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Asthma |
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Asthma drug management Did asthmatic members ages 5 to 64 take medication to control asthma as prescribed? |
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Asthma control Did people with persistent asthma have their symptoms well controlled during the year? |
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Diabetes |
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Blood pressure control (140/90) Did diabetic members ages 18 to 75 have their blood pressure below 140/90 at their last visit? |
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Eye exams Did diabetic members ages 18 to 75 have a retinal or dilated eye exam? |
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Glucose control Did diabetic members ages 18 to 75 maintain their blood sugar level below 8 percent? |
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Monitoring kidney disease Did diabetic members ages 18 to 75 have their kidney function checked or monitored? |
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Heart disease |
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Beta blocker after heart attack Did heart-attack patients 18 or older receive beta blockers for at least six months? |
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Controlling high blood pressure Did hypertensive patients ages 18 to 85 have their blood pressure controlled (i.e., for patients 18 to 85 a BP <140/90 mm Hg, for patients 60 to 85 with a diagnosis of diabetes a BP <140/90 mm Hg or a BP <150/90 mm Hg without a diagnosis of diabetes)? |
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Mental and behavioral health |
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Depression: Adhering to medication for 12 weeks Did adult members with a new episode of depression take a prescribed drug for at least 12 weeks? |
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Follow-up after hospitalization for mental illness Were members hospitalized with a mental illness aged six and older followed up within a week of their discharge and again within a month? |
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Alcohol or drug dependence treatment initiated Did alcohol- or drug-dependent members 13 and older receive inpatient or outpatient care? |
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Follow-up after ADHD diagnosis Did children ages 6 to 12 who were newly prescribed ADHD medication have a follow-up visit within 30 days? |
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Other treatment measures |
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Appropriate antibiotic use, adults with acute bronchitis Were adults ages 18 to 64 with acute bronchitis not prescribed antibiotics in the 3 days after their diagnosis, as recommended? |
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Appropriate testing and care, children with sore throat Were children with a sore throat given strep tests and appropriately prescribed antibiotics? |
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Steroid after hospitalization for acute COPD Did members 40 and older who were hospitalized for chronic obstructive pulmonary disease receive systemic corticosteroids within 14 days of discharge? |
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Bronchodilator after hospitalization for acute COPD Did members 40 and older who were hospitalized for chronic obstructive pulmonary disease receive a bronchodilator within 30 days of their discharge? |
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Appropriate antibiotic use, children with colds Were antibiotics not prescribed to children with colds up to three days after their diagnosis, as recommended? |
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Appropriate use of imaging studies for low back pain Were imaging tests appropriately not recommended for patients with a new episode of low back pain? |
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