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
Category: Uncategorized
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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
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D2D – Hypertension screening
Indicator: Hypertension screening Specific Measurement: Percentage of patients who report having their blood pressure measured less than 1 year ago http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf pg 194 Definition Source: HQO Data Source: EMR Data Access Notes: N/A
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D2D – Coumadin management
Indicator: Coumadin management Specific Measurement: % of patients on Coumadin with INR level 2-3 (assuming no other complicating conditions eg artificial heart valve etc) http://globalrph.com/warfarin_inr_targets.htm Definition Source: AFHTO Data Source: EMR Data Access Notes: N/A
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D2D – Diabetic sugar management
Indicator: Diabetic blood sugar management Specific Measurement: Percentage of patients with diabetes whose glycemic control in the last 12 months was in the following range: HbA1c ≤ 7% http://www.hqontario.ca/portals/0/Documents/pr/pc-performance-measurement-appendices-en.pdf pg 136 Definition Source: PCMPF Data Source: EMR Data Access Notes: N/A
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D2D – Diabetic management and assessment
Indicator: Diabetic management and assessment Specific Measurement: Percent of people with diabetes for whom a diabetes management incentive code Q040 or a diabetes management assessment code K030 was claimed in the past year http://www.health.gov.on.ca/en/pro/programs/ris/docs/diabetics_billed_for_assessment_or_management_incentive_en.pdf Definition Source: MOHLTC RIS Data Source: ICES (by special request for D2D) Data Access Notes: Requires FHT ED and Medical lead signature and assurance on behalf of all physicians in the group.