VanderbiltHealth.com
Patients and Visitors go to

Adult Primary Care

Quality Measures

These measures are specific to Adult Primary Care. Click here for the comprehensive list of quality measures for all focus clinics.

Measure

Population

Description

Frequency

Focus Clinic(s)

Status

Body Mass Indicator

M/F: >18 

Measure height and weight (calc. BMI); document appropriate follow-up

Annual

Adult Primary Care, Women's Health

MONITORING

Breast Cancer Screening

F: 50-75

Mammogram

2 years

Adult Primary Care, Women's Health

ACTIVE

Cervical Cancer Screening

F: 21-64

  • Cervical Cytology

  • Cervical Cytology/HPV co-testing for those 30+

Cervical Cytology: 3 years

Co-testing: 5 years

Adult Primary Care, Women's Health

ACTIVE

Colorectal Cancer Screening

M/F: 50-75

  • FOBT

  • Flexible Sig

  • Colonoscopy

FOBT: Annual

Flex Sig: 5 years

Colonoscopy: 10 years

Adult Primary Care, Women's Health

ACTIVE

Controlling High Blood Pressure

Hypertensive Pts: 18-85

Most recent BP
< 140/90

Annual

Adult Primary Care

DEVELOPMENTAL

Diabetes A1c Control

Diabetic Pts: 18-75

A1c < 9

Annual

Adult Primary Care

ACTIVE

Diabetes A1C Testing

Diabetic Pts: 18-75

A1c lab test

Annual

Adult Primary Care

ACTIVE

Diabetes Eye Exam

Diabetic Pts: 18-75

  • Dilated Eye Exam

  • Retinal Photograph

Annual

Adult Primary Care

ACTIVE

Diabetes Nephropathy Screening

Diabetic Pts: 18-75

  • Urine Protein Tests

  • ACE/ARB Prescription

  • Dialysis

Annual

Adult Primary Care

ACTIVE

High Risk Medication in the Elderly 

M/F: >66

Prescription for HRM

Annual

Adult Primary Care

ACTIVE

Influenza Immunization

M/F: >6 mo.

Receive Influenza Immunization

Annual

Adult Primary Care, Pediatric Primary Care, Women's Health

ACTIVE

Pneumococcal Vaccination

M/F: >65

Receive Pneumococcal Vaccine

Once

Adult Primary Care

MONITORING

Contact Information

Quality Safety Advisor 

Clinical Champion

Ruth Donlon

Ruth Donlon
ruth.e.donlon@vumc.org

 

Jill Jones

Jill Jones, MD
jill.jones@vanderbilt.edu

Quality Measure Status Definitions

Active: Refers to quality measures that directly impact 2018 pillar and/or departmental goals; these measures are tracked and reported
 

Monitoring: Refers to quality measures that continue to be monitored for performance; these measures do not necessarily impact pillar and/or departmental goals
 

Developmental: Refers to new measures that are not yet tied to pillar or departmental goals; these measures are intended to advance into an active status and help to provide more proactive, preventative care