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Table 3 Clinical quality outcome measures

From: A national evaluation of a dissemination and implementation initiative to enhance primary care practice capacity and improve cardiovascular disease care: the ESCALATES study protocol

Measure

Description (CMS e-quality measure, National Quality Forum measure)

Source of data

Proportion of patients in a practice at risk for CVD receiving guideline-concordant care (ABCS)

Data will be reported for the practice overall, and stratified by gender, race, ethnicity, age, and insurance type.

Patients within each practice who are: 18 years of age and older who were discharged alive for acute myocardial infarction, coronary artery bypass graft or percutaneous coronary interventions in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease during the measurement period, and who had documentation of use of aspirin or another antithrombotic during the measurement period (Aspirin, A, CMS164v4, NQF0068)

Medical Record (EHR extraction/chart reviews); collected by Cooperatives; shared with ESCALATES

18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90 mmHg) during the measurement period (Blood Pressure, B, CMS165v4, NQF0018)

High-risk adult patients aged > = 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease; OR adult patients aged > =21 years with a fasting or direct Low-Density Lipoprotein Cholesterol (LDL-C) level > = 190 mg/dL; OR patients aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL; who were prescribed or are already on statin medication therapy during the measurement year (Cholesterol Management, C, CMS347)

18 years and older, who were screened for tobacco use 1or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user (Smoking, S, CMS138v4, NQF0028)

  1. *ABCS data will be collected from baseline through end of Cooperatives' three-year study. Cooperatives will share data with our ESCALATES team quarterly