Institute for Clinical Systems Improvement: Stable coronary artery disease

NQMC Update Service: November 12, 2012

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 11/12/2012 12:00 PM EST

November 12, 2012

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New This Week

Measure Summaries

Institute for Clinical Systems Improvement

• Stable coronary artery disease: percentage of patients who received an annual flu shot.

• Stable coronary artery disease: percentage of patients who smoke with documentation in the medical record that advice to quit was provided and/or help to quit was provided.

• Stable coronary artery disease: percentage of patients who were screened for depression using the PHQ-9.

• Stable coronary artery disease: percentage of patients with a BMI documented in the medical record within the last 12 months.

• Stable coronary artery disease: percentage of patients with a diagnosis of stable coronary artery disease and chronic kidney disease who are prescribed an ACE inhibitor or ARB.

• Stable coronary artery disease: percentage of patients with a diagnosis of stable coronary artery disease and hypertension who are prescribed an ACE inhibitor or ARB.

• Stable coronary artery disease: percentage of patients with a documented blood pressure in the medical record of 140/90 mmHg or less within the last 12 months.

• Stable coronary artery disease: percentage of patients with accelerated symptoms of angina, symptoms of peripheral vascular disease, or symptoms indicating LVF dysfunction who were referred to a cardiologist (unless precluded by other medical conditions).

• Stable coronary artery disease: percentage of patients with documentation in the medical record indicating that education was provided around the benefits of omega-3, and recommended daily amount of omega-3 fatty acids in patients with stable coronary artery disease.

• Stable coronary artery disease: percentage of patients with documentation in the medical record of angina symptoms within the last 12 months.

• Stable coronary artery disease: percentage of patients with documentation in the medical record of physical activity goal and when goal was met.

• Stable coronary artery disease: percentage of patients with documentation in the medical record of prognostic testing preceding or following a course of pharmacologic therapy.

• Stable coronary artery disease: percentage of patients with documentation in the medical record that a LDL was obtained within the last 12 months.

• Stable coronary artery disease: percentage of patients with documentation in the medical record with LDL less than 100 mg/dL (consider less than 70 mg/dL for high-risk patients) within the last 12 months.

• Stable coronary artery disease: percentage of patients with stable coronary artery disease who are prescribed aspirin (unless contraindicated). This updates a previously published measure summary.

• Stable coronary artery disease: percentage of patients with stable coronary artery disease who have demonstrated an understanding of how to respond in an acute cardiac event by "teaching back" as to how they would respond in the case of acute cardiac event.

• Stable coronary artery disease: percentage of patients with stable coronary artery disease with systolic CHF (ejection fraction less than or equal to 40%) who are prescribed an ACE inhibitor or ARB.