• Institute for Clinical Systems Improvement (ICSI). Lipid management in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Jun. 77 p. [128 references]

Does not apply to this measure

This measure is used to assess the percentage of patients with diagnosed coronary heart disease (CHD) or CHD equivalent who have had a diet evaluation.

The priority aim addressed by this measure is to increase adherence with adjunctive treatment of patients with coronary heart disease (CHD) or CHD equivalent through education.

Coronary heart disease (CHD); diet evaluation

Number of patients with diagnosed coronary heart disease (CHD) or CHD equivalent whose records are reviewed (see the related "Denominator Inclusions/Exclusions" field in the Complete Summary)

Number of patients with diagnosed coronary heart disease (CHD) or CHD equivalent who have had a diet evaluation

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Physician Group Practices/Clinics

Physicians

Group Clinical Practices

Age 20 to 75 years

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Living with Illness

Effectiveness

Users of care only

All patients age 20 to 75 with diagnosed coronary heart disease (CHD) or CHD equivalent

The preferred way to collect these data:

• All patients 20 to 75 years old with diagnosed CHD or CHD equivalent could be identified. Each medical group would select at random 20 patients from this list for measurement each month.
• Medical records of these 20 patients would be reviewed to determine if a diet evaluation has been done.

An alternative way to collect the data if automated databases are not available for all patients to be measured:

• All patients 20 to 75 years old with diagnosed CHD or CHD equivalent in the previous 12 months would be identified at the medical group using International Classification of Diseases, Ninth Revision (ICD-9) diagnostic codes from the previous 12 months. Each medical group would select at random 20 patients from this list for measurement each month.
• Medical records of these 20 patients would be reviewed to determine if a diet evaluation has been done.

Data on 20 patients are collected monthly and reported quarterly.

Patients associated with provider

Inclusions
Number of patients with diagnosed coronary heart disease (CHD)* or CHD equivalent whose records are reviewed

*Patients age 20 to 75 years old with CHD or CHD equivalent include all those who received one or more of the following International Classification of Diseases, Ninth Revision (ICD-9) codes in the previous 12 months: 410 to 414.9, V45.81 (coronary bypass), or V45.82 (angioplasty). Even if a patient has never been diagnosed with a lipid disorder, and/or is not on lipid lowering treatment, they may be included if they are 20 to 75 years old and have diagnosed heart disease.

Exclusions
Unspecified

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition

Time window precedes index event

Inclusions
Number of patients with diagnosed coronary heart disease (CHD) or CHD equivalent who have a diet evaluation

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Episode of care

Administrative data
Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of patients with diagnosed CHD or CHD equivalent who have had a diet evaluation.

Institute for Clinical Systems Improvement

Work Group Members: Tony Woolley, MD (Work Group Leader) (Park Nicollet Health Services) (Internal Medicine); Stephen Kopecky, MD (Mayo Clinic) (Cardiology); Thomas Kottke, MD (HealthPartners Medical Group) (Cardiology); Patrick O'Connor, MD (HealthPartners Medical Group) (Family Medicine); Susan Hanson, RD (Park Nicollet Health Services) (Health Education); William Conroy, MD (Park Nicollet Health Services) (Internal Medicine); Denise Dupras, MD (Mayo Clinic) (Internal Medicine); Phillip Kofron, MD, MPH (Park Nicollet Health Services) (Internal Medicine); Robert Needham, MD (Lakeview Clinic) (Internal Medicine); Sarah Groen, PharmD (HealthPartners Medical Group) (Pharmacy); Amy Murphy, MHHA (Institute for Clinical Systems Improvement) (Implementation Advisor); Ann-Marie Evenson, BS, RHIT (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2003 Jul

2007 Jun

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Lipid management in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Jun. 76 p.

• Institute for Clinical Systems Improvement (ICSI). Lipid management in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Jun. 77 p. [128 references]

This NQMC summary was completed by ECRI on April 28, 2004. This NQMC summary was updated by ECRI Institute on June 9, 2005, August 21, 2005, August 4, 2006 and again on October 1, 2007.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

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