what does that mean?
what is QI?
Quality incentive program, PCP's improvement in patient health care. Prevention, screening, chronic disease management, appropriate us of resources, PCP access and operations, patient experience.
per QI purposes children between 1-4 years old should get how many Fluorides during the measurement year?
2 fluoride applications
How many wcc visit should a child under 15 months have?
6 wcc visit
what vaccines do we look for in adolescents?
specifically ages 11-13 years old.
tdap (1), MCV4 (1), HPV (2)
Adult measure:
How often do you take A1c?
controlled DM patients every 6 months
uncontrolled DM patients every 3 months
who does QI involve?
ALL STAFF
per QI purposes, what is the ages of chlamydia screening?
16-24 years old
Per rooming guideline at what age should we collect Lead and hemoglobin?
6 months - 6 years
where should you document if pt declines or out of stock?
1. on CAIR sheet (MA)
2. On immunization tab, can address as "parent refused"/ declined (MA)
3. PCP can document on notes
Adult measures:
if a patient comes with a Blood pressure of 140/90, do you recheck blood pressure?
if yes how many times?
yes recheck, twice with at least 10 minute gap from the first one
per QI purposes how many chlamydia screenings are needed during the measurement year and what are 2 ways to collect?
1 screening needed during measurement year. can collect from urine or swab.
bonus: can also be collected with pap smears
Per rooming guidelines what two wcc ages does a child get between 15-30 months?
18 month and 24 month wcc
For children under 8 yr old what seasonal vaccines need a 2 dose series before giving yearly?
how far apart should it be scheduled
Flu vaccine and should be scheduled 1 month out
what screening do women under 30 years old get every 3 years and over 30 years every 5?
Cervical Cancer screenings (Pap smears)
To collect urine samples for Chlamydia does patient have to be sexually active/ report?
what is important to document when administrating fluoride in patient chart?
Lot and expiration date
How many pneumo's should a child have by the age of 12 months?
4 penumo
what two screening can a patient preform for a colorectal screening and how often are they?
1. Fecal immunochemical test (FIT), yearly
2. Colonoscopy, usually 10 years
Per QI what measure for women only- start cancer screenings as early as 40 years old and can be done every 2 years?
Breast cancer screenings (mammogram)
can you give the 6 wcc ages needed for 0-15 months?
newborn, 2 mo, 4mo,6m 9mo, 12 mo
2 wk is a hit or miss
what oral vaccine is given 2 month and 4 months but no later than 8 months?
RotaVirus
Adult measures:
if a patients chart states mild/moderate/severe non-proliferative retinopathy what referral should you order? and how often should it be ordered?
patient had diabetic retinopathy. referral should be to ophthalmology and should be screened yearly