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December 26, 2005

Centers for Medicare & Medicaid Services/The Joint Commission

Pneumonia: percent of immunocompetent intensive care unit (ICU) patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

Pneumonia: percent of immunocompetent non-intensive care unit (ICU) patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

Pneumonia: percent of immunocompetent patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines. This updates a previously published measure summary.

Pneumonia: percent of patients age 50 years and older, hospitalized during October, November, December, January, or February who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated. This updates a previously published measure summary.

Pneumonia: percent of patients who receive their first dose of antibiotics within 4 hours after arrival at the hospital. This updates a previously published measure summary.

Pneumonia: percent of patients who receive their first dose of antibiotics within 8 hours after arrival at the hospital.

December 19, 2005

Institute for Clinical Systems Improvement

Diagnosis of breast disease: average number of days between breast abnormality noted by a registered nurse (RN) or medical doctor (MD) and biopsy. This updates a previously published measure summary.

Diagnosis of breast disease: percentage of class 4 or class 5 abnormal mammograms that are followed by a biopsy within 14 days. This updates a previously published measure summary.

Prevention and management of obesity (mature adolescents and adults): percentage of patients with obesity who have documentation in the medical record of discussion of weight management strategies, which may include nutrition, physical activity, lifestyle changes, medication or surgery. This updates a previously published measure summary.

December 12, 2005

National Committee for Quality Assurance

Asthma: percentage of members with persistent asthma who had at least one dispensed prescription for inhaled corticosteroids, nedocromil, cromolyn sodium, leukotriene modifiers, or methylxanthines in the measurement year. This updates a previously published measure summary.

Cholesterol management for patients with cardiovascular conditions: percentage of patients who had a low-density lipoprotein cholesterol (LDL-C) screening performed and the percentage of patients who have a documented LDL-C level less than 130 mg/dL and less than 100 mg/dL. This updates a previously published measure summary.

Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and type 2) who had an eye exam (retinal) performed. This updates a previously published measure summary.

Engagement of alcohol and other drug (AOD) dependence treatment: percentage of adolescents and adults diagnosed with AOD dependence disorders who receive two additional AOD services within 30 days after the initiation of AOD treatment.

Initiation of alcohol and other drug (AOD) dependence treatment: percentage of adolescents and adults diagnosed with AOD dependence who initiate treatment through either an inpatient AOD admission or an outpatient service for AOD dependence and an additional AOD service within 14 days.

December 5, 2005

Institute for Clinical Systems Improvement

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 summary.

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 summary.

Management of initial abnormal Pap smear: percentage of women diagnosed with an initial abnormal Pap smear of atypical squamous cells of undetermined significance (ASC-US) with high-risk human papillomavirus (HPV) type who have follow-up colposcopy within six months of abnormality identified. This updates a previously published measure summary.

November 28, 2005

Physician Consortium for Performance Improvement®

Preventive care and screening: percentage of female patients who had a mammogram performed during the two-year measurement period. This updates a previously published measure summary.

Preventive care and screening: percentage of patients identified as tobacco users who received cessation intervention during the two-year measurement period. This updates a previously published measure summary.

Preventive care and screening: percentage of patients screened for colorectal cancer during the one-year measurement period. This updates a previously published measure summary.

Preventive care and screening: percentage of patients who received an influenza immunization during the one-year measurement period. This updates a previously published measure summary.

Preventive care and screening: percentage of patients who were queried about and screened for problem drinking during the two-year measurement period. This updates a previously published measure summary.

Preventive care and screening: percentage of patients who were queried about tobacco use one or more times during the two-year measurement period. This updates a previously published measure summary.

November 21, 2005

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. This updates a previously published measure summary.

Major depressive disorder (MDD): percentage of patients aged 18 years and older whose severity of MDD was classified at the initial visit. This updates a previously published measure summary.

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

Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of MDD who received therapy appropriate to their classification. This updates a previously published measure summary.

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

November 14, 2005

Physician Consortium for Performance Improvement®

Osteoarthritis: percentage of patient visits during which an anti-inflammatory agent or analgesic was considered. This updates a previously published measure summary.

Osteoarthritis: percentage of patient visits during which gastrointestinal (GI) prophylaxis was considered. This updates a previously published measure summary.

Osteoarthritis: percentage of patient visits during which therapeutic exercise for the knee (therapeutic exercise instructed or physical therapy prescribed) was considered. This updates a previously published measure summary.

Osteoarthritis: percentage of patient visits with assessment for function and pain. This updates a previously published measure summary.

Osteoarthritis: percentage of patient visits with assessment for use of anti-inflammatory or analgesic over-the-counter (OTC) medications. This updates a previously published measure summary.

Osteoarthritis: percentage of patients for whom a physical examination of the involved joint was performed during the initial visit. This updates a previously published measure summary.

Osteoarthritis: 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. This updates a previously published measure summary.

November 7, 2005

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.

October 31, 2005

Institute for Clinical Systems Improvement

Menopause and hormone therapy (HT): collaborative decision-making and management: the percentage of women in menopause who have had a bone mineral density (BMD) measurement after cessation of HT. This updates a previously published measure summary.

October 24, 2005

American Medical Directors Association

Pressure ulcers: percentage of patients in facility who develop pressure ulcers while in the facility.

Pressure ulcers: percentage of patients with clinically significant complications.

Pressure ulcers: percentage of patients with pressure ulcers that heal.

Pressure ulcers: percentage of patients with pressure ulcers with periodic documentation on status of the characteristics of wound (e.g., size, depth, color, induration, odor, discharge).

Institute for Clinical Systems Improvement

Routine prenatal care: percentage of all identified preterm birth (PTB) modifiable risk factors assessed that receive an intervention.

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 vaginal birth after cesarean (VBAC) eligible women who receive general education describing risks and benefits of VBAC (e.g., the American College of Obstetricians and Gynecologists [ACOG] pamphlet on VBAC).

October 17, 2005

Family Violence Prevention Fund

Domestic violence: percent of adult and adolescent patients assessed who disclosed that they were victims of abuse.

Domestic violence: percent of adult and adolescent patients seen by a provider who were assessed for intimate partner violence (IPV) during the last year.

Domestic violence: percent of adult and adolescent patients who screened negative for current or past intimate partner violence (IPV) but whom the provider is still concerned may be a victim of IPV who were offered information about IPV and referrals.

Domestic violence: percent of adult and adolescent patients who screened negative for current or past intimate partner violence (IPV) but whom the provider is still concerned may be a victim of IPV whose records include prompts for specific follow-up questions about IPV to occur at the patient's next visit.

Domestic violence: percent of adult and adolescent patients who screened positive for current or past intimate partner violence (IPV) and who answered yes to initial danger assessment questions for whom records indicate that a suicide and homicide assessment was conducted.

Domestic violence: percent of adult and adolescent patients who screened positive for current or past intimate partner violence (IPV) for whom records indicate that specified assessments were conducted.

Domestic violence: percent of adult and adolescent patients who screened positive for current or past intimate partner violence (IPV) for whom records indicate that specified intervention and treatment plans were offered.

Domestic violence: percent of providers of health care services to adult and adolescent patients in the clinical setting who documented that they complied with assessment protocols.

October 10, 2005

American Medical Directors Association

Pressure ulcers: percentage of patients with a pressure ulcer or pressure ulcer risk with documented periodic assessment for specific risk factors.

Pressure ulcers: percentage of patients with documented assessment of pressure ulcer using a formal wound staging classification.

Pressure ulcers: percentage of patients with documented assessment of risks for possible pressure ulcer development.

Pressure ulcers: percentage of patients with documented assessment of skin for breakdown.

Pressure ulcers: percentage of patients with pressure ulcers with documented treatment plan for pressure reduction approaches.

Pressure ulcers: percentage of patients with pressure ulcers with documented treatment plans citing identified risk factors and co-morbid conditions.

Pressure ulcers: percentage of patients with pressure ulcers with necrotic tissue or slough with documented treatment plan for wound debridement.

October 3, 2005

Institute for Clinical Systems Improvement

Heart failure in adults: percent of adult patients with a diagnosis of heart failure (HF) who are on an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) at discharge, or before/at the time of the clinic visit. This updates a previously published measure summary.

Heart failure in adults: percentage of adult patients diagnosed with heart failure (HF) who have had an evaluation of left ventricular function (LVF) at the time of diagnosis or within six months of hospitalization. This updates a previously published measure summary.

September 26, 2005

American Medical Directors Association

Heart failure: percentage of patients with heart failure on angiotensin-converting enzyme (ACE) inhibitor.

Heart failure: percentage of patients with heart failure on beta-blocker.

Heart failure: percentage of patients with heart failure on diuretic therapy for at least 6 months with electrolyte measures within normal ranges.

Heart failure: percentage of patients with heart failure on diuretic therapy who had electrolyte monitoring within the past 2 months.

Heart failure: percentage of patients with heart failure prescribed a low-sodium diet in the past 6 months.

Heart failure: percentage of patients with heart failure readmitted for acute episode of heart failure.

Heart failure: percentage of patients with heart failure sent to emergency room (ER) for acute exacerbation.

Heart failure: percentage of patients with heart failure weighed daily.

September 19, 2005

Focus On Therapeutic Outcomes, Inc.

Foot/ankle functional status: mean change score in foot/ankle functional status of patients with foot/ankle impairments receiving physical rehabilitation.

Hip functional status: mean change score in hip functional status of patients with hip impairments receiving physical rehabilitation.

Knee functional status: mean change score in knee functional status of patients with knee impairments receiving physical rehabilitation.

September 12, 2005

American Medical Directors Association

Heart failure: average time for a patient's ineffective treatment to be modified.

Heart failure: average time taken to respond to a patient's adverse drug reaction.

Heart failure: percentage of patients monitored for adverse drug reactions.

Heart failure: percentage of patients referred to cardiology/hospice/palliative care (after several ineffective modifications and based on patient's advance directive).

Heart failure: percentage of patients where heart failure is diagnosed urgently or emergently (i.e., not on admission or at periodic assessment).

Heart failure: percentage of patients with documented assessment for heart failure risk factors.

Heart failure: percentage of patients with documented assessment for reversible causes of heart failure.

Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with patient's advance care directive.

Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with severity of heart failure.

Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with type of ventricular dysfunction.

Heart failure: percentage of patients with heart failure with documented assessment of treatment effectiveness.

Heart failure: percentage of patients with medical record documentation for characterization of ventricular dysfunction as systolic or diastolic.

Heart failure: percentage of patients with medical record documentation indicating communication of signs and symptoms of heart failure by direct care team to physician/nurse practitioner/physician assistant.

September 5, 2005

American Medical Directors Association

Heart failure: percentage of patients with documentation that appropriate lab monitoring has been ordered.

Heart failure: percentage of patients with documented assessment for imaging studies.

Heart failure: percentage of patients with documented assessment for reversible etiology workup.

Heart failure: percentage of patients with documented assessment for signs, symptoms, and heart failure risk factors at admission.

Heart failure: percentage of patients with documented consideration of angiotensin-converting enzyme (ACE) inhibitor treatment.

Heart failure: percentage of patients with documented consideration of beta-blocker treatment.

Heart failure: percentage of patients with documented discussions regarding advance directives and/or adherence to the directive.

Heart failure: percentage of patients with documented periodic assessment for peripheral edema and other heart failure risk factors.

Heart failure: percentage of patients with documented periodic monitoring of heart failure symptoms (lung sounds, edema, decreased activity).

Heart failure: percentage of patients with heart failure receiving nonpharmacologic treatment, such as diet intervention and fluid restriction.

Heart failure: percentage of patients with heart failure weighed as per physician's orders.

Heart failure: percentage of patients with heart failure with fluid volume overload prescribed a loop diuretic.

August 29, 2005

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. This updates a previously published measure summary.

Lipid management in adults: percentage of patients with diagnosed coronary heart disease (CHD) or CHD equivalent who have had a diet evaluation. This updates a previously published measure summary.

August 22, 2005

Centers for Medicare & Medicaid Services

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) or peritoneal dialysis (PD) patients receiving Epoetin therapy with documented mean hemoglobin (Hgb) of 11-12 g/dL (110-120 g/L) during the study period.

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) patients with anemia or if prescribed Epoetin with at least one documented transferrin saturation and serum ferritin concentration result every three months.

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) patients with anemia or if prescribed Epoetin with at least one documented transferrin saturation greater than or equal to 20 percent and at least one documented serum ferritin concentration greater than or equal to 100 ng/mL during a three-month period.

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) patients with anemia or prescribed Epoetin with at least one transferrin saturation less than 20 percent or at least one serum ferritin concentration less than 100 ng/mL who were prescribed intravenous iron in at least one of the study months.

End stage renal disease (ESRD): percentage of adult patients who were dialyzed with a chronic catheter continuously for 90 days or longer prior to the last hemodialysis (HD) session during the study period.

End stage renal disease (ESRD): percentage of adult patients whose arterial venous (AV) graft was routinely monitored (screened) for the presence of stenosis during the study period.

End stage renal disease (ESRD): percentage of adult peritoneal dialysis (PD) patients with anemia or if prescribed Epoetin with at least one documented transferrin saturation greater than or equal to 20 percent and at least one documented serum ferritin concentration greater than or equal to 100 ng/mL during the six-month study period.

End stage renal disease (ESRD): percentage of adult peritoneal dialysis (PD) patients with anemia or if prescribed Epoetin with at least two documented transferrin saturation and serum ferritin concentration results over the six-month study period.

End stage renal disease (ESRD): percentage of adult peritoneal dialysis (PD) patients with anemia or prescribed Epoetin with at least one transferrin saturation less than 20 percent or at least one serum ferritin concentration less than 100 ng/mL who were prescribed intravenous iron in at least one of the two-month periods during the six-month study period.

End stage renal disease (ESRD): percentage of incident adult hemodialysis (HD) patients who were dialyzed using an arterial venous fistula (AVF) during their last HD treatment during the study period.

End stage renal disease (ESRD): percentage of prevalent adult hemodialysis (HD) patients who were dialyzed using an arterial venous fistula (AVF) during their last HD treatment during the study period.

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). 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.

August 15, 2005

Centers for Medicare & Medicaid Services

End stage renal disease (ESRD): percentage of adult continuous ambulatory peritoneal dialysis (CAPD) patients for whom the delivered PD dose was a weekly Kt/V_urea of at least 2.0 and a weekly creatinine clearance (CrCl) of at least 60 L/week/1.73 m² or evidence that the prescription was changed according to National Kidney Foundation/Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI) recommendations, during the study period.

End stage renal disease (ESRD): percentage of adult continuous cycling peritoneal dialysis (CCPD) patients for whom the delivered PD dose was a weekly Kt/V_urea of at least 2.1 and a weekly creatinine clearance (CrCl) of at least 63 L/week/1.73 m² or evidence that the prescription was changed according to National Kidney Foundation/Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI) recommendations, during the study period.

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) patients for whom delivered HD dose was calculated using formal urea kinetic modeling or Daugirdas II during the study period.

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) patients whose average delivered dose of HD was a single-pool Kt/V (spKt/V) greater than or equal to 1.2 during the study period.

End stage renal disease (ESRD): percentage of adult hemodialysis (HD) patients with documented monthly adequacy measurements (urea reduction ratio [URR] or single-pool Kt/V [spKt/V]) during the study period.

End stage renal disease (ESRD): percentage of adult nightly intermittent peritoneal dialysis (NIPD) patients for whom the delivered PD dose was a weekly Kt/V_urea of at least 2.2 and a weekly creatinine clearance (CrCl) of at least 66 L/week/1.73 m² or evidence that the prescription was changed according to National Kidney Foundation/Kidney Disease Outcomes Quality Initiative (NKF-K/DOQI) recommendations, during the study period.

End stage renal disease (ESRD): percentage of adult peritoneal dialysis (PD) patients with total solute clearance for urea and creatinine measured at least once in a 6 month time period.

End stage renal disease (ESRD): percentage of adult peritoneal dialysis (PD) patients with weekly Kt/V_urea and creatinine clearance (CrCl) calculated in a standard way.

Institute for Clinical Systems Improvement

Community-acquired pneumonia (CAP) in adults: percentage of patients with a diagnosis of CAP that had a chest x-ray to confirm diagnosis.

August 8, 2005

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.

Cervical cancer screening: percentage of women having completed their cervical cancer screening within six months of a reminder sent to them.

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.

August 1, 2005

Institute for Clinical Systems Improvement

Acute pharyngitis: percentage of patients with a diagnosis of pharyngitis that had strep screen testing. This updates a previously published measure summary.

Acute pharyngitis: percentage of patients with a strep screen that have viral upper respiratory infection (VURI) symptoms. This updates a previously published measure summary.

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 summary.

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 summary.

July 25, 2005

American Medical Directors Association

Pain management in the long-term care setting: percentage of patients prescribed narcotics for pain with appropriate bowel management program in place.

Pain management in the long-term care setting: percentage of patients receiving physical complementary treatments.

Pain management in the long-term care setting: percentage of patients with adverse drug reactions (ADRs) to pain medications.

Pain management in the long-term care setting: percentage of patients with controlled adverse drug reactions (ADRs) to pain medications.

Pain management in the long-term care setting: percentage of patients with documented absence of pain symptoms after treatment.

Pain management in the long-term care setting: percentage of patients with documented reduction of pain symptoms.

Pain management in the long-term care setting: percentage of patients with periodic documented assessment by nursing staff of effectiveness of pain management.

Pain management in the long-term care setting: percentage of patients with periodic documented assessment of effectiveness of pain management by medical doctor (MD).

Institute for Clinical Systems Improvement

Stable coronary artery disease (CAD): percentage of patients with stable CAD who have aspirin use documented in the medical record. This updates a previously published measure summary.

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. This updates a previously published measure summary.

July 18, 2005

American Medical Directors Association

Pain management in the long-term care setting: percentage of patients receiving physical exam to assess for causes of pain.

Pain management in the long-term care setting: percentage of patients with appropriate treatment for pain.

Pain management in the long-term care setting: percentage of patients with cognitive and language problems receiving targeted pain assessment.

Pain management in the long-term care setting: percentage of patients with documented assessment for pain using standardized tool at each quarterly review.

Pain management in the long-term care setting: percentage of patients with documented assessment for pain using standardized tool at each reported change of condition requiring minimum data set (MDS) notation.

Pain management in the long-term care setting: percentage of patients with documented assessment for pain using standardized tool on admission.

Pain management in the long-term care setting: percentage of patients with documented care plan for acute or chronic pain.

Pain management in the long-term care setting: percentage of patients with documented cause of pain symptoms.

Pain management in the long-term care setting: percentage of patients with documented complete assessment of pain covering all pertinent components of pain.

Pain management in the long-term care setting: percentage of patients with documented medication regimen with evidence of titration/adjustment in accordance with World Health Organization (WHO) step ladder.

Pain management in the long-term care setting: percentage of patients with documented reasons for no medical work-up.

Pain management in the long-term care setting: percentage of patients with orders for not recommended drugs.

July 11, 2005

Center for Health Services Research, University of Colorado, under contract to Centers for Medicare and Medicaid Services

Home health care: percentage of patients discharged to the community.

Home health care: percentage of patients whose speech and oral (verbal) expression of language stabilized.

Home health care: percentage of patients with improvement in anxiety frequency.

Home health care: percentage of patients with improvement in behavioral problem frequency.

Home health care: percentage of patients with improvement in cognitive functioning.

Home health care: percentage of patients with stabilization in anxiety frequency.

Home health care: percentage of patients with stabilization in cognitive functioning.

July 4, 2005

Center for Health Services Research, University of Colorado, under contract to Centers for Medicare and Medicaid Services

Home health care: percentage of patients whose speech and oral (verbal) expression of language improved.

Home health care: percentage of patients with a decrease in the current number of (observable) surgical wounds.

Home health care: percentage of patients with improvement in bowel incontinence frequency.

Home health care: percentage of patients with improvement in dyspnea.

Home health care: percentage of patients with improvement in status of surgical wounds.

Home health care: percentage of patients with improvement in urinary incontinence.

Home health care: percentage of patients with improvement in urinary tract infection.

June 27, 2005

Center for Health Services Research, University of Colorado, under contract to Centers for Medicare and Medicaid Services

Home health care: percentage of patients with stabilization in ability to do laundry.

Home health care: percentage of patients with stabilization in ability to shop.

Home health care: percentage of patients with stabilization in grooming.

Home health care: percentage of patients with stabilization in housekeeping.

Home health care: percentage of patients with stabilization in light meal preparation.

Home health care: percentage of patients with stabilization in management of oral medications.

Home health care: percentage of patients with stabilization in telephone use.

Home health care: percentage of patients with stabilization in transferring.

June 20, 2005

Center for Health Services Research, University of Colorado, under contract to Centers for Medicare and Medicaid Services

Home health care: percentage of patients with improvement in ability to do laundry.

Home health care: percentage of patients with improvement in ability to shop.

Home health care: percentage of patients with improvement in dressing lower body.

Home health care: percentage of patients with improvement in eating.

Home health care: percentage of patients with improvement in grooming.

Home health care: percentage of patients with improvement in housekeeping.

Home health care: percentage of patients with improvement in light meal preparation.

Home health care: percentage of patients with improvement in telephone use.

June 13, 2005

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. This updates a previously published measure summary.

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

June 6, 2005

Institute for Clinical Systems Improvement

Diagnosis and outpatient management of asthma: percentage of adults with persistent asthma who are on inhaled corticosteroids medication.

Diagnosis and outpatient management of asthma: percentage of children with persistent asthma who are on inhaled corticosteroids medication.

Diagnosis and outpatient management of asthma: percentage of patients with asthma with education about asthma documented in the medical record.

Diagnosis and outpatient management of asthma: percentage of patients with asthma with spirometry or peak flow meter reading documented in the medical record at the last visit.

May 30, 2005

Institute for Clinical Systems Improvement

Acute pharyngitis: percentage of patients with a strep screen that have viral upper respiratory infection (VURI) symptoms.

Acute pharyngitis: percentage of patients with pharyngitis diagnosis that had a strep screen.

Rhinitis: percentage of patients with seasonal allergic rhinitis prescribed prophylactic medication.

May 23, 2005

HealthPartners

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

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

May 16, 2005

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. This updates a previously published measure summary.

Acute myocardial infarction (AMI): mortality rate, without transfer cases. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Carotid endarterectomy (CEA): volume. This updates a previously published measure summary.

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. 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 (CABG) mortality 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. This updates a previously published measure summary.

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.

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

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

Pancreatic resection: volume. This updates a previously published measure summary.

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

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

Percutaneous transluminal coronary angioplasty (PTCA): mortality rate. This updates a previously published measure summary.

Percutaneous transluminal coronary angioplasty (PTCA): volume. This updates a previously published measure summary.

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

May 9, 2005

Agency for Healthcare Research and Quality

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

Bacterial pneumonia: hospital admission 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.

Coronary artery disease: angina without procedure hospital admission 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.

Hypertension: hospital admission 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.

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

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

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

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

May 2, 2005

Agency for Healthcare Research and Quality

Accidental puncture or laceration (area-level): rate per 100,000 population. This updates a previously published measure summary.

Accidental puncture or laceration (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.

Birth trauma: rate per 1,000 liveborn births. This updates a previously published measure summary.

Complications of anesthesia: rate per 1,000 surgery discharges. This updates a previously published measure summary.

Death in low-mortality Diagnosis-Related Groups (DRGs): in-hospital deaths per 1,000 discharges. This updates a previously published measure summary.

Decubitus ulcer: rate per 1,000 discharges. This updates a previously published measure summary.

Failure to rescue: deaths per 1,000 discharges. This updates a previously published measure summary.

Foreign body left during procedure (area-level): discharges per 100,000 population. This updates a previously published measure summary.

Foreign body left during procedure (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.

Iatrogenic pneumothorax (area-level): rate per 100,000 population. This updates a previously published measure summary.

Iatrogenic pneumothorax (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.

Obstetric trauma with 3rd degree lacerations: Cesarean delivery.

Obstetric trauma with 3rd degree lacerations: vaginal delivery with instrument.

Obstetric trauma with 3rd degree lacerations: vaginal delivery without instrument.

Obstetric trauma: rate per 1,000 Cesarean deliveries. This updates a previously published measure summary.

Obstetric trauma: rate per 1,000 instrument-assisted vaginal deliveries. This updates a previously published measure summary.

Obstetric trauma: rate per 1,000 vaginal deliveries without instrument. This updates a previously published measure summary.

Postoperative hemorrhage or hematoma: rate per 1,000 surgical discharges. This updates a previously published measure summary.

Postoperative hip fracture: rate per 1,000 surgical discharges. This updates a previously published measure summary.

Postoperative physiologic and metabolic derangement: rate per 1,000 elective surgical discharges with an operating room procedure. This updates a previously published measure summary.

Postoperative pulmonary embolism or deep vein thrombosis: rate per 1,000 surgical discharges. This updates a previously published measure summary.

Postoperative respiratory failure: rate per 1,000 elective surgical discharges. This updates a previously published measure summary.

Postoperative sepsis: rate per 1,000 elective surgery discharges. This updates a previously published measure summary.

Postoperative wound dehiscence (area-level): rate of reclosure of abdominal wall per 100,000 population. This updates a previously published measure summary.

Postoperative wound dehiscence (provider-level): rate of reclosure per 1,000 cases of abdominopelvic surgery. This updates a previously published measure summary.

Selected infections due to medical care (area-level): rate per 100,000 population. This updates a previously published measure summary.

Selected infections due to medical care (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.

Transfusion reaction (area-level): rate per 100,000 population. This updates a previously published measure summary.

Transfusion reaction (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.

April 25, 2005

Veterans Health Administration

Homeless: percent of eligible homeless veterans with an intake interview who receive timely mental health (MH) or substance use disorder (SUD) specialty services.

Homeless: percent of homeless veterans entering a homeless program who receive timely mental health (MH) or substance use disorder (SUD) specialty services.

Homeless: percent of homeless veterans entering a homeless program who receive timely primary care services.

Homeless: percent of veterans discharged from one of three types of homeless programs who receive timely mental health (MH) or substance use disorder (SUD) specialty follow-up.

Mental Health Intensive Case Management (MHICM): percent of veterans who are statistically projected to be in need of MHICM services who are actually enrolled in said program.

April 18, 2005

No new measures were added to NQMC during the week of April 18, 2005.

April 11, 2005

Institute for Clinical Systems Improvement

Vaginal birth after Cesarean (VBAC): percentage of VBAC eligible women who receive general education describing risks and benefits of VBAC (e.g., the American College of Obstetricians and Gynecologists [ACOG] pamphlet on VBAC).

April 4, 2005

Veterans Health Administration

Diabetes mellitus: percent of eligible patients with diabetes mellitus having a retinal exam by an eye care specialist, timely, as indicated by disease control (spinal cord injury & disorder [SCI&D] cohort).

Diabetes mellitus: percent of patients with diabetes mellitus having full lipid panel in the past two years and the most recent low-density lipoprotein-cholesterol (LDL-C) is less than 120 mg/dL (spinal cord injury & disorder [SCI&D] cohort).

Diabetes mellitus: percent of patients with diabetes mellitus having hemoglobin A1c (HgbA1c) greater than 9 or not done (spinal cord injury & disorder [SCI&D] cohort).

Diabetes mellitus: percent of patients with diabetes mellitus with blood pressure greater than or equal to 160/100 or no blood pressure recorded in past year (spinal cord injury & disorder [SCI&D] cohort).

Diabetes mellitus: percent of patients with diabetes mellitus with blood pressure less than or equal to 140/90 (spinal cord injury & disorder [SCI&D] cohort).

March 28, 2005

Institute for Clinical Systems Improvement

Diagnosis and management of attention deficit hyperactivity disorder (ADHD) in primary care for school age children and adolescents: percentage of patients diagnosed with ADHD and on first-line medication whose medical record contains documentation of a follow-up visit twice a year.

Diagnosis and management of attention deficit hyperactivity disorder (ADHD) in primary care for school age children and adolescents: percentage of patients diagnosed with ADHD whose medical record contains documentation that the clinician discussed the need for school-based supports and educational service options for children with ADHD.

Diagnosis and management of attention deficit hyperactivity disorder (ADHD) in primary care for school age children and adolescents: percentage of patients newly diagnosed with ADHD whose medical record contains documentation of DSM-IV or DSM-PC criteria being addressed.

March 21, 2005

Agency for Healthcare Research and Quality

Behavioral health care patients' experiences: percentage of adult patients who rated how much improvement they perceived in themselves.

Behavioral health care patients' experiences: percentage of adult patients who reported how much of a problem they had getting treatment and information from their health plan or managed behavior health organization.

Behavioral health care patients' experiences: percentage of adult patients who reported how often their clinicians communicated well.

Behavioral health care patients' experiences: percentage of adult patients who reported how often they get treatment quickly.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were provided information about treatment options.

Behavioral health care patients' satisfaction: adult patients' overall rating of the counseling or treatment they received.

Behavioral health care patients' satisfaction: adult patients' overall rating of their health plan for counseling or treatment.

March 14, 2005

Agency for Healthcare Research and Quality

Behavioral health care patients' experiences: percentage of adult patients who reported how much they were helped by the counseling or treatment they received.

Behavioral health care patients' experiences: percentage of adult patients who reported how often they were seen within 15 minutes of their appointment.

Behavioral health care patients' experiences: percentage of adult patients who reported whether anyone shared information regarding their counseling or treatment that should have been kept private.

Behavioral health care patients' experiences: percentage of adult patients who reported whether someone talked to them about including family or friends in their counseling or treatment.

Behavioral health care patients' experiences: percentage of adult patients who reported whether the care they received was responsive to their cultural needs.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they felt they could refuse a specific type of medicine or treatment.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were given enough information to manage their condition.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were given information about patient rights.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were told about medication side effects.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were told about other ways to receive treatment after their benefits were used up.

March 7, 2005

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. This updates a previously published measure summary.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with acute myocardial infarction (AMI) receiving beta-blockers no later than discharge.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with acute myocardial infarction (AMI) receiving or scheduled for a risk stratifying procedure prior to discharge.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with acute myocardial infarction (AMI) receiving thrombolytics with a "door-to-drug time" (time from presentation to administration of drug) of less than 30 minutes.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with chest pain symptoms having stress tests with the Duke score present.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with chest pain symptoms in emergency department (ED) receiving early therapy including intravenous (IV) access, oxygen and a chewable aspirin on arrival.

February 28, 2005

Veterans Health Administration

Homeless: percent of veterans who were discharged from a Domiciliary Care for Homeless Veterans (DCHV) Program, Grant and Per Diem (GPD) Program, or Health Care for Homeless Veterans (HCHV) Community-based Contract Residential Care Program to independent housing or a secure institutional arrangement.

Mental Health Intensive Case Management (MHICM): percent of high-risk mentally ill inpatients screened for admission to mental health intensive case management (MHICM).

Radiology - timeliness of verifying reports: percent of imaging reports verified within two days.

Rehabilitation: percent of applicable inpatients with an initial functional assessment (Functional Independence Measure [FIM]) to assess the need for rehabilitation intervention entered into the Functional Status and Outcomes Database (FSOD).

Veteran satisfaction: percent of patients reporting the overall quality of Veterans Administration (VA) care as very good or excellent (recent ambulatory care patients).

Veteran satisfaction: percent of patients reporting the overall quality of Veterans Administration (VA) care as very good or excellent (recent inpatients).

Waiting times - clinic: percent of outpatients seen in primary care in the prior 24 months who answer 'yes' to the question, "Did you get an appointment when you wanted one?," on the Survey of Healthcare Experiences of Patients (SHEP) survey.

Waiting times - clinic: percent of outpatients who have not been seen in primary care at the facility in the previous 24 months who answer 'yes' to the question, "Did you get an appointment when you wanted one?," on the Survey of Healthcare Experiences of Patients (SHEP) survey.

Waiting times - provider: percent of outpatients who report waiting for a provider 20 minutes or less in the Survey of Healthcare Experiences of Patients (SHEP).

February 21, 2005

State of Wisconsin, Department of Health and Family Services

Child health: percent of children who received at least one HealthCheck examination in the look-back period (MEDDIC-MS SSI).

Child health: percent of children who received at least one non-HealthCheck, well-child examination or at least one non-HealthCheck, non-well-child encounter in the look-back period (MEDDIC-MS SSI).

Child health: percent of children who received at least one non-HealthCheck, well-child examination or at least one non-HealthCheck, non-well-child encounter in the look-back period (MEDDIC-MS).

EPSDT -- early and periodic screening, diagnostic and treatment (HealthCheck): percent of children who receive at least one EPSDT and/or well-child examination in the look-back period (MEDDIC-MS).

EPSDT -- early and periodic screening, diagnostic and treatment (HealthCheck): percent of children who receive seven or more, six, and five comprehensive HealthCheck examinations by the age of two years (MEDDIC-MS).

Therapeutic Associates, Inc.

Physical functional health status: average percent change in patient functional status from initial to discharge visit among patients receiving outpatient rehabilitation services.

February 14, 2005

Wisconsin Collaborative for Healthcare Quality

Access: time to third next available long appointment.

Access: time to third next available short appointment.

February 7, 2005

Institute for Clinical Systems Improvement

Diagnosis and treatment of headache: percentage of migraine sufferers with documented education. This updates a previously published measure summary.

Diagnosis and treatment of headache: percentage of migraine sufferers with treatment plans for mild, moderate, and severe headaches. This updates a previously published measure summary.

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 to 130, greater than 130, incalculable, untested. This updates a previously published measure summary.

Management of type 2 diabetes mellitus: percentage of adult patients with diabetes with A1c less than 7%. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Management of type 2 diabetes mellitus: percentage of patients with diabetes mellitus with A1c measured in the last 6 months. This updates a previously published measure summary.

Management of type 2 diabetes mellitus: percentage of patients with diabetes with eye exam documented within last 12 months. This updates a previously published measure summary.

Management of type 2 diabetes mellitus: percentage of patients with diabetes with microalbumin tested within the last 12 months. This updates a previously published measure summary.

January 31, 2005

Institute for Clinical Systems Improvement

Atrial fibrillation: percentage of patients (without contraindications to anticoagulation) with paroxysmal, persistent, or permanent atrial fibrillation/atrial flutter (A Fib/Flutter) with risk factors for thromboembolism who are on warfarin.

Domestic violence: percentage of health care staff trained in initial assessment of problems of domestic violence every twelve months. This updates a previously published measure summary.

Menopause and hormone therapy (HT): collaborative decision-making and management: the percentage of women in menopause who have had a bone mineral density (BMD) measurement after cessation of HT.

January 24, 2005

Institute for Clinical Systems Improvement

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Prevention and management of obesity (mature adolescents and adults): percentage of patients with obesity who have documentation in the medical record of discussion of weight management strategies, which may include nutrition, physical activity, lifestyle changes, medication or surgery.

Veterans Health Administration

Alcohol screening: percent of patients annually screened for alcohol misuse (NEXUS clinics cohort).

Major depressive disorder: percent of patient episodes with a new diagnosis of depression and receiving a new prescription for antidepressant medication who have adequate medication for at least 84 treatment days during the acute phase.

Major depressive disorder: percent of patient episodes with a new diagnosis of depression and receiving a new prescription for antidepressant medication who have at least three clinical follow-up encounters during the acute phase of treatment.

Substance use disorder: percent of patients entering a designated substance abuse treatment who maintain continuous treatment involvement for at least 90 days (mental health - substance use disorder cohort).

January 17, 2005

Center for Health Services Research, University of Colorado, under contract to Centers for Medicare and Medicaid Services

Home health care: percentage of patients who are confused less often.

Home health care: percentage of patients who get better at bathing.

Home health care: percentage of patients who get better at getting in and out of bed.

Home health care: percentage of patients who get better at taking their medicines correctly (by mouth).

Home health care: percentage of patients who get better at walking or moving around.

Home health care: percentage of patients who get better getting to and from the toilet.

Home health care: percentage of patients who had to be admitted to the hospital.

Home health care: percentage of patients who have less pain when moving around.

Home health care: percentage of patients who need urgent, unplanned medical care.

Home health care: percentage of patients who stay the same or don't get worse at bathing.

Home health care: percentage of patients with improvement in dressing upper body.

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.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

January 10, 2005

Veterans Health Administration

Community-acquired pneumonia: percent of applicable patients admitted to the hospital for pneumonia who received pneumococcal immunization prior to admission (pneumonia -- antecedent care cohort).

Community-acquired pneumonia: percent of patients admitted to the hospital for community-acquired pneumonia that received influenza immunization in the preceding influenza period (pneumonia cohort).

Heart failure: percent of patients admitted for heart failure that had documentation of instruction for monitoring weight prior to admission (inpatient heart failure antecedent cohort).

Heart failure: percent of patients with ejection fraction less than 40 and a principal discharge diagnosis of heart failure who were on angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) prior to admission (inpatient heart failure antecedent cohort).

Hypertension: percent of eligible patients with an active diagnosis of hypertension whose most recent blood pressure (BP) reading was BP greater than or equal to 160/100 or not recorded (NEXUS clinics cohort). This updates a previously published measure summary.

Hypertension: percent of eligible patients with an active diagnosis of hypertension whose most recent blood pressure (BP) recording was BP less than or equal to 140/90 (NEXUS clinics cohort). This updates a previously published measure summary.

Influenza immunization: percent of applicable patients receiving influenza immunizations between September 1, 2004 and January 31, 2005 (NEXUS clinics cohort). This updates a previously published measure summary.

Influenza immunization: percent of applicable patients receiving influenza immunizations between September 1, 2004 and January 31, 2005 (spinal cord injury & disorder [SCI&D] cohort). This updates a previously published measure summary.

Pneumococcal pneumonia: percent of applicable patients receiving pneumococcal immunization (spinal cord injury & disorder [SCI&D] cohort). This updates a previously published measure summary.

January 3, 2005

Veterans Health Administration

Diabetes mellitus: percent of eligible patients with diabetes mellitus having a retinal exam by an eye care specialist, timely, as indicated by disease control (NEXUS clinics cohort). This updates a previously published measure summary.

Diabetes mellitus: percent of patients with diabetes mellitus having a foot exam using a monofilament within the past year (NEXUS clinics cohort). This updates a previously published measure summary.

Diabetes mellitus: percent of patients with diabetes mellitus having full lipid panel in the past two years and the most recent low-density lipoprotein-cholesterol (LDL-C) is less than 120 mg/dL (NEXUS clinics cohort).

Diabetes mellitus: percent of patients with diabetes mellitus having hemoglobin A1c (HgbA1c) greater than 9 or not done (NEXUS clinics cohort). This updates a previously published measure summary.

Diabetes mellitus: percent of patients with diabetes mellitus with blood pressure greater than or equal to 160/100 or no blood pressure recorded in past year (NEXUS clinics cohort). This updates a previously published measure summary.

Diabetes mellitus: percent of patients with diabetes mellitus with blood pressure less than or equal to 140/90 (NEXUS clinics cohort). This updates a previously published measure summary.

 

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