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Quality Measure Review

Department - Adult Health Center


MEASURES
Initial
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js

Resident
ampadu
nwosu-iheme
bois
mohan
nwosu-iheme
dave

Attending
wallach
patel
patel
patel
ayub
rice
koduah

espiritu

rice

zandnia
studyvin
sitahal
barvalia
nazir
nwosu-iheme
nwosu-iheme
bois

koduah
patel
patel
koduah
bustillo
bustillo
ayub
shao

Svc date

MRN
1133553
1144808
1187927
1207518
1211516
1013418
253177
303892
316714
325945
644768
698535
1013400
1224268
944698
1015165
1256917
1211516
328812

Gender
f
f
f
f
m
f
f

f
f
f
f
f
m
f

Age
34 12/18/2014
85 11/19/2014
50 11/19/2014
63 12/3/2014
47 11/19/2014
48 2/14/2013
63 11/7/2014
endocrine clinic
endocrine clinicn
53 1/30/2014
endocrine clinic
9/16/2014
52
9/3/2014
70 10/22/2014
42 5/22/2014
55 11/20/2014
55 11/200/14
47 11/19/2014
57 11/20/2014

Flu shot offered/given svc date (09/2014 - 4/2015)


do not go by progress note,only immunization
na
y
y
no refused
n
n
n, refused

n
y
n, refused
y
na
n, pt refused
y
y
no refused

Quality Measure Review


Department - Adult Health Center
MEASURES
Initial

Resident

Attending

MRN

Svc date
Gender

Age

Flu shot offered/given svc date (09/2014 - 4/2015)


do not go by progress note,only immunization

PNA shot (>65yo)

Colon CA (Age 50); must be referral GI

Pt performed? If not, call pt why?

na
na
y
y
na
na
na

Check orders, results, not note


na
n
y
y
na
na
y

y
y

na

na
na
n
na
na
na
na
na

y
y
y
na
y
y
na
y

y
n
n

y
y
y

PNA shot (>65yo)

Colon CA (Age 50); must be referral GI


Check orders, results, not note

Pt performed? If not, call pt why?

Breast CA 2014 (ACOG annually age 40-74)


Check orders, results, not note
na
na
y
y
na
na
y

Performed? If not call pt why?

y
y

y
y
y
y
y
y
y
n
y

(973) 900-5917
(908) 531-9284
(908) 422-0112
(908) 370-8939
(347) 792-1558
(201) 432-0391
(973) 282-0878

(973) 645-0684

y
y
y
y
y
y
y

(973) 622-1157
(862) 596-7767
(732) 668-1464
551) 358-8871
(862) 218-1459
(862) 241-1415
(347) 792-1558
(973) 923-6963

Breast CA 2014 (ACOG annually age 40-74)


Check orders, results, not note

Performed? If not call pt why?

Quality Measure Review


Department - Adult Health Center
MEASURES
Initial
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js
js

Resident of registered date


ampadu
nwosu-iheme
bois
mohan
nwosu-iheme

Registration Month

dave

Attending
wallach
patel
patel
patel
ayub
rice
koduah

espiritu

rice

zandnia
studyvin
sitahal
barvalia
nazir
nwosu-iheme
nwosu-iheme
bois

koduah
patel
patel
koduah
bustillo
bustillo
ayub
shao

MRN
1133553
1144808
1187927
1207518
1211516
1013418
253177
303892
316714
325945
644768
698535
1013400
1224268
944698
1015165
1256917
1211516
328812

Gender Age
f
34
12/18/2014
f
85
11/19/2014
f
50
11/19/2014
f
63
12/3/2014
m
47
11/19/2014
f
48
2/14/2013
f
63
11/7/2014
endocrine clinic
endocrine clinic
f
53
1/30/2014
endocrine clinic
f
57
9/16/2014
f
52
9/3/2014
f
70
10/22/2014
f
42
5/22/2014
f
55
11/20/2014
f
55 11/200/14
m
47
11/19/2014
f
57
11/20/2014

DM, HTN or Both


na
na
dm
dm
dm
na
B

htn
dm
b
htn
htn
htn
htn
b
htn

>60yo only HTN goal <150/<90


Hba1c in recent last 3-6 mo
Recent hba1c%
na
y 5.3

y10.5
y7.9
y6.4
na

na
na
na
na
na

BP controlled recent last 3 visits

antiplt rx otc or prescribed >50M or >60F Current Smoker

microalbumin (yearly)

n
y
n
n
na
n
y

n
na
n
n
y
n
n

Check orders + results


na
na
y
y
y
na
y

na

na

7 Y
9.9 y
y
n
n
y
6.4 y
y

N
na
y
na
n
y
na
n

N
n
n
n
n
n
y
y

Y
y
na
na
na
na
y
na

Any age c DM goal <140/<90


y
y
y
n
y
y
6.1 y

FLP (yearly) in dm

Statin given

Ophthal referral?

Ophthal done? Y?

Check orders + results


na
y
na
y
y
y
y

n
n
y
y
y
y

y
y
y
n

will call
will call
will call

will call

Y
y
na
na
na
na
y
y

will call
will call
na
na
na
na
y
y

na

Y
y
y
y
na
na
y
y

Y
y
n
n
n
n
y
y

Called pt about eye dr?