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December 27, 2004

Veterans Health Administration

Breast cancer: percent of women screened every two years for breast cancer (NEXUS clinics and mature women group cohorts). This updates a previously published measure summary.

Cervical cancer: percent of women screened every three years for cervical cancer (NEXUS clinics and mature women group cohorts). This updates a previously published measure summary.

Colon cancer: percent of patients receiving timely colorectal cancer screening (NEXUS clinics cohort). This updates a previously published measure summary.

Ischemic heart disease: percent of all acute myocardial infarction (AMI) patients known to smoke, who are given smoking cessation counseling during the hospital stay (inpatient AMI all cohort).

Ischemic heart disease: percent of patients with previous acute myocardial infarction (AMI) and low-density lipoprotein cholesterol (LDL-C) greater than or equal to 120 on most recent test in past two years (lower is better) (NEXUS clinics, outpatient heart failure, AMI follow-up, SCI&D, and SMI cohorts).

Tobacco cessation: percent of patients using tobacco any time during the past 12 months (NEXUS mental health subgroup cohort). This updates a previously published measure summary.

Tobacco cessation: percent of patients using tobacco any time during the past 12 months (NEXUS non-mental health subgroup cohort). This updates a previously published measure summary.

Tobacco cessation: percent of patients using tobacco any time during the past 12 months (spinal cord injury & disorder [SCI&D] cohort).

Tobacco cessation: percent of patients using tobacco who have been counseled three times in twelve months to cease tobacco use (NEXUS clinics mental health subgroup cohort). This updates a previously published measure summary.

Tobacco cessation: percent of patients using tobacco who have been counseled three times in twelve months to cease tobacco use (NEXUS non-mental health subgroup cohort). This updates a previously published measure summary.

Tobacco cessation: percent of patients using tobacco who have been counseled three times in twelve months to cease tobacco use (spinal cord injury & disorder [SCI&D] cohort).

December 20, 2004

Veterans Health Administration

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) found to be high risk ST-segment elevation myocardial infarction (STEMI) or moderate-high risk non-ST-segment elevation myocardial infarction (NSTEMI) patients with cardiology involvement in care within 24 hours of acute arrival or if acute myocardial infarction (AMI) as inpatient, within 24 hours of initial electrocardiogram (ECG) or first positive troponin whichever is earlier (inpatient AMI all cohort [inclusive of JCAHO AMI]).

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) found to be high ST-segment elevation myocardial infarction (STEMI) or moderate-high risk non-ST-segment elevation myocardial infarction (NSTEMI) patients who receive a diagnostic catheterization prior to discharge (inpatient AMI all cohort [inclusive of JCAHO AMI]).

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) found to be moderate/low risk ACS patients who had a plan prior to discharge that includes further outpatient stress testing and possible catheterization (inpatient AMI all [inclusive of JCAHO AMI] and inpatient NST-ACS/UA cohorts).

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) found to be ST-segment elevation myocardial infarction (STEMI) patients who met criteria for reperfusion and received interventional reperfusion (inpatient AMI all cohort [inclusive of JCAHO AMI]).

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) found to be ST-segment elevation myocardial infarction (STEMI) patients who met criteria for reperfusion and received percutaneous transluminal coronary angioplasty (PTCA)/primary percutaneous coronary intervention (PCI) within 120 minutes of acute arrival (inpatient AMI all cohort [inclusive of JCAHO AMI]).

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) found to be ST-segment elevation myocardial infarction (STEMI) patients who met criteria for reperfusion and received thrombolytic therapy within 30 minutes of acute arrival or electrocardiogram (ECG) if acute myocardial infarction (AMI) as inpatient (inpatient AMI all cohort [inclusive of JCAHO AMI]).

Ischemic heart disease: percent of patients hospitalized with acute coronary syndrome (ACS) with cardiac symptoms prior to or on arrival to the acute care setting who had an electrocardiogram (ECG, EKG) performed 15 minutes prior to arrival in acute setting or within 10 minutes after arrival (inpatient AMI JCAHO, inpatient AMI all, and inpatient NST-ACS/UA cohorts).

Ischemic heart disease: percent of patients previously hospitalized with acute coronary syndrome (ACS) found to be high or moderate-high risk patients while hospitalized who are seen by a cardiologist within 60 days after discharge (follow-up for inpatient AMI all cohort).

Ischemic heart disease: percent of patients with first troponin result returned within 60 minutes of order time (inpatient AMI JCAHO, inpatient AMI all, and inpatient NST-ACS/UA cohorts).

Ischemic heart disease: percent of patients with previous acute myocardial infarction (AMI), full lipid panel in the past two years, and low-density lipoprotein cholesterol (LDL-C) less than 100 on most recent test in past two years (NEXUS clinics, outpatient heart failure, AMI follow-up, SCI&D, and SMI cohorts). This updates a previously published measure summary.

December 13, 2004

Child Health Corporation of America

Asthma: percentage of pediatric patients admitted for asthma who received reliever medications.

Asthma: percentage of pediatric patients admitted for asthma who received systemic corticosteroids.

Neonatology: percentage of neonates who received each of five specified immunizations.

December 6, 2004

Institute for Clinical Systems Improvement

Preterm birth prevention: percentage of all identified preterm birth (PTB) modifiable risk factors assessed that receive an intervention. This updates a previously published measure summary.

Preterm birth prevention: percentage of at-risk women with documentation of education for preterm birth (PTB) at recommended intervals. This updates a previously published measure summary.

Preterm birth prevention: percentage of modifiable preterm birth (PTB) risk factors screened for all pregnant women. This updates a previously published measure summary.

November 29, 2004

Institute for Clinical Systems Improvement

Preventive services for adults: percentage of patients who are up-to-date for the ten key preventive services. This updates a previously published measure summary.

Preventive services for children and adolescents: percentage of patients who are up-to-date for the ten key preventive services. This updates a previously published measure summary.

November 22, 2004

Agency for Healthcare Research and Quality

Abdominal aortic aneurysm (AAA) repair: mortality rate. This updates a previously published measure summary.

Abdominal aortic aneurysm (AAA) repair: volume.

Acute myocardial infarction (AMI): mortality rate, without transfer cases.

Acute myocardial infarction (AMI): mortality rate. This updates a previously published measure summary.

Acute stroke: mortality rate. This updates a previously published measure summary.

Carotid endarterectomy (CEA): mortality rate.

Carotid endarterectomy (CEA): volume.

Cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate. This updates a previously published measure summary.

Congestive heart failure (CHF): mortality rate. This updates a previously published measure summary.

Coronary artery bypass graft (CABG): volume.

Coronary artery disease: bilateral cardiac catheterization rate. This updates a previously published measure summary.

Coronary artery disease: coronary artery bypass graft (CABG) area rate. This updates a previously published measure summary.

Coronary artery disease: coronary artery bypass graft (CABG) mortality rate. This updates a previously published measure summary.

Coronary artery disease: percutaneous transluminal coronary angioplasty (PTCA) area rate. This updates a previously published measure summary.

Craniotomy: mortality rate. This updates a previously published measure summary.

Esophageal cancer: esophageal resection mortality rate. This updates a previously published measure summary.

Esophageal resection: volume.

Gastrointestinal (GI) hemorrhage: mortality rate. This updates a previously published measure summary.

Hip fracture: mortality rate. This updates a previously published measure summary.

Hip osteoarthrosis: hip replacement mortality rate. This updates a previously published measure summary.

Hysterectomy: hysterectomy area rate. This updates a previously published measure summary.

Incidental appendectomy: incidental appendectomy among the elderly rate. This updates a previously published measure summary.

Laminectomy or spinal fusion: laminectomy or spinal fusion area rate. This updates a previously published measure summary.

Pancreatic cancer: pancreatic resection mortality rate. This updates a previously published measure summary.

Pancreatic resection: volume.

Pediatric heart surgery: mortality rate. This updates a previously published measure summary.

Pediatric heart surgery: volume.

Percutaneous transluminal coronary angioplasty (PTCA): mortality rate.

Percutaneous transluminal coronary angioplasty (PTCA): volume.

Pneumonia: mortality rate. This updates a previously published measure summary.

Institute for Clinical Systems Improvement

Routine prenatal care: percentage of pregnant women who received counseling and education by the 28th week visit. This updates a previously published measure summary.

Routine prenatal care: percentage of prenatal activities up-to-date at the end of a prenatal visit. This updates a previously published measure summary.

November 15, 2004

Physician Consortium for Performance Improvement®

Heart failure: percentage of patient visits with assessment of activity level for patients aged greater than or equal to 18 years with diagnosed heart failure.

Heart failure: percentage of patient visits with assessment of clinical signs of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure.

Heart failure: percentage of patient visits with assessment of clinical symptoms of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure.

Heart failure: percentage of patient visits with blood pressure measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure.

Heart failure: percentage of patient visits with examination of the heart for patients greater than or equal to 18 years with diagnosed heart failure.

Heart failure: percentage of patient visits with weight measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure.

Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who also have left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor therapy.

Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who also have left ventricular systolic dysfunction (LVSD) who were prescribed beta-blocker therapy.

Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who also have paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy.

Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who were provided with patient education on disease management and health behavior changes during one or more visit(s) within a six month period.

Heart failure: percentage of patients with diagnosed heart failure aged greater than or equal to 18 years for whom initial laboratory testing was performed.

Heart failure: percentage of patients with diagnosed heart failure aged greater than or equal to 18 years with quantitative or qualitative results of left ventricular function (LVF) assessment recorded.

November 8, 2004

Institute for Clinical Systems Improvement

Adult low back pain: percentage of patients with acute low back pain receiving anterior-posterior (AP) or lateral (LAT) x-rays. This updates a previously published measure summary.

Breast cancer treatment: percentage of patients with Stage 0, I, II, or III breast cancer with documentation in their medical record that the option of a clinical trial has been discussed with them. This updates a previously published measure summary.

November 1, 2004

Institute for Clinical Systems Improvement

Cervical cancer screening: percentage of women age 21 through 64 years continuously enrolled during the last twelve months having at least one cervical Pap smear during the past three years. This updates a previously published measure summary.

Cervical cancer screening: percentage of women age 21 through 64 years seen at least once in the clinic during the past two years who are up-to-date for cervical cancer screening. This updates a previously published measure summary.

Management of initial abnormal Pap smear: percentage of women diagnosed with an initial abnormal Pap smear who receive at least one clinical follow-up within six months of abnormality identified. This updates a previously published measure summary.

October 25, 2004

Institute for Clinical Systems Improvement

Diagnosis and management of basic infertility: percentage of women treated for infertility where both partners are assessed during the basic infertility work-up. This updates a previously published measure summary.

Diagnosis and management of basic infertility: percentage of women with either laparoscopies or tubal surgery with recommended prior tests. This updates a previously published measure summary.

Uncomplicated urinary tract infection in women: percentage of women reporting satisfaction with their management of uncomplicated urinary tract infection (UTI) (patient survey). This updates a previously published measure summary.

Uncomplicated urinary tract infection in women: the percentage of women with uncomplicated urinary tract infection (UTI) treated with recommended short course therapy. This updates a previously published measure summary.

Uncomplicated urinary tract infection in women: the percentage of women with uncomplicated urinary tract infection (UTI) with a urine culture performed at the initial encounter. This updates a previously published measure summary.

October 18, 2004

Institute for Clinical Systems Improvement

Colorectal cancer screening: percentage of patients aged 50 to less than 80 with counseling on colorectal cancer screening, whether or not the screening test was done. This updates a previously published measure summary.

Colorectal cancer screening: percentage of people aged 51 to less than 80 who are seen in the last month and who are up-to-date with respect to screening for colorectal cancer. This updates a previously published measure summary.

Immunizations: percentage of adolescents who are up-to-date with recommended immunizations (Hep B, MMR, tetanus, and verification of varicella immunity). This updates a previously published measure summary.

Immunizations: percentage of two-year-olds who are up-to-date with their primary series of immunizations (DTaP, IPV, MMR, PCV7, VZV, Hib, Hep B). This updates a previously published measure summary.

Immunizations: percentage of young adults who are up-to-date with Hepatitis B (Hep B). This updates a previously published measure summary.

October 11, 2004

Institute for Clinical Systems Improvement

Tobacco use prevention and cessation for adults and mature adolescents: percentage of patients with documented tobacco use or exposure at the latest visit who also have documentation that their cessation interest was assessed or that they received advice to quit. This updates a previously published measure summary.

Tobacco use prevention and cessation for adults and mature adolescents: percentage of patients' charts that either show that there is no tobacco use/exposure or (if a user) that the current use was documented at the most recent clinician visit. This updates a previously published measure summary.

Tobacco use prevention and cessation for infants, children and adolescents: percentage of patients with documented tobacco use or exposure at the latest visit who also have documentation that their cessation interest was assessed or that they received advice to quit. This updates a previously published measure summary.

Tobacco use prevention and cessation for infants, children and adolescents: percentage of patients' charts showing either that there is no tobacco use/exposure or (if a user) that the current use was documented at the most recent clinician visit. This updates a previously published measure summary.

Physician Consortium for Performance Improvement®

Major depressive disorder (MDD): percentage of patients aged 18 years and older whose depressive symptoms were adequately assessed for the presence of MDD during the initial visit.

Major depressive disorder (MDD): percentage of patients aged 18 years and older whose severity of MDD was classified at the initial visit.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of major depressive disorder who had a suicide risk assessment completed at each visit.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of major depressive disorder who received therapy appropriate to their classification.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of major depressive disorder who were continued on medication for a minimum of 16 weeks following remission of symptoms.

October 4, 2004

Institute for Clinical Systems Improvement

Acute sinusitis in adults: percentage of patients with a sinus x-ray after an initial visit for acute sinusitis.

Acute sinusitis in adults: percentage of patients with an office visit for sinusitis given a first-line antibiotic when an antibiotic is prescribed.

Physician Consortium for Performance Improvement®

Asthma: percentage of patients aged 5 to 40 years diagnosed with mild, moderate, or severe persistent asthma who were prescribed either the preferred long-term control medication (inhaled corticosteroid) or an acceptable alternative treatment.

Asthma: percentage of patients aged 5 to 40 years with diagnosed asthma who were evaluated during at least one office visit during the reporting year for the frequency (numeric) of daytime and nocturnal asthma symptoms.

September 27, 2004

Institute for Clinical Systems Improvement

Domestic violence: percentage of health care staff trained in initial assessment of problems of domestic violence every twelve months.

Physician Consortium for Performance Improvement®

Hypertension: percentage of patient visits during which either systolic blood pressure is greater than or equal to 140 mm Hg or diastolic blood pressure is greater than or equal to 90 mm Hg, with documented plan of care for hypertension.

Hypertension: percentage of patient visits with blood pressure measurement recorded.

Osteoarthritis of the knee: percentage of patient visits during which an anti-inflammatory agent or analgesic was considered.

Osteoarthritis of the knee: percentage of patient visits during which gastrointestinal (GI) prophylaxis was considered.

Osteoarthritis of the knee: percentage of patient visits during which therapeutic exercise for the knee (therapeutic exercise instructed or physical therapy prescribed) was considered.

Osteoarthritis of the knee: percentage of patient visits with assessment for current level of satisfaction with symptoms and functional status.

Osteoarthritis of the knee: percentage of patient visits with assessment for use of anti-inflammatory or analgesic over-the-counter (OTC) medications.

Osteoarthritis of the knee: percentage of patients for whom a physical examination of the knee was performed during the initial visit.

Osteoarthritis of the knee: percentage of patients on prescribed or over-the-counter (OTC) non-steroidal anti-inflammatory drugs (NSAIDs) who were assessed for gastrointestinal (GI)/renal risk factors.

Preventive care and screening: percentage of female patients who had a mammogram performed during the two-year measurement period.

Preventive care and screening: percentage of patients identified as tobacco users who received cessation intervention during the two-year measurement period.

Preventive care and screening: percentage of patients screened for colorectal cancer during the one-year measurement period.

Preventive care and screening: percentage of patients who received an influenza immunization during the one-year measurement period.

Preventive care and screening: percentage of patients who were queried about and screened for problem drinking during the two-year measurement period.

Preventive care and screening: percentage of patients who were queried about tobacco use one or more times during the two-year measurement period.

September 20, 2004

Centers for Medicare & Medicaid Services

Nursing facility chronic care: percent of high-risk residents who have pressure sores.

Nursing facility chronic care: percent of low-risk residents who have pressure sores.

Nursing facility chronic care: percent of low-risk residents who lose control of their bowels or bladder.

Nursing facility chronic care: percent of residents who have become more depressed or anxious.

Nursing facility chronic care: percent of residents who have moderate to severe pain.

Nursing facility chronic care: percent of residents who have/had a catheter inserted and left in their bladder.

Nursing facility chronic care: percent of residents who spent most of their time in bed or in a chair during the assessment period.

Nursing facility chronic care: percent of residents who were physically restrained.

Nursing facility chronic care: percent of residents whose ability to move about in and around their room got worse.

Nursing facility chronic care: percent of residents whose need for help with daily activities has increased.

Nursing facility chronic care: percent of residents with a urinary tract infection.

Nursing facility post-acute care: percent of short-stay residents who had moderate to severe pain.

Nursing facility post-acute care: percent of short-stay residents who have pressure sores.

Nursing facility post-acute care: percent of short-stay residents with delirium.

Institute for Clinical Systems Improvement

Lipid screening in adults: percentage of adults with a cholesterol test (total cholesterol and high-density lipoprotein [HDL]-cholesterol) in the last five years.

Lipid screening in adults: percentage of adults with both exercise and nutritional assessments in the context of lipid screening.

Lipid screening in children and adolescents: percentage of children who are at risk for familial hypercholesterolemia who receive serum cholesterol screening.

Lipid screening in children and adolescents: percentage of children with relevant family history of heart disease recorded and both exercise and nutrition assessments.

September 13, 2004

National Diabetes Quality Improvement Alliance

Adult diabetes: percentage of eligible patients who received an immunization or refused immunization during the calendar period.

Adult diabetes: percentage of patients assessed for smoking status.

Adult diabetes: percentage of patients receiving a dilated retinal eye exam by an ophthalmologist or optometrist.

Adult diabetes: percentage of patients receiving a funduscopic photo with interpretation by an ophthalmologist or optometrist.

Adult diabetes: percentage of patients receiving at least one complete foot examination (visual inspection, sensory exam with monofilament, and pulse exam).

Adult diabetes: percentage of patients receiving at least one lipid profile (or ALL component tests).

Adult diabetes: percentage of patients who received an influenza immunization during the recommended calendar period.

Adult diabetes: percentage of patients who received any test for microalbuminuria.

Adult diabetes: percentage of patients who were prescribed aspirin therapy (dose greater than or equal to 75 mg).

Adult diabetes: percentage of patients with no urinalysis or urinalysis with negative or trace urine protein, who received a test for microalbumin.

Adult diabetes: percentage of smokers who were recommended or offered an intervention for smoking cessation (i.e., counseling or pharmacologic therapy).

September 6, 2004

Institute for Clinical Systems Improvement

Diagnosis and treatment of otitis media in children: percentage of children less than 5 years old with a diagnosis of acute otitis media who had an appropriate routine follow-up visit within the recommended time interval.

Diagnosis and treatment of otitis media in children: percentage of children with a diagnosis of acute otitis media who were prescribed first-line antibiotics.

Diagnosis and treatment of otitis media in children: percentage of parents (caretakers) receiving education on the symptoms suggestive of otitis media, appropriate indicators for a provider visit, risk factors, and outcomes of otitis media.

National Diabetes Quality Improvement Alliance

Adult diabetes: percentage of eligible patients receiving at least one foot exam, defined in any manner.

Adult diabetes: percentage of patients receiving one or more A1c test(s).

Adult diabetes: percentage of patients who received a dilated eye examination or evaluation of retinal photographs if patient is at low risk for retinopathy.

Adult diabetes: percentage of patients whose smoking status was ascertained and documented annually.

Adult diabetes: percentage of patients with at least one LDL-C test.

Adult diabetes: percentage of patients with at least one test for microalbumin during the measurement year; or who had evidence of medical attention for existing nephropathy (diagnosis of nephropathy or documentation of microalbuminuria or albuminuria).

Adult diabetes: percentage of patients with most recent A1c level greater than 9.0% (poor control).

Adult diabetes: percentage of patients with most recent blood pressure less than 140/90 mm Hg.

Adult diabetes: percentage of patients with most recent LDL-C less than 130 mg/dL.

August 30, 2004

Institute for Clinical Systems Improvement

Major depression in adults for mental health care: percentage of patients whose results on 2 Patient Health Questionnaires (PHQ-9s) score less than 5 or similar testing (Hamilton Depression Scale 7 or less) within 6 months of initiating treatment.

Major depression in adults for mental health care: percentage of patients whose results on 2 quantitative symptom assessment tools (such as Patient Health Questionnaire [PHQ-9]) decrease by 50 percent within six months of initiating treatment.

Major depression in adults for mental health care: percentage of patients with a new diagnosis of major depression, with documentation of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV TR) criteria within the three months prior to initial diagnosis. This updates a previously published measure summary.

Major depression in adults in primary care: percentage of patients who are seen for a depression follow-up within three months of initiating treatment.

Major depression in adults in primary care: percentage of patients whose results on 2 Patient Health Questionnaires (PHQ-9s) score less than 5 or similar testing (Hamilton Depression Scale 7 or less) within 6 months of initiating treatment.

Major depression in adults in primary care: percentage of patients whose results on 2 quantitative symptom assessment tools (such as Patient Health Questionnaire [PHQ-9]) decrease by 50 percent within six months of initiating treatment.

Major depression in adults in primary care: percentage of patients whose symptoms are reassessed by the use of a quantitative symptom assessment tool (such as Patient Health Questionnaire [PHQ-9]) within three months of initiating treatment.

Major depression in adults in primary care: percentage of patients with a new diagnosis of fatigue with documentation of screening for depression.

Major depression in adults in primary care: percentage of patients with a new diagnosis of major depression, with documentation of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV TR) criteria within the three months prior to initial diagnosis.

August 23, 2004

Institute for Clinical Systems Improvement

Preventive counseling and education - by topic: the percentage of patients with documentation in their medical records of counseling information given within specific topic areas within the last five years. This updates a previously published measure summary.

Viral upper respiratory infection (VURI) in adults and children: percentage of encounters for cold symptoms (phone care and/or office visits) for which there is documentation that educational messages and/or materials were given.

Viral upper respiratory infection (VURI) in adults and children: percentage of patients with an office visit for cold symptoms who have had symptoms for less than 7 days and who receive an antibiotic.

Viral upper respiratory infection (VURI) in adults and children: percentage of patients with an office visit for cold symptoms who have had symptoms for less than 7 days.

August 16, 2004

Canadian Cardiovascular Outcomes Research Team

Congestive heart failure (CHF): percentage of CHF patients prescribed angiotensin-converting enzyme (ACE) inhibitor at hospital discharge.

Congestive heart failure (CHF): percentage of CHF patients prescribed beta-blocker at hospital discharge.

Congestive heart failure (CHF): percentage of CHF patients prescribed warfarin for atrial fibrillation at hospital discharge.

Congestive heart failure (CHF): percentage of CHF patients who received discharge instructions regarding daily weight monitoring.

Congestive heart failure (CHF): percentage of CHF patients who received discharge instructions regarding follow-up appointment.

Congestive heart failure (CHF): percentage of CHF patients who received discharge instructions regarding salt/fluid restriction.

Congestive heart failure (CHF): percentage of CHF patients who received discharge instructions regarding symptoms of worsening heart failure.

Congestive heart failure (CHF): percentage of CHF patients who received instructions regarding discharge medications.

Congestive heart failure (CHF): percentage of CHF patients whose weights were measured/recorded on at least 50% of non-intensive care unit in-hospital days.

Congestive heart failure (CHF): percentage of CHF patients with left ventricular (LV) function evaluated before or during hospital admission.

Institute for Clinical Systems Improvement

Heart failure in adults: percentage of adult patients diagnosed with heart failure (HF) who have had patient education documented in their medical record.

Heart failure in adults: percentage of adult patients with heart failure (HF) who are on an angiotensin-converting enzyme (ACE) inhibitor before or at the time of the clinic visit.

Heart failure in adults: percentage of adult patients with heart failure (HF) who have had an evaluation of left ventricular function.

August 9, 2004

Canadian Cardiovascular Outcomes Research Team

Acute myocardial infarction (AMI): median "door to needle" time (minutes) for thrombolytics.

Acute myocardial infarction (AMI): percentage of AMI patients prescribed a statin at hospital discharge.

Acute myocardial infarction (AMI): percentage of AMI patients prescribed angiotensin-converting enzyme (ACE) inhibitor at hospital discharge.

Acute myocardial infarction (AMI): percentage of AMI patients who had lipid sample obtained within 24 hours of admission.

Acute myocardial infarction (AMI): percentage of AMI patients who received aspirin within six hours of hospital arrival.

Acute myocardial infarction (AMI): percentage of AMI patients who received beta-blockers within 12 hours of admission.

Acute myocardial infarction (AMI): percentage of AMI patients who received thrombolytics during hospitalization.

Acute myocardial infarction (AMI): percentage of AMI patients who were prescribed aspirin at hospital discharge.

Acute myocardial infarction (AMI): percentage of AMI patients who were prescribed beta-blocker at hospital discharge.

Institute for Clinical Systems Improvement

Assessment and management of acute pain: after 48 hours, the percentage of patients who rate pain greater than 4 (on a 10-point scale) or at an unacceptable level to patient.

Hypertension diagnosis and treatment: percentage of patients presenting in clinic within the last month for whom patient education about modifiable risk factors has been documented in the medical record. This updates a previously published measure.

Hypertension diagnosis and treatment: percentage of patients who have blood pressure less than 140/90 mm Hg at the clinic visit. This updates a previously published measure.

Venous thromboembolism (VTE): percentage of low-molecular-weight heparin (LMWH)-eligible patients with deep vein thrombosis (DVT) treated in an outpatient setting. This updates a previously published measure.

Venous thromboembolism (VTE): percentage of patients with VTE who meet the criteria for low-molecular-weight heparin (LMWH) and for whom LMWH is used. This updates a previously published measure.

August 2, 2004

Institute for Clinical Systems Improvement

Chronic obstructive pulmonary disease (COPD): percentage of patients with COPD whose physician inquired about smoking cessation (if patient a smoker) at every visit.

Diagnosis and treatment of adult degenerative joint disease (DJD) of the knee: percentage of patients diagnosed with DJD with knee x-ray panels that include a standing view of the knee.

Diagnosis and treatment of adult degenerative joint disease (DJD) of the knee: percentage of patients with DJD with documented education in four comprehensive areas: protecting the joint, exercise, pain relief, healthy living habits.

July 26, 2004

Institute for Clinical Systems Improvement

Diagnosis of breast disease: percent of patients with less than 14 days between breast abnormality noted by RN or MD and completion of a biopsy.

Diagnosis of breast disease: percentage of class 4 or class 5 abnormal mammograms that are followed by a biopsy within 14 days.

Prevention, diagnosis and treatment of failure to progress in obstetrical labor: percent of women in the guideline population who have spontaneous rupture of membranes (SROM) or early amniotomy.

Prevention, diagnosis and treatment of failure to progress in obstetrical labor: percent of women in the guideline population with education on active management for failure to progress.

Prevention, diagnosis and treatment of failure to progress in obstetrical labor: percent of women in the guideline population with failure to progress diagnosis who have oxytocin.

July 19, 2004

Institute for Clinical Systems Improvement

Management of type 2 diabetes mellitus: frequency of low-density lipoprotein (LDL) cholesterol values in adult patients with diabetes by category: less than 100 mg/dL, 100-130, greater than 130, incalculable, untested.

Management of type 2 diabetes mellitus: percentage of adult patients with diabetes with A1c less than 7%.

Management of type 2 diabetes mellitus: percentage of patients who have had a screen for A1c in the past six months, an annual low-density lipoprotein (LDL) test, A1c value less than 7%, LDL less than 100, blood pressure less than 130/80, who don't use tobacco and are regularly using aspirin.

Management of type 2 diabetes mellitus: percentage of patients with diabetes mellitus with A1c measured in the last 6 months.

Management of type 2 diabetes mellitus: percentage of patients with diabetes with eye exam documented within last 12 months.

Management of type 2 diabetes mellitus: percentage of patients with diabetes with microalbumin tested within last 12 months.

Stable coronary artery disease (CAD): percentage of patients with stable CAD who have aspirin use documented in the medical record.

Stable coronary artery disease (CAD): percentage of patients with stable CAD who have had a lipid profile determination at target (less than 100) and measured within the last year.

July 12, 2004

HealthPartners

Coronary artery disease: percentage of members who have optimally managed modifiable risk factors (LDL, tobacco non-use, blood pressure control, aspirin usage).

Diabetes mellitus: percentage of members who have optimally managed modifiable risk factors (HbA1c, LDL, tobacco non-use, blood pressure control, aspirin usage).

July 5, 2004

State of Wisconsin, Department of Health and Family Services

Mental health: percentage of enrollees diagnosed with non-organic, non-substance abuse mental health disorder receiving day/outpatient mental health treatment (MEDDIC-MS SSI).

Substance abuse: percentage of enrollees with substance abuse diagnosis receiving day/outpatient substance abuse treatment (MEDDIC-MS SSI).

June 28, 2004

State of Wisconsin, Department of Health and Family Services

Mental health: percentage of enrollees diagnosed with non-organic, non-substance abuse mental health disorder receiving day/outpatient mental health treatment by mental health specialists (MEDDIC-MS).

Mental health: percentage of enrollees diagnosed with non-organic, non-substance abuse mental health disorder receiving day/outpatient mental health treatment by primary care providers (PCPs)/unspecified providers (MEDDIC-MS).

Substance abuse: percentage of enrollees with substance abuse diagnosis receiving day/outpatient substance abuse treatment by primary care providers (PCPs)/unspecified providers (MEDDIC-MS).

Substance abuse: percentage of enrollees with substance abuse diagnosis receiving day/outpatient substance abuse treatment by substance abuse specialists (MEDDIC-MS).

June 21, 2004

State of Wisconsin, Department of Health and Family Services

Breast cancer detection - screening mammography: percent of enrollees who had at least one mammogram in the measure look-back period (MEDDIC-MS SSI).

Breast cancer detection - screening mammography: percent of enrollees who had at least one mammogram in the measure look-back period (MEDDIC-MS).

Cervical cancer detection - screening Pap tests: percent of enrollees who had at least one Pap test in the measure look-back period (MEDDIC-MS SSI).

Cervical cancer detection - screening Pap tests: percent of enrollees who had at least one Pap test in the measure look-back period (MEDDIC-MS).

June 14, 2004

State of Wisconsin, Department of Health and Family Services

Maternity care: percent of patients who received prenatal care coordination (MEDDIC-MS).

Maternity care: percent of patients who received testing for HIV during the look-back period (MEDDIC-MS).

June 7, 2004

State of Wisconsin, Department of Health and Family Services

Asthma care: percent of enrollees with a diagnosis of asthma with at least one emergency department encounter with a principal diagnosis of asthma (MEDDIC-MS SSI).

Asthma care: percent of enrollees with a diagnosis of asthma with at least one emergency department encounter with a principal diagnosis of asthma (MEDDIC-MS).

Asthma care: percent of enrollees with a diagnosis of asthma with at least one inpatient discharge with a principal diagnosis of asthma (MEDDIC-MS SSI).

Asthma care: percent of enrollees with a diagnosis of asthma with at least one inpatient discharge with a principal diagnosis of asthma (MEDDIC-MS).

May 31, 2004

Accreditation Association for Ambulatory Health Care Institute for Quality Improvement, Performance Measurement Initiative, Colonoscopy Work Group

Intra-procedure colonoscopy complication rate: percentage of patients who developed one or more intra-procedure complications.

Patient understanding of colonoscopy procedure: percentage of patients answering "yes" to the post-procedure telephone interview question "Did you have an adequate understanding of your procedure?".

May 24, 2004

No new measures were added to NQMC during the week of May 24, 2004.

May 17, 2004

Institute for Clinical Systems Improvement

Ankle sprain: percentage of patients with acute ankle sprain for whom documentation of receiving patient education materials is recorded in the medical record.

Ankle sprain: percentage of patients with acute ankle sprain receiving ankle x-rays at clinic within 3 days of the initial injury.

Major depression in adults for mental health care providers: percentage of patients with major depression with complete documentation of at least 5 positive Diagnostic and Statistical Manual of Mental Disorders, 4^th edition (DSM-IV) symptoms AND at least one of the symptoms is either depressed mood or loss of interest or pleasure.

Major depression in adults for mental health care providers: percentage of patients with major depression with documentation of multi-axial Diagnostic and Statistical Manual of Mental Disorders, 4^th edition (DSM-IV) evaluation.

Major depression in adults for mental health care providers: percentage of patients with major depressive disorder with documentation of receiving education about major depression.

Preoperative evaluation: percent of patients between 40-54 having an electrocardiogram (ECG) performed as part of a preoperative assessment.

Preoperative evaluation: percent of patients having a preoperative health assessment and any adjunctive evaluation prior to date of scheduled procedure.

May 10, 2004

Institute for Clinical Systems Improvement

Adult low back pain: percentage of patients with acute and chronic low back pain and acute and chronic sciatica with a referral for surgical consult six to eight weeks after presenting to the clinic for a new episode.

Adult low back pain: percentage of patients with acute low back pain receiving anterior-posterior (AP) or lateral (LAT) x-rays.

May 3, 2004

Institute for Clinical Systems Improvement

Lipid management in adults: percentage of patients on a lipid lowering medication who have a fasting lipid panel every three to twelve months.

Lipid management in adults: percentage of patients with diagnosed coronary heart disease (CHD) or equivalent who have a diet evaluation.

Lipid management in adults: percentage of patients with diagnosed coronary heart disease (CHD) or equivalent who have low-density lipoprotein (LDL)-cholesterol less than 100 mg/dL.

Migraine headache: percentage of migraine sufferers with documented education.

Migraine headache: percentage of migraine sufferers with treatment plans for mild, moderate and severe headaches.

Preterm birth prevention: percentage of all identified preterm birth (PTB) modifiable risk factors assessed that receive an intervention.

Preterm birth prevention: percentage of at-risk women with documentation of education for preterm birth (PTB) at recommended intervals.

Preterm birth prevention: percentage of modifiable preterm birth risk factors screened for all pregnant women.

April 26, 2004

Chinman, Matthew, Ph.D. (MIRECC); Young, Alexander S., M.D., M.S.H.S. (MIRECC); Sandy Forquer (Comprehensive Neuroscience Inc.); Edward Knight (ValueOptions); Anita Miller (ValueOptions); Melissa Rowe (RAND)

Competency Assessment Instrument (CAI): provider's mean score on the "Client Preferences" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Community Resources" scale.

Competency Assessment Instrument (CAI): Provider's mean score on the "Evidence-based Practice" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Family Education" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Family Involvement" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Goals" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Holistic Approach" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Intensive Case Management" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Medication Management" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Natural Supports" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Rehabilitation" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Skill Advocacy" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Stigma" scale.

Competency Assessment Instrument (CAI): provider's mean score on the "Stress" scale.

Competency Assessment Instrument (CAI): Provider's mean score on the "Team Value" scale.

Institute for Clinical Systems Improvement

Immunizations: percentage of adolescents who are up-to-date with recommended immunizations (Hep B, MMR, tetanus, and verification of varicella immunity).

Immunizations: percentage of two-year-olds who are up-to-date with their primary series of immunizations (DTaP, IPV, MMR, PCV7, VZV, Hib, Hep B).

Immunizations: percentage of young adults who are up-to-date with Hepatitis B (Hep B).

April 19, 2004

Agency for Healthcare Research and Quality

Health plan members' experiences: percentage of adult health plan members who reported how much of a problem they had in getting needed care.

Health plan members' experiences: percentage of adult health plan members who reported how much of a problem they had with their health plan customer service, information, and paperwork.

Health plan members' experiences: percentage of adult health plan members who reported how often the medical office staff was courteous, respectful and helpful.

Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had in getting needed care for their child.

Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with getting prescription medicine for their children with chronic conditions.

Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with getting specialized services for their children with chronic conditions.

Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with health plan customer service for their children.

Health plan members' experiences: percentage of parents of health plan members who reported how often the medical office staff was courteous, respectful, and helpful.

Health plan members' experiences: percentage of parents of health plan members who reported their experiences with family centered care regarding their children with chronic conditions.

Health plan members' experiences: percentage of parents of health plan members who reported they had assistance in coordinating care and services for their children with chronic conditions.

Health plan members' satisfaction with care: adult health plan members' ratings of their health plan.

Health plan members' satisfaction with care: adult health plan members' ratings of their personal health provider.

Health plan members' satisfaction with care: adult health plan members' ratings of their specialist.

Health plan members' satisfaction with care: parents' ratings of their children's care.

Health plan members' satisfaction with care: parents' ratings of their children's health plan.

Health plan members' satisfaction with care: parents' ratings of their children's personal health provider.

Health plan members' satisfaction with care: parents' ratings of their children's specialist.

April 12, 2004

Agency for Healthcare Research and Quality

Abdominal aortic aneurysm repair: mortality rate. This updates a previously published measure summary.

Acute myocardial infarction: mortality rate. This updates a previously published measure summary.

Acute stroke: mortality rate. This updates a previously published measure summary.

Adult asthma: hospital admission rate. This updates a previously published measure summary.

Bacterial pneumonia: hospital admission rate. This updates a previously published measure summary.

Cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate. This updates a previously published measure summary.

Chronic obstructive pulmonary disease: hospital admission rate. This updates a previously published measure summary.

Congestive heart failure: hospital admission rate. This updates a previously published measure summary.

Congestive heart failure: mortality rate. This updates a previously published measure summary.

Coronary artery disease: angina without procedure hospital admission rate. This updates a previously published measure summary.

Coronary artery disease: bilateral cardiac catheterization rate. This updates a previously published measure summary.

Coronary artery disease: coronary artery bypass graft mortality rate. This updates a previously published measure summary.

Coronary artery disease: coronary artery bypass graft rate. This updates a previously published measure summary.

Coronary artery disease: percutaneous transluminal coronary angioplasty rate. This updates a previously published measure summary.

Craniotomy: mortality rate. This updates a previously published measure summary.

Dehydration: hospital admission rate. This updates a previously published measure summary.

Diabetes mellitus: hospital admission rate for long-term complications. This updates a previously published measure summary.

Diabetes mellitus: hospital admission rate for short-term complications. This updates a previously published measure summary.

Diabetes mellitus: hospital admission rate for uncontrolled diabetes. This updates a previously published measure summary.

Diabetes mellitus: lower-extremity amputation rate. This updates a previously published measure summary.

Esophageal cancer: esophageal resection mortality rate. This updates a previously published measure summary.

Gastrointestinal hemorrhage: mortality rate. This updates a previously published measure summary.

Hip fracture: mortality rate. This updates a previously published measure summary.

Hip osteoarthrosis: hip replacement mortality rate. This updates a previously published measure summary.

Hypertension: hospital admission rate. This updates a previously published measure summary.

Hysterectomy: hysterectomy rate. This updates a previously published measure summary.

Incidental appendectomy: incidental appendectomy among the elderly rate. This updates a previously published measure summary.

Laminectomy or spinal fusion: laminectomy or spinal fusion rate. This updates a previously published measure summary.

Low birth weight: rate of infants with low birth weight. This updates a previously published measure summary.

Pancreatic cancer: pancreatic resection mortality rate. This updates a previously published measure summary.

Pediatric asthma: hospital admission rate. This updates a previously published measure summary.

Pediatric gastroenteritis: hospital admission rate. This updates a previously published measure summary.

Pediatric heart surgery: mortality rate. This updates a previously published measure summary.

Perforated appendix: hospital admission rate. This updates a previously published measure summary.

Pneumonia: mortality rate. This updates a previously published measure summary.

Pregnancy and birth: Cesarean section delivery rate. This updates a previously published measure summary.

Pregnancy and birth: vaginal birth after Cesarean rate. This updates a previously published measure summary.

Urinary tract infection: hospital admission rate. This updates a previously published measure summary.

Institute for Clinical Systems Improvement

Cervical cancer screening: percentage of women age 21 through 64 years continuously enrolled during the last twelve months having at least one cervical Pap smear during the past three years.

Cervical cancer screening: percentage of women age 21 through 64 years seen at least once in the clinic during the past two years who are up-to-date for cervical cancer screening.

Colorectal cancer screening: percentage of patients aged 50 to less than 80 with counseling on colorectal cancer screening, whether or not the screening test was done.

Colorectal cancer screening: percentage of people aged 51 to less than 80 who are seen in the last month and who are up-to-date with respect to screening for colorectal cancer.

April 5, 2004

Institute for Clinical Systems Improvement

Preventive counseling and education: percentage of patients with documentation in their medical records of counseling information within five topic areas given within the last five years.

Preventive services for adults: percentage of patients who are up-to-date for the ten key preventive services.

Preventive services for children and adolescents: percentage of patients who are up-to-date for the ten key preventive services.

Routine prenatal care: percentage of pregnant women who received counseling and education by the 28th week visit.

Routine prenatal care: percentage of prenatal activities up-to-date at the end of a prenatal visit.

Tobacco use prevention and cessation for adults and mature adolescents: percentage of patients with documented tobacco use or exposure at the latest visit who also have documentation that their cessation interest was assessed or that they received advice to quit.

Tobacco use prevention and cessation for adults and mature adolescents: percentage of patients' charts that either show that there is no tobacco use/exposure or (if a user) that the current use was documented at the most recent clinician visit.

Tobacco use prevention and cessation for infants, children and adolescents: percentage of patients with documented tobacco use or exposure at the latest visit who also have documentation that their cessation interest was assessed or that they received advice to quit.

Tobacco use prevention and cessation for infants, children and adolescents: percentage of patients' charts showing either that there is no tobacco use/exposure or (if a user) that the current use was documented at the most recent clinician visit.

March 29, 2004

Institute for Clinical Systems Improvement

Breast cancer treatment: percentage of patients with Stage 0, I or II breast cancer with documentation in their medical record that the option of a clinical trial has been discussed with them.

Diagnosis and management of infertility: percentage of women treated for infertility where both partners are assessed during the basic infertility work-up.

Diagnosis and management of infertility: percentage of women with either laparoscopies or tubal surgery with recommended prior tests.

Hypertension diagnosis and treatment: percentage of patients presenting in clinic within the last month for whom patient education about modifiable risk factors has been documented in the medical record.

Hypertension diagnosis and treatment: percentage of patients who have blood pressure less than 140/90 mm Hg at the clinic visit.

Management of initial abnormal Pap smear: percentage of women diagnosed with an initial abnormal Pap smear who receive at least one clinical follow-up within six months of abnormality identified.

Uncomplicated urinary tract infection in women: percentage of women reporting satisfaction with their management of uncomplicated urinary tract infection (UTI).

Uncomplicated urinary tract infection in women: percentage of women with uncomplicated urinary tract infection (UTI) with a urine culture performed at the initial encounter.

Uncomplicated urinary tract infection in women: the percentage of women with uncomplicated urinary tract infection (UTI) treated with recommended short course therapy.

Venous thromboembolism: percentage of low-molecular-weight heparin (LMWH)-eligible patients with lower extremity deep vein thrombosis (DVT) treated in an outpatient setting.

Venous thromboembolism: percentage of patients diagnosed with lower extremity venous thromboembolism (VTE) receiving anticoagulant therapy who develop major bleeding complications.

Venous thromboembolism: percentage of patients diagnosed with lower extremity venous thromboembolism (VTE) receiving anticoagulant therapy who develop minor bleeding complications.

Venous thromboembolism: percentage of patients diagnosed with lower extremity venous thromboembolism (VTE) treated with low-molecular-weight heparin (LMWH) who are adequately anticoagulated with warfarin by day 6.

Venous thromboembolism: percentage of patients diagnosed with lower extremity venous thromboembolism (VTE) who meet the criteria for low-molecular-weight heparin (LMWH) and for whom LMWH is used.

March 22, 2004

Institute for Clinical Systems Improvement

Intrapartum fetal heart rate management: percentage of births with amnioinfusion when either of the following is present: thick meconium or repetitive severe variable decelerations or oligohydramnios. This updates a previously published measure summary.

Intrapartum fetal heart rate management: percentage of women who are assessed for risk status on entry to labor and delivery. This updates a previously published measure summary.

March 15, 2004

State of Wisconsin, Department of Health and Family Services

Satisfaction with health maintenance organization (HMO) customer service: percentage of enrollees who responded that getting the information or assistance they needed when contacting their HMO's customer service department was "not a problem" (MEDDIC-MS).

March 8, 2004

No new measures were added to NQMC during the week of March 08, 2004.

March 1, 2004

State of Wisconsin, Department of Health and Family Services

Ambulatory care management of diabetes: percent of patients with at least one hemoglobin A1c (HbA1c) test conducted in the measure look-back period (MEDDIC-MS SSI).

Ambulatory care management of diabetes: percent of patients with at least one llipid profile test in the look-back period (MEDDIC-MS SSI).

Post-hospitalization care for mental illness: percentage of discharges that were followed by an ambulatory mental health encounter or day/night treatment with a primary care provider within 7 and 30 days of hospital discharge (MEDDIC-MS SSI).

Post-hospitalization care for mental illness: percentage of discharges that were followed by an ambulatory mental health encounter or day/night treatment with a specialist mental health provider within 7 and 30 days of hospital discharge (MEDDIC-MS SSI).

Post-hospitalization care for mental illness: percentage of discharges that were followed by an ambulatory mental health encounter or day/night treatment with an other or unspecified provider within 7 and 30 days of hospital discharge (MEDDIC-MS SSI).

Post-hospitalization care for substance abuse: percentage of discharges that were followed by an ambulatory substance abuse encounter with a primary care provider within 7 and 30 days of hospital discharge (MEDDIC-MS SSI).

Post-hospitalization care for substance abuse: percentage of discharges that were followed by an ambulatory substance abuse encounter with a specialist mental health/substance abuse provider within 7 and 30 days of hospital discharge (MEDDIC-MS SSI).

Post-hospitalization care for substance abuse: percentage of discharges that were followed by an ambulatory substance abuse encounter with an other or unspecified provider within 7 and 30 days of hospital discharge (MEDDIC-MS SSI).

Preventive dental care: percent of enrollees age 15 to 21 years who had a dental visit during the look-back period (MEDDIC-MS SSI).

Preventive dental care: percent of enrollees age 22 years and older, who had a preventive dental visit during the look-back period (MEDDIC-MS SSI).

February 23, 2004

State of Wisconsin, Department of Health and Family Services

Blood lead toxicity screening: percentage of enrolled children who had a blood lead screening performed with a date of service between ages 17 and 28 months (MEDDIC-MS).

Blood lead toxicity screening: percentage of enrolled children who had a blood lead screening performed with a date of service between ages 6 and 16 months (MEDDIC-MS).

Post-hospitalization care for mental illness/substance abuse: percentage of discharges that were followed by an ambulatory mental health or substance abuse encounter or day/night treatment with a primary care provider within 7 and 30 days of hospital discharge (MEDDIC-MS).

Post-hospitalization care for mental illness/substance abuse: percentage of discharges that were followed by an ambulatory mental health or substance abuse encounter or day/night treatment with a specialist mental health/substance abuse provider within 7 and 30 days of hospital discharge (MEDDIC-MS).

Post-hospitalization care for mental illness/substance abuse: percentage of discharges that were followed by an ambulatory mental health or substance abuse encounter or day/night treatment with an other or unspecified provider within 7 and 30 days of hospital discharge (MEDDIC-MS).

Preventive dental care: percent of patients age 21 years and older who had a dental visit during the look-back period (MEDDIC-MS).

Preventive dental care: percent of patients age 3 to 20 years who had a dental visit during the look-back period (MEDDIC-MS).

Satisfaction with referral for mental health/substance abuse care: percentage of enrollees who responded that they did get a referral for mental health or substance abuse services (MEDDIC-MS).

February 16, 2004

Physician Consortium for Performance Improvement®

Chronic stable coronary artery disease: percentage of patients evaluated for both level of activity and anginal symptoms during one or more office visits.

Chronic stable coronary artery disease: percentage of patients who had a blood pressure measurement during the last office visit.

Chronic stable coronary artery disease: percentage of patients who received at least one lipid profile (or ALL component tests).

Chronic stable coronary artery disease: percentage of patients who were screened for diabetes.

February 9, 2004

Physician Consortium for Performance Improvement®

Chronic stable coronary artery disease: percentage of patients identified as cigarette smokers who received a smoking cessation intervention.

Chronic stable coronary artery disease: percentage of patients queried one or more times about cigarette smoking.

February 2, 2004

Physician Consortium for Performance Improvement®

Chronic stable coronary artery disease: percentage of patients who also have diabetes and/or LVSD who were prescribed ACE inhibitor therapy.

Chronic stable coronary artery disease: percentage of patients who were prescribed a statin.

Chronic stable coronary artery disease: percentage of patients who were prescribed antiplatelet therapy.

Chronic stable coronary artery disease: percentage of patients with prior myocardial infarction who were prescribed beta-blocker therapy.

January 26, 2004

No new measures were added to NQMC during the week of January 26, 2004.

January 19, 2004

Focus On Therapeutic Outcomes, Inc.

Physical functional health status: mean change score in physical functional health status of patients receiving physical rehabilitation.

January 12, 2004

National Committee for Quality Assurance

Adolescent well-care visits: percentage of members age 12 through 21 years who had at least one comprehensive well-care visit with a primary care practitioner or an obstetrics and gynecology (OB/GYN) practitioner during the measurement year.

Well-child visits in the first 15 months of life: percentage of members who received zero, one, two, three, four, five, and six or more well-child visits with a primary care practitioner during their first 15 months of life.

Well-child visits in the third, fourth, fifth and sixth years of life: percentage of members age 3 to 6 years old who received one or more well-child visit(s) with a primary care practitioner during the measurement year.

January 5, 2004

National Committee for Quality Assurance

Breast cancer screening: percentage of women 50-69 years of age who had one or more mammograms during the measurement year or the year prior to the measurement year.

Cervical cancer screening: percentage of women 18-64 years of age who received one or more Pap tests during the measurement year or the two years prior to the measurement year.

Chlamydia screening: percentage of women who were identified as sexually active and who had at least one test for chlamydia during the measurement year.

Hypertension: percentage of adult persons with diagnosed hypertension whose blood pressure (BP) is adequately controlled (BP less than or equal to 140/90 mm Hg) during the measurement year.

 

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