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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />lumerator compliant: HbA1c performed��� <br />and <8% in measurement period. All patients 18 - <br />Numerator noncompliant: if Hbalc > 8%, 75 with DM Type 2:54% 5% <br />missing a result or not done in 1 or Type 2 <br />measurement period ,... ;_ ,_ _, xt ; , - <br />A nephropathy screening or monitoring test <br />(Urine Protein); evidence of treatment for <br />nephropathy or ACE/ARB therapy; Evidence All patients 18 - <br />of stage 4 chronic kidney disease; evidence 75 with DM Type z86% 5% <br />of ESRD; Evidence of kidney transplant; A 1 or Type 2 <br />visit with a nephrologist (as evidence by <br />referral); At least 1 ACE inhibitor or ARB <br />dispensing event <br />4 <br />All patients 18 <br />years or older <br />Patients 18-59 years of age whose BP was <br />with a confirmed <br /><140/90 mmHg; Patients 60-85 years of age dx of HTN <br />w/ dx of DM whose BP was <140/90; <br />documented in 2:51% 5% <br />Patients 60-85 years of age w/o a dx of DM <br />Problem list, OV <br />whose BP was <150/90mmHg <br />note, SOAP note, <br />Encounter form, <br />dx report. <br />Patients 18 and older screened for BMI <br />All patients who <br />� <br />using height and weight. <br />are 18 years and z60% 5% <br />older <br />Patients 18 and older screened for clinical <br />All patients who <br />depression using either a PHQ-2 or PHQ-9 <br />are 18 years and z75% 5% <br />during the measurement period. <br />older <br />All patients who <br />Patients 18 and older identified as current <br />are 18 years and <br />or heavy nicotine/tobacco users who <br />older who <br />receive evidence -based counseling focused <br />identify as z20% 5% <br />on shifting someone towards quitting <br />current or heavy <br />tobacco/nicotine use. <br />tobacco or <br />nicotine user <br />2022 hosidc Health. 1 I C All ii;:hls ic,ei,c.l ConliAloival <br />39 <br />