BMI Audit Form 2010 - FINAL

A0d823

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• Publié par: Phuwyir
• Nombre de lectures: 37
• Langue: English

Extrait

B l u e C r o s s a n d B l u e S h i e l d o f M i n n e s o t a  R e c o g n i z i n g E x c e l l e n c e 2010  BodyMass Index (BMI)  Health yEatin ga ndPh ysica lActivity Audit F o rm P ayfor performance progr am Last Update: 8/2010 Blue Cross and BlueShield of Minnesota is alicensee of the Blue Cross and BlueShield Association

Numerator Tally RE criteria met?1Yes1No BMI Documentation Tally: 2010 Recognizing Excellence (RE) Medical Record Audit Form BMI documented?1Yes1No Body Mass Index (BMI): Healthy Eating and Physical Activity Date of Review: ____/____/___Reviewer: _______________________ Specialty: ____________________________________________________ Clinic site: ______________________ Clinician ID: ______________ Clinic System:____________________BCBS Member? 1Yes1No Clinic Sample ID#: _________ Instructions: Review only the charts that meet the verified inclusion criteria referenced in the criteria summary table (preventive clinic/annual visit within the last 12 months and at least 2 years old).Answer all questions for each patient who meets the inclusion criteria. Retain this audit tool with your Recognizing Excellence records for reference and validation. Method of data collection. I. Hasthe patient population with elevated BMI values already been identified via a separate process (ieEMR report)? 1Yes 1No  If yes, proceed to question #3 If no, proceed with next question. Basic Information: A. Did the patient have a preventive clinic visit documented in the record in the last 12 months (between January 1, 2010 and December 31, 2010)? 1 Yes 1 No  Ifyes, proceed with next question If no, do not include this record. Pull a new medical record from the eligible population identified. B. Is the patient age two or older as of Dec. 31, 2009 (Date of birth on or before Dec. 31, 2007)? 1 Yes 1 No If yes, proceed with next question  Ifno, do not include this record. Pull a new medical record from the eligible population identified. C. Is the patient body building, pregnant or lactating? 1 Yes 1 No If no, proceed with next question  Ifyes, do not include this record. Pull a new medical record from the eligible population identified. For the most recent preventive visit, answer the following” 1. Arethe height, weight and BMI documented in the medical chart for the most recent preventive visit? 1  Yes 1  No If yes, proceed with next question  Ifno, please stop the audit for this record and record and check “No” in the BMI Documentation Box. 2. Pleaseinclude the values below 1 ORHeight: ________ ft_______ in  ________________cm 1 ORWeight: _________________lbs  _________________kg 1 BMI Calculation (Pediatric clinics should report percentiles) IF patient <18 years old: BMI Percentile: _______________ IF patient >= 18 years old: BMI Value: _________________

Assess optimal management for patients ages 2 years and over with an elevated body mass index who have received education and counseling regarding weight loss. 3. Isthe patient between the ages of 2 years and less than 18 years? 1Yes 1No If yes, proceed to the next question If no, proceed to question #6 th 4. Isthe patient’s BMI elevated (over the 85percentile)? 1Yes 1No If no, the audit is complete for this record.Please check “Yes” in the BMI Documentation Tally” box. If yes, proceed to the next question 5. Wereaction steps documented to address weight issues? 1Yes 1No If yes, include this patient in the numerator.Check “Yes” in the BMI Documentation Tally Box and the Numerator Tally Box. If no, this audit record should not be included in the numerator.This record is included in the denominator. Check“Yes” in the BMI Documentation Tally Box. 6. Isthe patient’s BMI elevated (over 25.00)? 1Yes 1No If no, the audit is complete for this record.Please check “Yes” in the BMI Documentation Tally” box. If yes, proceed to the next question 7. Wereaction steps documented to address weight issues? 1Yes 1No If yes, include this patient in the numerator.Check “Yes” in the BMI Documentation Tally Box and the Numerator Tally Box. If no, this audit record should not be included in the numerator.This record is included in the denominator. Check“Yes” in the BMI Documentation Tally Box. Recognizing Excellence (RE) BMI Documentation Tally: Document this record in the “BMI Documentation Tally” Box as follows: If the answer to question 1 is “Yes”, checkthe “Yes”box in BMI Documentation Tally box  front o page of audit form If the answer to question 4 or 6 is “No”, check the “Yes” box in BMI Documentation Tally box  o front page of audit form If the answer to question 1 is “No”, check the “No” box in BMI Documentation Tally box  front o page of audit form Recognizing Excellence (RE) Numerator Checklist: Include this record in numerator of Recognizing Excellence BMI? Record Counted in Numerator: If the answer to questions 5 or 7 is “Yes”, include this record in the numerator for BMI. Check the “Yes” box in Recognizing Excellence Numerator Tally  front page of audit form Record Not Counted in Numerator: If the answer to questions 5 or 7 is “No”, this audit record cannot be included in the numerator. This record is included in the denominator.Check the “No” box in Recognizing Excellence Numerator Tally  front page of audit form