|
Quality Id |
Measure Name |
High Priority |
Measure Type |
Measure Description |
|
047 |
Care
Plan |
Yes |
Process |
Percentage
of patients aged 65 years and older who have an advance care plan or
surrogate decision maker documented in the medical record that an advance
care plan was discussed but the patient did not wish or was not able to name
a surrogate decision maker or provide an advance care plan |
|
109 |
Osteoarthritis
(OA): Function and Pain Assessment |
Yes |
Process |
Percentage
of patient visits for patients aged 21 years and older with a diagnosis of
osteoarthritis (OA) with assessment for function and pain |
|
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 |
|
131 |
Pain
Assessment and Follow-Up |
Yes |
Process |
Percentage
of visits for patients aged 18 years and older with documentation of a pain
assessment using a standardized tool(s) on each visit AND documentation of a
follow-up plan when pain is present |
|
154 |
Falls:
Risk Assessment |
Yes |
Process |
Percentage
of patients aged 65 years and older with a history of falls that had a risk
assessment for falls completed within 12 months |
|
155 |
Falls:
Plan of Care |
Yes |
Process |
Percentage
of patients aged 65 years and older with a history of falls that had a plan
of care for falls documented within 12 months |
|
182 |
Functional
Outcome Assessment |
Yes |
Process |
Percentage
of visits for patients aged 18 years and older with documentation of a
current functional outcome assessment using a standardized functional outcome
assessment tool on the date of the encounter AND documentation of a care plan
based on identified functional outcome deficiencies on the date of the
identified deficiencies |
|
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 |
|
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 |
|
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 |
|
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 |
|
408 |
Opioid Therapy Follow-up Evaluation |
No |
Process |
All
patients 18 and older prescribed opiates for longer than six weeks duration
who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record |
|
412 |
Documentation
of Signed Opioid Treatment Agreement |
No |
Process |
All
patients 18 and older prescribed opiates for longer than six weeks duration
who signed an opioid treatment agreement at least
once during Opioid Therapy documented in the
medical record |
|
414 |
Evaluation
or Interview for Risk of Opioid Misuse |
No |
Process |
All
patients 18 and older prescribed opiates for longer than six weeks duration
evaluated for risk of opioid misuse using a brief
validated instrument (e.g. Opioid Risk Tool,
SOAPP-R) or patient interview documented at least once during Opioid Therapy in the medical record |
|
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 |