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WVHII Clinical Process and Outcomes Measures

WVHII Clinical Process and Outcomes Measures

The Measurement, Reporting, and Reimbursement Work Group has endorsed a set of clinical process and outcomes measures that can be used for tracking overall progress toward improvement of health status and outcomes in the state. The data can also be used by each practice to monitor their internal improvements in care delivery and to drive change in the measures over time.

Clinical Process and Outcomes Measures
Diabetes	National reference
Percent of patients 18-75 with type 1 and type 2 diabetes who have had A1c test in last 12 months	HEDIS measure available through claims
Percent of patients 18-75 with type 1 and type 2 diabetes whose most recent A1c in the last 12 months is > 9	HEDIS, HRSA, and PQRI measure
Percent of patients 18-75 with type 1 and type 2 diabetes with retinal or dilated eye exam in last 12 months	HEDIS and PQRI
Percent of patients 18-75 with type 1 and type 2 diabetes with LDL exam in last 12 months and a value of < 100	HEDIS and PQRI
Percent of patients 18-75 with type 1 and type 2 diabetes with Blood Pressure < 140/90 in the last 12 months	HEDIS and PQRI

Preventive Care	National reference
Percent of patients 50 years of age or older with an Influenza vaccine within the last 12 months	HEDIS, HRSA and PQRI
Percent of patients 65 years of age or older with a Pneumococcal Vaccination documented at any point in time	HEDIS, HRSA and PQRI
Percent of women 40-69 who have had a mammogram in the last 2 years	HEDIS, HRSA and PQRI
Percent of women 21-64 who have had a PAP test in the last 2 years	HEDIS, HRSA and PQRI
Percent of patients 50-80 who have met screening criteria for Colorectal Cancer • Colonoscopy within last 10 years • Double Contrast Barium Enema within last 5 years • FOBT within the last 12 months • Flexible Sigmoidoscopy within last 5 years	HEDIS, HRSA and PQRI

Asthma	National reference
Percent of patients 5-56 with persistent asthma who have received a prescription for long-term control of their asthma	HEDIS, HRSA and PQRI

Other	National reference
Percent of adults 18 years or older who are smokers and who have been advised to quit or received tobacco cessation counseling within the last year	HEDIS, HRSA and PQRI
Percent of adults 18-75 who have a documented BMI within the last 12 months	HEDIS

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Last Modified:Wednesday, January 06, 2010
Last Modified By: kdidonato
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