Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Current quality measures in use
Slide content:Example PQRS Measures Hemoglobin a1c, poor control in diabetes mellitus Percentage of patients aged 18 to 75 years with diabetes mellitus whose most recent hemoglobin A1c test was greater than 9.0% Thoracic surgery: Recording of clinical stage for lung cancer and esophageal cancer resection Percentage of surgical patients aged 18 years and older undergoing resection for lung or esophageal cancer who had clinical TNM staging prior to surgery Weight assessment and counseling for children and adolescents Percentage of children 2 to 18 years of age whose weight is classified on basis of BMI percentile for age and gender 8
Slide notes:PQRS enables health care professionals to measure, for example, the following conditions: For diabetes mellitus, the quality measure is the percentage of patients aged eighteen to seventy-five years with diabetes mellitus whose most recent blood test showed a hemoglobin A1c level greater than nine-point-zero percent. For patients undergoing resection for lung or esophageal [ee-soff-uh- gee -ul] cancer and requiring thoracic surgery, the measure is the percentage of surgical patients aged eighteen years and older who had clinical TNM [T-N-M] staging prior to surgery. TNM stands for tumor, node, metastases [meh- tass -ti-seez], and TNM staging determines the extent of cancer in the patients body. For weight assessment and counseling for children and adolescents, the quality measurement is the percentage of children aged two to eighteen years whose weight is classified based on BMI [B-M-I], or body mass index, percentile for age and gender. 8