Indicator: Direct office access Specific Measurement: % of the 168 hours (ie 7X 24 hours) in a week that the office is available for patients Definition Source: AFHTO Data Source: ED direct input Data Access Notes: N/A
Author: sitesuper
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D2D – 24/7 coverage for palliative/end of life care
Indicator: 24/7 coverage for palliative patients 24/7 coverage for long-term care patients Specific Measurement: Does your practice provide 24/7 palliative/end-of-life care? If yes, enter 100%. If no, enter 0%. http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf Pg 173 Definition Source: PCPMF Data Source: ED direct input Data Access Notes: N/A
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D2D – Emergency department visits for conditions best managed elsewhere
Indicator: Emergency department visits for conditions best managed elsewhere Specific Measurement: Percent of patients/clients who visited the Emergency Department (ED) for conditions best managed elsewhere (BME): conjunctivitis, cystitis, otitis media, and upper respiratory infections (e.g., common cold, acute or chronic sinusitis and tonsillitis, acute pharyngitis, laryngitis or tracheitis, and others. http://www.hqontario.ca/portals/0/Documents/qi/qip-indicator-specifications-en.pdf pg 16 Definition Source: HQO QIP Data Source: Health Data Branch portal https://hsimi.on.ca/hdbportal/ Data Access Notes: N/A
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D2D – Smoking status
Indicator: Smoking status Specific Measurement: Percentage of patients for whom smoking status is recorded FUTURE: consider PCPMF definition which assumes patient report of immunization is preferred over provider report (as used in D2D 2.0): Percentage of people/patients aged 12 and over who report smoking daily or occasionally http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdfPg 183 Definition Source: AFHTO Data Source: EMR Data Access Notes: N/A
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D2D – Influenza immunization
Indicator: Influenza immunization Specific Measurement: Percentage of PHC clients/patients, 65 years and over, who received an influenza immunization within the past 12 months http://www.hqontario.ca/portals/0/Documents/qi/qip-indicator-specifications-en.pdf pg 17 FUTURE: consider PCPMF definition which assumes patient report of immunization is preferred over provider report (as used in D2D 2.0 and HQO QIP): Percentage of patients who report having a seasonal flu shot in the past year Definition Source: HQO QIP Data Source: EMR Data Access Notes: N/A
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D2D – Medication reconciliation
Indicator: Medication reconciliation
Specific Measurement: % of patients with reconciliation of medications in the past year, based on provider report Future: consider PCPMF definition, which assumes patient report of immunization is preferred over provider report (as used in D2D 2.0): Percentage of patients who report that, in the past 12 months, they had a review and discussion with their primary care provider of prescription medications they are using http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf Pg 257
Definition Source: AFHTO
Data Source: EMR
Data Access Notes: N/A
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D2D – Reconciliation of diagnoses
Indicator: Reconciliation of diagnoses Specific Measurement: % of patients with reconciliation of diagnosis list in the past year, based on provider report (eg % of patients with Cumulative Patient Profile updated within past year) Definition Source: AFHTO Data Source: EMR Data Access Notes: N/A
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D2D – Review of registries of specific chronic conditions
Indicator: Review of registries of specific chronic conditions Specific Measurement: Percentage of patients with the following conditions who had a review in the past 12 months: asthma, chronic obstructive pulmonary disease [COPD], coronary artery disease, congestive heart failure, hypertension, diabetes Bipolar disorder, Schizophrenia and Depression http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf pg 118 and 166 Definition Source: PCPMF Data Source: EMR Data Access Notes: N/A
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D2D – Diabetic cholesterol management
Indicator: Diabetic cholesterol management Specific Measurement: Percentage of patients with diabetes whose most recent LDL cholesterol test in the last 12 months was in the following range: ≤ 2.0 mmol/l http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf pg 137 Definition Source: PCPMF Data Source: EMR Data Access Notes: N/A
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D2D – Diabetes screening
Indicator: Diabetes screening Specific Measurement: Percentage of patients with Coronary Artery Disease who received the following tests within the last 12 months:–‐ Glycated hemoglobin (HbA1c) or fasting blood sugar http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf pg 129 Definition Source: PCPMF Data Source: EMR Data Access Notes: N/A