clinical measures

clinical measures

Order Description
Research complex medical condition (CMC) of your choice, i.e. asthma, congestive heart failure. Focus your research on the areas on diagnosis (signs of disease and symptoms), common complications, early intervention, and recommended care. Consolidate your findings into the following Table 1:

Symptoms Common Complications Intervention/recommended care

This table represents supporting evidence for your exercise. Depending on specifics of your research, you are free to modify the format and content of this table, as you wish (TABLE 1).

The next step is for you to build Table 2, which represents your actual clinical measure, as follows.

Inclusion Exclusion Compliance Other Factors

provide sample medical documentation codes to search the electronic medical records database, in support of building a measure. Your actual measure may include a dozen or more conditions and dozens of corresponding codes. For this exercise, we want to take three conditions from your inclusion or exclusion criteria and search for useful codes. Using exclusion and/or inclusion criteria from Table 2. The minimum requirement for this table is three entries, so we are not building a full complete measure – unless you want to, in which case you are free to take this exercise as far as you wish.

Eligibility Description Eligibility Code(s) Compliance Description Compliance Code(s)

Identify your patient and/or her symptoms, i.e. adult patient 18 to 75 years old who had at least one visit to ER during the past year. In this case, you would be looking for eligibility ICD-10 codes representing EX: (1) ER visit and (2) diabetes (types 1 or 2). You would also control for the age boundaries programmatically by specifying a range in the query, so mention it for your programmers in words, not codes. As an example, let’s assume that we require patients to undergo HbA1c testing twice a year, for compliance. If so, you are at least looking for an office visit CPT code and the HbA1c LOINC code(s) to meet this compliance description. There may be multiple codes: as long as these are relatively correct codes, this is all we want to practice with..