Table 1 A-TRIP quality indicators and eligibility criteria

Process Measures

BP monitoring

All adults

Within past 6 months (DM or HTN); otherwise within past 2 years

Total cholesterol measurement

All adults

Within past 5 years

HDL measurement

All adults

Within past year (DM); otherwise within past 5 years

LDL measurement

DM, CHD, or other atherosclerotic disease

Within past year

Triglyceride measurement

DM

Within past year

HgbA1C measurement

DM

Within past 6 months

Pap test

Women without hysterectomy who are > = 18 years old but 65 years old

Within past 3 years

FOBC, Sigmoidoscopy, or Colonoscopy

Age > = 50

FOBC within past year, or sigmoidoscopy within past 5 years, or colonoscopy within past 10 years

Mammogram

Women > = 40 years old

Within past 2 years

Td vaccine

Age > = 12

Within past 10 years

Flu vaccine

Age > = 65 or [Age > = 18 and (DM, Asthma, COPD, CHD, HF, renal disease, or alcohol abuse)]

Within past year

Pneumococcal vaccine

Age > = 65 or [Age > = 18 and (DM, Asthma, COPD, CHD, HF, renal disease, or alcohol abuse)], different frequencies

Ever

Hep A vaccines (n> = 2)

Liver disease

Ever

Chlamydia screening

Women 16–25 years old

Within past year

Depression screening

Age > = 18

Within past 2 years

Alcohol screening

Age > = 18

Within past 2 years

Alcohol counseling

Alcohol abusers

Within past year

Tobacco counseling

Smokers

Within past year

Diagnosing HTN

Adults with 3 BPs > 140/90 mmHg in past year

Diagnosis of HTN

Blood glucose test

Obesity

Within past year

Diet/nutritional counseling

Obesity, HTN, hyperlipidemia, or DM

Within past year

ACE or ARB

(DM and HTN) or HF

Active ACE or ARB Rx

Lipid lowering Rx

CHD or other ASD

Active lipid lowering Rx

Beta blocker

HF

Active beta blocker Rx

Anti-thrombotic agent

AF or (> 40 years old and one or more of the following: HTN, hyperlipidemia, DM, other atherosclerotic disease)

Active aspirin or warfarin Rx (AF patients); otherwise active aspirin Rx

Anti-inflammatory agent

Asthma

Active anti-inflammatory agent Rx

Anti-depressant

Depression

Active anti-depressant Rx

Urinary microalbumin

DM

Within past year

Prescriptions with contraindications

Antibiotic agents

URI, pharyngitis, or bronchitis in past month

Antibiotic Rx within 3 days of visit for URI, pharyngitis, or bronchitis

Use of any drug that's always inappropriate

Age > = 65

Active always inappropriate Rx

Use of any drug that's rarely appropriate

Age > = 65

Active rarely appropriate Rx

Outcome Measures

BP control

DM, HTN

< 130/80 mmHg (DM) or < 140/90 mmHg (HTN)

HDL control

DM

> 45 mg/Dl

LDL control

DM, CHD, or other atherosclerotic disease

< 100 mg/Dl

Triglyceride control

DM

< 150 mg/Dl

HgbA₁C control

DM

< 7%