Diabetes QM

Table of contents
  1. 1. Diabetes Quality Measure Alerts and Suggested Documentation
    1. 1.1. Diabetes + Hemoglobin A1c
      1. 1.1.1. Examples of Alert-Recall Rules in Health Maintenance
      2. 1.1.2. SMARText Items Available For Use In Documentation
    2. 1.2. Diabetes + Lipids - LDL
      1. 1.2.1. Example of an Alert-Recall Rule in Health Maintenance
      2. 1.2.2. SMARText Items Available For Use In Documentation
    3. 1.3. Diabetes + Hypertension
      1. 1.3.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.3.2. SMARText Items Available For Use In Documentation
    4. 1.4. Diabetes + Dilated Eye Exam
      1. 1.4.1. Example of Alert-Recall Rule in Health Maintenance
      2. 1.4.2. SMARText Items Available For Use In Documentation
    5. 1.5. Diabetes + Nephropathy Screen
      1. 1.5.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.5.2. SMARText Items Available For Use In Documentation
    6. 1.6. Diabetic Foot Exam
      1. 1.6.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.6.2. SMARText Items Available For Use In Documentation
    7. 1.7. Diabetes + Neuropathy Exam
      1. 1.7.1. Example of Alert and Recall Rules in Health Maintenance
    8. 1.8. Diabetes + Neuropathy Exam
      1. 1.8.1. Example of Alert and Recall Rules in Health Maintenance
    9. 1.9. Nephropathy Education + Diabetes
      1. 1.9.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.9.2. SMARText Items Available For Use In Documentation
    10. 1.10. Diabetes - Misc.
      1. 1.10.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.10.2. SMARText Items Available For Use In Documentation
    11. 1.11. Diabetes + Beta-2 Protein
      1. 1.11.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.11.2. SMARText Items Available For Use In Documentation
    12. 1.12. Glucose - Screening for Diabetes
      1. 1.12.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.12.2. SMARText Items Available For Use In Documentation
    13. 1.13. ACE - ARB Prescribed
    14. 1.14. Tobacco Education
    15. 1.15. Influenza Immunization
    16. 1.16. Urinalysis
    17. 1.17. Aspirin Discussed

 

In order to be able to report Diabetes Quality Measures:

  • It is wise to implement rules to trigger alerts and patient recalls.
  • If specified SMARText items are then used when creating the actual medical record documentation, the results can more easily meet performance goals.
Table of Contents
  1. 1. Diabetes Quality Measure Alerts and Suggested Documentation
    1. 1.1. Diabetes + Hemoglobin A1c
      1. 1.1.1. Examples of Alert-Recall Rules in Health Maintenance
      2. 1.1.2. SMARText Items Available For Use In Documentation
    2. 1.2. Diabetes + Lipids - LDL
      1. 1.2.1. Example of an Alert-Recall Rule in Health Maintenance
      2. 1.2.2. SMARText Items Available For Use In Documentation
    3. 1.3. Diabetes + Hypertension
      1. 1.3.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.3.2. SMARText Items Available For Use In Documentation
    4. 1.4. Diabetes + Dilated Eye Exam
      1. 1.4.1. Example of Alert-Recall Rule in Health Maintenance
      2. 1.4.2. SMARText Items Available For Use In Documentation
    5. 1.5. Diabetes + Nephropathy Screen
      1. 1.5.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.5.2. SMARText Items Available For Use In Documentation
    6. 1.6. Diabetic Foot Exam
      1. 1.6.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.6.2. SMARText Items Available For Use In Documentation
    7. 1.7. Diabetes + Neuropathy Exam
      1. 1.7.1. Example of Alert and Recall Rules in Health Maintenance
    8. 1.8. Diabetes + Neuropathy Exam
      1. 1.8.1. Example of Alert and Recall Rules in Health Maintenance
    9. 1.9. Nephropathy Education + Diabetes
      1. 1.9.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.9.2. SMARText Items Available For Use In Documentation
    10. 1.10. Diabetes - Misc.
      1. 1.10.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.10.2. SMARText Items Available For Use In Documentation
    11. 1.11. Diabetes + Beta-2 Protein
      1. 1.11.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.11.2. SMARText Items Available For Use In Documentation
    12. 1.12. Glucose - Screening for Diabetes
      1. 1.12.1. Example of Alert and Recall Rules in Health Maintenance
      2. 1.12.2. SMARText Items Available For Use In Documentation
    13. 1.13. ACE - ARB Prescribed
    14. 1.14. Tobacco Education
    15. 1.15. Influenza Immunization
    16. 1.16. Urinalysis
    17. 1.17. Aspirin Discussed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diabetes Quality Measure Alerts and Suggested Documentation

 

Diabetes + Hemoglobin A1c

Examples of Alert-Recall Rules in Health Maintenance

DMa1c-4.jpg DMa1c9-4.jpg

 

SMARText Items Available For Use In Documentation

Below is a list, in early 2009, of items related to Hgb A1c measures. To retrieve a list of the latest items, Type P4P in the Find field, and A1c in the Filter field. Click the Search button.

 P4Pa1c-3.jpg

Based on the particular initiative to which your practice chooses to participate, subsets of the documentation items are likely to be useful. For example, the following items are relevant to reporting in the PQRI program. 

PQRI-A1c.jpg

 

The above items are derived for use to meet the coding specifications as below (in CPT II Code descriptors).

 

DM-NCQA.jpg

http://www.ama-assn.org/ama1/pub/upl...pecs_01_09.pdf

 

A pick list is available for use in docuplates and documentation. In order to demonstrate the PQRI pick list for HgbA1c, Click in Plan field, and Type PQRIdmA1c.

                       PlanA1c.jpg

Press the space bar to get insertion of the header for the pick list. Click the Diabetes + Hemoglobin A1C header to display its pick list in Quick Access on the right.

A1cPickList.jpg

Click the Hemoglobin A1c < or = 7 check box to get the documentation below.

A1c7.jpg

 

 

Diabetes + Lipids - LDL

Example of an Alert-Recall Rule in Health Maintenance

   DMLDL-5.jpg

SMARText Items Available For Use In Documentation

Below is a list, in early 2009, of items related to P4P-Lipid measures. To retrieve a list of the latest items, Type P4P in the Find field, and Lipid in the Filter field. Click the Search button.

DM-Lipids.jpg

 

Many of the items, above, are associated with Lipid reporting, and a subset are specifically related to Diabetes + Lipids. For example, below is the Designer for the SMARText item with a description of Diabetes + LDL for use in the PQRI program.

 

PQRIldlDesigner.jpg

Notice the sub-items in the Item Settings are pick list items to utilize when reporting LDL results in diabetic patients.

 

 

Diabetes + Hypertension

Example of Alert and Recall Rules in Health Maintenance

DMbpCheck.jpg  DMHtn.jpg

 

SMARText Items Available For Use In Documentation

Below is a list, in early 2009, of items related to P4P-Hypertension measures. To retrieve a list of the latest items, Type P4P in the Find field, and Hypertension in the Filter field. Click the Search button.

P4pBP-5.jpg

 

 

Based on the particular initiative to which your practice chooses to participate, subsets of the documentation items are likely to be useful. For example, the following items are relevant to reporting in the PQRI program for Diabetes + Hypertension.

 

DMbpQM.jpg

http://www.ama-assn.org/ama1/pub/upl...pecs_03_09.pdf

 

DMbp6.jpg

 

 

 

Diabetes + Dilated Eye Exam

Example of Alert-Recall Rule in Health Maintenance

DMDilEye.jpg

 

SMARText Items Available For Use In Documentation

eYEp4P.jpg 

 


 DMeyeQM.jpg

 From - http://www.ama-assn.org/ama1/pub/upl...ecs_117_09.pdf

 

DMeyePQRI.jpg

 

 

 

Diabetes + Nephropathy Screen

Example of Alert and Recall Rules in Health Maintenance

DMnepRule.jpg

 

SMARText Items Available For Use In Documentation

DMnepSI.jpg

 

DMnepQM.jpg

http://www.ama-assn.org/ama1/pub/upl...ecs_119_09.pdf

 

DMnepPQRI.jpg

 

 

 

Diabetic Foot Exam

Example of Alert and Recall Rules in Health Maintenance

DMFooRule.jpg

 

SMARText Items Available For Use In Documentation

Below is a list, in early 2009, of some of the items related to diabetic foot exams. To retrieve a list of the latest items, Type P4P in the Find field, and foot in the Filter field. Click the Search button.

DMfoop4p.jpg

 

DMFooQM.jpg

http://www.ama-assn.org/ama/pub/phys...vidual.shtml#d 

 

DMfooPQRI.jpg

 

 

 

Diabetes + Neuropathy Exam

Example of Alert and Recall Rules in Health Maintenance

 

DMneuHM.jpg

 

 

DMNeuQM.jpg

http://www.ama-assn.org/ama1/pub/upl...ecs_126_09.pdf

 

 

DMneuPQRI.jpg

 

 

 

Diabetes + Neuropathy Exam

Example of Alert and Recall Rules in Health Maintenance

 DMshoHM.jpg

 

 

DMshoQM.jpg

http://www.ama-assn.org/ama1/pub/upl...ecs_127_09.pdf

 

 

DMshoPQRI.jpg

 

 

 

Nephropathy Education + Diabetes

Example of Alert and Recall Rules in Health Maintenance

DM-NephropathyEd.jpg

 

SMARText Items Available For Use In Documentation

DM-Nephropathy.jpg

 

 

 

Diabetes - Misc.

Example of Alert and Recall Rules in Health Maintenance

DM-AnnualReview.jpg 

 

SMARText Items Available For Use In Documentation

DiabetesMiscP4p.jpg

 

 

 

Diabetes + Beta-2 Protein

Example of Alert and Recall Rules in Health Maintenance

Image00064.jpg

SMARText Items Available For Use In Documentation

Beta2-P4P.jpg

 

 

 

Glucose - Screening for Diabetes

Example of Alert and Recall Rules in Health Maintenance

GlucoseScr.jpg

 

SMARText Items Available For Use In Documentation

GlucoseP4P.jpg

 

 

ACE - ARB Prescribed

See ACE-ARB Prescribed

 

Tobacco Education

See Tobacco Use QM

 

Influenza Immunization

See Influenza QM

 

Urinalysis

See Urinalysis QM

 

Aspirin Discussed

See Aspirin Discussed

 

 

Page last modified 22:45, 18 Apr 2010 by roates
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