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    Everything doctors need to know about CPC+ changes in 2018


     10. Statin therapy for prevention and treatment of ischemic vascular disease: this includes adults 21 or older with atherosclerotic heart disease or with an LDL equal to or greater than 190 or with a diagnosis of familial pure hypercholesterolemia, or adults 40-70 years old with a diagnosis of diabetes and an LDL of 70-189 who are taking a statin.

    11. Breast cancer screening: women 50-74 who had a mammogram within two years.

    12. Colorectal screening: percentage of patients 50-75 who had any screening, colonoscopy, sigmoidoscopy, hemoccult or cologuard.

    13. Cervical cancer screening: percentage of women 21-64 who had a pap within three years or a pap with hpv within five years.

    14. Diabetes eye exam: the percentage of diabetic patients aged 18-75 who had a retinal exam: within one year if known retinopathy, within two years if negative for retinopathy.

    15. Diabetes: medical attention for nephropathy: the percentage of patients aged 17-75 who had a positive urine screen for nephropathy and are receiving treatment.


    IN CASE YOU MISSED IT: Why physicians may want to apply for the CPC+ program


    16. Closing the referral loop: percentage of patients with referrals to specialists for which a consult report is received.

    17. Use of high-risk medications in the elderly.

    All of these measures are reportable through the electronic health record. Regardless of what your idea of quality happens to be, there should be at least seven among the above 17 that you feel are worth pursuing for the good of your patient. If you are not a big believer in mammograms, maybe you feel statins are important in heart disease and diabetes. If you don’t think the flu shot is important, perhaps you believe in screening for and counseling against smoking.


    Fortunately, there are enough measures available to choose from that most offices should be able to find seven to champion. Whichever metrics you choose to chase, it should improve the quality of care you are providing and keep your patients healthier. Thank you CPC+ for allowing us to provide better care.


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