ihi29nACS - Inpt - Troponin returned within 60 minutes of order0.860.85ihi41ACS - Inpt ECG in hospital within 10 minutes of arrival or 15 minutes prior0.730.73ihi44ACS - Inpt PCI in 120 min STEMI0.510.44ihi42ACS - Inpt Reperfusion when appropriate STEMI0.930.85ihi45ACS - Inpt Risk Cardiology involvement in 24 hours STEMI and Mod-high risk0.870.87ihi31nACS - Inpt Risk STEMI and Mod-high risk NSTEMI pts who receive a dx cath prior to discharge0.970.98ihd15AMI - Outpt LDL-c < 100 on most recent test AND having full lipid panel in past 2 yr0.650.7ihd19AMI - Outpt LDL-c > or = 1200.190.17p3hCA - Breast Screen (HEDIS)0.860.86p4hCA - Cervical Screen (HEDIS)0.910.9p6hCA - Colorectal Screen (HEDIS)0.770.76cap10CAP - Inpt - Blood cult before first antibiotic dose0.890.92cap12CAP - Inpt - Initial antibiotic within 4 hours of arrival0.790.81cap6CAP - Outpt - Influenza - Immunization Prior to Admit0.750.75cap7CAP - Outpt - Pneumococcal - Immunization Prior to Admit0.920.9dmg23DM - Outpt - HbA1>9 or not done (poor control) in past year0.120.14dmg27DM - Outpt - BP < or = 140/900.790.79dmg27sDM - Outpt - BP < or = 140/90 SCI&D0.840.82dmg28DM - Outpt - BP > or = 160/100 or not done0.050.06dmg28sDM - Outpt - BP > or = 160/100 or not done SCI&D0.040.04dmg23sDM - Outpt - HbA1c>9 or not done in past year SCI&D0.080.1dmg7nDM - Outpt - LDL-C < 1200.790.79dmg7nsDM - Outpt - LDLc < 120 most recent test & full lipid panel in past 2 yrs SCI&D0.780.8dmg31hDM - Outpt - Retinal exam, timely by disease (HEDIS)0.860.85dmg31sDM - Outpt - Retinal exam, timely by disease SCI&D0.80.8c7nDM - Outpt Foot sensory exam using monofilament0.850.84chi20HF - Inpt - LVEF <40 on ACEI or ARB prior to inpt admission0.820.83chi7HF - Inpt Discharg instr for diet/wt/meds0.850.89chi17HF - Inpt Weight instruction prior to admission0.890.88htn9HTN - Outpatient - DX HTN and BP < or = to 140/900.760.76htn10HTN - Outpt - Dx HTN BP > or = to 160/100 or not recorded0.060.06p19sImmunizations - Influenza Outpt - SCI0.690.71p22Immunizations - Outpt - Influenza - Nexus Clinics0.710.71p1Immunizations - Pneumococcal Outpt - Nexus0.890.89p1sImmunizations - Pneumococcal Outpt - SCI0.870.87res4ResSup - Inpt - Timely attending note for resident adm Med0.970.97res6ResSup - Inpt - Timely attending note for resident adm Psych0.980.98res5ResSup - Inpt - Timely attending note for resident adm Surg0.870.87sip3anSIP - Inpt - Prophylactic antibiotics dc ed timely0.820.79sip1aSIP - Inpt - Prophylactic antibiotics started timely0.920.91sa5SUD - Outpt Treatment continuity for at least 90 days YTD CUM0.350.39sa3SUD - Outpt Alcohol Tx or Screen AUDITc0.950.95ihi39Tobacco - Inpt Counseling - AMI All0.940.94cap4aTobacco - Inpt Counseling - CAP0.910.92chi6Tobacco - Inpt Counseling - HF0.930.92smg4mTobacco - Outpt - Counsel in past yr - Nexus - MH0.980.98smg4sTobacco - Outpt - Counsel in the past yr - SCI0.980.98smg4Tobacco - Outpt Counsel in past yr - Nexus - Non MH0.970.98smg2nTobacco - Outpt Used in the past twelve months - Nexus - non MH0.230.18smg2snTobacco - Outpt Used in the past twelve months - SCI0.270.29smg2mnTobacco Outpt Used in the past twelve months - Nexus MH0.40.42