The National Quality Measures Clearinghouse (NQMC) Web site,
sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S.
Department of Health and Human Services, is updated weekly. The "What's New Archive" contains each weekly update file,
organized by year since the release of the NQMC Web site. To view a measure summary, click on a title.
If the measure you select has been updated or withdrawn, you will be redirected to the
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December 25, 2006
Agency for Healthcare Research and Quality
Complications of anesthesia: rate per 1,000 surgery discharges with an operating room procedure. 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 (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.
Iatrogenic pneumothorax (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.
Postoperative hemorrhage or hematoma requiring a procedure (provider level): 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.
Selected infections due to medical care (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.
December 18, 2006
British Medical Association
Depression: the percentage of patients with a new diagnosis of depression, recorded between the preceeding 1 April to 31 March, who have had an assessment of severity at the outset of treatment using an assessment tool validated for use in primary care.
Depression: the percentage of patients with diabetes and/or coronary heart disease (CHD) for whom case finding for depression has been undertaken on one occasion during the previous 15 months using two standard screening questions.
Learning disabilities: the practice can produce a register or patients with learning disabilities.
Obesity: the practice can produce a register of patients aged 16 and over with a body mass index (BMI) greater than or equal to 30 in the previous 15 months.
Institute for Clinical Systems Improvement
Adult low back pain: percentage of acute low back pain patients without red flag indicators undergoing anterior-posterior (AP) or lateral (LAT) x-rays. This updates a previously published measure summary.
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.
Routine prenatal care: percentage of all identified preterm birth (PTB) modifiable risk factors assessed that receive an intervention. This updates a previously published measure summary.
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). This updates a previously published measure summary.
Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients who are assessed for VTE risk within 24 hours of admission.
Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients who are assessed to be at risk for VTE who receive pharmacologic prophylaxis, unless contraindicated.
Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized adult patients who require hospital readmission within 30 days of discharge for conditions related to VTE.
December 11, 2006
Arthritis Foundation
Osteoarthritis: percentage of patients with a diagnosis of osteoarthritis and reporting difficulties with non-ambulatory activities of daily living whose functional ability with problem tasks are assessed for need of non-ambulatory assistive devices to aid with problem tasks.
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip and reporting difficulty walking to accomplish activities of daily living for greater than 3 months whose walking ability is assessed for need of ambulatory assistive devices.
Osteoarthritis: percentage of patients with hip or knee osteoarthritis and worsening complaints accompanied by a progressive decrease in activities and no previous radiographs during the preceding 3 months for whom a knee or hip radiograph is performed within 3 months.
Osteoarthritis: percentage of patients with osteoarthritis for whom oral pharmacologic therapy is changed from acetaminophen to a different oral agent with evidence that they have had a trial of maximum-dose acetaminophen (suitable for age and comorbidities).
Osteoarthritis: percentage of patients with osteoarthritis pain of mild or moderate severity for whom acetaminophen is the first drug used for initial nonnarcotic pharmacologic therapy to aid with problem tasks.
Osteoarthritis: percentage of patients with severe symptomatic osteoarthritis of the knee or hip who have failed to respond to nonpharmacologic and pharmacologic therapy who are referred to an orthopedic surgeon.
Osteoarthritis: percentage of patients with symptomatic osteoarthritis of the knee or hip and who have been overweight (as defined by body mass index of greater than or equal to 27 kg/m2) for more than 3 years who are referred to a weight loss program.
December 4, 2006
Arthritis Foundation
Osteoarthritis: percentage of overweight patients (as defined by body mass index of greater than or equal to 27 kg/m2) who are advised to lose weight annually to prevent incident knee or hip osteoarthritis.
Osteoarthritis: percentage of patients beginning drug treatment for "joint pain," "arthritis," or "arthralgia" for whom there is documentation that the affected joint was examined.
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip for greater than 3 months who are prescribed an exercise program.
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip for greater than 3 months who receive or who are recommended patient education.
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip with an initial and annual functional assessment.
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip with an initial and annual pain assessment.
Osteoarthritis: percentage of patients with symptomatic osteoarthritis of the knee or hip and who are overweight (as defined by body mass index of greater than or equal to 27 kg/m2) and who are advised to lose weight to reduce symptoms of osteoarthritis.
November 27, 2006
British Medical Association
Asthma: the percentage of patients aged eight and over diagnosed as having asthma from 1 April 2006 with measures of variability and reversibility.
Asthma: the percentage of patients with asthma between the ages of 14 and 19 in whom there is a record of smoking status in the previous 15 months.
Asthma: the percentage of patients with asthma who have had an asthma review in the previous 15 months.
Asthma: the practice can produce a register of patients with asthma, excluding patients with asthma who have been prescribed no asthma-related drugs in the previous twelve months.
Dementia: the percentage of patients diagnosed with dementia whose care has been reviewed in the previous 15 months.
Dementia: the practice can produce a register of patients diagnosed with dementia.
Hypothyroidism: the percentage of patients with hypothyroidism with thyroid function tests recorded in the previous 15 months.
Hypothyroidism: the practice can produce a register of patients with hypothyroidism.
November 20, 2006
British Medical Association
Coronary heart disease: the percentage of patients with a history of myocardial infarction (diagnosed after 1 April 2003) who are currently treated with an angiotensin-converting enzyme (ACE) inhibitor or Angiotensin II antagonist.
Coronary heart disease: the percentage of patients with coronary heart disease in whom the last blood pressure reading (measured in the last 15 months) is 150/90 mm Hg or less.
Coronary heart disease: the percentage of patients with coronary heart disease who are currently treated with a beta blocker (unless a contraindication or side-effects are recorded).
Coronary heart disease: the percentage of patients with coronary heart disease who have a record of influenza immunisation in the preceding 1 September to 31 March.
Coronary heart disease: the percentage of patients with coronary heart disease whose last measured total cholesterol (measured in last 15 months) is 5 mmol/l or less.
Coronary heart disease: the percentage of patients with coronary heart disease whose notes have a record of blood pressure in the previous 15 months.
Coronary heart disease: the percentage of patients with coronary heart disease whose notes have a record of total cholesterol in the previous 15 months.
Coronary heart disease: the percentage of patients with coronary heart disease with a record in the previous 15 months that aspirin, an alternative anti-platelet therapy, or an anti-coagulant is being taken (unless a contraindication or side-effects are recorded).
Coronary heart disease: the percentage of patients with newly diagnosed angina (diagnosed after 1 April 2003) who are referred for exercise testing and/or specialist assessment.
Coronary heart disease: the practice can produce a register of patients with coronary heart disease.
Institute for Clinical Systems Improvement
Preoperative evaluation: percentage of patients age 40 to 54 having an electrocardiogram (ECG) performed as part of a preoperative assessment. This updates a previously published measure summary.
Preoperative evaluation: percentage of patients having a preoperative health assessment and any adjunctive evaluation prior to date of scheduled procedure. This updates a previously published measure summary.
November 13, 2006
National Committee for Quality Assurance
Adolescent well-care visits: percentage of members who were 12 through 21 years of age 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. This updates a previously published measure summary.
Annual monitoring for patients on persistent medications: percentage of health plan members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.
Annual monitoring for patients on persistent medications: percentage of health plan members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for anticonvulsants (phenytoin, phenobarbital, valproic acid, carbamazepine) during the measurement year and at least one drug serum concentration level monitoring test for the prescribed drug in the measurement year.
Annual monitoring for patients on persistent medications: percentage of health plan members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for digoxin during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.
Annual monitoring for patients on persistent medications: percentage of health plan members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for diuretics during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.
Annual monitoring for patients on persistent medications: percentage of health plan members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for statins during the measurement year with both an alanine aminotransferase (ALT) and an aspartate aminotransferase (AST) liver enzyme test in the measurement year.
Frequency of ongoing prenatal care: percentage of Medicaid deliveries between November 6 of the year prior to the measurement year and November 5 of the measurement year who received less than 21%, 21% to 40%, 41% to 60%, 61% to 80%, or greater than or equal to 81% of the expected number of prenatal care visits. This updates a previously published measure summary.
The Medicare Health Outcomes Survey: percentage of members whose health status was better, the same or worse than expected at the end of a two-year period.
Well-child visits in the first 15 months of life: percentage of members who turned 15 months old during the measurement year and who had the following number of well-child visits with a primary care practitioner during their first 15 months of life: zero, one, two, three, four, five, six or more. This updates a previously published measure summary.
Well-child visits in the third, fourth, fifth and sixth years of life: percentage of members who were three, four, five or six years of age during the measurement year who received one or more well-child visits with a primary care practitioner during the measurement year. This updates a previously published measure summary.
November 6, 2006
National Committee for Quality Assurance
Adults' access to preventive/ambulatory health services: percentage of enrollees who had an ambulatory or preventive-care visit. This updates a previously published measure summary.
Children and adolescents' access to primary care practitioners: percentage of enrollees who had a visit with a managed care organization (MCO) primary care practitioner. This updates a previously published measure summary.
Management of urinary incontinence in older adults: percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who discussed their urinary leakage problem with their current practitioner.
Management of urinary incontinence in older adults: percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who received treatment for their current urine leakage problem.
Physical activity in older adults: percentage of Medicare members 65 years of age and older who had a doctor's visit in the past 12 months and who received advice to start, increase or maintain their level of exercise or physical activity.
Physical activity in older adults: percentage of Medicare members 65 years of age and older who had a doctor's visit in the past 12 months and who spoke with a doctor or other health provider about their level of exercise or physical activity.
Postpartum care: percentage of deliveries that had a postpartum visit on or between 21 days and 56 days after delivery. This updates a previously published measure summary.
Timeliness of prenatal care: percentage of deliveries that received a prenatal care visit as a member of the managed care organization (MCO) in the first trimester or within 42 days of enrollment in the MCO. This updates a previously published measure summary.
October 30, 2006
National Committee for Quality Assurance
Antidepressant medication management (effective acute phase treatment): percentage of members who remained on an antidepressant drug during the entire 84-day (12-week) acute treatment phase. This updates a previously published measure summary.
Antidepressant medication management (effective continuation phase treatment): percentage of members who remained on an antidepressant drug for at least 180 days (6 months). This updates a previously published measure summary.
Antidepressant medication management (optimal practitioner contacts for medication management): percentage of members who had three or more outpatient follow-up visits or intermediate treatment with a non-mental health practitioner or mental health practitioner (at least one of which is a prescribing practitioner) within 84 days (12 weeks) after new diagnosis of major depression. This updates a previously published measure summary.
Attention-deficit/hyperactivity disorder (ADHD): percentage of health plan members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who had one follow-up visit with practitioner with prescriptive authority during the 30-day initiation phase.
Attention-deficit/hyperactivity disorder (ADHD): percentage of health plan members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who remained on the medication for at least 210 days and had at least two additional follow-up visits with a practitioner within 9 months after the initiation phase ends.
Chronic obstructive pulmonary disease (COPD): percentage of health plan members 40 years of age and older with a new diagnosis of COPD who received appropriate spirometry testing to confirm the diagnosis.
Drugs to be avoided in the elderly: percentage of Medicare members 65 years of age and older who, during the measurement year, received at least one drug to be avoided in the elderly.
Drugs to be avoided in the elderly: percentage of Medicare members 65 years of age and older who, during the measurement year, received at least two different drugs to be avoided by the elderly.
Inappropriate antibiotic treatment for adults with acute bronchitis: percentage of healthy adults 18 to 64 years of age with a diagnosis of acute bronchitis who were dispensed an antibiotic prescription on or within three days after the Episode Date.
Influenza immunization: percentage of Medicare members 65 years of age and older who received an influenza vaccination from September 1 through December 31 of the year prior to the measurement year. This updates a previously published measure summary.
Influenza immunization: percentage of members 50 to 64 years of age who received an influenza vaccination between September of the measurement year and the date on which the survey was completed. This updates a previously published measure summary.
Pneumonia vaccination status: percentage of Medicare members 65 years of age and older who have ever received a pneumococcal vaccination. This updates a previously published measure summary.
Rheumatoid arthritis: percentage of patients diagnosed with rheumatoid arthritis who have had at least one ambulatory prescription dispensed for a disease modifying anti-rheumatic drug (DMARD).
Smoking cessation: percentage of members 18 years of age and older and who were current smokers, who were seen by a managed care organization (MCO) practitioner during the measurement year and who received advice to quit smoking. This updates a previously published measure summary.
Smoking cessation: percentage of members 18 years of age and older who were current smokers, who were seen by a managed care organization (MCO) practitioner during the measurement year and for whom smoking cessation medications were recommended or discussed.
Smoking cessation: percentage of members 18 years of age and older who were current smokers, who were seen by a managed care organization (MCO) practitioner during the measurement year and for whom smoking cessation methods or strategies were recommended or discussed.
October 23, 2006
Agency for Healthcare Research and Quality
Hospital inpatients' experiences: adult inpatients' ratings of this hospital.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often the hospital staff communicated well about medications.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often the hospital staff was responsive to their needs.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their doctors communicated well.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their nurses communicated well.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their pain was controlled.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their room and bathroom were kept clean and the area around their room was quiet at night.
Hospital inpatients' experiences: percentage of adult inpatients who reported whether they were provided specific discharge information.
Hospital inpatients' experiences: percentage of adult inpatients who reported whether they would recommend this hospital to their friends and family.
October 16, 2006
Agency for Healthcare Research and Quality
Accidental puncture or laceration (area-level): rate per 100,000 population. 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.
Iatrogenic pneumothorax (area-level): rate per 100,000 population. This updates a previously published measure summary.
Postoperative hemorrhage or hematoma requiring a procedure (area-level): rate per 100,000 population.
Postoperative wound dehiscence (area-level): rate of reclosure of post operative disruption of abdominal wall per 100,000 population. 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.
Transfusion reaction (area-level): rate per 100,000 population. This updates a previously published measure summary.
October 9, 2006
Focus On Therapeutic Outcomes, Inc.
Lumbar functional status: mean change score in lumbar functional status for patients with lumbar impairments receiving physical rehabilitation.
Shoulder functional status: mean change score in shoulder functional status with shoulder impairments receiving physical rehabilitation.
October 2, 2006
Institute for Clinical Systems Improvement
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: 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: 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.
September 25, 2006
HealthPartners
Coronary artery disease (CAD): percentage of members with CAD who have optimally managed modifiable cardiovascular risk factors (LDL cholesterol, blood pressure control, daily aspirin use, documented non-tobacco use). This updates a previously published measure summary.
Diabetes mellitus: percentage of members with diabetes (Type I and Type II) who have optimally managed modifiable cardiovascular risk factors (HbA1c, LDL cholesterol, blood pressure control, aspirin use and documented non-tobacco use). This updates a previously published measure summary.
HRSA Health Disparities Collaboratives: Asthma Collaborative
Asthma: average number of lost workdays and/or school days in the past 30 days.
Asthma: average number of symptom-free days in the previous two weeks.
Asthma: percent of patients evaluated for environmental triggers other than environmental tobacco smoke (dust mites, cats, dogs, molds/fungi, cockroaches) either by history of exposure and/or by allergy testing.
Asthma: percent of patients older than 5 years with moderate or severe persistent asthma who have established a "personal best" peak flow.
Asthma: percent of patients who have a record of influenza immunization in the past 12 months.
Asthma: percent of patients who have had a visit to an Emergency Department (ED)/Urgent Care office for asthma in the past six months.
Asthma: percent of patients with a documented screening for depression in the past 12 months.
Asthma: percent of patients with a reported exposure to environmental tobacco smoke at last visit.
Asthma: percent of patients with a severity assessment at last contact (visit or phone).
Asthma: percent of patients with documented self-management goals in the last 12 months.
Asthma: percent of patients with persistent asthma at last contact who are on an anti-inflammatory medication.
September 18, 2006
National Committee for Quality Assurance
Acute myocardial infarction (AMI): percentage of enrolled members 35 years of age and older who received an ambulatory prescription for beta-blockers within seven days (inclusive) after being discharged alive from the hospital with a diagnosis of AMI. This updates a previously published measure summary.
Acute myocardial infarction (AMI): percentage of enrolled members 35 years of age and older with a diagnosis of AMI who received persistent beta-blocker treatment for six months after being discharged alive from the hospital.
Adolescent immunization status: percentage of enrolled adolescents who had a second dose of measles-mumps-rubella (MMR), three hepatitis B vaccinations, and one chicken pox vaccination (VZV) by their 13th birthday (combination #2). This updates a previously published measure summary.
Appropriate testing for children with pharyngitis: percentage of children 2 to 18 years of age who were diagnosed with pharyngitis, prescribed an antibiotic and received a group A streptococcus (strep) test for the episode.
Breast cancer screening: percentage of women 50 to 69 years of age who had one or more mammograms during the measurement year or the year prior to the measurement year. This updates a previously published measure summary.
Cervical cancer screening: percentage of women 18 to 64 years of age who received one or more Pap tests during the measurement year or the two years prior to the measurement year. This updates a previously published measure summary.
Childhood immunization status: percentage of enrolled children who had four diphtheria-tetanus-pertussis (DTaP/DT), three injectible polio virus (IPV), one measles-mumps-rubella (MMR), three haemophilus influenza type B (HiB), three hepatitis B and one chicken pox vaccination (VZV) by their second birthday (combination #2). This updates a previously published measure summary.
Childhood immunization status: percentage of enrolled children who had four diphtheria-tetanus-pertussis (DTaP/DT), three injectible polio virus (IPV), one measles-mumps-rubella (MMR), three haemophilus influenza type B (HiB), three hepatitis B, one chicken pox vaccination (VZV) and four pneumococcal conjugate vaccinations by their second birthday (combination #3).
Chlamydia screening: percentage of women 16 to 25 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year. This updates a previously published measure summary.
Colorectal cancer screening: percentage of adults 50 to 80 years of age who had appropriate screening for colorectal cancer.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and type 2) who had a hemoglobin A1c (HbA1c) test during the measurement year. This updates a previously published measure summary.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and type 2) who had hemoglobin A1c (HbA1c) poorly controlled (greater than 9.0%). This updates a previously published measure summary.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and type 2) who had low-density lipoprotein cholesterol (LDL-C) controlled (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 low-density lipoprotein cholesterol (LDL-C) controlled (less than 130 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 low-density lipoprotein cholesterol (LDL-C) screening performed. This updates a previously published measure summary.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and type 2) who were monitored for kidney disease (nephropathy). This updates a previously published measure summary.
Hypertension: percentage of enrolled members 46 to 85 years of age who had a diagnosis of hypertension and whose blood pressure (BP) was adequately controlled (BP less than or equal to 140/90 mm Hg) during the measurement year. This updates a previously published measure summary.
Mental illness: percentage of discharges for members 6 years of age and older who had an ambulatory or intermediate mental health visit on the date of discharge, up to 30 days after hospital discharge. This updates a previously published measure summary.
Mental illness: percentage of discharges for members 6 years of age and older who had an ambulatory or intermediate mental health visit on the date of discharge, up to 7 days after hospital discharge. This updates a previously published measure summary.
Osteoporosis management in women who had a fracture: percentage of women 67 years of age and older who suffered a fracture, and who had either a bone mineral density (BMD) test or prescription for a drug to treat or prevent osteoporosis in the six months after date of the fracture.
September 11, 2006
British Medical Association
Epilepsy: the percentage of patients age 18 years and over on drug treatment for epilepsy who have a record of medication review involving the patient and/or carer in the previous 15 months.
Epilepsy: the percentage of patients age 18 years and over on drug treatment for epilepsy who have a record of seizure frequency in the previous 15 months.
Epilepsy: the percentage of patients age 18 years and over on drug treatment for epilepsy who have been seizure free for the last 12 months recorded in the previous 15 months.
Epilepsy: the practice can produce a register of patients age 18 years and over receiving drug treatment for epilepsy.
Mental health: the percentage of patients on lithium therapy with a record of lithium levels in the therapeutic range within the previous 6 months.
Mental health: the percentage of patients on lithium therapy with a record of serum creatinine and TSH in the preceding 15 months.
Mental health: the percentage of patients on the mental health register who have a comprehensive care plan documented in the records agreed between individuals, their family and/or carers as appropriate.
Mental health: the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who do not attend the practice for their annual review who are identified and followed up by the practice team within 14 days of non-attendance.
Mental health: the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses with a review recorded in the preceding 15 months.
Mental health: the practice can produce a register of people with schizophrenia, bipolar disorder and other psychoses.
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.
September 4, 2006
British Medical Association
Cancer: the percentage of patients with cancer diagnosed from 1 April 2003 with a review by the practice recorded within six months of confirmed diagnosis.
Cancer: the practice can produce a register of all cancer patients defined as a 'register of patients with a diagnosis of cancer excluding nonmelanotic skin cancers from 1 April 2003.'
Chronic obstructive pulmonary disease (COPD): the percentage of all patients with COPD in whom diagnosis has been confirmed by spirometry including reversibility testing.
Chronic obstructive pulmonary disease (COPD): the percentage of patients with COPD receiving inhaled treatment in whom there is a record that inhaler technique has been checked in the preceding 15 months.
Chronic obstructive pulmonary disease (COPD): the percentage of patients with COPD who have had influenza immunisation in the preceding 1 September to 31 March.
Chronic obstructive pulmonary disease (COPD): the percentage of patients with COPD with a record of FeV1 in the previous 15 months.
Chronic obstructive pulmonary disease (COPD): the practice can produce a register of patients with COPD.
Palliative care: the practice has a complete register available of all patients in need of palliative care/support.
Palliative care: the practice has regular (at least 3 monthly) multidisciplinary case review meetings where all patients on the palliative care register are discussed.
Wisconsin Collaborative for Healthcare Quality
Access: time to third next available appointment for a physical exam. This updates a previously published measure summary.
Access: time to third next available appointment for an office visit. This updates a previously published measure summary.
August 28, 2006
Institute for Clinical Systems Improvement
Colorectal cancer screening: percentage of African American patients age 45 to 80 who are seen in the last month and who are up-to-date with respect to screening for colorectal cancer.
Colorectal cancer screening: percentage of African American patients age 45 to 80 with counseling on colorectal cancer screening documented in the medical record, whether or not the screening test was done.
Colorectal cancer screening: percentage of patients age 50 to 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.
Colorectal cancer screening: percentage of patients age 50 to 80 with counseling on colorectal cancer screening documented in the medical record, whether or not the screening test was done. This updates a previously published measure summary.
August 21, 2006
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.
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 uncontrolled diabetes. This updates a previously published measure summary.
Diabetes mellitus: lower-extremity amputation rate. This updates a previously published measure summary.
Urinary tract infection: hospital admission rate. This updates a previously published measure summary.
August 14, 2006
Agency for Healthcare Research and Quality
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.
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.
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.
Perforated appendix: hospital admission rate. This updates a previously published measure summary.
August 7, 2006
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. This updates a previously published measure summary.
Immunizations: percentage of adolescents who are on time 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 on time 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 on time with Hepatitis B (Hep B). This updates a previously published measure summary.
July 31, 2006
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often it was difficult to get referrals to specialists in their plan.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often the written materials about their plan and its benefits were difficult to understand.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their plan covered alcohol and drug use treatment as much as they needed.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their plan covered mental health services as much as they needed.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their plan protected their confidentiality.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their plan took it seriously when they had a complaint.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their plan was good at making sure that their children's health care and their HIV-positive partner's health care were covered.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they considered changing from their plan to another one.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they had difficulty getting the HIV care they needed.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they had to go to an emergency room to get care.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they wanted a service that was not covered by their plan.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they wanted to see a doctor that was outside of their plan.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether if they knew someone who was HIV-positive and on Medicaid, they would recommend this plan to him or her.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether overall, they were satisfied with this Medicaid managed care plan during the past 12 months.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether someone explained their Medicaid managed care plan to them in a way they could understand.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether their HIV care improved after switching to a managed care plan.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they were discouraged from joining their managed care plan because they were HIV-positive.
July 24, 2006
Institute for Clinical Systems Improvement
Major depression in adults in primary care: percentage of patients who have a depression follow-up contact within three months of initiating treatment. This updates a previously published measure summary.
Major depression in adults in primary care: percentage of patients whose results on two Patient Health Questionnaires (PHQ-9s) score less than 5 or similar testing (Hamilton Rating Scale for Depression score of 7 or less) within three to seven months after diagnosis. This updates a previously published measure summary.
Major depression in adults in primary care: percentage of patients whose results on two quantitative symptom assessment tools (such as Patient Health Questionnaire [PHQ-9]) decrease by 50 percent within three to seven months after diagnosis. This updates a previously published measure summary.
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. This updates a previously published measure summary.
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.
This updates a previously published measure summary.
Major depression in adults in primary care: percentage of patients with diabetes with documentation of screening for depression. This updates a previously published measure summary.
July 17, 2006
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often it was difficult to get an appointment with their women's health providers for a date and time they wanted.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often the clinic provided adequate child care during their appointments.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often their women's health care providers and their HIV medical providers worked together to help them.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often their women's health providers explained to them what was going to be done during the physical exam.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often their women's health providers knew about the latest medical developments for women with HIV.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often their women's health providers were responsible and professional.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often they felt comfortable talking to their women's health providers about their sex life.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often they felt they would get in trouble if they disagreed with or complained about their women's health providers.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often they found it hard to talk to their women's health providers.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported how often they wanted to be more involved in making decisions about their care.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether if they knew a woman who was HIV-positive and needed medical care, they would refer her to this program.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether their women's health providers helped them understand the differences between symptoms of normal aging, HIV symptoms, and side effects of medication.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether their women's health providers screened them for sexually transmitted diseases.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether they had questions about menopause, but their women's health providers did not answer them in a way they could understand.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether they had questions about pregnancy and prenatal care, but their women's health providers did not answer them in a way that they could understand.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether they had questions about using or getting birth control, but their women's health providers did not answer them in a way they could understand.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether they were satisfied overall with the women's health care they received over the past 12 months.
HIV ambulatory care satisfaction: percentage of HIV positive women who reported whether, overall, their women's health care has helped them.
July 10, 2006
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.
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their mental health providers and their HIV medical providers worked together to help them.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their mental health providers didn't seem to care how they were feeling.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their mental health providers involved their family and friends in their mental health treatment as much as they wanted.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their mental health providers knew how HIV affects their mental health.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their mental health providers were responsible and professional.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they could see their mental health providers soon enough for their needs when they needed an appointment.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they felt comfortable sharing their feelings and problems with their mental health providers.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they felt they would get in trouble if they disagreed with or complained about their mental health providers.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they found it hard to talk to their mental health providers.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they wanted their mental health providers to spend more time with them to help them deal with their problems.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they wanted to be more involved in making decisions about their mental health treatment.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether if they knew someone who was HIV-positive and had mental health problems, they would refer her or him to this program for help.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether their providers explained to them in a way they could understand how their psychiatric medications interact with their HIV medications.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they felt better overall as a result of their mental health treatment.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they needed more information about the purpose of their psychiatric medications and their side effects.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they wanted to have more time in group therapy to meet their needs.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they were satisfied overall with the mental health services they received over the past 12 months.
July 3, 2006
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: percentage of HIV positive adult patients in a methadone maintenance program who reported how often the dispensing line was too slow.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often the program rules were enforced fairly by the staff.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their substance use counselors knew about both substance use and HIV.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their substance use counselors were responsible and professional.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often their substance use counselors, case manager, and HIV medical providers worked together to help them.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they could see their substance use counselors soon enough for their needs when they needed an appointment.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they felt they would get in trouble if they disagreed with or complained about their substance use counselors.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they found it hard to relate to their substance use counselors.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they were afraid of being seen going to HIV services in the facility.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported how often they wished that the classes they went to had taught them more about taking care of themselves.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported their whether they were satisfied overall with the substance use services they received over the past 12 months.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether clients should have more help in transitioning out of the program.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether if they knew someone who was HIV-positive and had a substance use problem, they would refer her or him to this program for help.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether the program helped them to feel better about themselves.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether the program helped them to reduce their substance use.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether their substance use counselors explained to them in a way they could understand how their substance use treatment (for example, methadone) and their HIV medications might interact.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether their substance use counselors helped them get into a residential drug treatment program if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether their substance use counselors helped them to achieve their substance use treatment plan goals.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether their substance use counselors understood where they were with their recovery and helped them to reduce or eliminate their drug use.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they wanted to have more time in group therapy to meet their needs.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether they wanted to have more time in individual therapy to meet their needs.
HIV ambulatory care satisfaction: percentage of HIV positive adult patients who reported whether, if they relapsed, their substance use counselors explained ways to reduce the harm of drug use.
June 26, 2006
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager and their HIV medical care providers worked together to help them.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager helped them get services at their clinic and, if needed, at other places.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager involved their family and friends in their care as much as they needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager was able to work quickly to get them what they needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager was good at showing them how they could help themselves.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager was responsible and professional.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their case manager went over their service plan and updated it with them every 3 months.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their life ran more smoothly overall because of the help they got from their case manager.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they could see their case manager soon enough for their needs when they needed an appointment.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they felt comfortable sharing their feelings and problems with their case manager.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they felt they would get in trouble if they disagreed with or complained about their case manager.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they found it hard to talk to their case manager.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they wanted their case manager to spend more time with them to help them with their problems.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they wanted to be more involved in making decisions about their service plan and goals.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether if they knew someone who was HIV-positive and needed a case manager, they would refer her or him to this program for help.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether they were satisfied overall with the case management services they received over the past 12 months.
June 19, 2006
Press Ganey Associates, Inc.
Nursing home family satisfaction: mean section score for "Activities" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Admission" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Certified Nursing Assistants" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Dining" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Final Ratings" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Finances" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Housekeeping Services" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Maintenance" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Nurses" questions on Nursing Home Family Survey.
Nursing home family satisfaction: mean section score for "Room" questions on Nursing Home Family Survey.
June 12, 2006
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: HIV positive adolescent and adult patients' ratings of the care provided to them at their clinic.
HIV ambulatory care satisfaction: HIV positive adolescent and adult patients' ratings of the quality of care at their clinic in comparison to other clinics they know about.
HIV ambulatory care satisfaction: HIV positive adolescent and adult patients' ratings of their providers' knowledge of the newest developments in HIV medical standards.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often the staff and their providers kept their HIV status confidential.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they did not get the medical care they needed because they could not pay for it.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they got services in the language they wanted.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they thought about leaving their clinic to find better care somewhere else.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they were able to get the services their provider referred them to.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported the reasons they felt may have caused them to be treated poorly at their clinic (if applicable).
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers asked them about how they were eating and made a referral to a nutritionist if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers asked them about their drug and alcohol use and made a referral if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers asked them about their teeth and made a referral to a dentist if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers asked them whether they needed help to tell their sexual partners about their HIV status and made a referral if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers explained to them how to avoid getting sick.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers explained to them what kinds of medical tests they should be getting and how often they should get them.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers or case managers asked them about their life situation (housing, their finances, etc.), and made a referral if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers or case managers asked them how they were feeling emotionally and made a referral to a mental health provider, counselor, or support group if needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers talked to them about how to avoid passing HIV to other people and how to protect themselves from getting infected again with HIV.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers talked to them about how to protect themselves from getting hepatitis C (Hep C) or how to avoid passing it on to others if they already had it.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether they would recommend their clinic to their HIV-positive friends with similar needs.
June 5, 2006
New York State Department of Health AIDS Institute
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often HIV-specific educational materials were available for them to read.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often it was hard for them to get their HIV medication prescriptions filled when they needed them.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often the staff were unfriendly to them while they checked in and waited for their visit.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their providers ignored a complaint about their medical care.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their providers made sure they understood what their lab test results (such as CD4 and viral load) meant for their health.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their providers told them how important it was to keep their appointments.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their providers' answers to their questions about their HIV health care were hard to understand.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often their visits with their providers got interrupted (by phone calls, other patients, etc.).
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they could get someone on the phone to discuss a medical question.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they could reach someone at the clinic during off hours (evenings and weekends) who could help them.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they could schedule an appointment soon enough for my needs when needed.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they felt uncomfortable talking about personal or intimate issues with their providers.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they found their providers to be accepting and non-judgmental of their life and health care choices.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they had questions they wanted to ask their providers about their HIV care but did not ask.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they wanted their providers to spend more time with them.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they wanted to be more involved in making decisions about their health care.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported how often they were upset by how long they had to wait for their appointment.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported what it was like when they called the clinic to schedule an appointment.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers explained the side effects of their HIV medications in a way they could understand.
HIV ambulatory care satisfaction: percentage of HIV positive adolescent and adult patients who reported whether their providers suggested ways to help them remember to take their HIV medications.
May 29, 2006
HRSA Health Disparities Collaboratives: Depression Collaborative
Depression: percent of clinically significant depression patients who attain a 5 point or greater reduction in Patient Health Questionnaire (PHQ) score within 6 months after their New Episode PHQ.
Depression: percent of clinically significant depression patients who have a documented Current Patient Health Questionnaire (PHQ) reassessment between 4 to 8 weeks after their last New Episode PHQ.
Depression: percent of clinically significant depression patients who have had a documented follow-up 1 to 3 weeks after their last New Episode Patient Health Questionnaire (PHQ).
Depression: percent of clinically significant depression patients who, within one month of last New Episode Patient Health Questionnaire (PHQ), are on an antidepressant and/or in psychotherapy.
Depression: percent of clinically significant depression patients with a 50 percent or greater reduction in Patient Health Questionnaire (PHQ) 4 months or longer after the last New Episode PHQ.
Depression: percent of clinically significant depression patients with a 50 percent or greater reduction in Patient Health Questionnaire (PHQ).
Depression: percent of clinically significant depression patients with a Patient Health Questionnaire (PHQ) score less than 5, 4 months or longer after their last New Episode PHQ.
Depression: percent of patients with a diagnoses of minor depression, depression not otherwise specified (NOS), or adjustment disorder (New Episode Patient Health Questionnaire [PHQ] less than 10) who are NOT on an antidepressant.
Depression: percent of patients with a diagnosis of depression and a documented Patient Health Questionnaire (PHQ) score within the last 6 months.
Depression: percent of patients with a diagnosis of depression reporting an improvement in function.
Depression: percent of patients with a diagnosis of depression with documented self-management goals set within the last 12 months.
Depression: percent of patients with a diagnosis of major depression or dysthymia who, as of their last visit, are taking an antidepressant.
Depression: percent of patients with diagnosis of major depression or dysthymia who have been on antidepressants for at least 6 months.
Institute for Clinical Systems Improvement
Venous thromboembolism (VTE): percentage of adult patients receiving heparin therapy for VTE who have a baseline platelet count before starting heparin, and then a platelet count every other day for at least the first 3 days of therapy.
Venous thromboembolism (VTE): percentage of adult patients suspected of deep vein thrombosis (DVT) who have leg duplex ultrasound with compression performed despite a low clinical pretest probability and a negative D-dimer test.
Venous thromboembolism (VTE): percentage of adult patients treated for VTE who have been assessed for the need for graded compression stockings.
Venous thromboembolism (VTE): percentage of adult patients who have a high clinical pretest probability for pulmonary embolism (PE) who received low molecular weight heparin (LMWH) during evaluation.
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 diagnosed 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.
May 22, 2006
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. This updates a previously published measure summary.
Ankle sprain: percentage of patients with acute ankle sprain receiving ankle x-rays at clinic within 3 days of the initial injury. This updates a previously published measure summary.
Manitoba Centre for Health Policy
Anticoagulant medication management: percentage of patients with a 30-day supply (or more) of anticoagulants who had at least one blood clotting test per each 45-day period.
Antidepressant prescription follow-up: percentage of patients with a new prescription for an antidepressant associated with a depression diagnosis (within two weeks of each other) who had three subsequent ambulatory visits within four months of the prescription being filled.
Asthma care: percentage of patients with an asthma diagnosis (defined as one repeat prescription of a beta 2-agonist in the past year) who filled a prescription for medications recommended for long-term control of asthma (i.e., inhaled corticosteroids or leukotriene modifiers, and alternate anti-inflammatory medication).
Benzodiazepines: percentage of patients aged 75 years or older with prescription(s) for two or more benzodiazepines or prescriptions for greater than a
30-day supply of medication.
Diabetes care: percentage of diabetic patients (defined as those who had at least one drug used to treat diabetes) who had a cholesterol screening test in the same fiscal year as the prescription.
Diabetes care: percentage of diabetic patients (defined as those who had at least one drug used to treat diabetes) who saw either an optometrist or ophthalmologist in the same fiscal year as the prescription.
Post-myocardial infarction care: percentage of patients discharged alive from hospital in the preceding three years with a discharge diagnosis of myocardial infarction (MI) (excluding those with prior diagnosis of asthma, chronic obstructive pulmonary disease [COPD] or peripheral vascular disease) who filled at least one prescription for a beta-blocker within four months of the first infarction.
Post-myocardial infarction care: percentage of patients discharged alive from hospital in the preceding three years with a discharge diagnosis of myocardial infarction (MI) who had a cholesterol test within four months of discharge.
May 15, 2006
Manitoba Centre for Health Policy
Blood sugar screening: percentage of patients aged 48 years or older who had at least one blood sugar test in the previous three years.
Cervical cancer screening: percentage of female patients aged 18 to 60 years who had not undergone a hysterectomy, and who had at least one Papaniculaou (Pap) test in the last three years.
Childhood immunization: percentage of patients who received their primary course of immunizations (i.e., DPT-HiB, polio x4, and MMR) by age 24 months.
Cholesterol screening: percentage of male patients aged 40 years or older and female patients aged 50 years or older who had at least one cholesterol screening test in the last five years.
Influenza vaccination: percentage of patients aged 65 years or older who received at least one influenza vaccine in the past two years.
May 8, 2006
New York State Department of Health AIDS Institute
HIV: percentage of nursing facility patients for whom a follow-up clinic visit is recorded every four months.
HIV: percentage of nursing facility patients for whom a viral load test was performed every four months.
HIV: percentage of nursing facility patients for whom active tuberculosis (TB) was excluded prior to admission.
HIV: percentage of nursing facility patients for whom CD4 was measured within the four-month review period.
HIV: percentage of nursing facility patients for whom hepatitis A immune status was documented.
HIV: percentage of nursing facility patients for whom hepatitis B immune status was documented.
HIV: percentage of nursing facility patients for whom hepatitis C immune status was documented.
HIV: percentage of nursing facility patients for whom lipid screening was performed during the past year.
HIV: percentage of nursing facility patients for whom mammography was recorded in the past year.
HIV: percentage of nursing facility patients for whom one of four specified management options is documented in the medical record in every 4-month period the patient is considered unstable.
HIV: percentage of nursing facility patients for whom purified protein derivative (PPD) was placed and results read during the past year.
HIV: percentage of nursing facility patients placed on Mycobacterium avium complex (MAC) prophylaxis (rifabutin, clarithromycin, azithromycin or other).
HIV: percentage of nursing facility patients placed on Pneumocystis carinii pneumonia (PCP) prophylaxis (trimethoprim-sulfamethoxazole [TMP/SMX], atovaquone, dapsone, pentamidine, or other).
HIV: percentage of nursing facility patients who are stable on antiretroviral (ARV) therapy for whom viral load is monitored every four months.
HIV: percentage of nursing facility patients with a baseline toxoplasma serology documented.
HIV: percentage of nursing facility patients with a pelvic exam and Papanicolaou (Pap) smear with follow-up abnormal results recorded in the past year.
May 1, 2006
New York State Department of Health AIDS Institute
HIV: percentage of pediatric patients for whom a viral load test is performed every 4 months.
HIV: percentage of pediatric patients for whom adherence is assessed and quantified at least once every 4 months.
HIV: percentage of pediatric patients for whom CD4 count is measured every 4 months.
HIV: percentage of pediatric patients for whom DTaP, IPV, HIB, Hep B, MMR, pneumococcal, (and varicella, if asymptomatic and immunologic class 1) are provided.
HIV: percentage of pediatric patients for whom influenza immunization is performed annually.
HIV: percentage of pediatric patients for whom one of four specified management options is documented in the medical record in every 4-month period the patient is considered unstable.
HIV: percentage of pediatric patients less than 2 years of age for whom neurodevelopmental assessments are monitored annually.
HIV: percentage of pediatric patients prescribed prophylactic therapy according to immunologic status.
HIV: percentage of pediatric patients who are seen by an HIV Specialist at least once every 4 months.
HIV: percentage of pediatric patients who are stable on antiretroviral (ARV) therapy for whom viral load or CD4 count is monitored every 4 months.
HIV: percentage of pediatric patients whose multidisciplinary care plan incorporates case management and nursing services.
HIV: percentage of pediatric patients with no other therapeutic options available for whom viral load is monitored every 4 months.
April 24, 2006
New York State Department of Health AIDS Institute
HIV: percentage of adult and adolescent hepatitis C virus (HCV)-positive patients for whom alcohol counseling and HCV education was provided.
HIV: percentage of adult and adolescent patients for whom a CD4 count test was performed every four months.
HIV: percentage of adult and adolescent patients for whom a follow-up clinic visit is recorded every four months.
HIV: percentage of adult and adolescent patients for whom a mental health assessment was performed during the past year.
HIV: percentage of adult and adolescent patients for whom a viral load test was performed every four months.
HIV: percentage of adult and adolescent patients for whom hepatitis A status was documented.
HIV: percentage of adult and adolescent patients for whom hepatitis C status was documented in the medical record.
HIV: percentage of adult and adolescent patients for whom one of four specified management options is documented in the medical record in every 4-month period the patient is considered unstable.
HIV: percentage of adult and adolescent patients for whom purified protein derivative (PPD) was placed and results read during the past year.
HIV: percentage of adult and adolescent patients prescribed antiretroviral therapy for whom adherence is measured and described quantitatively at least once every four months.
HIV: percentage of adult and adolescent patients who are stable on antiretroviral (ARV) therapy for whom viral load is monitored every four months.
HIV: percentage of adult and adolescent patients with a pelvic exam and Papanicolaou (Pap) smear recorded in the past year.
HIV: percentage of adult and adolescent patients with current use (0 to 6 months from date of review) and not in treatment for whom referrals are made for substance use treatment.
HIV: percentage of adult and adolescent patients with past use (6 to 24 months from date of review) with whom relapse prevention or ongoing treatment has been discussed, and substance use within the last 12 months assessed.
HIV: percentage of adult and adolescent patients with whom substance use was discussed during the past year.
HIV: percentage of adult and adolescent patients with whom tobacco use was discussed during the past year.
HIV: percentage of pregnant women with counseling offered and testing performed during the prenatal period.
April 17, 2006
Press Ganey Associates, Inc.
Nursing home resident satisfaction: mean section score for "Activities" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Admission" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Certified Nursing Assistants" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Dining" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Final Ratings" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Finances" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Housekeeping Services" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Maintenance" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Nurses" questions on Nursing Home Resident Survey.
Nursing home resident satisfaction: mean section score for "Room" questions on Nursing Home Resident Survey.
April 10, 2006
Press Ganey Associates, Inc.
Hospice services satisfaction: mean section score for "Arranging Hospice Care" questions on Hospice Services Survey.
Hospice services satisfaction: mean section score for "Dealing with the Hospice Office" questions on Hospice Services Survey.
Hospice services satisfaction: mean section score for "Hospice Team" questions on Hospice Services Survey.
Hospice services satisfaction: mean section score for "Overall Assessment" questions on Hospice Services Survey.
Hospice services satisfaction: mean section score for "Personal Issues" questions on Hospice Services Survey.
April 3, 2006
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. This updates a previously published measure summary.
March 27, 2006
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 (HF). This updates a previously published measure summary.
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 (HF). This updates a previously published measure summary.
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 (HF). This updates a previously published measure summary.
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 (HF). This updates a previously published measure summary.
Heart failure: percentage of patient visits with weight measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF). This updates a previously published measure summary.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy. This updates a previously published measure summary.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed beta-blocker therapy. This updates a previously published measure summary.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy. This updates a previously published measure summary.
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). This updates a previously published measure summary.
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years for whom initial laboratory testing was performed. This updates a previously published measure summary.
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years with quantitative or qualitative results of left ventricular function (LVF) assessment recorded. This updates a previously published measure summary.
March 20, 2006
Agency for Healthcare Research and Quality
Accidental puncture or laceration (area-level): rate per 100,000 population.
Coronary artery disease: coronary artery bypass graft (CABG) area rate.
Coronary artery disease: percutaneous transluminal coronary angioplasty (PTCA) area rate.
Foreign body left during procedure (area level): discharges per 100,000 population.
Hysterectomy: hysterectomy area rate.
Iatrogenic pneumothorax (area-level): rate per 100,000 population.
Laminectomy or spinal fusion: laminectomy or spinal fusion area rate.
Maternity care: Cesarean delivery rate.
Maternity care: primary Cesarean delivery rate.
Maternity care: vaginal birth after Cesarean (VBAC) rate, all.
Maternity care: vaginal birth after Cesarean (VBAC) rate, uncomplicated.
Postoperative wound dehiscence (area-level): rate of reclosure of abdominal wall per 100,000 population.
Selected infections due to medical care (area-level): rate per 100,000 population.
Transfusion reaction (area-level): rate per 100,000 population.
Joint Commission, The
Intensive care: mean length of stay (LOS) for intensive care unit (ICU) by type of unit.
Pregnancy and related conditions: percent of patients with vaginal birth after cesarean section (VBAC).
Physician Consortium for Performance Improvement®
Prenatal testing: percentage of D (Rh) negative, unsensitized patients who receive anti-D immune globulin at 26-30 weeks gestation. This updates a previously published measure summary.
Prenatal testing: percentage of patients aged 35 years and older at the time of expected delivery who are offered amniocentesis or chorionic villus sampling. This updates a previously published measure summary.
Prenatal testing: percentage of patients less than 35 years of age at the time of expected delivery who are offered multiple marker testing for congenital anomalies. This updates a previously published measure summary.
Prenatal testing: percentage of patients who are screened for HIV infection during the first or second prenatal care visit. This updates a previously published measure summary.
Prenatal testing: percentage of patients who have a cervical cytology smear performed during the preceding year or by the second prenatal care visit. This updates a previously published measure summary.
Prenatal testing: percentage of patients who have a determination of blood group (ABO) and D (Rh) type by the second prenatal care visit. This updates a previously published measure summary.
Prenatal testing: percentage of patients who have at least one test to screen for asymptomatic bacteriuria. This updates a previously published measure summary.
Prenatal testing: percentage of patients who have glucose challenge test or oral glucose tolerance test performed. This updates a previously published measure summary.
Prenatal testing: percentage of patients who received antibody screening during the first or second prenatal care visit. This updates a previously published measure summary.
Prenatal testing: percentage of patients with a prenatal flowsheet in use by the date of the first physician visit. This updates a previously published measure summary.
March 13, 2006
Press Ganey Associates, Inc.
Inpatient pediatric satisfaction: mean section score for "Admission" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Discharge" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Family and Visitors" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Meals" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Nursing Care" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Overall Assessment" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Personal Issues" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Tests and Treatments" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Your Child's Physician" questions on Inpatient Pediatric Survey.
Inpatient pediatric satisfaction: mean section score for "Your Child's Room" questions on Inpatient Pediatric Survey.
March 6, 2006
Centers for Medicare & Medicaid Services
Nursing facility chronic care: percent of high-risk residents who have pressure sores. This updates a previously published measure summary.
Nursing facility chronic care: percent of low-risk residents who have pressure sores. This updates a previously published measure summary.
Nursing facility chronic care: percent of low-risk residents who lose control of their bowels or bladder. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents who have become more depressed or anxious. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents who have moderate to severe pain. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents who have/had a catheter inserted and left in their bladder. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents who lose too much weight.
Nursing facility chronic care: percent of residents who spent most of their time in bed or in a chair during the assessment period. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents who were physically restrained. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents whose ability to move about in and around their room got worse. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents whose need for help with daily activities has increased. This updates a previously published measure summary.
Nursing facility chronic care: percent of residents with a urinary tract infection. This updates a previously published measure summary.
Nursing facility post-acute care: percent of short-stay residents who had moderate to severe pain. This updates a previously published measure summary.
Nursing facility post-acute care: percent of short-stay residents who have pressure sores. This updates a previously published measure summary.
Nursing facility post-acute care: percent of short-stay residents with delirium. This updates a previously published measure summary.
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.
February 27, 2006
Joint Commission, The
Intensive care - ventilator-associated pneumonia (VAP) prevention: number of ventilator days where the patient's head of bed (HOB) is elevated equal to or greater than 30 degrees.
Intensive care: number of ventilator days where the patients received deep vein thrombolysis (DVT) prophylaxis.
Intensive care: number of ventilator days where the patients received stress ulcer disease (SUD) prophylaxis.
Intensive care: percent of central line-associated primary bloodstream infections (BSIs) by unit of attribution.
Intensive care: percentage of adult patients having had an intensive care unit (ICU) stay whose hospital outcome is death.
February 20, 2006
Physician Consortium for Performance Improvement®
Chronic stable coronary artery disease (CAD): percentage of patients evaluated for both level of activity and anginal symptoms during one or more office visits. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients identified as cigarette smokers who received a smoking cessation intervention. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients queried one or more times about cigarette smoking. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients who also have diabetes and/or left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients who had a blood pressure measurement during the last office visit. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients who received at least one lipid profile (or ALL component tests). This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed antiplatelet therapy. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed lipid lowering therapy. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients who were screened for diabetes. This updates a previously published measure summary.
Chronic stable coronary artery disease (CAD): percentage of patients with prior myocardial infarction (MI) who were prescribed beta-blocker therapy. This updates a previously published measure summary.
February 13, 2006
Joint Commission, The
Pregnancy and related conditions: percent of live-born neonates who expire before the neonate becomes age 28 days. This updates a previously published measure summary.
Pregnancy and related conditions: percent of patients who have vaginal deliveries with third or fourth degree perineal laceration. This updates a previously published measure summary.
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. This updates a previously published measure summary.
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. This updates a previously published measure summary.
February 6, 2006
Centers for Medicare & Medicaid Services/The Joint Commission
Heart failure: percent of patients discharged home with written instructions or educational material given to patient or care giver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen. This updates a previously published measure summary.
Heart failure: percent of patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during hospital stay. This updates a previously published measure summary.
Heart failure: percent of patients with documentation in the hospital record that left ventricular systolic (LVS) function was evaluated before arrival, during hospitalization, or is planned for after discharge. This updates a previously published measure summary.
Heart failure: percent of patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge. This updates a previously published measure summary.
January 30, 2006
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.
National Committee for Quality Assurance
Appropriate treatment for children with upper respiratory infection (URI): percent of children 3 months to 18 years of age with a diagnosis of URI who were not prescribed antibiotics on or three days after the episode date.
Dental care: percentage of enrolled members 2 through 21 years of age who had at least one dental visit during the measurement year. This updates a previously published measure summary.
Glaucoma screening: percentage of Medicare members who received a glaucoma eye exam in the last two years by an eye-care professional.
Use of imaging studies for low back pain: proportion of health plan members with acute low back pain for whom imaging studies did not occur.
January 23, 2006
Institute for Clinical Systems Improvement
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. 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 or scheduled for a risk stratifying procedure prior to discharge. 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 thrombolytics with a "door-to-drug time" (time from presentation to administration of drug) of less than 30 minutes. This updates a previously published measure summary.
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, nitroglycerin, morphine and a chewable aspirin on arrival. This updates a previously published measure summary.
Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with chest pain symptoms who have had treadmill tests with the Duke score present and aren't high risk. This updates a previously published measure summary.
January 16, 2006
Centers for Medicare & Medicaid Services/The Joint Commission
Acute myocardial infarction: mean time from arrival to administration of thrombolytic agent in patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during the hospital stay. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients without aspirin contraindications who are prescribed aspirin at hospital discharge. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients without beta blocker contraindications who are prescribed a beta blocker at hospital discharge. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients without beta blocker contraindications who received a beta blocker within 24 hours after hospital arrival.
This updates a previously published measure summary.
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 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.
Preventive services for children and adolescents: percentage of patients who are up-to-date with recommended immunizations. This updates a previously published measure summary.
Preventive services in adults: percentage of patients with all priority preventive services up-to-date according to the guideline delivery schedule. This updates a previously published measure summary.
January 9, 2006
Centers for Medicare & Medicaid Services/The Joint Commission
Acute myocardial infarction: median time from arrival to percutaneous coronary intervention (PCI) in patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients receiving percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 120 minutes or less. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients receiving thrombolytic therapy during the hospital stay and having a time from hospital arrival to thrombolysis of 30 minutes or less. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients who expired during hospital stay. This updates a previously published measure summary.
Acute myocardial infarction: percent of patients who received low-density lipoprotein cholesterol (LDL-c) testing within 24 hours after hospital arrival.
Acute myocardial infarction: percent of patients with documentation of low-density lipoprotein cholesterol (LDL-c) level in the hospital record or documentation that LDL-c testing was done during the hospital stay or is planned for after discharge.
Acute myocardial infarction: percent of patients with elevated low-density lipoprotein cholesterol (LDL-c greater than or equal to 130 mg/dL or narrative equivalent) who are prescribed a lipid-lowering medication at hospital discharge.
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. This updates a previously published measure summary.
Hypertension: percentage of patient visits with blood pressure measurement recorded. This updates a previously published measure summary.
January 2, 2006
Centers for Medicare & Medicaid Services/The Joint Commission
Pneumonia: median time from arrival at the hospital to the administration of the first dose of antibiotic at the hospital. This updates a previously published measure summary.
Pneumonia: percent of patients aged 65 and older who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated. This updates a previously published measure summary.
Pneumonia: percent of patients who had an assessment of arterial oxygenation by arterial blood gas measurement or pulse oximetry within 24 hours prior to or after arrival at the hospital. This updates a previously published measure summary.
Pneumonia: percent of patients who had blood cultures performed within 24 hours prior to or 24 hours after hospital arrival for patients who were transferred or admitted to the intensive care unit (ICU) within 24 hours of hospital arrival. This updates a previously published measure summary.
Pneumonia: percent of patients whose initial emergency department blood culture specimen was collected prior to first hospital dose of antibiotics. This updates a previously published measure summary.
Pneumonia: percent of patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay. This updates a previously published measure summary.
Institute for Clinical Systems Improvement
Management of labor: 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.
Management of labor: percentage of women in the guideline population who have spontaneous rupture of membranes (SROM) or early amniotomy. This updates a previously published measure summary.
Management of labor: percentage of women in the guideline population with failure to progress diagnosis who have oxytocin. This updates a previously published measure summary.
Management of labor: percentage of women who are assessed for risk status on entry to labor and delivery. This updates a previously published measure summary.