NQMC Update Service: October 22, 2012

NQMC Update Service: October 22, 2012

NQMC Update Service: October 22, 2012

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 10/22/2012 12:45 PM EDT

October 22, 2012

---

New This Week

Measure Summaries

Institute for Clinical Systems Improvement

• Preventive services for adults: percentage of adult patients 19 years and older who are up-to-date with the following immunizations: 1) one Td in the last 10 years, 2) varicella – two doses or history of disease up to year 1995, 3) PPSV23 for patients 65 and older, 4) one influenza within last year, and 5) herpes zoster/shingles (patients 60 years and older).

• Preventive services for adults: percentage of African American or American Indian patients age 45 years and older who are up-to-date with colorectal cancer screening.

• Preventive services for adults: percentage of female patients age 44 years and older who have lipid screening every five years.

• Preventive services for adults: percentage of female patients ages 21 to 29 years who have screening for cervical cancer every two years.

• Preventive services for adults: percentage of female patients ages 50 to 75 years who have screening for breast cancer every one to two years.

• Preventive services for adults: percentage of female patients ages 55 to 79 years at risk for ischemic stroke who receive aspirin chemoprophylaxis counseling.

• Preventive services for adults: percentage of male patients age 34 years and older who have lipid screening every five years.

• Preventive services for adults: percentage of male patients ages 45 to 79 years at risk for myocardial infarctions who receive aspirin chemoprophylaxis counseling.

• Preventive services for adults: percentage of patients age 19 years and older who are screened for alcohol abuse or hazardous and harmful drinking.

• Preventive services for adults: percentage of patients age 19 years and older with blood pressure documented in the medical record (every two years if less than 120/80, every year if 120-139/80-89 Hg).

• Preventive services for adults: percentage of patients age 50 years and older who are up-to-date with colorectal cancer screening.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients on prescribed heparin or low-molecular-weight heparin who have appropriate ongoing laboratory tests drawn and used to adjust therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients receiving heparin therapy for VTE prophylaxis who have a baseline platelet count before starting heparin, and then a platelet count every other day. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients who have a VTE risk assessment within 24 hours of admission. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients with creatinine clearance less than 30 mL/min in the medical record who receive a reduced dose of anticoagulation therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of discharged patients who are readmitted to the hospital for conditions related to VTE within 30 days of discharge. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients at risk for VTE who have VTE education within 24 hours of admission that includes 1) VTE risk, 2) signs and symptoms, 3) early and frequent mobilization, and 4) clinically appropriate treatment/prophylaxis methods. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients on prescribed heparin or low-molecular-weight heparin who have appropriate baseline laboratory tests documented. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients on warfarin for whom current international normalized ratio is used to monitor and adjust therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients who are evaluated for VTE prophylaxis upon referral or transfer to another setting, service, practitioner or level of care within or outside the organization. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients who have a baseline international normalized ratio when initially prescribed warfarin. This updates a previously published measure summary.