#USES FACILITYNA REGNUM *** RENAL10.RPT *** Last Modified 02FEB2010 * #FOREACH FACILITYNA #FOREACH REGNUM IHS Diabetes Care and Outcomes Audit RENAL PRESERVATION REPORT 2010 For ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR Percent Percent n of group of total ----------------------------------------------------------------------- #USES HTN ACE HTN present (prior dx or mean BP >=130/80) [1,]:4 {100*[1,]/[]}:3% On ACE inhibitor or ARB [1,1]:4 {100*[1,1]/[1,]}:3% Not on ACE inhibitor or ARB [1,2]:4 {100*[1,2]/[1,]}:3% ACE inhibitor/ARB status undetermined [1,0]:4 {100*[1,0]/[1,]}:3% No hypertension present [2,]:4 {100*[2,]/[]}:3% Hypertension status not known [3,]:4 {100*[3,]/[]}:3% ----------------------------------------------------------------------- #USES BPCNTRL Ideal BP (<120/<70) [1]:4 {100*[1]/[]}:3% Target BP (120/70 - <130/<80) [2]:4 {100*[2]/[]}:3% - - - - - - - - - - - - - - - - - - - - - - - - - - Suboptimal BP (130/80 - <140/<90) [3]:4 {100*[3]/[]}:3% (140/90 - <160/<95) [4]:4 {100*[4]/[]}:3% Markedly poor BP (160/95 or higher) [5]:4 {100*[5]/[]}:3% BP category undetermined [0]:4 {100*[0]/[]}:3% #USES BPCODE ACE Dx'd HTN -- controlled (<130/<80) [3,]:4 {100*[3,]/[]}:3% On ACE inhibitor or ARB [3,1]:4 {100*[3,1]/[3,]}:3% Not on ACE inhibitor or ARB [3,2]:4 {100*[3,2]/[3,]}:3% Dx'd HTN -- uncontrolled (130/80 or higher) [4,]:4 {100*[4,]/[]}:3% On ACE inhibitor or ARB [4,1]:4 {100*[4,1]/[4,]}:3% Not on ACE inhibitor or ARB [4,2]:4 {100*[4,2]/[4,]}:3% ----------------------------------------------------------------------- #USES MAP_CODE Mean arterial pressure Less than 90 [1]:4 {100*[1]/[]}:3% 90-95 [2]:4 {100*[2]/[]}:3% 96-100 [3]:4 {100*[3]/[]}:3% 101-105 [4]:4 {100*[4]/[]}:3% 106 or more [5]:4 {100*[5]/[]}:3% Unable to calculate [0]:4 {100*[0]/[]}:3% ----------------------------------------------------------------------- #USES CREATDONE CREATGROUP Serum creatinine (within 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 GFRCAT Renal Disease Stage Based on Estimated GFR Stage 1 (Normal GFR >=90) [1]:4 {100*[1]/[]}:3% Stage 2 (Mild decrease GFR 60-89) [2]:4 {100*[2]/[]}:3% Stage 3 (Moderate decrease GFR 30-59) [3]:4 {100*[3]/[]}:3% Stage 4 (Severe decrease GFR 15-29) [4]:4 {100*[4]/[]}:3% Stage 5 (Kidney failure: GFR < 15) [5]:4 {100*[5]/[]}:3% Unable to Calculate [9]:4 {100*[9]/[]}:3% #NEWPAGE #USES FACILITYNA #FOREACH FACILITYNA IHS Diabetes Care and Outcomes Audit Page 2 RENAL PRESERVATION REPORT 2010 For ^FACILITYNA #ENDFOR Percent Percent n of group of total ----------------------------------------------------------------------- #USES PROTEINCAT Urine protein test results Normal [1]:4 {100*[1]/[]}:3% Indeterminate: either normal or microalbuminuria [2]:4 {100*[2]/[]}:3% Albuminuria {[3]+[4]+[5]}:4 {100*([3]+[4]+[5])/[]}:3% Microalbuminuria [3]:4 {100*[3]/[]}:3% Macroalbuminuria [5]:4 {100*[5]/[]}:3% Indeterminate: either micro- or macroalbuminuria [4]:4 {100*[4]/[]}:3% ----------------------------------------------------------------------- #USES ELEVALB ACE Albuminuria* present [3,]:4 {100*[3,]/[]}:3% On ACE inhibitor or ARB [3,1]:4 {100*[3,1]/[3,]}:3% Not on ACE inhibitor or ARB [3,2]:4 {100*[3,2]/[3,]}:3% ACE inhibitor/ARB status undetermined [3,3]:4 {100*[3,3]/[3,]}:3% Albuminuria* not present [1,]:4 {100*([1,])/[]}:3% Albuminuria* status not known {[0,]+[2,]}:4 {100*([0,]+[2,])/[]}:3% #USES ELEVALB HTN ACE Albuminuria* AND any category of hypertension** present [3,1,]:4 {100*[3,1,]/[]}:3% On ACE inhibitor or ARB [3,1,1]:4 {100*[3,1,1]/[3,1,]}:3% Not on ACE inhibitor or ARB [3,1,2]:4 {100*[3,1,2]/[3,1,]}:3% ACE inhibitor/ARB status undetermined [3,1,3]:4 {100*[3,1,3]/[3,1,]}:3% #USES UNPROHTN Albuminuria* or htn status not known [1]:4 {100*[1]/[]}:3% ----------------------------------------------------------------------- #USES METCON NOPROT Glycemic control in pts without macroalbuminuria [,1]:4 {100*[,1]/[]}:3% HbA1c <7.0 [1,1]:4 {100*[1,1]/[,1]}:3% HbA1c 7.0-7.9 [2,1]:4 {100*[2,1]/[,1]}:3% HbA1c 8.0-8.9 [3,1]:4 {100*[3,1]/[,1]}:3% HbA1c 9.0-9.9 [4,1]:4 {100*[4,1]/[,1]}:3% HbA1c 10.0-10.9 [5,1]:4 {100*[5,1]/[,1]}:3% HbA1c 11.0 and above [6,1]:4 {100*[6,1]/[,1]}:3% Undocumented [9,1]:4 {100*[9,1]/[,1]}:3% \*\ Any degree of micro- or macroalbuminuria based on urine protein testing during the audit period. \**\ Dx or Rx of hypertension, or mean BP in the hypertensive range. #NEWPAGE #USES FACILITYNA #FOREACH FACILITYNA IHS Diabetes Care and Outcomes Audit Page 3 RENAL PRESERVATION REPORT 2010 For ^FACILITYNA #ENDFOR Logic for urine protein test results Normal: Urine albumin:creatinine ratio (UACR) value <30 mg/g Microalbumin:creatinine strip in the \"\<30 mg/g\"\ range Microalbumin only (Micral, etc) in the \"\<20 mg/dl\"\ range Indeterminate (either normal or microalbuminuria): Urine protein:creatinine ratio (UPCR) value <=0.2 g/g 24 hour urine protein <=300 mg/day Standard urine protein dipstick of Negative or Trace Microalbuminuria: Urine albumin:creatinine ratio (UACR) value 30-300 mg/g Microalbumin:creatinine strip in the \"\ 30-300 mg/g\"\ range Macroalbuminuria: Urine albumin:creatinine ratio (UACR) value >300 Urine protein:creatinine ratio (UPCR) value >0.2 g/g 24 hour urine protein >300 mg/day Microalbumin:creatinine strip in the \"\>300 mg/g\"\ range Standard urine protein dipstick of 1+ or greater Indeterminate (either microalbuminuria or macroalbuminuria) Microalbumin only (Micral, etc) in the \"\>20 mg/dl\"\ range #NEWPAGE