Table 1 |
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A-TRIP quality indicators and eligibility criteria |
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| Quality indicator |
Eligibility criteria |
Target |
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| Process Measures |
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| BP monitoring |
All adults |
Within past 6 months (DM or HTN); otherwise within past 2 years |
| Total cholesterol measurement |
All adults |
Within past 5 years |
| HDL measurement |
All adults |
Within past year (DM); otherwise within past 5 years |
| LDL measurement |
DM, CHD, or other atherosclerotic disease |
Within past year |
| Triglyceride measurement |
DM |
Within past year |
| HgbA1C measurement |
DM |
Within past 6 months |
| Pap test |
Women without hysterectomy who are > = 18 years old but 65 years old |
Within past 3 years |
| FOBC, Sigmoidoscopy, or Colonoscopy |
Age > = 50 |
FOBC within past year, or sigmoidoscopy within past 5 years, or colonoscopy within past 10 years |
| Mammogram |
Women > = 40 years old |
Within past 2 years |
| Td vaccine |
Age > = 12 |
Within past 10 years |
| Flu vaccine |
Age > = 65 or [Age > = 18 and (DM, Asthma, COPD, CHD, HF, renal disease, or alcohol abuse)] |
Within past year |
| Pneumococcal vaccine |
Age > = 65 or [Age > = 18 and (DM, Asthma, COPD, CHD, HF, renal disease, or alcohol abuse)], different frequencies |
Ever |
| Hep A vaccines (n> = 2) |
Liver disease |
Ever |
| Chlamydia screening |
Women 16–25 years old |
Within past year |
| Depression screening |
Age > = 18 |
Within past 2 years |
| Alcohol screening |
Age > = 18 |
Within past 2 years |
| Alcohol counseling |
Alcohol abusers |
Within past year |
| Tobacco counseling |
Smokers |
Within past year |
| Diagnosing HTN |
Adults with 3 BPs > 140/90 mmHg in past year |
Diagnosis of HTN |
| Blood glucose test |
Obesity |
Within past year |
| Diet/nutritional counseling |
Obesity, HTN, hyperlipidemia, or DM |
Within past year |
| ACE or ARB |
(DM and HTN) or HF |
Active ACE or ARB Rx |
| Lipid lowering Rx |
CHD or other ASD |
Active lipid lowering Rx |
| Beta blocker |
HF |
Active beta blocker Rx |
| Anti-thrombotic agent |
AF or (> 40 years old and one or more of the following: HTN, hyperlipidemia, DM, other atherosclerotic disease) |
Active aspirin or warfarin Rx (AF patients); otherwise active aspirin Rx |
| Anti-inflammatory agent |
Asthma |
Active anti-inflammatory agent Rx |
| Anti-depressant |
Depression |
Active anti-depressant Rx |
| Urinary microalbumin |
DM |
Within past year |
| Prescriptions with contraindications |
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| Antibiotic agents |
URI, pharyngitis, or bronchitis in past month |
Antibiotic Rx within 3 days of visit for URI, pharyngitis, or bronchitis |
| Use of any drug that's always inappropriate |
Age > = 65 |
Active always inappropriate Rx |
| Use of any drug that's rarely appropriate |
Age > = 65 |
Active rarely appropriate Rx |
| Outcome Measures |
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| BP control |
DM, HTN |
< 130/80 mmHg (DM) or < 140/90 mmHg (HTN) |
| HDL control |
DM |
> 45 mg/Dl |
| LDL control |
DM, CHD, or other atherosclerotic disease |
< 100 mg/Dl |
| Triglyceride control |
DM |
< 150 mg/Dl |
| HgbA1C control |
DM |
< 7% |
Nietert et al. Implementation Science 2007 2:11 doi:10.1186/1748-5908-2-11 |
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