#USES FACILITYNA REGNUM ***AUDIT10.RPT*** Last Modified 03MAR2010 * *This file produces a 4 page report, derived from the data in AUDIT10.REC * #FOREACH FACILITYNA #FOREACH REGNUM IHS DIABETES CARE & OUTCOMES AUDIT 2010 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent #USES SEX Gender Female [2]:4 {100*[2]/[]}:3% Male [1]:4 {100*[1]/[]}:3% #USES AGEGP Age <15 yrs [1]:4 {100*[1]/[]}:3% 15-44 yrs [2]:4 {100*[2]/[]}:3% 45-64 yrs [3]:4 {100*[3]/[]}:3% 65 yrs and older [4]:4 {100*[4]/[]}:3% #USES DMTYPE Diabetes Type Type 1 [1]:4 {100*[1]/[]}:3% Type 2 [2]:4 {100*[2]/[]}:3% #USES DURDM Duration of Diabetes Less than 1 year [0]:4 {100*[0]/[]}:3% Less than 10 years {[0]+[1]}:4 {100*([0]+[1])/[]}:3% 10 years or more [2]:4 {100*[2]/[]}:3% Diagnosis date not recorded [3]:4 {100*[3]/[]}:3% #USES BMICAT Weight Control (BMI) Normal (BMI <25.0) [1]:4 {100*[1]/[]}:3% Overweight (BMI 25.0-29.9) [2]:4 {100*[2]/[]}:3% Obese (BMI 30.0 or above) [3]:4 {100*[3]/[]}:3% Height or weight missing [4]:4 {100*[4]/[]}:3% *#USES OVRWT OBESE * Weight Control (BMI) - does not add to 100% * Overweight (BMI >85%ile) [1,]:4 {100*[1,]/[]}:3% * Obese (BMI > 95%ile) [,1]:4 {100*[,1]/[]}:3% * Height or weight missing [3,]:4 {100*[3,]/[]}:3% #USES METCON Blood Sugar Control HbA1c <7.0 [1]:4 {100*[1]/[]}:3% HbA1c 7.0 - 7.9 [2]:4 {100*[2]/[]}:3% HbA1c 8.0 - 8.9 [3]:4 {100*[3]/[]}:3% HbA1c 9.0 - 9.9 [4]:4 {100*[4]/[]}:3% HbA1c 10.0 - 10.9 [5]:4 {100*[5]/[]}:3% HbA1c 11.0 or higher [6]:4 {100*[6]/[]}:3% Undocumented [9]:4 {100*[9]/[]}:3% #USES BPCNTRL Mean Blood Pressure <120/<70 [1]:4 {100*[1]/[]}:3% 120/70 - <130/<80 [2]:4 {100*[2]/[]}:3% ------------------------ 130/80 - <140/<90 [3]:4 {100*[3]/[]}:3% 140/90 - <160/<95 [4]:4 {100*[4]/[]}:3% 160/95 or higher [5]:4 {100*[5]/[]}:3% BP category undetermined [0]:4 {100*[0]/[]}:3% #USES TOBACCO TOBCOUNSEL Tobacco use Current tobacco user [1,]:4 {100*[1,]/[]}:3% Counseled? Yes {100*[1,1]/[1,]}:3% No {100*[1,2]/[1,]}:3% Refused {100*[1,3]/[1,]}:3% Not a current tobacco user [2,]:4 {100*[2,]/[]}:3% Tobacco use not documented [3,]:4 {100*[3,]/[]}:3% #NEWPAGE #USES FACILITYNA REGNUM #FOREACH FACILITYNA #FOREACH REGNUM IHS DIABETES CARE & OUTCOMES AUDIT 2010 Page 2 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent DIABETES TREATMENT #USES TXDIET Diet & Exercise Alone [1]:4 {100*[1]/[]}:3% #USES TXINSUL Insulin [1]:4 {100*[1]/[]}:3% #USES TXSUREA Sulfonylurea [1]:4 {100*[1]/[]}:3% #USES TXSUREALK Sulfonylurea-like [1]:4 {100*[1]/[]}:3% #USES TXMETFORM Metformin [1]:4 {100*[1]/[]}:3% #USES TXACAR Acarbose/Miglitol [1]:4 {100*[1]/[]}:3% #USES TXGLIT Glitazone [1]:4 {100*[1]/[]}:3% #USES TXBYETTA Incretin mimetics (Byetta) [1]:4 {100*[1]/[]}:3% #USES TXDPP4 DPP4 inhibitors (Januvia, Galvus) [1]:4 {100*[1]/[]}:3% #USES TXAMYLIN Amylin analogues (Symlin) [1]:4 {100*[1]/[]}:3% #USES COMBORAL Any oral med combination [1]:4 {100*[1]/[]}:3% #USES COMBINSUL Any insulin + other med combination [1]:4 {100*[1]/[]}:3% #USES TXREFUNK Refused or Undetermined [1]:4 {100*[1]/[]}:3% ACE INHIBITOR (OR ARB) USE (see renal preservation report for add'l info) #USES ACE HTNDXTX Use in pts with known hypertension [1,1]:4 {100*[1,1]/[,1]}:3% #USES ACE PROTEINCAT Use in pts with albuminuria [1,3]:4 {100*[1,3]/[,3]}:3% #USES ASPIRIN AGE40 ANTIPLATELET THERAPY (Over age 40) Aspirin or other antiplatelet rx [1,1]:4 {100*[1,1]/[,1]}:3% None [2,1]:4 {100*[2,1]/[,1]}:3% Refused or adverse reaction [3,1]:4 {100*[3,1]/[,1]}:3% #USES LIPIDUSER LIPID LOWERING AGENT USE Single lipid agent [1]:4 {100*[1]/[]}:3% Two or more lipid agents [2]:4 {100*[2]/[]}:3% None or refused [0]:4 {100*[0]/[]}:3% #USES LIPIDUSER Of the {[1]+[2]} pts using one or more lipid agents: #USES LIPIDUSER LLSTATIN Statin (simvastatin, others) {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% #USES LIPIDUSER LLFIBRATE Fibrate (gemfibrozil/Lopid, others) {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% #USES LIPIDUSER LLNIACIN Niacin (Niaspan, OTC niacin) {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% #USES LIPIDUSER LLBAS Bile Acid Sequestrant (cholestyramine) {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% #USES LIPIDUSER LLEZETIM Ezetimibe (Zetia) {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% #USES LIPIDUSER LLFISHOIL Fish oil (Rx or OTC) {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% #USES LIPIDUSER LLLOVAZA Lovaza {[1,1]+[2,1]}:4 {100*([1,1]+[2,1])/([1,]+[2,])}:3% EXAMS - Yearly (% refused) #USES FOOTEXAM Foot Exam - Neuro & Vasc [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES EYEEXAM Eye Exam - Dilated [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES DENTALEXAM Dental Exam [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #NEWPAGE #USES FACILITYNA REGNUM #FOREACH FACILITYNA #FOREACH REGNUM IHS DIABETES CARE & OUTCOMES AUDIT 2010 Page 3 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent DIABETES-RELATED EDUCATION during audit period (%refused) #USES DIETINSTR Diet Instruction by any provider {[1]+[2]+[3]}:4 {100*([1]+[2]+[3])/[]}:3% ({100*[5]/[]}:3% ) Diet Instruction by RD {[1]+[3]}:4 {100*([1]+[3])/[]}:3% ({100*[5]/[]}:3% ) #USES EXERCISE Exercise Instruction [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES DMEDUC Other Diabetes Education [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES ANYEDUC Any of above Self-Management Topics [1]:4 {100*[1]/[]}:3% IMMUNIZATIONS (% refused) #USES FLUVAX Seasonal Flu Vaccine during audit period [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES PNEUMOVAX Pneumovax - once [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES TD Tetanus/Diptheria within past 10 yrs [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES DEPDX DEPRESSION identified as an active dx Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Unknown [3]:4 {100*[3]/[]}:3% Of the [2] pts without an active dx of depression, proportion screened for depression during audit period: #USES DEPSCREEN DEPDX Screened [1,2]:4 {100*[1,2]/[,2]}:3% Not screened [2,2]:4 {100*[2,2]/[,2]}:3% Refused [3,2]:4 {100*[3,2]/[,2]}:3% Unknown [9,2]:4 {100*[9,2]/[,2]}:3% LABORATORY EXAMS #USES CREATDONE CREATVALUE Creatinine obtained in past 12 months [1,]:4 {100*[1,]/[]}:3% Creatinine >= 2.0 mg/dl [1,2]:4 {100*[1,2]/[]}:3% Creatinine < 2.0 mg/dl [1,1]:4 {100*[1,1]/[]}:3% Creatinine not tested/unknown [2,]:4 {100*[2,]/[]}:3% #USES EGFR Estimated GFR documented during audit period [1]:4 {100*[1]/[]}:3% #USES CHOLDONE CHOLVALUE Total Cholesterol obtained during audit period [1,]:4 {100*[1,]/[]}:3% Desirable (<200 mg/dl) [1,1]:4 {100*[1,1]/[]}:3% Borderline (200-239 mg/dl) [1,2]:4 {100*[1,2]/[]}:3% High (240 mg/dl or more) [1,3]:4 {100*[1,3]/[]}:3% Not tested [2,]:4 {100*[2,]/[]}:3% #USES LDLDONE LDLVALUE LDL Cholesterol obtained during audit period [1,]:4 {100*[1,]/[]}:3% LDL <100 mg/dl [1,1]:4 {100*[1,1]/[]}:3% LDL 100-129 mg/dl [1,2]:4 {100*[1,2]/[]}:3% LDL 130-160 mg/dl [1,3]:4 {100*[1,3]/[]}:3% LDL >160 [1,4]:4 {100*[1,4]/[]}:3% Not tested [2,]:4 {100*[2,]/[]}:3% #NEWPAGE #USES FACILITYNA REGNUM #FOREACH FACILITYNA #FOREACH REGNUM IHS DIABETES CARE & OUTCOMES AUDIT 2010 Page 4 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent #USES HDLDONE HDLVALUE HDL Cholesterol obtained during audit period [1,]:4 {100*[1,]/[]}:3% HDL <35 mg/dl [1,1]:4 {100*[1,1]/[]}:3% HDL 35-45 mg/dl [1,2]:4 {100*[1,2]/[]}:3% HDL 46-55 mg/dl [1,3]:4 {100*[1,3]/[]}:3% HDL >55 [1,4]:4 {100*[1,4]/[]}:3% Not tested [2,]:4 {100*[2,]/[]}:3% #USES TRIGDONE TRIGVALUE Triglycerides obtained during audit period [1,]:4 {100*[1,]/[]}:3% TG <150 mg/dl [1,1]:4 {100*[1,1]/[]}:3% TG 150-199 mg/dl [1,2]:4 {100*[1,2]/[]}:3% TG 200-400 mg/dl [1,3]:4 {100*[1,3]/[]}:3% TG >400 mg/dl [1,4]:4 {100*[1,4]/[]}:3% TG not tested [2,]:4 {100*[2,]/[]}:3% #USES UPTESTDONE Urine protein tested during audit period Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused [3]:4 {100*[3]/[]}:3% Missing [0]:4 {100*[0]/[]}:3% #USES UPTESTDONE UPTESTTYP2 Of the [1,] pts tested: Urine Albumin:Creatinine Ratio (UACR) [1,1]:4 {100*[1,1]/[1,]}:3% Urine Protein:Creatinine Ratio (UPCR) [1,2]:4 {100*[1,2]/[1,]}:3% 24 hr urine protein [1,3]:4 {100*[1,3]/[1,]}:3% Microalb:creat strip (eg,Clinitek) [1,4]:4 {100*[1,4]/[1,]}:3% Microalbumin only (eg, Micral) [1,5]:4 {100*[1,5]/[1,]}:3% Standard UA dipstick protein [1,6]:4 {100*[1,6]/[1,]}:3% #USES EKGGROUP AGE30 Electrocardiogram (Age 30 and above) Performed in past 3 years [3,1]:4 {100*[3,1]/[,1]}:3% Performed in past 5 years {[3,1]+[5,1]}:4 {100*([3,1]+[5,1])/[,1]}:3% #USES EKGDONE AGE30 Ever performed [1,1]:4 {100*[1,1]/[,1]}:3% #USES TBSTATUS TUBERCULOSIS STATUS TB test +, untreated or tx unknown [2]:4 {100*[2]/[]}:3% TB test +, INH treatment complete [1]:4 {100*[1]/[]}:3% TB test -, placed after DM diagnosis [3]:4 {100*[3]/[]}:3% TB test -, placed before DM diagnosis [4]:4 {100*[4]/[]}:3% TB test -, date of Dx or TB test date unknown [6]:4 {100*[6]/[]}:3% TB test status unknown [5]:4 {100*[5]/[]}:3% *#USES LOCAL * Type your local option question here * (don't forget to remove asterisks) * * Answer 1 [1]:4 {100*[1]/[]}:3% * Answer 2 [2]:4 {100*[2]/[]}:3% * Answer 3 [3]:4 {100*[3]/[]}:3% * Answer 4 [4]:4 {100*[4]/[]}:3% * Answer 5 [5]:4 {100*[5]/[]}:3% * Answer 6 [6]:4 {100*[6]/[]}:3% * Answer 7 [7]:4 {100*[7]/[]}:3% * Answer 8 [8]:4 {100*[8]/[]}:3% * Answer 9 [9]:4 {100*[9]/[]}:3% * Answer 0 [0]:4 {100*[0]/[]}:3% #NEWPAGE