NQF 0075, PQRI 53: Ischemic Vascular Disease: Complete Lipid Panel and LDL Control Description: The percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty(PTCA) from January 1–November 1 of the year prior to the measurement year, or who had a diagnosis of ischemic vascular disease (IVD) during the measurement year and the year prior to the measurement year and who had a complete lipid profile performed during the measurement year and whose LDL-C was <100 mg/dL. Core: Alt Core: Specialty: Reporting Numerator  Patients with the following documented: o LDL test ordered o o LDL result <100 mg/dL 39469-2, 49132-4, 55440-2 HDL test performed o o HDL result <100 mg/dL Total Cholesterol test ordered o o Total Cholesterol test ordered Triglyceride test ordered CPT: 80061, 83700, 83701, 83704, 83721 SNOMED: 113079009, 166833005 LOINC: 12773-8, 13457-7, 18261-8, 18262-6, 2089-1, 22748-8, CPT: 83701 SNOMED: 104583003, 121791001, 121792008, 121868005, 16254007, 166832000, 166838001, 166839009, 167072001, 167073006, 17888004, 252150008, 28036006, 314035000, 412808005, 77068002 LOINC: 14646-4, 18263-4, 2085-9 CPT: 82465 SNOMED: 121868005, 412808005 LOINC: 14647-2, 2093-3 CPT: 84478 SNOMED: 104586006, 104780002 LOINC: 12951-0, 14927-8, 2571-8, 47210-0 o Triglyceride test <400 mg/dL Denominator  Patient is >18 years of age o Has an Active Problem of acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA), ischemic vascular disease (IVD)  ICD-9: 434.00, 411.0, 411.1, 411.81, 411.89, 413.0, 413.1, 413.9, 414.00, 414.01, 414.02, 414.03, 414.04, 414.05, 414.06, 414.07, 414.2, 414.8, 414.9, 429.2, 433.0, 433.01, 433.10, 433.11, 433.20, 433.21, 433.30, 433.31, 433.80, 433.81, 433.90, 433.91, 434.01, 434.10, 434.11, 434.90, 434.91, 440.1, 440.20, 440.21, 440.22, 440.23, 440.24, 440.29, 440.4, 444.0, 444.1, 444.21, 444.22, 444.81, 444.89, 444.9, 445.01, 445.02, 445.8, 445.81, 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, 410.91, V70.0, V70.3, V70.5, V70.6, V70.8, V70.9 Exclusions  None Overview and Setup Related Preferences  None Related Setup: Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1   Orders: For all LDL, HDL, Total Cholesterol and Triglyceride orderables, ensure that the correct CPT and SNOMED codes (as listed in the numerator) are assigned to the orderable in the Orderable Item Dictionary Results: For all LDL, HDL, Total Cholesterol and Triglyceride results, ensure that the correct LOINC code (as listed in the numerator) is assigned to the result in the Resultable Item Dictionary   Additional Information This report will use the most recent LDL, HDL, Total Cholesterol and Triglyceride result. If results come back via paper, there should be a process in place to enter these values in EEHR o This can be done via Flowsheet or manually entered through the ACI References   Certified Workflows: o Ad Hoc Dx Order: With/Without Supervision (H6a) o Ad Hoc Dx Order: Entering for a Provider (H6b) o Quicksets (H10) o Charging for Orders (J3) o Non-Medication Order Processing (J6) o Order Specimen/Data Collection (J10) o CareGuides (H11) o Appointment Check-Out Application Design and Behavior Resource (ADBR) for Allscripts Enterprise EHR v11. Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2