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Physician Quality Indicators List

Detailed information on the Physician Quality Indicators is available below, as well as information needed for self-reporting.

Indicator Title (Click on title for detailed measure specifications) Measure allows physician self-reporting to supplement claims data Click to see information that can be collected for self-reporting
Active Measures (Consumer View)

1

Annual Visual Field Tests for Patients with Glaucoma No Checklist

2

Appropriate Testing for Children with Pharyngitis No Checklist

3

Appropriate Work Up Prior to Endometrial Ablation Procedure No Checklist

4

Beta Blocker Persistence Following a Heart Attack No Checklist

5

Breast Cancer Screening No Checklist

6

Cervical Cancer Screening No Checklist

7

Childhood Immunizations:  DTaP/DT No Checklist

8

Childhood Immunization: Measles, Mumps, and Rubella (MMR) No Checklist

9

Childhood Immunization: Varicella-Zoster Virus (VZV) No Checklist

10

Cholesterol Management for Patients with Cardiovascular Conditions No Checklist

11

Colorectal Cancer Screening No Checklist

12

Diabetic Retinal Exam No Checklist

13

Glycosylated Hemoglobin (HbA1c) Test for Diabetics No Checklist

14

LDL for Diabetes No Checklist

15

Medical Attention for Diabetic Nephropathy No Checklist

16

Prenatal Screening: Screening for HIV in Pregnancy No Checklist

17

Treatment of Community Acquired Pneumonia: General No N/A

18

Use of Long-Term Control Drugs for Persistent Asthma No Checklist

19

Use of Narrow Spectrum Antibiotics for Patients with Acute Streptococcal Pharyngitis Disease No Checklist

20

Use of Spirometry Testing in the Assessment and Diagnosis of COPD No Checklist
Additional Physician Quality Indicators
  Adherence to Anti-Hypertensive Medication: ACE InhibitorsI/ARBs No N/A
Adherence to Anti-Hypertensive Medication: Beta-blockers No N/A
Adherence to Anti-Hypertensive Medication: Calcium Channel Blockers No N/A
Adherence to Anti-Hypertensive Medication: Other (Central-acting Agents or Vasodilators) No N/A
Adherence to Anti-Hypertensive Medication: Thiazide Diuretics No N/A
Adherence to Lipid-Lowering Medication No N/A
Annual Monitoring for Patients on Anticonvulsants: Barbiturates No N/A
Annual Monitoring for Patients on Anticonvulsants: Dibenzazepines No N/A
Annual Monitoring for Patients on Persistent Medications: Digoxin No N/A
Annual Monitoring for Patients on Persistent Medications: Diuretics No Checklist
Annual Monitoring for Patients on Anticonvulsants: Hydantoins No N/A
Annual Monitoring for Patients on Anticonvulsants: Miscellaneous No N/A
Appropriate Follow-Up for Rheumatoid Arthritis No N/A
Annual Monitoring for Angiotensin Converting Enzyme (ACE)Inhibitors, Angiotensin Receptor Blockers (ARB) Use No Checklist
Appropriate Use of Antibiotics for Patients with Acute Otitis Media for Children 2 Months - 12 Years of Age No N/A
Appropriate Use of Antibiotics for Patients with Acute Sinusitis No N/A
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis No Checklist
Chronic Kidney Disease (CKD): Monitoring for Anemia No N/A
Chronic Kidney Disease: Lipid Tests No N/A
Chronic Kidney Disease: Monitoring Calcium No N/A
Chronic Kidney Disease: Monitoring Parathyroid Hormone (PTH) No N/A
Chronic Kidney Disease: Monitoring Phosphorus No N/A
Diagnosis and Follow-Up of Prostate Cancer No N/A
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis No N/A
Follow-Up Examination after Diagnosis and Treatment of Skin Cancers No Checklist
Follow-Up for Diabetic Retinopathy No N/A
Glaucoma Screening in Older Adults No N/A
Hepatic Enzyme Monitoring for Statin Use After Initiating Therapy No Checklist
Inhaled Corticosteroids as First Line Treatment in Asthma No N/A
Osteoporosis Screening for Patients on Systemic Corticosteroids No N/A
Pharmacological Treatment of Osteoporosis No N/A
Statin Treatment for Members with Diabetes No N/A
Treatment of Coronary Artery Disease (CAD) or CAD Equivalent: Use of Statins No Checklist
Use of Diuretics as First Line Therapy for New Starts on Antihypertensive Pharmacotherapy No N/A
Use of Imaging Studies for Low Back Pain No N/A
Visual Field Test for Patients with Suspected Glaucoma No N/A
Chlamydia Screening for Women No N/A