At Risk Measures

ACO 15 - Pneumonia Vaccination Status for Older Adults

ACO 30 - IVD: Use of Aspirin or Another Antithrombotic

ACO 33 - Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF less than 40%)

CHP Custom - Rolling Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Colorectal Cancer Screening

Comprehensive Diabetes Care (CDC) Hemoglobin A1c (HbA1c) Testing

HEDIS 2014 - Cholesterol Management for Patients With Cardiovascular Conditions - LDL Controlled

Comprehensive Diabetes Care (CDC) LDL-C Screening

HEDIS 2015 - Cervical Cancer Screening (CCS)

HEDIS 2015 - Controlling High Blood Pressure (CBP)

TX Custom - Rolling Comprehensive Diabetes Care (CDC) LDL-C control (less than 100 mg/dl)

(Explorys Custom) Wellness Visits for Patients 65 and older (Past 12 months)

ACO 17 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Comprehensive Diabetes Care (CDC) HbA1c control (less than 8.0%)

Comprehensive Diabetes Care (CDC) Medical Attention for Nephropathy

HEDIS 2015 - Breast Cancer Screening (BCS)

HEDIS 2015 - Comprehensive Diabetes Care (CDC) HbA1c poor control (greater than 9.0%)