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Topic	Measures	Matt White, MD Lakewood, WA	Plymouth Family Phys Plymouth, WI	South Park Internal Med Highlands Ranch, CO	Burke Primary Care Morganton, NC	Prairie Family Med Forrest, IL
Prevention Measures
Breast Cancer Screening	Percentage of women >=40 years who had a mammogram during the previous two years	77	71	75	48	53
Cervical Cancer Screening	Percentage of women 18-64 years without hysterectomy who had one or more Pap tests during the previous three years	58	79	67	32	57
Advising Smokers to Quit	Percentage of patients who received advice to quit smoking.	67	67	49	18	8
Influenza Vaccination	Percentage of patients >= 50 years who received an influenza vaccination in the past year	55	59	42	32	30
Influenza Vaccination	Percentage of High Risk patients 18-49 years who received an influenza vaccination in the past year	22	46	24	24	10
Pneumonia Vaccination	Percentage of patients >= 65 years who ever received a pneumococcal vaccine	91	90	84	48	41
Pneumonia Vaccination	Percentage of High Risk patients 18-64 years who ever received a pneumococcal vaccine	65	73	70	25	28
Coronary Artery Disease (CAD) / Heart Failure
Drug Therapy for Lowering LDL Cholesterol	Percentage of patients with CHD or Atherosclerosis who were prescribed a lipid-lowering therapy within the last year	88	76	71	78	65
Beta-Blocker Therapy	Percentage of patients with Heart Failure who were prescribed beta blocker treatment within the last year	86	49	86	64	66
ACE Inhibitor/ARB Therapy	Percentage of patients with heart failure who were prescribed ACE inhibitor or ARB therapy within the last year	93	77	72	62	63
Diabetes Mellitus
HbA1C Management	Percentage of patients with diabetes with one or more A1C test(s) conducted during the previous 6 months	86	93	95	90	74
HbA1C Management Control	Percentage of patients with diabetes with most recent A1C level less than 7.0% (good control)	83	74	62	61	67
Blood Pressure Management	Percentage of patients with diabetes with most recent documented blood pressure less than 130/80 mm Hg	46	60	51	40	38
Lipid Measurement	Percentage of patients with diabetes with at least one Low Density Lipoprotein cholesterol (LDL-C) test within the last year	83	95	85	82	71
LDL Cholesterol Level	Percentage of patients with diabetes with most recent LDL-C less than 100 mg/dl	73	65	77	61	59
Asthma
Asthma: Pharmacologic Therapy	Percentage of patients >=5 diagnosed with asthma who were prescribed a controller medication within the previous year	75	65	71	64	66
Depression
Antidepressant Medication Management	Percentage of adults diagnosed with depression who were treated with an antidepressant medication within the last year	67	73	79	76	66
Quality Measures Addressing Overuse or Misuse
Appropriate Treatment for Upper Respiratory Infection (URI)	Percentage of patients who were given a diagnosis of URI, Pharyngitis, or Bronchitis and were not dispensed an antibiotic prescription within 3 days of the episode date	68	88	28	24	14

[a] The Ambulatory care Quality Alliance (AQA) Recommended Starter Set: Clinical Performance Measures for Ambulatory Care. Agency for Healthcare Research and Quality, Rockville , MD. http://www.ahrq.gov/qual/aqastart.htm.