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. Author manuscript; available in PMC: 2013 Sep 18.
Published in final edited form as: JAMA Intern Med. 2013 Jan 28;173(2):142–148. doi: 10.1001/2013.jamainternmed.1022

Table 1a.

Underuse quality indicators

Quality Indicator Denominator Numerator Exclusion Quality Indicator Source or Clinical Guideline
Antithrombotic therapy for AF Visits by adults with AF Visits by adults with AF who received warfarin, dicumarol, anisindione, or aspirin as antithrombotic therapy Visits by adults with GI bleeding, gastritis, duodenitis, alcoholism, drug abuse, gait abnormality, alzheimer's, cerebral hemorrhage, or thrombocytopenia ACC/AHA/AM A-PCPI [9]
ACE Inhibitor use for CHF Visits by adults with CHF Visits by adults who received ACE-I or ARB Visits by adults with hyperkalemia or angioedema CMS Joint Commission [10]
Aspirin use for CAD Visits by adults with CAD Visits by adults who received antiplatelet agents Visits by adults with GI bleeding, gastritis, duodenitis, cerebral hemorrhage ACC/AHA/PCPI [11]
βBlocker in CHF Visits by adults with CHF Visits by adults with CHF who received βBlocker Visits by adults with asthma, COPD, or heart block ACC/AHA/PCPI [12]
βBlocker in CAD Visits by adults with CAD Visits by adults with CAD who received βBlocker Visits by adults with asthma, COPD, or heart block ACC/AHA/PCPI [13]
Anti-platelet use for ischemic stroke Visits by adults with history of ischemic stroke Visits by adults with history of ischemic stroke who receive aspirin, aspirin plus dipyridamole, or clopidogrel monotherapy Visits by adults with GI bleeding, gastritis, duodenitis, cerebral hemorrhage AAN/ACR/PCPI/NCQA [14]
Statin use in CAD Visits by adults with CAD Visits by adults with CAD who are prescribed a statin medication Visits by adults with liver disease, alcohol abuse or specific concomitant medication use UMHS [15]
Statin use Visits by adults age ≥ 40 with diabetes Visits by adults with diabetes who received a prescription for statin Visits by adults with liver disease, alcohol abuse or specific concomitant medication use HDC [16]
Pharmacologic therapy for osteoporosis Visits by adults with osteoporosis Visits by adults with osteoporosis who are prescribed pharmacologic therapy for osteoporosis (bisphosphonate, calcitonin, estrogen, pth, SERM, calcitriol) None AAFP/ AAOS/AACE/AACR/ES/PCPI/ NCQA [17]