|
047 Care Plan
|
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.
|
|
110 Preventive Care and Screening: Influenza Immunization
|
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization or who reported previous receipt of an influenza immunization.
|
|
111 Pneumonia Vaccination Status for Older Adults
|
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine.
|
|
128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
|
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous 12 months and with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous 12 months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2.
|
|
130 Documentation of Current Medications in the Medical Record
|
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 Clinical Depression and Follow-Up Plan
|
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.
|
|
154 Falls: Risk Assessment
|
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
|
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.
|
|
181 Elder Maltreatment Screen and Follow-Up Plan
|
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.
|
|
182 Functional Outcome Assessment
|
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
|
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
|
Percentage of patients with dementia for whom an assessment of functional status was performed at least once in the last 12 months.
|
|
283 Dementia: Neuropsychiatric Symptom Assessment
|
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: Counseling Regarding Safety Concerns
|
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
|
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
|
Percentage of patients aged 18 years and older seen during the submitting period who were screened for high blood pressure (BP) and a recommended follow-up plan is documented based on the current BP reading as indicated.
|
|
342 Pain Brought Under Control Within 48 hours
|
Patients aged 18 and older who report being uncomfortable because of pain at the initial assessment (after admission to palliative care services) who report pain was brought to a comfortable level within 48 hours.
|
|
370 Depression Remission at Twelve Months (PDF, 40KB)
|
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
|
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
|
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)
|
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: The percentage of discharges for which the patient received follow-up within 30 days of discharge. The percentage of discharges for which the patient received follow-up within 7 days of discharge.
|
|
402 Tobacco Use and Help with Quitting Among Adolescents
|
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.
|
|
431 Preventative Care and Screening: Unhealthy Alcohol Use: Screening and Brief Counseling
|
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.
|
