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Full Year 2010

Heart Failure (HF): Detailed discharge instructions

  • Percentage of heart failure patients discharged home with written instructions or educational material given to patient or caregiver 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.

    CBE ID
    0136

Heart Failure: Symptom and Activity Assessment

  • Percentage of patient visits for those patients aged 18 years and older with a diagnosis of heart failure with quantitative results of an evaluation of both current level of activity and clinical symptoms documented

    CBE ID
    0077

Hypertension Plan of Care

  • Percentage of patient visits during which either systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg, with documented plan of care for hypertension.

    CBE ID
    0017

Hypertension: Blood Pressure Control

  • Percentage of patients aged 18 years and older with a diagnosis of hypertension with a blood pressure <140/90 mm Hg OR patients with a blood pressure >= 140/90 mm Hg and prescribed 2 or more anti-hypertensive medications during the most recent office visit within a 12 month period

    CBE ID
    0013

Immunizations by 18 years of age

  • The percentage of adolescents who turned 18 years during the measurement year who had proper immunizations by the time they turn 18 years of age.

    CBE ID
    1506

Ischemic Vascular Disease (IVD): Blood Pressure Control

  • The percentage of patients 18 to 75 years of age who were discharged alive with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) during the 12 months prior to the measurement year, or who had a diagnosis of ischemic vascular disease (IVD) during the measurement year and the year prior to the measurement year and who had the following during the measurement year:

    - Blood pressure control (BP): reported as under control <140/90 mm Hg.

    CBE ID
    0073

Ischemic Vascular Disease (IVD): Complete Lipid Profile and LDL-C Control &lt;100 mg/dL

  • The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) during the 12 months prior to the measurement year, or who had a diagnosis of ischemic vascular disease (IVD) during the measurement year and the year prior to measurement year, who had each of the following during the measurement year.

    - Complete Lipid Profile
    - LDL-C control <100 mg/dL

    CBE ID
    0075

LBP: Evaluation of Patient Experience

  • Percentage of physician mechanisms used to evaluate patient experience based on evidence of the following. •An ongoing system for obtaining feedback about patient experience with care •A process for analyzing the data and a plan for improving patient experience. Note: This standard is assessed as a process that applies to all patients. Evaluation is not based on documentation in individual medical records.

    CBE ID
    0308