Table II.
Adherence Scores for Individual Explicit Criteria
| Criteria Evaluated Once During the Entire Audit Period | Patients, % (No.*) |
|---|---|
| All major cardiovascular risk factors are documented | 62.2 (199/320) |
| A recommended goal blood pressure (BP) is documented | 4.4 (15/345) |
| Patient provided with goal BP | 62.5 (5/8) |
| Patient treated with a thiazide or a loop diuretic when appropriate | 69.9 (241/345) |
| Appropriate pharmacologic treatment for patients with: | |
| Heart failure | 93.3 (14/15) |
| History of myocardial infarction | 95.0 (19/20) |
| Coronary artery disease | 100 (40/40) |
| Diabetes | 100 (149/149) |
| History of stroke or transient ischemic attack | 94.4 (17/18) |
| Chronic kidney disease | 77.8 (49/63) |
| Fasting lipid profile measured within the past 12 months | 51.9 (179/345) |
| Patients with diabetes or chronic kidney disease screened for urine albumin | 29.1 (52/179) |
| Serum creatinine measured within the past 12 months | 79.7 (275/345) |
| Blood glucose measured within the past 12 months | 58.3 (201/345) |
| Hematocrit measured within the past 12 months | 31.9 (110/345) |
| Potassium level measured within the past 12 months | 78.8 (272/345) |
| Calcium level measured within the past 12 months | 62.6 (216/345) |
| An electrocardiogram has ever been performed | 41.5 (143/345) |
| Criteria Evaluated During Multiple Visits | Visits, % (No.†) |
| When BP is not controlled, a return visit occurs within 1 month (35 days) | 39.8 (270/678) |
| Absence of BP control referenced in progress note | 62.2 (483/776) |
| Medication increased or changed when BP uncontrolled | 55.9 (434/776) |
| Discussion of lifestyle recommendations documented | 21.5 (183/853) |
| *Number of patients for whom criterion was met divided by number of patients for whom criterion applied. †Number of visits at which criterion was met divided by number of visits at which criterion applied. | |