Quality Care Measures

We are assessed by the different health plans on the quality of care we deliver to our patients.
The below quality measures are the minimum requirements that we have to demonstrate.
All patients should know about what is expected of us in their management and it is for this reason you will receive letters and calls from our quality assurance manager Linda to ensure that these quality measures are being met.

Diabetes (ages 18 - 75)

HbA1c testing

HbA1c poor control >9%

LDL testing

LDL Control <100mg/dl

Blood Pressure <140/80

Eye Exam

Kidney screening for microalbumin

At least 2 tests per year

Most recent test should not exceed 9%

At least 1 test per year

Most recent LDL should be <100

Both systolic and diastolic below target eg 139/79

1 retinal exam with eye doctor per year

At least one urine microalbumin test per year

Cancer Screening and Preventive

Breast Cancer Screening (ages 40 - 69)

Cervical Cancer Screening (ages 21 - 64)

Colorectal Cancer Screening (ages 51 - 75)

One screening mammogram at least every 2 years

One screening Pap smear every 3 years

Flexible sigmoidoscopy every 5 years
or Colonoscopy every 10 years

Cardiovascular Disease and Cholesterol Management (ages 18+)

Ischemic Vascular Disease LDL testing

Ischemic Vascular Disease LDL Control <100

Hypertension : Blood Pressure <140/90

At least once per year

Most recent LDL should be <100mg/dl

Both systolic and diastolic below target eg 139/89

Adolescent Patients

Well Care visits in patients under 21 years of age

At least one well visit per year

Behavioral Health

Antidepressant medication management for new depression : Acute phase in ages 18+

Antidepressant medication management for new depression : Continuation phase in ages 18+

Patient must remain on the medication for at least 90 days (3 months)

Patient must remain on the medication for at least 180 days (6 months)

Respiratory Conditions

Avoidance of antibiotic treatment with acute bronchitis (symptoms for <7 days)

Appropriate testing for pharyngitis (sore throat)

Avoid antibiotic if patient has acute bronchitis

Avoid antibiotics if patient has a negative strep test or strep test is not done