NQMC Update Service: July 22, 2013

NQMC Update Service: July 22, 2013

July 22, 2013

NQMC Update Service: July 22, 2013

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 07/22/2013 12:16 PM EDT

July 22, 2013

New This Week

Measure Summaries

Institute for Clinical Systems Improvement

• Hypertension diagnosis and treatment: percentage of hypertensive patients age 18 and older with a blood pressure reading at clinician visit. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of hypertensive patients who receive education on the usage of non-pharmacological treatments. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of hypertensive patients with a home blood pressure monitoring device who have been educated in the correct technique for blood pressure measurement and monitoring. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of patients over age 60 years with isolated systolic hypertension on drug therapy with a blood pressure reading greater than 150 mmHg systolic who have a plan of care. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of patients over age 60 years with isolated systolic hypertension on drug therapy with a blood pressure reading of less than 150 mmHg systolic. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of type 2 diabetes patients with a blood pressure reading of greater than 140/85 mmHg who have a plan of care. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of type 2 diabetes patients with a blood pressure reading of less than 140/85 mmHg. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of uncomplicated hypertensive adult patients age 18 to 60 years with a blood pressure reading of less than 140/90 mmHg. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of uncomplicated hypertensive patients age 18 through 60 with a blood pressure reading of greater than 140/90 mmHg who have a plan of care. This updates a previously published measure summary.

• Hypertension diagnosis and treatment: percentage of uncomplicated hypertensive patients age 18 through 60 years with blood pressure greater than 140/90 mmHg and on medication who have a change in pharmacological therapy (e.g., increase in dose of initial drug, change to a drug from another class or addition of a second drug from another class). This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients on prescribed heparin or low-molecular-weight heparin who have appropriate ongoing laboratory tests drawn and used to adjust therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients receiving heparin therapy for VTE prophylaxis who have a baseline platelet count before starting heparin and then a platelet count every other day over the course of 14 days. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients who have a VTE risk assessment within 24 hours of admission. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of adult hospitalized patients with creatinine clearance less than 30 mL/min in the medical record who receive a reduced dose of anticoagulation therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of discharged patients who are readmitted to the hospital with VTE within 30 days of discharge. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients at risk for VTE who have VTE education within 24 hours of admission that includes 1) VTE risk, 2) signs and symptoms, 3) early and frequent mobilization, and 4) clinically appropriate treatment/prophylaxis methods. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients on prescribed heparin or low-molecular-weight heparin who have appropriate baseline laboratory tests documented. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients on warfarin for whom current international normalized ratio is used to monitor and adjust therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients who are evaluated for VTE prophylaxis upon referral or transfer to another setting, service, practitioner or level of care within or outside the organization. This updates a previously published measure summary.

• Venous thromboembolism (VTE) prophylaxis: percentage of hospitalized patients who have a baseline international normalized ratio when initially prescribed warfarin. This updates a previously published measure summary.