QRDA Incidence Report Landy Ford 45 Easter Ave. Rockville MD 20850 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 CMS Measure #39: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older CMS Measure #47: Advance Care Plan CMS Measure #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older CMS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up CMS Measure #173: Preventive Care and Screening: Unhealthy Alcohol Use - Screening CMS Measure #0013: Hypertension (HTN): Blood Pressure Measurement - QRDA Cat I template CMS Measure #0022: Drugs to be avoided in the Elderly CMS Measure #0024: Body Mass Index (BMI) 2 through 18 years of age CMS Measure #0028: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Measure #0038: Childhood Immunization Status - QRDA Cat I template 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 Percentage of patients who had a DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months before the end of the measurement period Percentage of patients age 65 and older who have an advanced care plan or surrogate decision maker documented in the medical record or documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. Percentage of patients equal to or older than 65 years of age at the beginning of the measurement perion who were assesed for the presence or absence of urinary incontinence within 12 months. Percentage of patients aged 18 yesrs and older with a calculate BMI in the past 6 months or during the current visit documented in the medical record and if the most recent BMI is ourtide parameters, a follow-up plan is documented. Ages 65 and older BMI equal to or greater than 30 or less than 22 and ages 18-64, BMI greater than or equal to 25 or less than 18.5 Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic method within 24 months Percentage of patients aged 18 years and older with a diagnosis of hypertension in the beginning of the measurement period with a blood pressure recoreded. Percentage of patients aged 65 years and older who received at least one drug to be acoided in the elderly and/or two different drugs to be avoided in the elderly in the measurement period Percentage of children 2-18 years of age at the beginning of the measurement period whose weight is classified based on BMI percentile for age and gender. Percentage of patients aged 18 years of older who were screened about tobacco use at least once during the two year measurement preoid AND who received cessation counseling if identified as a tobacco user. Percentage of children who turn two years of age during the measurement period who have had four DTaP/DT, three IPV, one MMR and three H influenza type B, three hepatitis B, one chicken pox vaccine (VZV) and four pneumococcal conjugate vaccines by their second birthday 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 2001 Active/Chronic
Congestive Heart Failure 2003 Active/Chronic
Myocardial Infactioon 2003 Resolved
Medications
Medication Date Status Form Strength Quantity SIG Refills Prescribed by
GLYBURIDE-METFORMIN 5.0 mg-500 mg oral tablet 7-1-2010 ACTIVE TABLET 5.0/500 MG 90 TAB ONE BY MOUTH Q12H two Nancy Anthracite, MD
ATENOLOL 50MG TAB 7-1-2010 ACTIVE TAB 50 MG 90 TAB ONE TAB (BY MOUTH) QD TWO Nancy Anthracite, MD
LISINOPRIL 10MG TAB 7-1-2010 ACTIVE TAB 10 MG 90 TAB ONE TAB ORAL (BY MOUTH) QAM 2 Nancy Anthracite, MD
glyburide-metformin atenolol lisinopril
Results
Test Date Result Ref. Range
Calculated LDL 7-1-2010 LDL CHOLESTEROL 95 MG/DL 0-130
HEMOGLOBIN A1C 7-1-2010 A1C 9.3 percent H 3.5-6.0
EJECTION FRACTION 20100207 38% 55-75
0-130 3.5-6.0 LEFT VERTRICULAR EJECTION FRACTION 55-75
Procedures
Procedure Date Ordered By Performed By
Mammogram 2-07-2010 Nancy Anthracite, MD Grover, Christie & Merritt
Colonoscopy 3-17-2010 Nancy Anthracite, MD John Gallager, MD
History of Immunizations
Vaccine Date Status
Influenza virus vaccine, split Nov 2 2009 Completed
Pneumococcal vaccine Feb 7,2010 Completed
INFLUENZA VIRUS VACCIINE, SPLIT
PNEUMOCCAL VACCINE
Vital Signs
Date Vital Sign Result Source
2-10-2010 Systolic Blood Pressure 115 WorldVistA Test Clinic
2-10-2010 Diastolic Blood Pressure 78 WorldVistA Test Clinic
2-10-2010 Heart Rate 64 WorldVistA Test Clinic
7-1-2010 Systolic Blood Pressure 117 WorldVistA Test Clinic
7-1-2010 Diastolic Blood Pressure 79 WorldVistA Test Clinic
7-1-2010 Heart Rate 67 WorldVistA Test Clinic
Structured data section
Certified System Used System Type Certification Type Encounter Date Used
WorldVistA EHR EHR CCHIT Certified 2-10-2010
WorldVistA EHR EHR Qualified System 7-1-2010
Allscripts eRx Qualified 7-1-2010
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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
Mail Handler Benefit Plan CMS