Key Measures for Diabetes

Record the following information in the manner requested in the appropriate spaces on the Adult Health Schedule scan form. The first column represents the service target, the second column the range of potential responses and the third column the date where a date is required. 

A) Self-Management*

Y or N

Date

B) Hemoglobin A1c Test**

Value

Date

C) Urine test for protein***

Y or N or NA

Date

D) Daily Aspirin Use****

Y or N or NA

Date


*Documented in the chart or elsewhere Diabetes Goal Contract
**At least 2 with the past 12 months taken at least 3 months apart
***At least 1 within the past 12 months
****For all diabetics aged > 30 without contraindication

Measures and Goals for 2002-3 Diabetes Collaborative

Core Measures

Typical levels

Target level

Average HbA1c*

9.0 mg

7.0 mg

Self-Management**

20%

70%

 

 

 

*For Diabetes patients with one HbA1c reading in previous 12 months

**Documented goal setting

Measures are aligned with American Diabetes Association, external reporting requirements such as HEDIS, or other expert guidelines.

Diabetes Collaborative

West Virginia Healthy People 2010

 

 

 

 

Key Measure for Hypertension

Record the following information in the manner requested in the appropriate spaces on the Adult Health Schedule scan form. The first column represents the service target, the second column the range of potential responses and the third column the date where a date is required. 

A) Self-Management*

Y or N

Date

B) BP **

Value

Date

*Documented Sample Cardiovascular (Hypertension) Self-Management tool
Cardiovascular Self-Management & Tips for Good Blood Pressure Control
**BP Documented twice per year

Measures and Goals for 2002-2003 Hypertension (Cardiovascular Collaborative)

Core Measures

Typical levels

Target level

Self Management*

<20%

>70%

BP**

50-70%

>90%

BP <140/90

20-30%

>50%

Cardiovascular Collaborative

West Virginia Healthy People 2010

Key Measures for Asthma

Record the following information in the manner requested in the appropriate spaces on the Adult Health Schedule. The first column represents the service target, the second column the range of potential responses and the third column the date where a date is required. 

Self Management*

Y or N

Date

Peak Flow**

Y or N or NA

Date

Severity Assessment

as noted***

Date


 *Asthma-Patient Self Management Guide  Asthma-Patient Action Plan

**Moderate and Severe persistent asthma patients age ->5

***Mild Intermittent = MI, Mild Persistent = MP, Moderate Persistent = ModP or Severe Persistent = SP

 

 

 

Measures and Goals for Asthma

Core Measures

Typical levels

Target levels

Current severity assessment

<20%

>90%

Self management goal setting

<20%

>70%

Peak Flow Meters*

<40%

>80%

ASTHMA DATA SOURCES

Asthma Collaborative

  West Virginia Healthy People 2010l

Key Measures for Depression

Record the following information in the manner requested in the appropriate spaces on the Adult Health Schedule.

Core Measures

Typical level

Appropriate Goal

Self-Management*

<20

>70

*Documented goal setting in last 12 months

Sample Self-Management Plan Patient Handout Process for Managing Depression

**Depression Screening Sample Hospital Anxiety and Depression Scale (online)

 

 

 

A) Self-Management*

Y or N

Date

B) Evaluation**

Y or /N

Date

 

*CSD (clinically significant depression) is defined as a patient with a diagnosis of depression and an index assessment** (PHQ score) of 10 or greater.

** Index Assessment An index assessment is defined as that assessment which established the patient as having CSD*.

 

West Virginia Healthy People 2010

Healthy People 2010 (Federal)