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  • Measure Summary
  • NQMC:010747
  • Jan 2014

Wellness and health promotion: percentage of individuals 18 years of age and older who were not getting the recommended amount of physical activity and who now have the recommended level of physical activity, with at least one interactive contact specific to physical activity.

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 were not getting the recommended amount of physical activity and who now have the recommended level of physical activity, with at least one interactive contact specific to physical activity.

Rationale

This measure offers a standardized definition of risk reduction for individuals who participate in health promotion programs. Specifically, this measure focuses on level of physical activity.

Several kinds of community interventions can impact physical activity levels. There is strong evidence that both individually-adapted health behavior change programs and efforts to provide social support for increasing physical activity in community settings increase physical activity and physical fitness among adults (The Guide to Community Preventive Services, "Individually-adapted," 2001; The Guide to Community Preventive Services, "Social support," 2001).

Evidence for Rationale

The Guide to Community Preventive Services. Behavioral and social approaches to increase physical activity: individually-adapted health behavior change programs. [internet]. Atlanta (GA): The Community Guide; 2001 Feb [accessed 2016 Feb 05].

The Guide to Community Preventive Services. Behavioral and social approaches to increase physical activity: social support interventions in community settings. [internet]. Atlanta (GA): The Community Guide; 2001 Feb [accessed 2016 Feb 05].

Primary Health Components

Physical activity; risk reduction

Denominator Description

Individuals 18 years of age and older during the program period who were not getting the recommended amount of physical activity either during the program period or the prior program period and who had at least one interactive contact specific to physical activity any time during the program period (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Individuals who during the Risk Change Measurement Period reported achieving the recommended 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
  • A systematic review of the clinical research literature (e.g., Cochrane Review)

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

The program period and the prior program 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

Encounter

Patient/Individual (Consumer) Characteristic

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
Individuals 18 years of age and older during the reporting period who were not getting the recommended amount of physical activity either during the program period or the prior program period and who had at least one interactive contact specific to physical activity any time during the program period. Identification of risk may occur during the program period or the prior program period.

Note:

  • Continuous Eligibility: The program period and the prior program period.
  • This measure does not require completion of a health appraisal (HA). Physical activity level may come from a source other than the HA. Inclusion is based on the Index Start Date (ISD)* specific to a physical activity program.
  • Refer to the original measure documentation to define the recommended amount of physical activity.

*ISD: The earliest date in the program period or the prior program period when a risk-specific interactive contact occurs.

Exclusions
Unspecified

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Individuals who during the Risk Change Measurement Period* reported achieving the recommended physical activity level

Use the same method of determining physical activity level that was used in the baseline measurement (to determine risk) and in the follow-up measurement (to determine risk reduction). For example, if the optional combination method for vigorous and moderate exercise is not used for the initial assessment, then the combination method may not be used in the follow-up measurement to determine compliance with the guideline.

An individual's change of risk status may occur during the program period or the prior program period.

Note: Refer to the original measure documentation to define the recommended physical activity level.

*Risk Change Measurement Period: The period beginning 180 days from the Index Start Date (ISD) and ending on the last day of the program period.

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

Risk reduction - physical activity level (RRP).

Measure Collection Name

Wellness and Health Promotion Performance Measures

Measure Set Name

Measuring Program Outcomes

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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