaggregation

This measure is disaggregated based on different definitions of the denominator.

The eligible population reported by four incentive stratifications, which are based on the incentive type offered to the individual for health appraisal (HA) completion, and a total. Report an individual on only one level. The intent is to include only incentives tied directly to completing the HA.

  1. No Incentive. No incentive offered for HA completion.
  2. Small Incentive. Incentive with a cash or actuarial value less than or equal to $100 offered for HA completion.
  3. Large Incentive. Incentive with a cash or actuarial value of greater than $100 offered for HA completion.
  4. Unknown. Incentive value for HA completion unknown or whether an incentive is offered for HA completion unknown. If the incentive is tied to completion of other activities (in addition to completion of the HA), classify the incentive as Unknown.

For all nonmonetary incentives offered for HA completion, the incentive's actuarial value is calculated by eligible individual. If incentive levels are altered by the employer or plan sponsor during the program period, the highest incentive value during the period is used for reporting.

Scoring

Rate/Proportion

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

External comparison at a point in, or interval of, time

Internal time comparison

Original Title

Health appraisal completion (HAC).

Measure Collection Name

Wellness and Health Promotion Performance Measures

Measure Set Name

Keeping the Population Healthy

Submitter

National Committee for Quality Assurance - Health Care Accreditation Organization

Developer

National Committee for Quality Assurance - Health Care Accreditation Organization

Funding Source(s)

Unspecified

Composition of the Group that Developed the Measure

National Committee for Quality Assurance's (NCQA's) Measurement Advisory Panels (MAPs) are composed of clinical and research experts with an understanding of quality performance measurement in the particular clinical content areas.

Financial Disclosures/Other Potential Conflicts of Interest

In order to fulfill National Committee for Quality Assurance's (NCQA's) mission and vision of improving health care quality through measurement, transparency and accountability, all participants in NCQA's expert panels are required to disclose potential conflicts of interest prior to their participation. The goal of this Conflict Policy is to ensure that decisions which impact development of NCQA's products and services are made as objectively as possible, without improper bias or influence.

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2014 Jan

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

Source(s)

National Committee for Quality Assurance (NCQA). Technical specifications for wellness & health promotion. Washington (DC): National Committee for Quality Assurance (NCQA); 2013. 48 p.

Measure Availability

Source available for purchase from the National Committee for Quality Assurance (NCQA) Web site External Web Site Policy.

For more information, contact NCQA at 1100 13th Street, NW, Suite 1000, Washington, DC 20005; Phone: 202-955-3500; Fax: 202-955-3599; Web site: www.ncqa.org External Web Site Policy.

NQMC Status

This NQMC summary was completed by ECRI Institute on June 3, 2016. The information was verified by the measure developer on July 8, 2016.

Copyright Statement

This NQMC summary is based on the original measure, which is subject to the measure developer's copyright restrictions.

For detailed specifications regarding the measures, refer to the Technical Specifications for Wellness & Health Promotion, available for purchase from the National Committee for Quality Assurance (NCQA) Web site External Web Site Policy.

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