36C24219R0013-027.pdf

RFP 36C24219R0013

D.33 SAMPLE CBOC DASHBOARD, CURRENT PERFORMANCE MEASURES, AND EXTERNAL PEER REVIEW

PROGRAM (EPRP) INFORMATION

The following is a sample of the VAWNYHS CBOC Dashboard (subject to revision) that Contractors will be able to access:

The following is a list of the currently available Electronic Technical Manual (eTM) Performance Measures:

Status

Mnemonic

Measure Name

Active acr1

All Cause Readmission

Active ami8a_ec

Primary PCI Received Within 90 Minutes of Hospital Arrival (eMeasure)

Active bfs3

Bereaved Family Survey (rolling 12 mo)

Active bh90

Composite - Behavioral Health Screening

Active c12

AMI - Outpt ASA at most recent visit

Active c13

AMI - Outpt beta blockers at most recent visit

Active c5

DM - Outpt Foot Inspection

Active c6

DM - Outpt Foot pedal pulses

Active c7n

DM - Outpt - Foot sensory exam using monofilament

Active c9h

DM - Outpt - HbA1c Annual

Active c9h_ec

DM - Outpt - HbA1c Annual ( eMeasure )

Active cas1

CA1 Submission Timeliness

Active cbi0

CBI Scorecard- Composite Score

Active cbi56

Response to CBI Metric Underperformance

Active cbi64

E&M Coding Outliers: New Patient javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=563&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=563&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3363&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) 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javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1608&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1609&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1609&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1623&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1623&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1624&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1624&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1625&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1625&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=87&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=87&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3210&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) 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javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=5&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=5&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=554&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=554&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3438&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3438&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px'))

Active cemp99

Comprehensive Emergency Management Program (CEMP)

Active chf14

HF - Outpt - LVEF LT 40 on ACEI or ARB

Active chf7

HF - Outpt LVF documented

Active chl1

Chlamydia Screening in Women ages 18-24

Active chpa1

% Traditional Non-VA care provided through Choice Provider Agreements

Active clab6

CLABSI - ICU and non ICU

Active clab7

CLABSI - ICU

Active clab8

CLABSI - Non-ICU

Active con5

Active Consults lt 30 days

Active con6

STAT Consults appointed within 48 hrs

Active con7

Consults Pending lt or equal to 2 Business days

Active cont3

Continuity of MH Care

Active cpe6

Rating Quality Audit Review

Active cpe7

C&P Exam Timeliness

Active cpo1

Project Obligations

Active csra1

Timely VA Comprehensive Suicide Risk Assessment

Active csra2

Evidence of Clinical Impression of Acute Risk on VA CSRA javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3016&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3016&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1595&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1595&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1594&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=1594&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3473&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3473&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3361&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3361&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3011&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3011&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3009&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3009&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3010&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3010&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3353&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3353&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3354&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3354&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3457&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3457&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3449&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3449&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=526&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=526&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=2915&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=2915&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=34&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=34&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3485&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3485&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3486&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3486&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px'))

Active csra3

Evidence of Clinical Impression of Chronic Risk on VA CSRA

Active csra4

Evidence of Risk Mitigation on VA CSRA

Active cvrm1

Diabetes - CV Risk Management

Active cvrm2

Cardiovascular disease (CV) Risk Management

Active dc10

Smoothing Discharges Within the Day

Active delsf12

Change in symptoms in the first 90 days of mental health treatment (SF-12)

Active dent2

Fluoride Treatment for Patients at High Risk for Dental Caries (Comprehensive Dental Care for Veterans)

Active dent3

Periodic Oral Evaluation (Comprehensive Dental Care for Veterans)

Active dent4

Periodontal or Preventive Maintenance/Recall (Comprehensive Dental Care Veterans)

Active dent5

Primary Care Dental Provider Assignment (Comprehensive Dental care Veterans)

Active dmg11h_ec

Outpt HbA1c less than 7 ( eMeasure )

Active dmg12h_ec

Outpatient HbA1c less than 8 ( eMeasure )

Active dmg23h

DM: HbA1c poor control (OP)

Active dmg23h_ec

DM: HbA1c poor control ( eMeasure )

Active dmg27h

DM: BP LT 140/90 (OP)

Active dmg27h_ec

DM: BP LT 140/90 ( eMeasure )

Active dmg31h

DM: Retinal exam, timely by disease (OP) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3487&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3487&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) javascript:void(window.open('http://vaww.rs.rtp.med.va.gov/ReportServer/Pages/ReportViewer.aspx?%2fPerformance+Reports%2fMeasure+Management%2fMeasure&Measure=3488&Year=2018&rs:Command=Render','_blank','height=800px,left=1px,location=yes,menubar=yes,resizable=yes,scrollbars=yes,toolbar=yes,top=1px,width=1200px')) 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Active dmg34h

DM: Renal Testing (OP)

Active dmg34h_ec

DM: Medical attention for nephropathy - Renal Testing (OP)(eMeasure)

Active dmg40

Blood Pressure Management- DM

Active dmg51

DM: ASA included in current meds ages 50-59 (OP)

Active dmg52

DM: ASA included in current meds ages 60-69 (OP)

Active dmg53

DM: ASA included in current meds ages 50-69 (OP)

Active dmg90_ec

Electronic Composite - Diabetes

Active dms40_ec

PHQ-9 Utilization ( eMeasure )

Active dms40a_ec

PHQ-9 Utilization Rate (ages 18-44) ( eMeasure )

Active dms40b_ec

PHQ-9 Utilization Rate (ages 45-64) ( eMeasure )

Active dms40c_ec

PHQ-9 Utilization Rate (ages 65+) ( eMeasure )

Active e5eoc1

Percentage of deficiencies identified during EOC rounds that are closed timely.

Active e5eoc2

Percentage of times Senior Management Team (or designee) attends EOC rounds

Active e5eoc5

Percentage of times Facility Team Members attend EOC Rounds

Active eai1

Equipment Accountability

Active ed1

Admitted Pts Median Time ED arriv to ED depart-overall

Active ed1_ec

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Active ed10

ED/UCC - Reduce Door to triage time

Active ed11

ED/UCC - Reduce door to doc time

Active ed2

Admitted Pts Median Time ED arriv to ED depart- rpt

Active ed4

Admitted Pts Median Time ED arriv to depart-MH

Active ed5

Decision to Admit time to ED depart- overall

Active ed5_ec

Decision to Admit time to ED depart- overall

Active ed6

Decision to Admit time to ED depart- rpt

Active ed7

Decision to Admit time to ED depart-MH

Active ed8

Reduce median ED / UCC LOS for non-admitted pts

Active ed9

ED/UCC- Left without being seen (LWOBS)

Active eeo10

Composite: EEO/Diversity

Active eeo2

EEO, Affirmative Employment, Diversity and Inclusion Program

Active emp2

Employment at discharge from VA `Grant` and Per-Diem homeless residential programs

Active esat1

Employee Satisfaction in Primary Care

Active expc1

Experiences of MH Care

Active fe1

FE - Outpt - Screening for UI in past 12m

Active fe3

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