NQF 0075, PQRI 53: Ischemic Vascular Disease: Complete Lipid Panel...

NQF 0075, PQRI 53: Ischemic Vascular Disease: Complete Lipid Panel...

NQF 0075, PQRI 53: Ischemic Vascular Disease: Complete Lipid Panel and LDL Control
Description: The percentage of patients 18 years of age and older who were discharged alive for acute myocardial
infarction (AMI), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty(PTCA) from
January 1–November 1 of the year prior to the measurement year, or who had a diagnosis of ischemic vascular disease
(IVD) during the measurement year and the year prior to the measurement year and who had a complete lipid profile
performed during the measurement year and whose LDL-C was <100 mg/dL.
Core:
Alt Core:
Specialty:
Reporting
Numerator
 Patients with the following documented:
o LDL test ordered
o
o
LDL result <100 mg/dL
39469-2, 49132-4, 55440-2
HDL test performed
o
o
HDL result <100 mg/dL
Total Cholesterol test ordered
o
o
Total Cholesterol test ordered
Triglyceride test ordered
CPT: 80061, 83700, 83701, 83704, 83721
SNOMED: 113079009, 166833005
LOINC: 12773-8, 13457-7, 18261-8, 18262-6, 2089-1, 22748-8,
CPT: 83701
SNOMED: 104583003, 121791001, 121792008, 121868005,
16254007, 166832000, 166838001, 166839009, 167072001,
167073006, 17888004, 252150008, 28036006, 314035000,
412808005, 77068002
LOINC: 14646-4, 18263-4, 2085-9
CPT: 82465
SNOMED: 121868005, 412808005
LOINC: 14647-2, 2093-3
CPT: 84478
SNOMED: 104586006, 104780002
LOINC: 12951-0, 14927-8, 2571-8, 47210-0
o Triglyceride test <400 mg/dL
Denominator
 Patient is >18 years of age
o Has an Active Problem of acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or
percutaneous transluminal coronary angioplasty (PTCA), ischemic vascular disease (IVD)
 ICD-9: 434.00, 411.0, 411.1, 411.81, 411.89, 413.0, 413.1, 413.9, 414.00, 414.01, 414.02, 414.03,
414.04, 414.05, 414.06, 414.07, 414.2, 414.8, 414.9, 429.2, 433.0, 433.01, 433.10, 433.11, 433.20,
433.21, 433.30, 433.31, 433.80, 433.81, 433.90, 433.91, 434.01, 434.10, 434.11, 434.90, 434.91,
440.1, 440.20, 440.21, 440.22, 440.23, 440.24, 440.29, 440.4, 444.0, 444.1, 444.21, 444.22, 444.81,
444.89, 444.9, 445.01, 445.02, 445.8, 445.81, 410.01, 410.11, 410.21, 410.31, 410.41, 410.51,
410.61, 410.71, 410.81, 410.91, V70.0, V70.3, V70.5, V70.6, V70.8, V70.9
Exclusions
 None
Overview and Setup
Related Preferences
 None
Related Setup:
Copyright © 2011 Allscripts Healthcare Solutions, Inc.
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

Orders: For all LDL, HDL, Total Cholesterol and Triglyceride orderables, ensure that the correct CPT and SNOMED
codes (as listed in the numerator) are assigned to the orderable in the Orderable Item Dictionary
Results: For all LDL, HDL, Total Cholesterol and Triglyceride results, ensure that the correct LOINC code (as listed in
the numerator) is assigned to the result in the Resultable Item Dictionary


Additional Information
This report will use the most recent LDL, HDL, Total Cholesterol and Triglyceride result.
If results come back via paper, there should be a process in place to enter these values in EEHR
o This can be done via Flowsheet or manually entered through the ACI
References


Certified Workflows:
o Ad Hoc Dx Order: With/Without Supervision (H6a)
o Ad Hoc Dx Order: Entering for a Provider (H6b)
o Quicksets (H10)
o Charging for Orders (J3)
o Non-Medication Order Processing (J6)
o Order Specimen/Data Collection (J10)
o CareGuides (H11)
o Appointment Check-Out
Application Design and Behavior Resource (ADBR) for Allscripts Enterprise EHR v11.
Copyright © 2011 Allscripts Healthcare Solutions, Inc.
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