From: Community healthcare in Israel: quality indicators 2007-2009
Healthcare quality indicators | Domain | Data sourcea | Target population |
---|---|---|---|
Asthma | Â | Â | Â |
Use of appropriate control medication for individuals with persistent asthma b Percentage of individuals with persistent asthma who purchased at least three asthma control medications in three different months during the measurement year | Treatment | Pharmacy claims | 5-56 years |
Influenza vaccination for individuals with persistent asthma b Percentage of individuals with persistent asthma who received the influenza vaccination during the winter months of the measurement year (plus two months of subsequent year) | Treatment | Pharmacy claims | 5-56 years |
Cancer screening | Â | Â | Â |
Breast cancer screening: Mammography Percentage of women who had a mammogram during the past two years | Primary prevention | Test records | 51-74 years |
Colon cancer screening: Fecal occult blood test Percentage of individuals who had a fecal occult blood test during the measurement yearc | Primary prevention | Laboratory results | 50-74 years |
Cardiovascular health | Â | Â | Â |
Blood pressure documentation Percentage of individuals with blood pressure documentation | Primary prevention | Medical records | 20-54 years - documentation during past five years; 55-74 years - documentation during measurement year |
Blood pressure assessment Percentage of individuals with adequate blood pressure control (≤ 140/90 mmHg) | Primary prevention | Medical records | 20-54 years - documentation during past five years; 55-74 years - documentation during measurement year |
Body mass index (BMI) documentation • Percentage of individuals with BMI documentation - adolescents • Percentage of individuals with BMI documentation - adults | Primary prevention | Medical records | 14-18 years - documentation during past three years; 20-64 years - documentation during past five years; 65-74 years - documentation of weight during the measurement year and height during the past five years |
Cholesterol documentation Percentage of individuals with cholesterol documentation | Primary prevention | Laboratory results | 35-54 years - documentation during past five years; 55-74 years - documentation during measurement year |
Cholesterol assessment Percentage of individuals with adequate low-density lipoprotein cholesterol control (≤ 130 mg/dL) | Primary prevention | Laboratory results | 35-54 years - documentation during past five years; 55-74 years - documentation during measurement year |
Treatment with statins and other low-density lipoprotein (LDL) modifying medications following a coronary intervention d Percentage of individuals following a coronary event who purchased at least three LDL-modifying medications in three different months during the measurement year | Treatment | Pharmacy claims, Hospital procedures | 35-74 years |
Treatment with angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) following a coronary intervention d Percentage of individuals following a coronary event who purchased at least three ACEI/ARB medications in three different months during the measurement year | Treatment | Pharmacy claims, Hospital procedures | 35-74 years |
Treatment with beta blockers following a coronary intervention d Percentage of individuals following a coronary event who purchased at least three ACEI/ARB medications in three different months during the measurement year | Treatment | Pharmacy claims, Hospital procedures | 35-74 years |
Cholesterol assessment following a coronary intervention d Percentage of individuals following a coronary event with adequate cholesterol control (≤ 100 mg/dL) during the measurement year | Effectiveness of care | Laboratory results, Hospital procedures | 35-74 years |
Child health | Â | Â | Â |
Anemia screening in infants Percentage of children who had a hemoglobin test during the measurement year | Primary prevention | Laboratory results | 1 year olds |
Diabetes | Â | Â | Â |
Blood pressure documentation Percentage of patients with diabetes mellitus with blood pressure documentation during the measurement year | Treatment | Laboratory results | 18+ years |
Body mass index (BMI) documentation Percentage of patients with diabetes mellitus with BMI documentation | Treatment | Medical records | 18+ years - documentation of weight during the measurement year and height over the past five years |
Cholesterol documentation Percentage of patients with diabetes mellitus with cholesterol documentation during the measurement year | Treatment | Laboratory results | All ages |
Eye care documentation Percentage of patients with diabetes mellitus with documentation of an eye examination during the measurement year | Treatment | Medical records | All ages |
Glycemic control documentation Percentage of patients with diabetes mellitus with glycemic control (HbA1c) documentation during the measurement year | Treatment | Laboratory results | All ages |
Kidney function documentation Percentage of patients with diabetes mellitus with microalbuminurea documentation during the measurement year | Treatment | Laboratory results | All ages |
Influenza vaccination Percentage of patients with diabetes mellitus who received the influenza vaccination during the winter months of the measurement year (plus two months of subsequent year) | Treatment | Pharmacy claims | 5+ years |
Blood pressure assessment Percentage of patients with diabetes mellitus with adequate blood pressure control (≤ 130/80 mmHg) during the measurement year | Effectiveness of care | Medical records | 18+ years |
Cholesterol assessment Percentage of patients with diabetes mellitus with adequate low-density lipoprotein cholesterol control (≤ 100 mg/dL) during the measurement year | Effectiveness of care | Laboratory results | All ages |
Glycemic control assessment Percentage of diabetics with adequate glycemic control (HbA1c ≤ 7%) during the measurement year | Effectiveness of care | Laboratory results | All ages |
Assessment of inadequate glycemic control Percentage of patients with diabetes mellitus with inadequate glycemic control (HbA1c > 9%) during the measurement year | Effectiveness of care | Laboratory results | All ages |
Treatment with insulin for individuals with inadequate glycemic control Percentage of patients with diabetes mellitus with inadequate glycemic control (HbA1c > 9%) and purchased insulin at least once during the measurement year | Effectiveness of care | Laboratory results, Pharmacy claims | All ages |
Immunizations for older adults | Â | Â | Â |
Influenza vaccination for older adults Percentage of older adults who received the influenza vaccination during the winter months of the measurement year (plus two months of subsequent year) | Primary prevention | Pharmacy claims | 65+ years |