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Table 1 Medicare Performance Indicators

From: Measuring access to effective care among elderly medicare enrollees in managed and fee-for-service care: a retrospective cohort study

Domain/Indicator

Population

Measurement

Preventive and Primary Care

  

Breast cancer screening rate

Women 65 yrs +

% with mammogram in two years

Annual visit rate

All beneficiaries

% with at least one visit to primary care physician or specialist in a twelve month period

Diagnosis-Specific Care

  

Post-hospitalization follow-up for:

  

Myocardial infarction

of those hospitalized for myocardial infarction

% with at least one cardiology or primary care visit within 60 days of discharge

Depression

of those hospitalized for depression

% with at least one mental health or primary care visit within 14 days of discharge

Chronic Disease Care

  

Diabetes: Retinal screening

of those with diabetes diagnosis

% with retinal examination in a following 12 month period

Diabetes: Visit rate

of those with diabetes diagnosis

% with at least 2 visits to primary care or endocrinology in a following 12 month period