Percentage of patients for whom there is documentation that a written asthma management plan was provided either to the patient or the patient’s caregiver OR, at a minimum, specific written instructions on under what conditions the patient’s doctor should be contacted or the patient should go to the emergency room
Patients for whom there is documentation, at any time during the abstraction period, that a written asthma management plan was provided either to the patient or the patient’s caregiver OR at a minimum, specific written instructions on under what conditions the patient’s doctor should be contacted or the patient should go to the emergency room: Inclusions: Copy of asthma management plan on record OR written note by provider documenting having given the patient/parent/caregiver written asthma management instructions. Instructions can include when to use PEFR or change medications in response to a change in patient symptoms &/or when to contact a physician &/or when to go directly to the emergency room.
Denominator
1.15 Denominator
Patients who had at least two (2) separate Ambulatory visits to your practice site for asthma during the time period January through December.
A visit is considered an asthma visit if, in any claims-diagnostic field, the patient has an ICD-9-CM diagnosis code of 493.xx (i.e., 493 alone or with any extension- the common code combinations are 493, 493.0, 493.1, 493.9, there may be a fifth digit which is either a 0 or 1- for example 493.90). If your claims/encounter system also uses CPT codes- acceptable CPT codes with these ICD-9-CM are listed below.
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