|
Quality Id |
Measure Name |
High Priority |
Measure Type |
Measure Description |
|
128 |
Preventive
Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan |
No |
Process |
Percentage
of patients aged 18 years and older with a BMI documented during the current
encounter or during the previous twelve months AND with a BMI outside of
normal parameters, a follow-up plan is documented during the encounter or
during the previous twelve months of the current encounter |
|
130 |
Documentation
of Current Medications in the Medical Record |
Yes |
Process |
Percentage
of visits for patients aged 18 years and older for which the eligible
professional or eligible clinician attests to documenting a list of current
medications using all immediate resources available on the date of the
encounter. This list must include ALL known prescriptions, over-the-counters,
herbals, and vitamin/mineral/dietary (nutritional) supplements AND must
contain the medications’ name, dosage, frequency and route of administration |
|
134 |
Preventive
Care and Screening: Screening for Depression and Follow-Up Plan |
No |
Process |
Percentage
of patients aged 12 years and older screened for depression on the date of
the encounter using an age appropriate standardized depression screening tool
AND if positive, a follow-up plan is documented on the date of the positive
screen |
|
181 |
Elder
Maltreatment Screen and Follow-Up Plan |
Yes |
Process |
Percentage
of patients aged 65 years and older with a documented elder maltreatment
screen using an Elder Maltreatment Screening Tool on the date of encounter
AND a documented follow-up plan on the date of the positive screen |
|
226 |
Preventive
Care and Screening: Tobacco Use: Screening and Cessation Intervention |
No |
Process |
Percentage
of patients aged 18 years and older who were screened for tobacco use one or
more times within 24 months AND who received tobacco cessation intervention
if identified as a tobacco user |
|
282 |
Dementia:
Functional Status Assessment |
No |
Process |
Percentage
of patients with dementia for whom an assessment of functional status* was
performed at least once in the last 12 months |
|
283 |
Dementia
Associated Behavioral and Psychiatric Symptoms Screening and Management |
No |
Process |
Percentage
of patients with dementia for whom there was a documented symptoms screening*
for behavioral and psychiatric symptoms, including depression, AND for whom,
if symptoms screening was positive, there was also documentation of
recommendations for symptoms management in the last 12 months |
|
286 |
Dementia:
Safety Concerns Screening and Mitigation Recommendations or Referral for
Patients with Dementia |
Yes |
Process |
Percentage
of patients with dementia or their caregiver(s) for whom there was a
documented safety concerns screening * in two domains of risk: 1)
dangerousness to self or others and 2) environmental risks; and if safety
concerns screening was positive in the last 12 months, there was
documentation of mitigation recommendations, including but not limited to
referral to other resources or orders for home safety evaluation |
|
288 |
Dementia:
Caregiver Education and Support |
Yes |
Process |
Percentage
of patients with dementia whose caregiver(s)* were provided with education**
on dementia disease management and health behavior changes AND were referred
to additional resources*** for support in the last 12 months |
|
317 |
Preventive
Care and Screening: Screening for High Blood Pressure and Follow-Up
Documented |
No |
Process |
Percentage
of patients aged 18 years and older seen during the submitting period who
were screened for high blood pressure AND a recommended follow-up plan is
documented based on the current blood pressure (BP) reading as indicated |
|
325 |
Adult
Major Depressive Disorder (MDD): Coordination of Care of Patients with
Specific Comorbid Conditions |
Yes |
Process |
Percentage
of medical records of patients aged 18 years and older with a diagnosis of
major depressive disorder (MDD) and a specific diagnosed comorbid
condition (diabetes, coronary artery disease, ischemic stroke, intracranial
hemorrhage, chronic kidney disease [stages 4 or 5], End Stage Renal Disease
[ESRD] or congestive heart failure) being treated by another clinician with
communication to the clinician treating the comorbid
condition |
|
370 |
Depression
Remission at Twelve Months |
Yes |
Outcome |
The percentage
of patients 18 years of age and or older with major depression or dysthymia who reached remission 12 months (+/- 30 days)
after an index visit |
|
374 |
Closing
the Referral Loop: Receipt of Specialist Report |
Yes |
Process |
Percentage
of patients with referrals, regardless of age, for which the referring
provider receives a report from the provider to whom the patient was referred |
|
383 |
Adherence
to Antipsychotic Medications For Individuals with Schizophrenia |
Yes |
Intermediate
Outcome |
Percentage
of individuals at least 18 years of age as of the beginning of the
measurement period with schizophrenia or schizoaffective disorder who had at
least two prescriptions filled for any antipsychotic medication and who had a
Proportion of Days Covered (PDC) of at least 0.8 for antipsychotic
medications during the measurement period (12 consecutive months) |
|
391 |
Follow-Up
After Hospitalization for Mental Illness (FUH) |
Yes |
Process |
The
percentage of discharges for patients 6 years of age and older who were
hospitalized for treatment of selected mental illness diagnoses and who had a
follow-up visit with a mental health practitioner. Two rates are
submitted: |
|
402 |
Tobacco
Use and Help with Quitting Among Adolescents |
No |
Process |
The
percentage of adolescents 12 to 20 years of age with a primary care visit
during the measurement year for whom tobacco use status was documented and
received help with quitting if identified as a tobacco user |
|
411 |
Depression
Remission at Six Months |
Yes |
Outcome |
The
percentage of patients 18 years of age or older with major depression or dysthymia who reached remission six months (+/- 30 days)
after an index visit |
|
431 |
Preventive
Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling |
No |
Process |
Percentage
of patients aged 18 years and older who were screened for unhealthy alcohol
use using a systematic screening method at least once within the last 24
months AND who received brief counseling if identified as an unhealthy
alcohol user |