#USES FACILITYNA REGNUM ***AUDIT05J.RPT*** 21JUNE2005 * * *This file produces a 4 page report, derived from the data in AUDIT05J.REC * #FOREACH FACILITYNA #FOREACH REGNUM HEALTH STATUS OF DIABETIC PATIENTS FY 2005 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 10 years [1]:4 {100*[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 COUNSEL Tobacco use Current tobacco user [1,]:4 {100*[1,]/[]}:3% Counseled? Yes{100*[1,1]/[1,]}:3% No{100*[1,2]/[1,]}:3% Unk{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 ASSESSMENT OF DIABETES CARE Page 2 FY 2005 FOR ^FACILITYNA #ENDFOR n Percent #USES TXCODE DIABETES TREATMENT Diet & Exercise Alone [1]:4 {100*[1]/[]}:3% Insulin [2]:4 {100*[2]/[]}:3% #USES MONOORAL Oral Med (monotherapy) [1]:4 {100*[1]/[]}:3% #USES TXCODE Sulfonylurea {100*[3]/[]}:3% Metformin {100*[4]/[]}:3% Acarbose/Miglitol {100*[5]/[]}:3% Glitazone {100*[6]/[]}:3% #USES COMBORAL Combination of Oral Meds [1]:4 {100*[1]/[]}:3% #USES COMBINSU Combination of Oral Med(s) + Insulin [1]:4 {100*[1]/[]}:3% #USES TXCODE Refused or Undetermined [9]:4 {100*[9]/[]}:3% #USES ASPIRIN AGE30 ANTIPLATELET THERAPY Aspirin [1,1]:4 {100*[1,1]/[,1]}:3% Other anti-platelet Rx [2,1]:4 {100*[2,1]/[,1]}:3% Both ASA & Other Rx [3,1]:4 {100*[3,1]/[,1]}:3% None [4,1]:4 {100*[4,1]/[,1]}:3% Refused [5,1]:4 {100*[5,1]/[,1]}:3% #USES ACE PROTEINURI ACE INHIBITOR (OR ARB) USE (see renal preservation report for add'l info) Use in pts with overt proteinuria [1,1]:4 {100*[1,1]/[,1]}:3% #USES ACE CHARTHTN Use in pts with known hypertension [1,1]:4 {100*[1,1]/[,1]}:3% #USES LIPIDUSER CHOLVALUE LIPID LOWERING AGENT USE Use in pts with total chol >= 240 [1,3]:4 {100*[1,3]/[,3]}:3% #USES LIPIDUSER LDL100 Use in pts with LDL chol >= 100 [1,1]:4 {100*[1,1]/[,1]}:3% #USES LIPIDUSER LIPIDAGENT Of the [1,] pts taking a lipid agent: Statin drug prescribed [1,1]:4 {100*[1,1]/[1,]}:3% Non-statin drug prescribed [1,2]:4 {100*[1,2]/[1,]}:3% Statin AND non-statin prescribed [1,3]:4 {100*[1,3]/[1,]}: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% ) IMMUNIZATIONS (% refused) #USES FLUVAX Flu Vaccine - yearly [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES PNEUMOVAX Pneumovax - once [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #USES TD Tetanus/Diptheria (q 10 yrs) [1]:4 {100*[1]/[]}:3% ({100*[3]/[]}:3% ) #NEWPAGE #USES FACILITYNA REGNUM #FOREACH FACILITYNA #FOREACH REGNUM HEALTH STATUS OF DIABETIC PATIENTS Page 3 FY 2005 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent LABORATORY EXAMS #USES UA Urinalysis or A:C ratio in the past 12 months [1]:4 {100*[1]/[]}:3% #USES PROTEINURI Overt proteinuria present [1]:4 {100*[1]/[]}:3% Overt proteinuria absent [2]:4 {100*[2]/[]}:3% Overt proteinuria not tested/unknown [3]:4 {100*[3]/[]}:3% #USES PROTEINURIA MICROALB Of the[2,] pts without proteinuria: Microalbuminuria present [2,1]:4 {100*[2,1]/[2,]}:3% Microalbuminuria absent [2,2]:4 {100*[2,2]/[2,]}:3% Microalbuminuria not tested [2,3]:4 {100*[2,3]/[2,]}:3% #USES CREATIN 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 CHOLDONE CHOLVALUE Total Cholesterol obtained in past 12 months [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 in past 12 months [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% #USES HDLDONE HDLVALUE HDL Cholesterol obtained in past 12 months [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 in past 12 months [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% #NEWPAGE #USES FACILITYNA REGNUM #FOREACH FACILITYNA #FOREACH REGNUM HEALTH STATUS OF DIABETIC PATIENTS Page 4 FY 2005 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent #USES EKGGROUP AGE30 EKG 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 EKG AGE30 Ever performed [1,1]:4 {100*[1,1]/[,1]}:3% #USES TBSTATUS TUBERCULOSIS STATUS PPD +, untreated or tx unknown [2]:4 {100*[2]/[]}:3% PPD +, INH treatment complete [1]:4 {100*[1]/[]}:3% PPD -, placed since DM diagnosis [3]:4 {100*[3]/[]}:3% PPD -, placed before DM diagnosis [4]:4 {100*[4]/[]}:3% PPD -, date of PPD unknown [6]:4 {100*[6]/[]}:3% PPD status unknown [5]:4 {100*[5]/[]}:3% DIABETES-RELATED EDUCATION - Yearly (%refused) #USES DIETINSTR Diet Instruction [1]:4 {100*[1]/[]}: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% #USES SMBG SELF MONITORING of blood glucose documented Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused [3]:4 {100*[3]/[]}:3% #USES DEPDX DEPRESSION identified as an active dx Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Of the [2] pts without an active dx of depression, proportion screened for depression in past year: #USES DEPSCREEN DEPDX Screened [1,2]:4 {100*[1,2]/[,2]}:3% Not screened [2,2]:4 {100*[2,2]/[,2]}:3% LOCAL OPTION QUESTIONS: #USES EPIC Attended EPIC 1 session only [1]:4 {100*[1]/[]}:3% 2 sessions [2]:4 {100*[2]/[]}:3% 3 sessions [3]:4 {100*[3]/[]}:3% 4 sessions [4]:4 {100*[4]/[]}:3% 5 sessions [5]:4 {100*[5]/[]}:3% #USES EPICATTEND 1 or more sessions [1]:4 {100*[1]/[]}:3% #USES EPIC EPICATTEND Of the[,1] pts who attended at least 1 session, n and percent of those who completed EPIC [5,1]:4 {100*[5,1]/[,1]}:3% #USES FAMTHER Session with Family Therapist Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused/Undetermined [3]:4 {100*[3]/[]}:3% #NEWPAGE #USES FACILITYNA REGNUM #FOREACH FACILITYNA #FOREACH REGNUM HEALTH STATUS OF DIABETIC PATIENTS Page 5 FY 2004 FOR ^FACILITYNA [] charts were audited from ^REGNUM:5 patients on the diabetes registry. #ENDFOR #ENDFOR n Percent #USES HIBP DMHTN Of the[1,] pts with BP >=130/80, did pt attend Diabetes & HTN Class? Yes [1,1]:4 {100*[1,1]/[1,]}:3% No [1,2]:4 {100*[1,2]/[1,]}:3% Refused/Undetermined [1,3]:4 {100*[1,3]/[1,]}:3% #USES LOWLIPID LDL100 Of the[,1] pts with LDL>=100, was Lipid Lowering course attended Yes [1,1]:4 {100*[1,1]/[,1]}:3% No [2,1]:4 {100*[2,1]/[,1]}:3% Refused/Undetermined [3,1]:4 {100*[3,1]/[,1]}:3% #USES MNT Medical Nutrition Therapy (RD) Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused/undetermined [3]:4 {100*[3]/[]}:3% #USES BMI30 WTMANAG Of the[1,] pts with BMI >=30, did pt attend individual/group Weight Management Session? Yes [1,1]:4 {100*[1,1]/[1,]}:3% No [1,2]:4 {100*[1,2]/[1,]}:3% Refused/undetermined [1,3]:4 {100*[1,3]/[1,]}:3% #USES YRLYCLINIC Attended Yearly Clinic Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused/Undetermined [3]:4 {100*[3]/[]}:3% #USES FOLLOWUP Follow-up Yearly Clinic Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused/Undetermined [3]:4 {100*[3]/[]}:3% #USES A1CAVAIL HbA1c available at patient encounter Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused/Undetermined [3]:4 {100*[3]/[]}:3% #USES SBGMREPORT Computerized SBGM report available during at least one patient encounter Yes [1]:4 {100*[1]/[]}:3% No [2]:4 {100*[2]/[]}:3% Refused/Undetermined [3]:4 {100*[3]/[]}:3% #USES FOOTSTAGE Foot Risk Stage per this year's exam Stage 0 [0]:4 {100*[0]/[]}:3% Stage 1 [1]:4 {100*[1]/[]}:3% Stage 2 [2]:4 {100*[2]/[]}:3% Stage 3 [3]:4 {100*[3]/[]}:3% Stage not documented [9]:4 {100*[9]/[]}:3% #USES BADFOOT SHOEREF If Stage 2 or greater, shoe referral in chart Yes [1,1]:4 {100*[1,1]/[1,]}:3% No [1,2]:4 {100*[1,2]/[1,]}:3% Refused/Undetermined [1,3]:4 {100*[1,3]/[1,]}:3% #USES BADFOOT SHOESATIS Patient satisfied with shoes (per documentation on yearly Foot Exam Form) Yes [1,1]:4 {100*[1,1]/[1,]}:3% No [1,2]:4 {100*[1,2]/[1,]}:3% Refused/Undetermined [1,3]:4 {100*[1,3]/[1,]}:3% #USES TOBACCO SMOKECESS For the[1,] current tobacco users, number of Smoking Cessation Class sessions completed None [1,0]:4 {100*[1,0]/[1,]}:3% 1 session [1,1]:4 {100*[1,1]/[1,]}:3% 2 sessions [1,2]:4 {100*[1,2]/[1,]}:3% 3 sessions [1,3]:4 {100*[1,3]/[1,]}:3% 4 sessions [1,4]:4 {100*[1,4]/[1,]}:3% 5 or more sessions [1,5]:4 {100*[1,5]/[1,]}:3% #NEWPAGE