Primary Care Quality Care Indicators - Accuro EMR Prevention

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1 Quality Indicators Primary Care Quality Care Indicators - Accuro EMR Prevention Data needs to be entered as indicated in order to auto populate the worksheet Date of colon cancer screening Exemption from colon cancer screening Date of last colonoscopy Date of last breast cancer screening Date of last breast cancer screening advice Date of last breast feeding education Exemption from Breast Cancer Screening Date of last cervical cancer screening Date of last cervical cancer screening advice Exemption from cervical cancer screening Date of colon cancer screening advice Date of lipid test Date of Dyslipidemia screening advice Date of last fasting blood sugar test Date of fasting blood sugar screening advice Date of childhood immunization discussed Date of childhood immunization completed Date of last fasting lipid test Date of Most Recent Birth Date of Most Recent Live Birth Date of influenza vaccination Date of influenza counselling Date of Pneumococcal vacations Date of Pneumococcal vacations counselling Date of blood pressure test Date of blood pressure screening advice Is the patient a smoker Sedentary patient Date of physical activity advice Date of last obesity/ Overweight screening Date of smoking cessation advice Date of active depression diagnosis PHQ-2 Date Completion of the Breast Check - Cancer Care Manitoba Form in the forms section Completion of the Cervix Check - CancerCare Manitoba Form in the forms section Completion of the ColonCheck Standard Fax Back Form in the forms section - there is a defect in the EMR Record the immunization in the Immunization Summary Medical Band Completion of the Seasonal Influenza Vaccine (Flu Shot) - Communicable Disease Control Factsheet Form in the forms section Record the immunization in the Immunization Summary Medical Band Completion of the Pneumococcal Polysaccharide Vaccine Pneu-P-23 - Communicable Disease Control Factsheet Form in the forms section Manually record of exercise in the Lifestyle Band Completion of one of the Canadian Physical Activity Guidelines Forms (either English or French) in the forms section Record Height and Weight in the Physical History Lab manually in order to produce the BMI for a client. Completion of the Quit Smoking Tools and Tips Form in the forms section PHQ-2 Q1: During the past month have you had little interest or pleasure in doing things? PHQ-2 Q2: During the past month have you been feeling down or depressed, or hopeless? Depression follow-up assessment date Depression follow-up assessment outcome These are currently not being used in the Indicators and are currently not mapped

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5 Primary Care Qualitay Care Indicators - Accuro EMR Hypertension Quality Indicators Date of last fasting blood sugar test (FBS) Glucose Date of last full fasting lipid test Data needs to be entered as indicated in order to populate the worksheet ICD codes: 4011, 401, 4372, 4019, 4010, 6461, 40599, 405 Record lab result in Labs Section either manually or via the DSM Interface (if in place for your site) Date of last test to detect renal dysfunction Date of last blood pressure testing Date of last obesity/ Overweight screening (Weight) Record weight in Physical History Lab manually

6 Quality Indicators Primary Care Quality Care Indicators - Accuro EMR Coronary Artery Disease (CAD) Data needs to be entered as indicated in order to populate the worksheet ICD 9 codes: 410, 411, 412, 413, 414, 4100, 4140, 4148, 4149, 4292, 41400, 41404, 41405, Date of fasting blood sugar test Date of blood pressure test Date of last obesity/ Overweight screening Date of fasting lipid test LDL Level Date of lipid reduction counselling Date of lipid lower medication prescription Has acute myocardial infarction (Heart Attack) Has current prescription for beta blocker Record Height and Weight in the Physical History Lab manually in order to produce the BMI for a client. Record a lipid modifying agent (ATC C10) as an Active Medication in the Medications section ICD9 code 410 or built in by the vendor Record a beta blocking agent (ATC C07) as an Active Medication in the Medications section

7 Primary Care Quality Care Indicators - Accuro EMR Asthma Quality Indicators Data needs to be entered as indicated in order to populate the worksheet ICD 9 codes: 493, 49390, 49392, 49391, 4939, 49321, 49320, 49382, 49301, 49302, 4930, 49300, 49312, 49311, 4931, # of SABA canisters Prescribed in past 12 months Need to receive this mapping from the vendor as we are unable to map medications Received prevention / Controller medicine in the past 12 months Need to receive this mapping from the vendor as we are unable to map medications Date of last ER visit for Asthma Patient has asthma action plan Completion of the Asthma Action Plan form in the Forms section Date of last asthma action plan review/creation Completion of the Asthma Action Plan form in the Forms section

8 Quality Indicators Date of last ER visit for CHF Date of last obesity/ Overweight screening ACE inhibitors or ARB Date of last full fasting lipid test date of last blood pressure testing Date of last fasting blood sugar test Primary Care Quality Care Indicators - Accuro EMR Congestive Heart Failure Data needs to be entered as indicated in order to auto populate the worksheet ICD 9 codes: 428, 4280, 4289 Record Height and Weight in the Physical History Lab manually in order to produce the BMI for a client. Need to receive this mapping from the vendor as we are unable to map medications

9 Quality Indicators Date of HGB A1C (Lab) Patient has documented nephropathy Date of nephropathy test (Lab) Patient has documented peripheral neuropathy Date of last foot exam Date of last fundoscopic exam Date of last fundoscopic exam referral Date of last full fasting lipid test Date of last blood pressure testing Date of last obesity/ Overweight screening Primary Care Quality Care Indicators - Accuro EMR Diabetes Data needs to be entered as indicated in order to auto populate the worksheet ICD 9 Codes: 250, 2500, 2501, 2502, 2503, 2504, 2505, 25006, 2507, 2509, 3572, 6480, 7742, 24900, 24901, 24910, 24911, 24920, 24921, 24930, 24931, 24940, 24941, 24950, 24951, 24960, 24961, 24970, 24971, 24980, 24981, 24990, 24991, Not currently mapped - This would need to be built in by the vendor with applicable ICD9 codes mapped ICD9 code 356 or built in by the vendor Completion of the Filament Test for Diabetic Feet Form in the forms section Or, record lab results in Labs Section manually Record lab Result(s) in Labs Section manually Record lab Result(s) in Labs Section manually Record Height and Weight in the Physical History Lab manually in order to produce the BMI for a client.