Measure (Source) | Numerator | Denominator* | Exclusion | Data Source |
---|---|---|---|---|
Aspirin (PQRS 204/NQF 0068) | Patients in denominator with documented use of aspirin or other antithrombotic | Patients 18+ years of age with Ischemic Vascular Disease diagnosis, or hospital discharge for acute myocardial infarction, coronary artery bypass graft, or percutaneous coronary interventions | On another anticoagulant, GI bleeding history, aspirin allergy | Health Information Exchange (HIE) |
Blood Pressure Management 1 (PQRS 236/NQF 0018) | Patients in denominator whose blood pressure was adequately controlled (< 140/90) | Patients aged 18 through 85 years with a diagnosis of hypertension | End stage renal disease, dialysis, renal transplant, or diagnosis of pregnancy | HIE |
Blood Pressure Management 2 | Patients in denominator whose blood pressure was adequately controlled (age 18–59 and/or people with diabetes or chronic kidney disease < 140/90; age 60–85 < 150/90) | Patients aged 18 through 85 with a diagnosis of hypertension | Lacking a DM or CKD diagnosis | HIE |
Cholesterol Management 1 (PQRS 316) | Patients in the denominator whose risk-stratified fasting LDL is at or below the recommended LDL goal | Patients aged 20 through 79Â years of age who had a fasting LDL performed | Â | HIE and chart audits |
Cholesterol Management 2 | Patients in the denominator who were prescribed the recommended dose of statin based on risk status | Patients aged 20 through 79Â years of age who had a fasting LDL performed | Â | HIE and chart audits |
Smoking Cessation Support (PQRS 226/NQF 0028) | Patients in denominator who were screened about tobacco use one or more times within 24Â months AND who received tobacco cessation counseling intervention if identified as a tobacco user | Patients age 18+ years | Documentation of medical reason(s) for not screening for tobacco use | HIE |