During the Quality Initiative development process, local physician leaders identified initial Clinical Integration quality metrics based on three main principles: 1) they are already being collected, 2) they have already been vetted by large employers and payers with whom we will be contracting or are reporting requirements by regulatory bodies, 3) they have been presented to representative specialists who have found them to be a reasonable starting point for our Clinical Integration Quality Program. The quality initiatives listed below are a sample of metrics selected for these and other participating specialties.

If you would like to receive a copy of the metrics for your particular specialty, please contact Mike Tobin at 517.364.8044, or mike.tobin@sparrow.org.

Family Practice Quality Initiatives

1. Preventive Care and Screening: Influenza Immunization - Percentage of Patients ages six months and older seen for a visit between Oct. 1 and March 3 who received an influenza immunization OR who reported previous receipt of an influenza immunization.

2. Preventive Care and Screening: Colorectal Cancer Screening - percentage of Patients ages 50-75 who received the appropriate colorectal cancer screening.

3. Hypertension (HTN): Controlling High Blood Pressure -  percentage of Patients ages 18-85 who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period.

4. Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus - percentage of Patients ages 18-75 with diabetes whose LDL-C was adequately controlled (<100mg/dL) during the measurement period.

5. Others...

Gastroenterology Quality Initiatives

Hospital Based Initiatives:
1. Endoscopy/Polyp Surveillance: Appropriate follow-up interval for normal colonoscopy in average risk Patients - percentage of Patients aged 50 years and older receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report.

2. Endoscopy/Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use - percentage of Patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior colonic polyp(s) in previous colonoscopy findings, who had a follow-up interval of 3 or more years since their last colonoscopy.

3. Others...

Ambulatory Initiatives:

1. Preventive Care and Screening: Colorectal Cancer Screening - percentage of Patients ages 50-75 who received the appropriate colorectal cancer screening.

2. Hepatitis C: Hepatitis A Vaccination in Patients with Hepatitis C Virus (HCV):  percentage of Patients aged 18 years and older with a diagnosis of chronic hepatitis C who have received at least one injection of hepatitis A vaccine, or who have documented immunity to hepatitis A

3. Others...

Orthopedic Surgery Quality Initiatives

Inpatient Initiatives:
1. Surgery Patients who received appropriate Venous Thromboembolism (VTE) prophylaxis within 24 hours prior to Anesthesia Start Time to 24 hours after Anesthesia End Time.

2. Prophylactic Antibiotic Selection for surgical Patients - surgical Patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

3. Others...