*RETIRED* Clinical Quality Measures Report - Preventive Care and Screening: Cholesterol Fasting Low Density Lipoprotein (LDL- C) Test Performed

***As of 2017, this Quality Measure has been retired by CMS. It is no longer able to be reported for Meaningful Use nor MIPS Quality measures. MacPractice maintains this documentation only for reference.***

Overview
Percentage of patients aged 20 through 79 years whose risk factors have been assessed and a fasting LDL-C test has been performed.

High Risk
All patients aged 20 through 79 years who have CHD or CHD Risk Equivalent OR 10-Year Framingham Risk > 20%

• Denominator 1:
  • The patient needs to be 20-79 years old
  • They need to be seen during the reporting period, indicated with the listed Cholesterol Measure Encounter CPT codes in the report footer
  • They need an active CHD or CHD Risk Equivalent diagnosis, indicated with the listed ICD-9, ICD-10, or snomed codes in the report footer
• Numerator 1:
  • The patient needs one of the following entered or imported as a Laboratory Order, with a Received Date within the filtered date range-
    • LDL Code
    • Total Cholesterol, High Density Lipoprotein (HDL), and Triglycerides
• Exclusions:
  • Any patient who is diagnosed as pregnant, indicated with the listed ICD-9,ICD-10, or snomed codes in the report footer, is excluded from the report.

Moderate Risk
All patients aged 20 through 79 years who have 2 or more Major CHD Risk Factors OR 10-Year Framingham Risk 10-20%

• Denominator 2:
  
• Numerator 2:
  • The patient needs one of the following entered or imported as a Laboratory Order, with a Received Date within the filtered date range-
    • LDL Code
    • Total Cholesterol, High Density Lipoprotein (HDL), and Triglycerides
• Exclusions:
  • Any patient who is diagnosed as pregnant, indicated with the listed ICD-9, ICD-10, or snomed codes in the report footer, is excluded from the report.

Low Risk
All patients aged 20 through 79 years who have 0 or 1 Major CHD Risk Factors OR 10-Year Framingham Risk <10% ** For Denominator 2 and Denominator 3, Fasting HDL-C > or equal to 60 mg/dL subtracts 1 risk from the above (This is a negative risk factor.)

• Denominator 3:
  
• Numerator 3:
  • The patient needs one of the following entered or imported as a Laboratory Order, with a Received Date within the filtered date range-
    • LDL Code
    • Total Cholesterol, High Density Lipoprotein (HDL), and Triglycerides
• Exclusions:
  • Any patient who is diagnosed as pregnant, indicated with the listed ICD-9,ICD-10, or snomed codes in the report footer, is excluded from the report.