MeasureHFM MetricsURMC Dashboard MetricsN Number of eligible patients who have received PPV23 as recommendedN Number of eligible patients who have received PPV23 asD All patients between 5075 with an ID: 894995
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1 MeasureBaselineGoalHFM Q3 RateCompared t
MeasureBaselineGoalHFM Q3 RateCompared to Q2URMC (11/4/15)* MeasureHFM MetricsURMC Dashboard MetricsN: Number of eligible patients who have received PPV23 as recommended.N: Number of eligible patients who have received PPV23 asD: All patients between 50-75 with an office visit in the last 12 monthsD: All patients between 50-75N: Patients with the most recent HbA1C N: Patients with the most recent HbA1C D: All patients wit
2 h a diagnosis of Hypertension with an of
h a diagnosis of Hypertension with an office visit in the last 36 monthsD: All patients with a diagnosis of 60%54%55%54%54%55%65%67%65%71%Baseline54%54%54%54%54%54%54%54%54%54%54%54%Goal60%60%60%60%60%60%60%60%60%60%60%60%Pneumovax51%57%57%56%63%63%68%60%62%Baseline51%51%51%51%51%51%51%51%51%51%51%51%Goal55%55%55%55%55%55%55%55%55%55%55%55%PHQ Surveys13%10%16%19%40%62%58%72%74%64%Baseline13%13%13%13%13%13%13%13%13%13%13%
3 13%Goal35%35%35%35%35%35%35%35%35%35%35%
13%Goal35%35%35%35%35%35%35%35%35%35%35%35%Colonoscopy22%23%24%26%28%30%32%34%36%44%Baseline22%22%22%22%22%22%22%22%22%22%22%22%Goal40%40%40%40%40%40%40%40%40%40%40%40%Flu Vaccine32%29%34%36%37%31%34%35%35%37%Baseline32%32%32%32%32%32%32%32%32%32%32%32%Goal35%35%35%35%35%35%35%35%35%35%35%35%Januvia696781848289969994102Baseline696969696969696969696969Goal505050505050505050505050Mammograms49%Baseline56%56%56%56%56%56%56%56
4 %56%56%56%56%78%79%76%58%52%53% Hyperten
%56%56%56%56%78%79%76%58%52%53% Hypertension64%67%68%66%64%59%Baseline64%64%64%64%64%64%Goal70%70%70%70%70%70%Lead33%44%43%67%32%42%41%40%33%32%48%34%40%32%Baseline42%42%42%42%42%42%42%42%42%42%42%42%42%42%Goal45%45%45%45%45%45%45%45%45%45%45%45%45%45%Readmission6%4%11%16%5%7%6%12%10%8%11%11%20%14%6%9%8%8%10%12%13%Baseline15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%15%Goal10%10%10%10%10%10%10%10%10%10%10%1
5 0%10%10%10%10%10%10%10%10%10% 2013201320
0%10%10%10%10%10%10%10%10%10% 201320132013201420142014201420152015% of Patients with HbA1C 0 Baseline Goal 201320132013201420142014201420152015% Eligible Patients who Received Pneumovax Goal Baseline 201320132013201420142014201420152015% Eligible Patients Screened for Depression Goal Baseline 201320132013201420142014201420152015% Eligible Patients who Received Colonoscopies Goal Baseline 2013201320132014201420142014201520
6 15% Patients who Received Flu Vaccine Go
15% Patients who Received Flu Vaccine Goal Baseline 201320132013201420142014201420152015# of Patients Prescribed Januvia Goal Baseline June2013December2013June2014December2014June2015% Hypertensives with Controlled BP Goal Baseline Aug2014Sept2014Oct2014Nov2014Dec2014Jan2015Feb2015Mar2015Apr2015May2015June2015July2015Aug2015Sept2015% 12-15 mos Screened for Lead Goal Baseline Jan2014Feb2014Mar2014Apr2014May2014Jun2014July2
7 014Aug2014Sept2014Oct2014Nov2014Dec2014J
014Aug2014Sept2014Oct2014Nov2014Dec2014Jan2015Feb2015Mar2015Apr2015May2015June2015July2015Aug2015Sept201530 day Readmission Rates to Highland Hospital Goal Baseline Pneumovax RatesInfluenza RatesColonoscopy CompletionDiabetics with HbA1C Hypertensives with Controlled BP (JNC8 Standard)Depression Screening RatesLead Screening Rates (12-15 mos)51%32%35%54%64%18%42%55%35%40%60%70%35%45%60%35%36%65%64%74%38%26%8%0%81%#N/A33%2
8 7%25%60%68%#N/A65%36%86%50%31%9%50%63%52
7%25%60%68%#N/A65%36%86%50%31%9%50%63%52%#N/A29%28%89%#N/A37%43%56%56%65%46%55%#N/A81%38%59%59%65%91%#N/A Pneumovax RatesInfluenza RatesColonoscopy CompletionDiabetics with HbA1C Hypertensives with Controlled BP (JNC8 Standard)Depression Screening RatesLead Screening Rates (12-15 mos) 69%42%59%37%80%50%57%41%46%60%89%50%73%48%65%41%28%55%62%28%33%43%30%23%47%57%37%48%71%14%8%8%50%50%69%#N/A29%30%76%100%#N/A36%45%53%54%79%