DOQ-IT Quality Measures

DOQ-IT focuses on improving outcomes in five areas:

• Coronary Artery Disease
• Diabetes Mellitus
• Heart Failure
• Hypertension
• Preventive Care

The quality measures are summarized below. Detailed specifications are available at Quality Net. Ultimately DOQ-IT participating practices will report these measures by way of a standardized EHR platform to a QIO Clinical Warehouse. The QIO Clinical Warehouse will receive, review and validate electronically transmitted information regarding practitioner performance and identify opportunities for improvement. The clinical measures that will be used to track progress and improvement in the DOQ-IT project are:

Coronary Artery Disease

• ACE Inhibitor Therapy
• Antiplatelet Therapy
• Beta-Blocker Therapy-Prior MI
• Blood Pressure
• Drug Therapy for Lowering LDL Cholesterol
• LDL Cholesterol Level
• Lipid Profile

Diabetes Mellitus

• Blood Pressure Management
• Eye Exam
• Foot Exam
• HbA1c Management
• HbA1c Management Control
• LDL Cholesterol Level
• Lipid Measurement
• Urine Protein Testing (More information on screening for chronic kidney disease is available at National Kidney Disease Education Program Clinical Practice Guidelines)

Heart Failure

• ACE Inhibitor Therapy
• Beta-Blocker Therapy
• Blood Pressure Screening
• Left Ventricular Function (LVF) Assessment
• Left Ventricular Function (LVF) Testing
• Patient Education
• Warfarin Therapy for Patients with Atrial Fibrillation
• Weight Measurement

Hypertension

• Blood Pressure Control
• Blood Pressure Screening
• Plan of Care

Preventive Care

• Blood Pressure Measurement
• Breast Cancer Screening
• Colorectal Cancer Screening
• Influenza Vaccination
• LDL Cholesterol Level
• Lipid Measurement
• Pneumonia Vaccination
• Tobacco Cessation
• Tobacco Use