QRDA Incidence Report 1200 Sanders Lane Rockville MD 20850 Jody Jones WorldVistA Test Clinic 123 Maple Ave Gaithersburg MD 20877 World VistA Test Clinic WorldVistA Test Clinic Dr. Nancy Anthracite 123 Maple Ave Gaithersburg MD 20877 Nancy Anthracite MD 123 Maple Ave Gaithersburg MD 20877 Nancy Anthracite MD
Measure set: CMS EHR Measure Set 2010 Measures Set Measures
Measure Section CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older CMS Measure #112: Preventive Care and Screening: Screening Mammography CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR) CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0% Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL) Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg) Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February) Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR) Documents whether provider has adopted and is using ePrescribing
Reporting Parameters Reporting Period Jan 1, 2010 to Dec 31, 2010
Patient Data
Problems
Condition Effective Dates Condition Status
Diabetes mellitus 1995 Active/Chronic
Congestive Heart Failure 2007 Active/Chronic
Myocardial Infactioon 1996 Resolved
Medications
Medication Date Status Form Strength Quantity SIG Refills Prescribed by
GLYBURIDE-METFORMIN 2.5 mg-500 mg oral tablet 7-3-2010 ACTIVE TABLET 2.5/500 MG 90 TAB ONE BY MOUTH Q12H two Nancy Anthracite, MD
ATENOLOL 100MG TAB 7-3-2010 ACTIVE TAB 100 MG 90 TAB ONE TAB (BY MOUTH) QD TWO Nancy Anthracite, MD
LISINOPRIL 20MG TAB 7-3-2010 ACTIVE TAB 20 MG 90 TAB 20 MG ORAL (BY MOUTH) QAM 2 Nancy Anthracite, MD
glyburide-metformin atenolol lisinopril
Results
Test Date Result Ref. Range
Calculated LDL 7-3-2010 LDL CHOLESTEROL 90 MG/DL 0-130
HEMOGLOBIN A1C 9.1 percent H 7-3-2010 A1C 9.1 percent H 3.5-6.0
EJECTION FRACTION 20100210 39% 55-75
0-130 3.5-6.0 LEFT VERTRICULAR EJECTION FRACTION 55-75
Procedures
Procedure Date Ordered By Performed By
Mammogram 2-10-2010 Nancy Anthracite, MD Grover, Christie & Merritt
Colonoscopy 2-18-2010 Nancy Anthracite, MD John Gallager, MD
History of Immunizations
Vaccine Date Status
Influenza virus vaccine, split Oct. 15. 2009 Completed
Pneumococcal vaccine Jan. 10,2010 Completed
INFLUENZA VIRUS VACCIINE, SPLIT
PNEUMOCCAL VACCINE
Vital Signs
Date Vital Sign Result Source
2-5-2010 Systolic Blood Pressure 130 WorldVistA Test Clinic
2-5-2010 Diastolic Blood Pressure 78 WorldVistA Test Clinic
2-5-2010 Heart Rate 55 WorldVistA Test Clinic
7-3-2010 Systolic Blood Pressure 128 WorldVistA Test Clinic
7-3-2010 Diastolic Blood Pressure 80 WorldVistA Test Clinic
7-3-2010 Heart Rate 57 WorldVistA Test Clinic
Structured data section
Certified System Used System Type Certification Type Encounter Date Used
WorldVistA EHR EHR CCHIT Certified 2-5-2010
WorldVistA EHR EHR Qualified System 7-3-2010
Allscripts eRx Qualified 7-3-2010
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Payer name Group/Type Primary Policy Owner/Responsible Party Covered party ID Payor Telephone Electronic Claims Payor Number Authorized
Mail Handlers Benefit Plan 454 Jody Jean Jones 8888888 1-800-410-7778 62413 Colonoscopy
Medicare Jody Jean Jones 002003004 Colonoscopy
Mail Handler Benefit Plan CMS