#1Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus
#2Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus
#3Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus
#5Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
#6Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD
#7Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI)
This measure may be submitted via registry only.
#8Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
#9Major Depressive Disorder (MDD): Antidepressant Medication During Acute Phase for Patients with MDD
#10Stroke and Stroke Rehabilitation: Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) Reports
#11Stroke and Stroke Rehabilitation: Carotid Imaging Reports
#12Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation
#14Age-Related Macular Degeneration (AMD): Dilated Macular Examination
#18Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
#19Diabetic Retinopathy: Communication with the Physician Managing On-going Diabetes Care
#20Perioperative Care: Timing of Antibiotic Prophylaxis - Ordering Physician
#21Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
#22Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures)
#23Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
#24Osteoporosis: Communication with the Physician Managing On-going Care Post-Fracture
#28Aspirin at Arrival for Acute Myocardial Infarction (AMI)
#30Perioperative Care: Timing of Prophylactic Antibiotics - Administering Physician
#31Stroke and Stroke Rehabilitation: Deep Vein Thrombosis Prophylaxis (DVT) for Ischemic Stroke or Intracranial Hemorrhage
#32Stroke and Stroke Rehabilitation: Discharged on Antiplatelet Therapy
#33Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation at Discharge
This measure may be submitted via registry only.
#34Stroke and Stroke Rehabilitation: Tissue Plasminogen Activator (t-PA) Considered
#35Stroke and Stroke Rehabilitation: Screening for Dysphagia
#36Stroke and Stroke Rehabilitation: Consideration of Rehabilitation Services
#39Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older
#40Osteoporosis: Management Following Fracture
#41Osteoporosis: Pharmacologic Therapy
#43Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery
#44Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery
#45Perioperative Care: Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)
#46Medication Reconciliation: Reconciliation After Discharge from an Inpatient Facility
Description/Worksheet PDFs are not available.Registry OK.
#47Advance Care Plan
#48Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
#49Urinary Incontinence: Characterization of Urinary Incontinence in Women Aged 65 Years and Older
#50Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
#51Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
#52Chronic Obstructive Pulmonary Disease (COPD): Bronchodilator Therapy
#53Asthma: Pharmacologic Therapy
#5412-Lead Electrocardiogram (ECG) Performed for Non-Traumatic Chest Pain
#5512-Lead Electrocardiogram (ECG) Performed for Syncope
#56Community-Acquired Pneumonia (CAP): Vital Signs
#57Community-Acquired Pneumonia (CAP): Assessment of Oxygen Saturation
#58Community-Acquired Pneumonia (CAP): Assessment of Mental Status
#59Community-Acquired Pneumonia (CAP): Empiric Antibiotic
#64Asthma: Asthma Assessment
#65Treatment for Children with Upper Respiratory Infection (URI): Avoidance of Inappropriate Use
#66Appropriate Testing for Children with Pharyngitis
#67Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow
#68Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy
#69Multiple Myeloma: Treatment with Bisphosphonates
#70Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry
#71Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer
#72Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients
#76Prevention of Catheter-Related Bloodstream Infections (CRBSI): Central Venous Catheter (CVC) Insertion Protocol
#79End Stage Renal Disease (ESRD): Influenza Immunization in Patients with ESRD
#81End Stage Renal Disease (ESRD): Plan of Care for Inadequate Hemodialysis in ESRD Patients
This measure may be submitted via registry only.
#82End Stage Renal Disease (ESRD): Plan of Care for Inadequate Peritoneal Dialysis
This measure may be submitted via registry only.
#83Hepatitis C: Testing for Chronic Hepatitis C - Confirmation of Hepatitis C Viremia
#84Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment
#85Hepatitis C: HCV Genotype Testing Prior to Treatment
#86Hepatitis C: Antiviral Treatment Prescribed
#87Hepatitis C: HCV Ribonucleic Acid (RNA) Testing at Week 12 of Treatment
#89Hepatitis C: Counseling Regarding Risk of Alcohol Consumption
#90Hepatitis C: Counseling Regarding Use of Contraception Prior to Antiviral Therapy
#91Acute Otitis Externa (AOE): Topical Therapy
#92Acute Otitis Externa (AOE): Pain Assessment
#93Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
#94Otitis Media with Effusion (OME): Diagnostic Evaluation - Assessment of Tympanic Membrane Mobility
#95Otitis Media with Effusion (OME): Hearing Testing
#99Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade
#100Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade
#102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients
#104Prostate Cancer: Adjuvant Hormonal Therapy for High-Risk Prostate Cancer Patients
#105Prostate Cancer: Three-Dimensional (3D) Radiotherapy
#106Major Depressive Disorder (MDD): Diagnostic Evaluation
#107Major Depressive Disorder (MDD): Suicide Risk Assessment
#108Rheumatoid Arthritis (RA): Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy
#109Osteoarthritis (OA): Function and Pain Assessment
#110Preventive Care and Screening: Influenza Immunization for Patients = 50 Years Old
#111Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older
#112Preventive Care and Screening: Screening Mammography
#113Preventive Care and Screening: Colorectal Cancer Screening
#114Preventive Care and Screening: Inquiry Regarding Tobacco Use
#115Preventive Care and Screening: Advising Smokers to Quit
#116Antibiotic Treatment for Adults with Acute Bronchitis: Avoidance of Inappropriate Use
#117Diabetes Mellitus: Dilated Eye Exam in Diabetic Patient
#118Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Patients with CAD and Diabetes and/or Left Ventricular Systolic Dysfunction (LSVD)
#119Diabetes Mellitus: Urine Screening for Microalbumin or Medical Attention for Nephropathy in Diabetic Patients
#121Chronic Kidney Disease (CKD): Laboratory Testing (Calcium, Phosphorus, Intact Parathyroid Hormone (iPTH) and Lipid Profile)
#122Chronic Kidney Disease (CKD): Blood Pressure Management
#123Chronic Kidney Disease (CKD): Plan of Care - Elevated Hemoglobin for Patients Receiving Erythropoiesis-Stimulating Agents (ESA)
#124Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR)
#125Refer to new Electronic Prescribing (e-prescribing) incentive program
#126Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
#127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
#130Documentation and Verification of Current Medications in the Medical Record
#131Pain Assessment Prior to Initiation of Patient Therapy and Follow-Up
#134Screening for Clinical Depression and Follow-Up Plan
#135Chronic Kidney Disease (CKD): Influenza Immunization
#136Melanoma: Follow-Up Aspects of Care
#137Melanoma: Continuity of Care - Recall System
#138Melanoma: Coordination of Care
#139Cataracts: Comprehensive Preoperative Assessment for Cataract Surgery with Intraocular Lens (IOL) Placement
#140Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
#141Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
#142Osteoarthritis (OA): Assessment for Use of Anti-Inflammatory or Analgesic Over-the-Counter (OTC) Medications
#143Oncology: Medical and Radiation - Pain Intensity Quantified
#144Oncology: Medical and Radiation - Plan of Care for Pain
#145Radiology: Exposure Time Reported for Procedures Using Fluoroscopy
#146Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Mammography Screening
#147Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
#148Back Pain: Initial Visit
#149Back Pain: Physical Exam
#150Back Pain: Advice for Normal Activities
#151Back Pain: Advice Against Bed Rest
#152Coronary Artery Disease (CAD): Lipid Profile in Patients with CAD
#153Chronic Kidney Disease (CKD): Referral for Arteriovenous (AV) Fistula
#154Falls: Risk Assessment
#155Falls: Plan of Care
#156Oncology: Radiation Dose Limits to Normal Tissues
#157Thoracic Surgery: Recording of Clinical Stage for Lung Cancer and Esophageal Cancer Resection
#158Endarterectomy: Use of Patch During Conventional Endarterectomy
#159HIV/AIDS: CD4+ Cell Count or CD4+ Percentage
This measure may be submitted via registry only.
#160HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
This measure may be submitted via registry only.
#161HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS Who Are Prescribed Potent Antiretroviral Therapy
This measure may be submitted via registry only.
#162HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy
This measure may be submitted via registry only.
#163Diabetes Mellitus: Foot Exam
#164Coronary Artery Bypass Graft (CABG): Prolonged Intubation (Ventilation)
This measure may be submitted via registry only.
#165Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate
This measure may be submitted via registry only.
#166Coronary Artery Bypass Graft (CABG): Stroke/Cerebrovascular Accident (CVA)
This measure may be submitted via registry only.
#167Coronary Artery Bypass Graft (CABG): Postoperative Renal Insufficiency
This measure may be submitted via registry only.
#168Coronary Artery Bypass Graft (CABG): Surgical Re-exploration
This measure may be submitted via registry only.
#169Coronary Artery Bypass Graft (CABG): Antiplatelet Medications at Discharge
This measure may be submitted via registry only.
#170Coronary Artery Bypass Graft (CABG): Beta-Blockers Administered at Discharge
This measure may be submitted via registry only.
#171Coronary Artery Bypass Graft (CABG): Lipid Management and Counseling
This measure may be submitted via registry only.
#172Hemodialysis Vascular Access Decision-Making by Surgeon to Maximize Placement of Autogenous Arterial Venous (AV) Fistula
#173Preventive Care and Screening: Unhealthy Alcohol Use - Screening
#174Pediatric End Stage Renal Disease (ESRD): Plan of Care for Inadequate Hemodialysis
This measure may be submitted via registry only.
#175Pediatric End Stage Renal Disease (ESRD): Influenza Immunization
#176Rheumatoid Arthritis (RA): Tuberculosis Screening
#177Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
#178Rheumatoid Arthritis (RA): Functional Status Assessment
#179Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
#180Rheumatoid Arthritis (RA): Glucocorticoid Management
#181Elder Maltreatment Screen and Follow-Up Plan
#182Functional Outcome Assessment in Chiropractic Care
#183Hepatitis C: Hepatitis A Vaccination in Patients with HCV
#184Hepatitis C: Hepatitis B Vaccination in Patients with HCV
#185Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
#186Wound Care: Use of Compression System in Patients with Venous Ulcers