{"text_format":"3","workbook":"xlsx","n_sheets":5,"sheets":["Patient List","Yes or No DATA","Medical Reason Not Found DATA","Help","Gender DATA"],"not_rendered":{"defined_names":3},"read":"whole","date_system":"1900"}

{"sheet":"Patient List","index":0,"n_rows":16,"n_cols":206,"rows_kept":16,"merged":[[0,0,0,10],[0,11,0,13],[0,14,0,18],[0,19,0,26],[0,27,0,34],[0,35,0,39],[0,40,0,51],[0,52,0,56],[0,57,0,61],[0,62,0,66],[0,67,0,71],[0,72,0,78],[0,79,0,84],[0,85,0,91],[0,92,0,101],[0,102,0,205]]}
["Beneficiary Demographics",{"$nulls":10},"Patient Confirmation",null,null,"CARE-2: Screening for Future Fall Risk",{"$nulls":4},"DM: Diabetes Mellitus Composite",{"$nulls":7},"HTN-2: Controlling High Blood Pressure ",{"$nulls":7},"IVD-2: Ischemic Vascular Disease: Use of Aspirin or Another Antiplatelet",{"$nulls":4},"MH-1: Depression Remission at Twelve Months",{"$nulls":11},"PREV-5: Breast Cancer Screening",{"$nulls":4},"PREV-6: Colorectal Cancer Screening",{"$nulls":4},"PREV-7: Influenza Immunization",{"$nulls":4},"PREV-8: Pneumococcal Vaccination Status for Older Adults",{"$nulls":4},"PREV-9: Body Mass Index (BMI) Screening and Follow-Up Plan",{"$nulls":6},"PREV-10: Tobacco Use: Screening and Cessation Intervention",{"$nulls":5},"PREV-12: Screening for Depression and Follow-Up Plan",{"$nulls":6},"PREV-13: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease",{"$nulls":9},"CARE-1: Medication Reconciliation Post-Discharge"]
["Medicare ID","First Name","Last Name","Gender","Date of Birth (MM/DD/YYYY)","Medical Record Number","Clinic ID","Provider Name 1                       (First Name Last Name)","Provider Name 2                        (First Name Last Name)","Provider Name 3                     (First Name Last Name)","General Comment","Can you locate the patient's medical record and is the patient qualified for the sample?","Disqualification Reason","Enter the date the patient became ineligible (MM/DD/YYYY)","Care Falls Rank","Is the patient qualified for this measure?","QPP Service Center Ticket Number  ","Was the patient screened for future fall risk at least once between January 1 and December 31, 2017?","Care Falls Comments (optional)","DM Rank","Does the patient have a documented history or active diagnosis of diabetes between January 1, 2016 and December 31, 2017?","QPP Service Center Ticket Number","Did the patient have one or more HbA1c tests performed between January 1, 2017 and December 31, 2017?","Date drawn (MM/DD/YYYY)","HbA1c value (enter distinct value)","Did the patient have a retinal or dilated eye exam by an eye care professional between January 1—December 31, 2017, OR a negative retinal exam (no evidence of retinopathy) by an eye care professional during 2016?","DM Comment (optional)","HTN Rank","Does the patient have a documented diagnosis of essential hypertension within the first six months of 2017 or at any time prior to January 1, 2017? ","QPP Service Center Ticket Number   ","Was the patient's most recent blood pressure reading documented between January 1 and December 31, 2017?","HTN-2 BP Date taken (MM/DD/YYYY)","HTN-2 BP Systolic                 (Enter Number)","HTN-2 BP Diastolic               (Enter Number)","HTN-2 Comments (optional)","IVD Rank","Does the patient have a documented diagnosis of AMI, CABG or PCI between January 1, 2016 and December 31, 2016 OR an active diagnosis of IVD between January 1 and December 31, 2017?","QPP Service Center Ticket Number    ","Does the patient have documented use of aspirin or another antiplatelet between January 1 and December 31, 2017?","IVD-2 Comments (optional)","MH Rank","Does the patient have an active diagnosis of major depression or dysthymia between December 1, 2015 and November 30, 2016?","QPP Service Center Ticket Number     ","Did the patient have one or more PHQ-9s administered between December 1, 2015 and November 30, 2016?","Did the patient have a PHQ-9 score greater than 9 between December 1, 2015 and November 30, 2016?","PHQ-9 Index Date (MM/DD/YYYY)","PHQ-9 Score (Enter Number)","Did the patient have one or more PHQ-9s administered during the measurement assessment period (12 months +/- 30 days from the index date)?","Did the patient achieve remission with a follow-up PHQ-9 performed and a score less than 5 at 12 months (+/- 30 days) of the initial Index Date?","PHQ-9 Follow-up Date (MM/DD/YYYY)","PHQ-9 Follow-up Score    (Enter Number)","MH-1 Comments (optional)","PC Mammogram Rank","Is the patient qualified for this measure? ","QPP Service Center Ticket Number      ","Was screening for breast cancer performed between October 1, 2015 and December 31, 2017?","PC Mammogram Comments (optional)","PC Colorectal Rank","Is the patient qualified for this measure?  ","QPP Service Center Ticket Number       ","Is the patient's colorectal cancer screening current?","PC Colorectal Comments (optional)","PC Flu Shot Rank","Is the patient qualified for this measure?   ","QPP Service Center Ticket Number        ","Did the patient receive an influenza immunization OR report previous receipt of an influenza immunization between August 1, 2016 and March 31, 2017?","PC Flu Shot Comments (optional)","PC Pneumoshot Rank","Is the patient qualified for this measure?    ","QPP Service Center Ticket Number         ","Has the patient ever received a pneumococcal vaccination?","PC Pneumoshot Comments (optional)","PC BMI Screen Rank","Is the patient qualified for this measure?     ","QPP Service Center Ticket Number          ","Did the patient have a BMI documented during the most recent visit or in the last 6 months prior to the most recent visit?","Was the patient's BMI within normal parameters?","Was a follow-up plan documented?","PC BMI Comments (optional)","PC Tobacco Use Rank","Is the patient qualified for this measure?      ","QPP Service Center Ticket Number           ","Was the patient screened for tobacco use at least once between January 1, 2016 and December 31, 2017 AND identified as a tobacco user?","Did the patient receive tobacco cessation intervention?","PC Tobacco Comments (optional)","PC Depression Rank","Is the patient qualified for this measure?       ","QPP Service Center Ticket Number            ","Was the patient screened for depression using an age appropriate standardized tool between January 1 and December 31, 2017?","Was the screen positive for depression between January 1 and December 31, 2017?","Was a follow-up plan for depression documented between January 1 and December 31, 2017?","PREV-12 Comments (optional)","PC Statin Rank","Does the patient have a diagnosis of atherosclerotic cardiovascular disease (ASCVD)—active or history of—at any time up through December 31, 2017?","QPP Service Center Ticket Number             ","Has the patient ever had a fasting or direct laboratory test result of LDL-C≥190mg/dL OR were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia?","QPP Service Center Ticket Number              ","Is the patient aged 40-75 years of age and has a diagnosis of Type 1 or Type 2 diabetes?","Has the patient had an LDL-C of 70-189 mg/dL between January 1, 2015 and December 31, 2017?","QPP Service Center Ticket Number               ","Was the patient taking or prescribed statin therapy between January 1 and December 31, 2017?","PC Statin Comments (optional)","MRPD Rank","Is the patient qualified for this measure?          ","QPP Service Center Ticket Number                ","Discharge Date (MM/DD/YYYY)","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?","Was the patient seen within 30 days following this inpatient facility discharge?","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?","CARE-1 Comments (optional)","Discharge Date (MM/DD/YYYY)  ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days? ","Was the patient seen within 30 days following this inpatient facility discharge? ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?  ","Discharge Date (MM/DD/YYYY)       ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?   ","Was the patient seen within 30 days following this inpatient facility discharge?  ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?   ","Discharge Date (MM/DD/YYYY)   ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?    ","Was the patient seen within 30 days following this inpatient facility discharge?   ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?    ","Discharge Date (MM/DD/YYYY)    ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?     ","Was the patient seen within 30 days following this inpatient facility discharge?    ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?      ","Discharge Date (MM/DD/YYYY)             ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?      ","Was the patient seen within 30 days following this inpatient facility discharge?     ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?       ","Discharge Date (MM/DD/YYYY)              ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?       ","Was the patient seen within 30 days following this inpatient facility discharge?      ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?        ","Discharge Date (MM/DD/YYYY)      ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?        ","Was the patient seen within 30 days following this inpatient facility discharge?       ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?         ","Discharge Date (MM/DD/YYYY)           ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?         ","Was the patient seen within 30 days following this inpatient facility discharge?        ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?          ","Discharge Date (MM/DD/YYYY)                  ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?          ","Was the patient seen within 30 days following this inpatient facility discharge?         ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?           ","Discharge Date (MM/DD/YYYY)                   ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?           ","Was the patient seen within 30 days following this inpatient facility discharge?          ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?            ","Discharge Date (MM/DD/YYYY)                    ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?            ","Was the patient seen within 30 days following this inpatient facility discharge?           ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?             ","Discharge Date (MM/DD/YYYY)                     ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?             ","Was the patient seen within 30 days following this inpatient facility discharge?            ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?              ","Discharge Date (MM/DD/YYYY)                      ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?              ","Was the patient seen within 30 days following this inpatient facility discharge?             ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?               ","Discharge Date (MM/DD/YYYY)                       ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?               ","Was the patient seen within 30 days following this inpatient facility discharge?              ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                ","Discharge Date (MM/DD/YYYY)                        ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                 ","Was the patient seen within 30 days following this inpatient facility discharge?               ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                 ","Discharge Date (MM/DD/YYYY)                           ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                   ","Was the patient seen within 30 days following this inpatient facility discharge?                 ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                   ","Discharge Date (MM/DD/YYYY)                          ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                  ","Was the patient seen within 30 days following this inpatient facility discharge?                  ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                    ","Discharge Date (MM/DD/YYYY)                            ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                    ","Was the patient seen within 30 days following this inpatient facility discharge?                    ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                     ","Discharge Date (MM/DD/YYYY)                             ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                     ","Was the patient seen within 30 days following this inpatient facility discharge?                      ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                       ","Discharge Date (MM/DD/YYYY)                                ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                        ","Was the patient seen within 30 days following this inpatient facility discharge?                        ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                         ","Discharge Date (MM/DD/YYYY)                                     ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                             ","Was the patient seen within 30 days following this inpatient facility discharge?                               ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                                 ","Discharge Date (MM/DD/YYYY)                                       ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                               ","Was the patient seen within 30 days following this inpatient facility discharge?                                   ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                                      ","Discharge Date (MM/DD/YYYY)                                        ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                                ","Was the patient seen within 30 days following this inpatient facility discharge?                                    ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                                       ","Discharge Date (MM/DD/YYYY)                                         ","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?                                   ","Was the patient seen within 30 days following this inpatient facility discharge?                                     ","Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?                                        "]
["000000001A","Mohammad","Schuster","MALE","01/20/1935",null,"28uu3m5cy","Salma Klocko","Elenor Block",{"$nulls":5},1,{"$nulls":12},1,{"$nulls":7},1,{"$nulls":4},1,{"$nulls":21},1,{"$nulls":4},1,{"$nulls":4},1,{"$nulls":6},1,{"$nulls":12},1]
["000000003A","Jaleel","Lowe","FEMALE","01/01/1933",null,"28uu3m5cy","Elenor Block",{"$nulls":6},3,{"$nulls":12},3,{"$nulls":12},2,{"$nulls":21},3,{"$nulls":4},3,{"$nulls":4},3,{"$nulls":6},3,{"$nulls":12},2]
["000000007A","Brianne","Gorczany","MALE","01/01/1952",null,"28uu3m5cy","Brennan Frami",{"$nulls":19},4,{"$nulls":7},2,{"$nulls":21},2,{"$nulls":4},4,{"$nulls":9},4,{"$nulls":6},4,{"$nulls":5},2,{"$nulls":6},3]
["000000010A","Casimir","Cole","MALE","01/01/1965",null,"28uu3m5cy","Kelley Renner",{"$nulls":19},5,{"$nulls":29},3,{"$nulls":4},7,{"$nulls":9},7,{"$nulls":6},7,{"$nulls":5},4,{"$nulls":6},4]
["000000004A","Horacio","Breitenberg","FEMALE","01/01/1950",null,"28uu3m5cy","Webster Strosin",{"$nulls":6},6,{"$nulls":4},1,{"$nulls":7},6,{"$nulls":24},1,{"$nulls":4},4,{"$nulls":4},8,{"$nulls":4},6,{"$nulls":4},8,{"$nulls":6},8,{"$nulls":5},5,{"$nulls":6},5]
["000000005A","Eveline","Marvin","FEMALE","01/01/1946",null,"28uu3m5cy","Dayne Moen","Ezra Wunsch","Hector Ondricka",{"$nulls":4},8,{"$nulls":4},2,{"$nulls":32},3,{"$nulls":4},6,{"$nulls":4},10,{"$nulls":4},8,{"$nulls":4},10,{"$nulls":6},10,{"$nulls":5},7,{"$nulls":6},6]
["000000006A","Javier","Will","MALE","01/01/1949",null,"28uu3m5cy","Emanuel Ebert","Joesph Jakubowski",{"$nulls":5},9,{"$nulls":4},3,{"$nulls":7},8,{"$nulls":7},3,{"$nulls":21},7,{"$nulls":4},11,{"$nulls":4},9,{"$nulls":4},11,{"$nulls":6},11,{"$nulls":5},8,{"$nulls":6},7]
["000000012A","Robert","Bernhard","FEMALE","01/01/1933",null,"28uu3m5cy","Joesph Jakubowski","Taurean Cole",{"$nulls":5},10,{"$nulls":12},9,{"$nulls":34},12,{"$nulls":4},10,{"$nulls":4},12,{"$nulls":6},12,{"$nulls":5},9,{"$nulls":6},8,{"$nulls":9},1,null,null,"2017-03-26"]
["000000013A","Olga","Simonis","FEMALE","01/01/1959",null,"28uu3m5cy","Mckenzie Blanda","Ethelyn Zulauf",{"$nulls":18},10,{"$nulls":7},4,{"$nulls":16},4,{"$nulls":4},8,{"$nulls":4},13,{"$nulls":9},13,{"$nulls":6},13,{"$nulls":5},10,{"$nulls":6},9,{"$nulls":9},2,null,null,"2017-04-04"]
["000000014A","Moriah","Von","FEMALE","01/01/1929",null,"28uu3m5cy","Maia Marvin",{"$nulls":6},11,{"$nulls":20},5,{"$nulls":26},14,{"$nulls":4},11,{"$nulls":4},14,{"$nulls":6},14,{"$nulls":5},11,{"$nulls":6},10,{"$nulls":9},3,null,null,"2017-03-20"]
["000000002A","Theodore","Gleichner","MALE","01/01/1945",null,"28uu3m5cy","Emmanuel Mills",{"$nulls":6},2,{"$nulls":12},2,{"$nulls":29},1,{"$nulls":4},2,{"$nulls":4},2,{"$nulls":4},2,{"$nulls":6},2,{"$nulls":5},1]
["000000011A","Roscoe","Davis","FEMALE","01/01/1939",null,"28uu3m5cy","Owen Koss",{"$nulls":6},5,{"$nulls":47},6,{"$nulls":4},5,{"$nulls":4},6,{"$nulls":6},6,{"$nulls":5},3]
["000000009A","Peter","Beier","FEMALE","01/01/1943",null,"28uu3m5cy","Vincent Zboncak",{"$nulls":6},7,{"$nulls":12},7,{"$nulls":24},2,{"$nulls":4},5,{"$nulls":4},9,{"$nulls":4},7,{"$nulls":4},9,{"$nulls":6},9,{"$nulls":5},6]
["000000008A","Mayra","Kovacek","MALE","01/19/1930",null,"28uu3m5cy","Taurean Cole",{"$nulls":6},4,{"$nulls":25},3,{"$nulls":21},5,{"$nulls":4},4,{"$nulls":4},5,{"$nulls":6},5]

{"sheet":"Yes or No DATA","index":1,"n_rows":28,"n_cols":8,"rows_kept":28,"hidden":true,"merged":[[14,0,14,3]]}
["Yes","Yes","Yes","Yes","Yes","Yes","Medical Reasons","Patient is over 65 and weight reduction/gain would complicate other underlying health conditions"]
["No - Medical Record Not Found","No","No","Not Confirmed - Diagnosis","Denominator Exclusion","No - Other CMS Approved Reason","Patient Reasons","Patient in urgent or emergent medical situation"]
["Not Qualified for Sample","Not screened for Medical Reasons","No - Other CMS approved reason","Denominator Exclusion","No - Other CMS Approved Reason","N/A","System Reasons","N/A"]
["N/A","N/A","N/A","No - Other CMS Approved Reason","N/A",null,"N/A"]
[{"$nulls":3},"N/A",{"$nulls":3},"Yes"]
["No","Yes","Yes",{"$nulls":4},"Not Confirmed - Diagnosis"]
["Yes","No","No - Other CMS Approved Reason","Yes","No","No",null,"No - Other CMS Approved Reason"]
["Not Screened / Unknown","Denominator exception - Medical Reason","N/A","No - Diagnosis","Yes","No - Denominator Exception - Medical Reasons",null,"N/A"]
["No - Denominator Exception - Medical Reasons","N/A",null,"No - Other CMS approved reason","No - Denominator Exception - Medical Reasons","Yes"]
["N/A","No",null,"Denominator Exclusion","N/A","N/A",null,"Yes"]
[null,"Yes",null,"N/A",{"$nulls":3},"Not Confirmed - Diagnosis"]
[null,"N/A",{"$nulls":5},"Denominator Exclusion"]
[{"$nulls":4},"Yes","Yes",null,"No - Other CMS Approved Reason"]
[{"$nulls":4},"No","No - Diagnosis or Not aged 40 to 75 years","Medical Reasons","N/A"]
["Table of Yes and No",{"$nulls":3},"No - Denominator Exclusion","N/A","Patient Reasons"]
["Y = Yes",{"$nulls":3},"No - Other CMS approved reason",null,"N/A","Yes"]
["N = No",{"$nulls":3},"N/A",null,null,"No"]
["N1 = Not screened for Medical Reasons","No","No","No",{"$nulls":3},"No - Denominator Exception - Medical reasons"]
["N2 = No, other CMS approved reasons","Yes","Yes","Yes",{"$nulls":3},"N/A"]
["N3 = Denominator Exclusion","No - Denominator Exception - Medical Reasons","No - Denominator Exception - Medical Reasons","No - Denominator Exception - Medical Reasons"]
["N4 = Not confirmed - diagnosis","N/A","No - Denominator Exception - Patient Reasons","No - Denominator Exception - Patient Reasons"]
["N5 = No, Patient screens and is not a tobacco user",null,"No - Denominator Exception - System Reasons","N/A"]
["N6 = No, denominator exception","No","N/A"]
["N7 = Not screened / unknown","Yes",null,"Yes","Yes"]
["N8 = Denominator exception - Medical Reason","No - Denominator Exception - Medical Reason",null,"No - Diagnosis","No"]
[null,"N/A",null,"Denominator Exclusion","Denominator Exclusion"]
[{"$nulls":3},"No - Other CMS Approved Reason","No - Other CMS Approved Reason"]
[{"$nulls":3},"N/A","N/A"]

{"sheet":"Medical Reason Not Found DATA","index":2,"n_rows":6,"n_cols":1,"rows_kept":6,"hidden":true}
[]
["In Hospice"]
["Moved out of Country"]
["Deceased"]
["HMO Enrollment"]
["N/A"]

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["Measure Name","Question","Help"]
["CARE-1","Was the patient discharged from an inpatient facility on the discharge date listed +/- 2 calendar days?","Synonyms for inpatient facility include: Acute care hospital discharges, psychiatric inpatient discharges, skilled nursing facility discharges or rehabilitation inpatient discharges. This measure is to be reported each time a patient was discharged from any inpatient facility and had an office visit within 30 days of discharge during the measurement period. If there are no valid inpatient discharges/office visits within 30 days for this patient, the patient should be skipped and replaced."]
[null,"Were discharge medications reconciled with the current medication list in the outpatient medical record within 30 days following this inpatient facility discharge?","The intent of the measure is to ensure that the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care reviewed the discharge medications from the inpatient facility. If others perform the medication reconciliation, there must be documentation that the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care is aware of the review.\n\nMedication reconciliation post discharge may be completed during a telehealth encounter."]
["CARE-2","Was the patient screened for future fall risk at least once between January 1 and December 31, 2017?","Additional fall risk screening information: - A clinician with appropriate skills and experience may perform the screening. - Setting of screening is not restricted to an office setting. - Documentation of no falls is sufficient. - Medical record must include documentation of screening performed. - Any history of falls screening during the measurement period is acceptable as meeting the intent of the measure. - A gait or balance assessment meets the intent of the measure. - Screening for future fall risk may be completed during a telehealth encounter.\n\nFor the Denominator Exception, count as non-ambulatory only if non-ambulatory at the most recent encounter during the measurement period."]
["DM","Did the patient have one or more HbA1c tests performed between January 1, 2017 and December 31, 2017?","Synonyms for HbA1c testing may include Glycohemoglobin A1c, HbA1c, Hemoglobin A1c, HgbA1c, A1c. Use the following priority ranking: • Lab report draw date • Lab report date • Flow sheet documentation • Practitioner notes • Other documentation - Patient Reported Requirement: date and most recent value (distinct value required). - Ranges and thresholds do not meet criteria for this indicator. A distinct numeric result is required for numerator compliance. - At a minimum, documentation in the medical record must include a note indicating the date on which the HbA1c test was performed and the result. - Documentation of most recent HbA1c result may be completed during a telehealth encounter."]
[null,"Did the patient have a retinal or dilated eye exam by an eye care professional between January 1—December 31, 2017, OR a negative retinal exam (no evidence of retinopathy) by an eye care professional during 2016?","Additional retinal or dilated eye exam information:\n- If an endocrinologist or PCP performs the appropriate imaging in their office and the results are reviewed by an eye care professional (optometrist or ophthalmologist) during the measurement period or the year prior to the measurement period (if negative for retinopathy), then it is eligible for use in reporting. \n- If the eye exam is not performed or reviewed by an ophthalmologist or optometrist, results may be read by a qualified reading center that operates under the direction of a medical director who is a retinal specialist.\n- Documentation of diabetic retinal disease screening may be completed during a telehealth encounter."]
["HTN-2","Does the patient have a documented diagnosis of essential hypertension within the first six months of 2017 or at any time prior to January 1, 2017? ","Denominator Exclusions: Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period are excluded. Also, exclude patients with a diagnosis of pregnancy during the measurement period.\nOR \nPatients age 65 and older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with a POS code 32, 33, 34, 54 or 56 any time during the measurement period.\n"]
[null,"Was the patient's most recent blood pressure reading documented between January 1 and December 31, 2017?","- The blood pressure value cannot be completed during a telehealth encounter. - If there are multiple blood pressure readings on The same day, use The lowest systolic and The lowest diastolic reading as The most recent blood pressure reading."]
["IVD-2","Does the patient have a documented diagnosis of acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) between January 1, 2016 and December 31, 2016 OR an active diagnosis of ischemic vascular disease (IVD) between January 1 and December 31, 2017?","- The diagnosis of Peripheral Vascular Disease (PVD) and/or Peripheral Arterial Disease (PAD) would not be considered confirmation of a diagnosis of IVD. - Active Diagnosis is defined as a diagnosis that is either on the patient’s problem list, a diagnosis code listed on the encounter, or is documented in a progress note indicating that the patient is being treated or managed for the disease or condition during the denominator identification measurement period.\n\n- Denominator Exclusion medications include the following: anticoagulant medications (i.e., Apixaban, Argatroban, Bivalirudin, Dabigatran, Dalteparin, Desirudin, Edoxaban, Enoxaparin, Fondaparinux, Heparin, Lepirudin, Rivaroxaban, Tinzaparin, Warfarin)."]
[null,"Does the patient have documented use of aspirin or another antiplatelet between January 1 and December 31, 2017?","- Oral Antiplatelet therapy includes: aspirin, clopidogrel or combination of aspirin and extended release dipyridamole, Prasugrel, Ticagrelor, and Ticlopidine. - Documented use of aspirin or another antiplatelet during the measurement period may be completed during a telehealth encounter."]
["MH-1","Does the patient have an active diagnosis of major depression or dysthymia between December 1, 2015 and November 30, 2016?","\n- Active Diagnosis is defined as a diagnosis that is either on the patient’s problem list, a diagnosis code listed on the encounter, or is documented in a progress note indicating that the patient is being treated or managed for the disease or condition during the measurement period. - Encounters in a Psychiatric, Behavioral, or Mental Health Setting require the diagnosis of depression or dysthymia to be a primary diagnosis. - Denominator identification period or index date—patient must be aged 18 years of age or older.\n\n- Exclude patients who meet any of the following from this measure: 1. deceased 2. received hospice or palliative care services 3. permanent nursing home residents 4. diagnosis of bipolar disorder 5. diagnosis of personality disorder. - Denominator Exclusions can occur any time during the denominator identification measurement period or the measurement assessment period. - Permanent Nursing Home Resident is defined as a patient who is residing in a skilled nursing facility on a long term basis. It does not include patients who are receiving short term rehabilitative services following a hospital stay, nor does it include patients residing in assisted living or group home settings.\n"]
[null,"Did the patient have one or more PHQ-9s administered between December 1, 2015 and November 30, 2016?","PHQ-9 administration does not require a face-to-face visit; multiple modes of administration are acceptable (telephone, mail, e-visit, email, patient portal, iPad/tablet, or patient kiosk). - Index date marks the start of the measurement assessment period for each patient which is 13 months (12 months +/- 30 days) in length to allow for a follow-up PHQ-9 between 11 and 13 months following the index date. This assessment period is fixed and does not “start over” with a higher PHQ-9 that may occur after the index date."]
[null,"Did the patient have a PHQ-9 score greater than 9 between December 1, 2015 and November 30, 2016?","Enter the first instance of PHQ-9 greater than 9 that is also associated with a diagnosis of major depression or dysthymia during the time period of December 1, 2015 and November 30, 2016. This is the Index Date for this patient and marks the start of the 13 month assessment period (12 months +/- 30 days) - All nine questions must be answered to have a valid summary score. If a patient chooses more than one response for a single question, select the “worse” response (higher number) to calculate the summary score"]
[null,"Did the patient achieve remission with a follow-up PHQ-9 performed and a score less than 5 at 12 months (+/- 30 days) of the initial Index Date?","- If more than one PHQ-9 score was obtained between the 11 and 13 month window, select the most recent PHQ-9 date and score within that window. - Scores obtained prior to or after this period are not counted as numerator compliant (remission). - Patient remission, a follow-up PHQ-9 result less than five may be determined during a telehealth encounter."]
[null,"Follow-up Date (MM/DD/YYYY)","- The index date marks the start of the measurement assessment period for each patient which is 13 months (12 months +/- 30 days) in length to allow for a follow-up PHQ-9 between 11 and 13 months following the index date. This assessment period is fixed and does not \"start over\" with a higher PHQ-9 that may occur after the index date. - In order to meet the measure, the PHQ-9 Follow-Up Date must be 12 months +/- 30 days of the Index PHQ-9 Test date.\n- Copy and paste N/A in this field to null out a previously reported date."]
["PREV-5","Is the patient qualified for this measure? ","\nExclude women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy.\nOR \nPatients age 65 and older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with a POS code 32, 33, 34, 54 or 56 any time during the measurement period.\n"]
[null,"Was screening for breast cancer performed between October 1, 2015 and December 31, 2017?","- Documentation in the medical record must include both of the following: a note indicating the date the breast cancer screening was performed AND the result or findings. - Documentation of ‘normal’ or ‘abnormal’ is acceptable. - Patient Reported Requirement: date and type of test AND result/finding. - Screening includes: Breast x-ray, diagnostic mammography, mammogram, screening mammography, digital breast tomosynthesis (3D mammography). - MRI and Ultrasound are not considered breast cancer screening for this measure. - Documentation of screening for breast cancer may be completed during a telehealth encounter."]
["PREV-6","Is the patient qualified for this measure?  ","\nExclude patients with a diagnosis or past history of total colectomy or colorectal cancer.\nOR \nPatients age 65 and older in Institutional Special Needs Plans (SNP) or Residing in Long-Term Care with a POS code 32, 33, 34, 54 or 56 any time during the measurement period.\n"]
[null,"Is the patient's colorectal cancer screening current?","Appropriate screenings are defined by any one or more of the following criteria below:\n• Fecal occult blood test (FOBT)* between January 1 and December 31, 2017\n• Flexible sigmoidoscopy between January 1, 2013 and December 31, 2017\n• Colonoscopy between January 1, 2008 and December 31, 2017\n• Computed tomography (CT) colonography between January 1, 2013 and December 31, 2017\n• Fecal immunochemical DNA test (FIT-DNA) between January 1, 2015 and December 31, 2017\n\n- Do not count digital rectal exams (++DRE), FOBT tests performed in an office setting or performed on a sample collected via DRE\n- Documentation in the medical record must include both of the following: A note indicating the date the colorectal cancer screening was performed AND the result or findings\n- Documentation of ‘normal’ or ‘abnormal’ is acceptable\n- Patient Reported Requirement: Date (year) and type of test AND result/finding\n- Documentation of colorectal cancer screening may be completed during a telehealth encounter\n\nNOTE: FOBT includes: ColoCARE, Coloscreen, EZ Detect, Fecal Immunochemical Tests (FIT), Fecal occult blood test, flushable reagent pads, flushable reagent stool blood test, guiac smear test, Hemoccult, Seracult, stool occult blood test"]
["PREV-7","Did the patient receive an influenza immunization OR report previous receipt of an influenza immunization between August 1, 2016 and March 31, 2017?","- If the CMS Web Interface has been prefilled with “Yes” based on claims data, no further action is required. - Documentation that the patient previously received an influenza immunization during the flu season or report of previous receipt may be completed during a telehealth encounter.\n\nDenominator Exceptions include:\n• Documentation of medical reason(s) for not receiving influenza immunization (eg, patient allergy, other medical reasons)\n• Documentation of patient reason(s) for not receiving influenza immunization (eg, patient declined, other patient reasons)\n• Documentation of system reason(s) for not receiving influenza immunization (eg, vaccine not available, other system reasons)\n"]
["PREV-8","Has the patient ever received a pneumococcal vaccination?","- Patient Reported Requirement: Date (year) and type of vaccine. - Pneumococcal vaccination status may be completed during a telehealth encounter."]
["PREV-9","Did the patient have a BMI documented during the most recent visit or in the last 6 months prior to the most recent visit?","The six month look-back can be calculated as a look-back of <7 months from the most recent encounter."]
[null,"Was the patient's BMI within normal parameters?","- Amputees are not considered denominator exceptions. - BMI calculation and recommended follow-up plan cannot be completed during a telehealth encounter."]
[null,"Was a follow-up plan documented?","\nDenominator Exceptions include: 1) Elderly patients (65 or older) for whom weight reduction/weight gain would complicate other underlying health conditions such as the following examples: • Illness or physical disability • Mental illness, dementia, confusion • Nutritional deficiency, such as vitamin/mineral deficiency 2) Patients in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient's health status.\n"]
["PREV-10","Was the patient screened for tobacco use at least once between January 1, 2016 and December 31, 2017 AND identified as a tobacco user?","\nIf there is more than one patient query regarding tobacco use, use the most recent. - Screening for tobacco use and cessation do not have to occur on the same encounter, but must occur during the 24-month look-back period. - Select \"No\" if screened and identified as a tobacco non-user. - Select \"Yes\" if screened and identified as a tobacco user. - Select \"Not Screened / Unknown\" if the patient was not screened for tobacco use or tobacco status is unknown.\n\nDenominator Exceptions:\n- Documentation of medical reason(s) for not screening for tobacco use (eg, limited life expectancy, other medical reason).\n"]
[null,"Did the patient receive tobacco cessation intervention?","\n- Phone and email follow-up are acceptable as long as it occurs within the 24 months of screening - Tobacco cessation intervention may be completed during a telehealth encounter \n\n- If a patient is screened and found to be a tobacco user, the ONLY medical reason allowed for not providing cessation intervention is limited life expectancy.\n"]
["PREV-12","Was the patient screened for depression using an age appropriate standardized tool between January 1 and December 31, 2017?","Adolescent Screening Tools (12-17 years)\n• Patient Health Questionnaire for Adolescents (PHQ-A)\n• Beck Depression Inventory-Primary Care Version (BDI-PC)\n• Mood Feeling Questionnaire (MFQ)\n• Center for Epidemiologic Studies Depression Scale (CES-D)\n• Patient Health Questionnaire (PHQ-9)\n• Pediatric Symptom Checklist (PSC-17)\n• PRIME MD-PHQ-2\nAdult Screening Tools (18 years and older)\n• Patient Health Questionnaire (PHQ-9)\n• Beck Depression Inventory (BDI or BDI-II)\n• Center for Epidemiologic Studies Depression Scale (CES-D)\n• Depression Scale (DEPS)\n• Duke Anxiety-Depression Scale (DADS)\n• Geriatric Depression Scale (GDS)\n• Cornell Scale Screening\n• PRIME MD-PHQ-2\n\n- Use most recent screening for depression - Although the patient may have access to the depression screening tool in advance of the appointment the depression screening results must be documented on the date of the encounter (date of appointment).The results must be reviewed/verified and documented by the eligible professional in the medical record on the date of the encounter to meet the screening portion of this measure - Screening for depression may be completed during a telehealth encounter.\n\nExcept patients from the denominator for medical reasons if:\n• Patient is in an urgent or emergent situation where time is of the essence and to delay treatment would jeopardize the patient’s health status. • Patient's functional capacity OR motivation to improve may impact the accuracy of results of standardized depression assessment tools. For example: certain court appointed cases or cases of delirium. Except patients from the denominator for patient reasons if: • Patient refuses to participate.\n"]
[null,"Was a follow-up plan for depression documented between January 1 and December 31, 2017?","- If the screen is positive a follow-up plan is to be documented on the date of the positive screen. - Documentation of recommended follow-up plan for a positive depression screen may be completed during a telehealth encounter."]
["PREV-13","Does the patient have a diagnosis of atherosclerotic cardiovascular disease (ASCVD)—active or history of—at any time up through December 31, 2017?","\nClinical atherosclerotic cardiovascular disease (ASCVD) includes: • Acute coronary syndromes • History of myocardial infarction • Stable or unstable angina • Coronary or other arterial revascularization • Stroke or transient ischemic attack (TIA) • Peripheral arterial disease of atherosclerotic origin\n\nSelect \"No - Diagnosis\" if you are unable to confirm a diagnosis of ASCVD.\nDenominator exclusions include:\n• Active diagnosis of pregnancy\n• Breastfeeding\n• A diagnosis of rhabdomyolysis\n"]
[null,"Has the patient ever had a fasting or direct laboratory test result of LDL-C≥190mg/dL OR were previously diagnosed with or currently have an active diagnosis of familial or pure hypercholesterolemia?","\n- Active Diagnosis is defined as a diagnosis that is either on the patient’s problem list, a diagnosis code listed on the encounter, or is documented in a progress note indicating that the patient is being treated or managed for the disease or condition during the measurement period.\n\nSelect \"No - Diagnosis\" if any of the following are met:\n• Patient has never had a fasting or direct laboratory test result of LDL-C≥190mg/dL\n• Patient has never been previously diagnosed with or currently has an active diagnosis of familial or pure hypercholesterolemia\n• Laboratory unable to calculate LDL-C value due to high triglycerides\n• Test result is labeled \"unreliable\"\n\nDenominator exclusions include:\n• Active diagnosis of pregnancy\n• Breastfeeding\n• A diagnosis of rhabdomyolysis\n"]
[null,"Was the patient taking or prescribed statin therapy between January 1 and December 31, 2017?","\nDocumentation of statin therapy prescribed or being taken during the measurement period cannot be completed during a telehealth encounter.\n\nExcept patients from the denominator with any of the following:\n• Adverse effect, allergy, or intolerance to statin medication\n• Receiving palliative care\n• Active liver disease or hepatic disease or insufficiency\n• End-stage renal disease (ESRD)\n• Diabetes - patients who have the most recent fasting or direct LDL-C laboratory test result < 70 mg/dL and are not taking statin therapy\n"]
["File Verson: 5.0"]

{"sheet":"Gender DATA","index":4,"n_rows":3,"n_cols":1,"rows_kept":3,"hidden":true}
["Male"]
["Female"]
["N/A"]