chapter 9. priority populations · 2019. 9. 9. · chapter 9. priority population. s ... 9.5....

Agency for Healthcare Research and Quality

2017 National Healthcare Quality and Disparities Report Measure Specifications | 9-1

Chapter 9. Priority Populations 9.5. Health Resources and Services Administration (HRSA) Measures ..................................... 9-1

9.5.1. Clinical Measures .......................................................................................................... 9-1 9.5.2. Clinical Visits ................................................................................................................ 9-9 9.5.3. Electronic Health Records ........................................................................................... 9-18

9.5. Health Resources and Services Administration (HRSA) Measures 9.5.1. Clinical Measures

Measure ID

90501011

Measure Title

Adults treated at a HRSA supported health centers who received weight screening and follow-up

Measure Source

Health Resources and Services Administration (HRSA), Bureau of Primary Health Care (BPHC), Uniform Data System (UDS)

Table Description

Geographic Representation: State

Years Available: 2011 to 2016

Population Subgroups: State

Data Source

HRSA, BPHC, UDS

Denominator

Adults treated at a HRSA supported health center

Numerator

Subset of the Denominator who with (1) BMI charted and (2) follow-up plan documented if patients are overweight or underweight


9-2 | National Healthcare Quality and Disparities Report Measure Specifications

Measure ID

90501012

Measure Title

Children ages 3-17 treated at a HRSA supported health centers who received weight screening and follow-up

Measure Source


Table Description


Years Available: 2011-2016


Data Source

HRSA, BPHC, UDS

Denominator

Children ages 3-17 treated at a HRSA supported health centers

Numerator

Subset of the Denominator who with a BMI percentile, and counseling on nutrition and physical activity documented for the current year



Measure ID

90501021

Measure Title

Adults ages 18 to 85 treated at a HRSA supported health centers with diagnosed hypertension whose last blood pressure was less than 140/90

Measure Source


Table Description


Years Available: 2008 -2016


Data Source

HRSA, BPHC, UDS

Denominator

Adults ages 18 to 85 treated at a HRSA supported health centers with diagnosed hypertension

Numerator

Subset of the Denominator whose last blood pressure was less than 140/90



Measure ID

90501031

Measure Title

Patients ages 5-40 treated at a HRSA supported health centers with diagnosed asthma who have an acceptable pharmacological treatment plan

Measure Source


Table Description


Years Available: 2011 -2016


Data Source

HRSA, BPHC, UDS

Denominator

Patients ages 5-40 treated at a HRSA supported health centers with diagnosed asthma

Numerator

Subset of the Denominator who have an acceptable pharmacological treatment plan



Measure ID

90501041

Measure Title

Tobacco users aged 18 and above who were screened for tobacco use and received cessation advice or medication

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Adults tobacco users treated at a HRSA supported health center

Numerator

Subset of the Denominator who received cessation advice or medication



Measure ID

90501051

Measure Title

Adults treated at a HRSA supported health centers with appropriate screening for colorectal cancer

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Adults treated at a HRSA supported health center

Numerator

Subset of the Denominator who received appropriate screening for colorectal cancer



Measure ID

90501061

Measure Title

Adults ages 18-75 diagnosed with type I or II diabetes with Hba1c 9% or lower

Measure Source


Table Description


Years Available: 2016


Data Source

HRSA, BPHC, UDS

Denominator

Adults ages 18-75 diagnosed with type I or II diabetes treated at a HRSA supported health centers

Numerator

Subset of the Denominator who with HbA1c level 9% or lower



Measure ID

90501071

Measure Title

Children ages 2 years treated at a HRSA supported health center who received age appropriate vaccines

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Children who had their 2nd birthday during the calendar year treated at a HRSA supported health centers

Numerator

Subset of the Denominator who received age appropriate vaccines



9.5.2. Clinical Visits

Measure ID

90502011

Measure Title

Distribution of visits to HRSA health centers by service category

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Total number of visits to HRSA health centers

Numerator

Number of visits to HRSA health centers by each type of service category, including medical, dental, vision, mental health, substance abuse, enabling, and other services.

Comments

The percentages of this measure are distribution by service category at visit level, not patient level.



Measure ID

90502021

Measure Title

Patients treated at HRSA supported health center who had at least one visit for medical service

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Patients with at least one visit to a HRSA supported health center

Numerator

Subset of the Denominator who had at least one visit for medical service



Measure ID

90502031

Measure Title

Patients treated at HRSA supported health center who had at least one visit for dental service

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Subset of the Denominator who had at least one visit for dental service



Measure ID

90502041

Measure Title

Patients treated at HRSA supported health center who had at least one visit for vision service

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Subset of the Denominator who had at least one visit for vision service



Measure ID

90502051

Measure Title

Patients treated at HRSA supported health center who had at least one visit for mental health service

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Subset of the Denominator who had at least one visit for mental health service



Measure ID

90502061

Measure Title

Patients treated at HRSA supported health center who had at least one visit for substance abuse service

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Subset of the Denominator who had at least one visit for substance abuse service



Measure ID

90502071

Measure Title

HRSA supported health center clinic visits where services where provided by a physician

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Number of visits to a HRSA supported health centers

Numerator

Subset of the Denominator where services were provided by a physician



Measure ID

90502081

Measure Title

HRSA supported health center services provided by a nurse practitioners, a physician assistants, or a certified nurse midwife

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Subset of the Denominator who received services provided by a nurse practitioners, a physician assistants, or a certified nurse midwife



Measure ID

90502082

Measure Title

HRSA supported health center services provided by a nurse

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Subset of the Denominator who received services provided by a nurse



9.5.3. Electronic Health Records

Measure ID

90503021

Measure Title

HRSA supported health centers with electronic health record system with capacity to provide patients with electronic summaries of office visits or other clinical information when requested

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator

Total number of HRSA supported health centers

Numerator

Number of HRSA supported health centers with EHR capacity to provide patients with electronic summaries of office visits or other clinical information when requested



Measure ID

90503051

Measure Title

HRSA supported health centers with computerized, clinical decision support such as alerts for drug allergies, checks for drug-drug interactions, reminders for preventive

screening tests, or other similar functions

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Number of HRSA supported health centers with EHR capacity to provide clinical decision support such as alerts for drug allergies, checks for drug-drug interactions, reminders for preventive screening tests, or other similar functions



Measure ID

90503071

Measure Title

HRSA supported health centers with electronic health record system installed

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Number of HRSA supported health centers with electronic health record system installed



Measure ID

90503081

Measure Title

HRSA supported health centers with electronic health record system installed with capability to exchange key clinical information among providers of care and patient-authorized entities electronically

Measure Source


Table Description




Data Source

HRSA, BPHC, UDS

Denominator


Numerator

Number of HRSA supported health centers that had a EHR system with a component to exchange clinical information with other key providers/health care settings such as hospitals, emergency rooms, or subspecialty clinicians

chapter 9. priority populations · 2019. 9. 9. · chapter 9. priority population. s ... 9.5....

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