Table 2.
Outcome measures from HIE and/or EHR data
| Measure (Source) | Numerator | Denominator* | Exclusion | Data Source |
|---|---|---|---|---|
| Aspirin (PQRS 204/NQF 0068) | Patients in denominator with documented use of aspirin or other antithrombotic | Patients 18+ years of age with Ischemic Vascular Disease diagnosis, or hospital discharge for acute myocardial infarction, coronary artery bypass graft, or percutaneous coronary interventions | On another anticoagulant, GI bleeding history, aspirin allergy | Health Information Exchange (HIE) |
| Blood Pressure Management 1 (PQRS 236/NQF 0018) | Patients in denominator whose blood pressure was adequately controlled (< 140/90) | Patients aged 18 through 85 years with a diagnosis of hypertension | End stage renal disease, dialysis, renal transplant, or diagnosis of pregnancy | HIE |
| Blood Pressure Management 2 | Patients in denominator whose blood pressure was adequately controlled (age 18–59 and/or people with diabetes or chronic kidney disease < 140/90; age 60–85 < 150/90) | Patients aged 18 through 85 with a diagnosis of hypertension | Lacking a DM or CKD diagnosis | HIE |
| Cholesterol Management 1 (PQRS 316) | Patients in the denominator whose risk-stratified fasting LDL is at or below the recommended LDL goal | Patients aged 20 through 79 years of age who had a fasting LDL performed | HIE and chart audits | |
| Cholesterol Management 2 | Patients in the denominator who were prescribed the recommended dose of statin based on risk status | Patients aged 20 through 79 years of age who had a fasting LDL performed | HIE and chart audits | |
| Smoking Cessation Support (PQRS 226/NQF 0028) | Patients in denominator who were screened about tobacco use one or more times within 24 months AND who received tobacco cessation counseling intervention if identified as a tobacco user | Patients age 18+ years | Documentation of medical reason(s) for not screening for tobacco use | HIE |
*Note: Population denominators will be based on active patient—defined as patients who have been seen in the practice within the previous 18 months
Abbreviations: CABG coronary artery bypass grafting, CKD chronic kidney disease, COPD chronic obstructive pulmonary disease, CVA cerebral vascular accident, DM diabetes mellitus, ED emergency department, GI gastric intestinal, LDL low-density lipoprotein, LOS length of stay, MI myocardial infarction, PQRS physician quality reporting system, NQF National Quality Forum