Answers correct
Core measures established by - answerCenters for Medicare and Medicaid Services
(CMS)
Core measure for controlling HTN - answer18-59 = <140/90
60-85 w/ DM = <140/90
60-85 w/o DM = <150/90
Core measures for bb tx after MI - answer18+, pt with AMI must receive bb for 6 months
afterwards
Core measures for pt with ischemic vascular disease - answer18+ pt with AMI, CABG,
PCI or dx of ischemic vascular disease must take ASA or other antithrombotic
Core measures for comprehensive DM care - answer- poor controlled HGA1C of >9.0%,
should be drawn at least yearly
- actual goal for someone with no comorbidities or glycemic risk is <6.5%
Core measures for medication reconciliation - answerpt d/c from inpt facilities must have
med reconciliation within 30 days of d/c
Core measure for cervical cancer screening - answer- women 21-64 = cervical cytology
performed Q 3 yr
- women 30-64 = cervical cytology/HPV co-testing Q 5 yr
TJC national standard for quality measures that must meet the following strict
requirements: - answer- Relate to pt safety or quality of care
- Positively impact healthcare outcomes
- Meet or surpass law and regulation
- Can be accurately and readily measured
CMS grouped outcome measures into 7 categories weighted by importance - answer-
Mortality (22%)
- Safety of care (22%)
- Readmissions (22%)
- Pt experience (22%)
- Effectiveness of care (4%)
- Timeliness of care (4%)
- Efficient use of medical imaging (4%)