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  • Measure Summary
  • NQMC:010740
  • Jan 2014

Wellness and health promotion: percentage of individuals 18 years of age and older who reported no core risks (obesity, smoking or tobacco use, physical inactivity) on the baseline health appraisal, who reported no core risks on the follow-up health appraisal.

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 Outcome

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 reported no core risks (obesity, smoking or tobacco use, physical inactivity) on the baseline health appraisal (HA), who reported no core risks on the follow-up HA.

Rationale

As health promotion programs have evolved, the focus has expanded beyond improving the health of high risk individuals to include the goal of keeping healthy people healthy. Health promotion programs are seen as a national priority, demonstrated by their inclusion in Healthy People 2020. The relevant Healthy People 2020 goals are to increase the proportion of worksites that offer an employee health promotion programs to their employees and increase the proportion of employees who participate in employer-sponsored health promotion activities (Office of Disease Prevention and Health Promotion [ODPHP], 2016).

One of the goals of employer-sponsored health promotion programs is to sustain the health of employees, with a secondary benefit of maintaining or increasing productivity and maintaining or decreasing health care costs (Employee Benefits Research Institute [EBRI], 2001). Given trends of increasing overweight and obesity in the population (Ogden et al., 2006) and the evolution of health promotion programs (EBRI, 2001), employers see the value of sustaining the health of individuals who do not have risk factors currently to ensure that they do not acquire new risk factors over time.

Evidence for Rationale

Employee Benefits Research Institute. Employment-based health promotion and wellness programs. EBRI Issue Brief. 2001;22(7):1-5.

Office of Disease Prevention and Health Promotion (ODPHP). HealthyPeople.gov. [internet]. Washington (DC): U.S. Department of Health and Human Services; [accessed 2016 Feb 05].

Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006 Apr 5;295(13):1549-55. PubMed External Web Site Policy

Primary Health Components

Health appraisal; core risks

Denominator Description

Individuals 18 years of age and older during the program period who were eligible to complete a baseline health appraisal (HA) and a follow-up HA, who completed both the baseline HA and the follow-up HA and who reported having no core risks on the baseline HA (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Individuals who report having none of the core risks on the follow-up health appraisal (HA)

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

IOM Care Need

Staying Healthy

IOM Domain

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

Diagnostic Evaluation

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 were eligible to complete a baseline health appraisal (HA) and a follow-up HA, who completed both the baseline HA and the follow-up HA and who reported having no core risks on the baseline HA during the program period and the prior program period

Note:

  • Continuous Eligibility: The program period and the prior program period.
  • The baseline HA must be administered in the prior program period. The follow-up HA must be administered in the program period. The follow-up HA must be completed at least six months after the baseline HA.
  • Refer to the original measure documentation for the definition of "core risks."

Exclusions
None

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Individuals who report having none of the core risks on the follow-up health appraisal (HA)

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Patient/Individual survey

Other

Type of Health State

Individually Reported Health State

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Does not apply to this measure

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

Staying healthy (STH).

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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