Appendix A.

Practice Intervention Tracking Items

Intervention IDCategoryMeasureComponent
1A. Point-of-Care Clinical Decision SupportAspirinReminder to order aspirin/antiplatelet drug for pts with IV.D (or CVD)
2A. Point-of-Care Clinical Decision SupportBPAlert staff to a patient with uncontrolled blood pressure
3A. Point-of-Care Clinical Decision SupportCholesterolAlert for a lipid panel (or cholesterol) in ASCVD (or IV.D, or CVD)
4A. Point-of-Care Clinical Decision SupportCholesterolAlert for a lipid panel (or cholesterol) in diabetes mellitus
5A. Point-of-Care Clinical Decision SupportCholesterolAlert for a lipid panel in general population (low risk patients)
6A. Point-of-Care Clinical Decision SupportCholesterolReminder to order a statin in ASCVD (or IV.D, or CVD)
7A. Point-of-Care Clinical Decision SupportCholesterolReminder to order statin in diabetic patients
8A. Point-of-Care Clinical Decision SupportCholesterolAlert to order a statin in pts with LDL 190
9A. Point-of-Care Clinical Decision SupportCholesterolAlert to order statin in general population with increased risk (based on a risk calculator)
10A. Point-of-Care Clinical Decision SupportAspirinReminder to order aspirin for primary prevention in appropriate patients
11A. Point-of-Care Clinical Decision SupportSmokingReminder for intervention in tobacco users or smokers
12B. Other Clinical Decision Support ActivitiesBPOrders/patient instructions/patient education for home BP monitoring
13B. Other Clinical Decision Support ActivitiesCholesterolPatient education on cholesterol and/or cholesterol treatment
14B. Other Clinical Decision Support ActivitiesCholesterolStanding orders for lipid profiles
15B. Other Clinical Decision Support ActivitiesSmokingPatient education on tobacco cessation
16C. Practice WorkflowsBPBlood pressure measurement protocol
17C. Practice WorkflowsBPBlood pressure treatment protocol
18C. Practice WorkflowsBPWorkflow for patient to report home blood pressures
19C. Practice WorkflowsSmokingTobacco use/smoking assessment part of intake or rooming process
20C. Practice WorkflowsSmokingClinic based tobacco use/smoking interventions
21D. Reports on ABCS PerformanceAspirinMetric for use of aspirin or another antithrombotic therapy in IV.D
22D. Reports on ABCS PerformanceBPMetric for blood pressure control among patients with hypertension
23D. Reports on ABCS PerformanceCholesterolMetric for cholesterol treatment or control
24D. Reports on ABCS PerformanceSmokingMetric for tobacco use assessment and brief intervention
25E. Lists of Patients Not Meeting ABCS MeasuresAspirinList of patients with IV.D not meeting aspirin/antithrombotic measure
26E. Lists of Patients Not Meeting ABCS MeasuresBPList of patients with uncontrolled blood pressure
27E. Lists of Patients Not Meeting ABCS MeasuresCholesterolList of patients needing cholesterol measurement and/or treatment
28E. Lists of Patients Not Meeting ABCS MeasuresSmokingList of tobacco users/smokers
29F. Population Management OutreachAspirinOutreach to patients with IV.D not on aspirin or another antithrombotic
30F. Population Management OutreachBPOutreach to patients with uncontrolled hypertension
31F. Population Management OutreachCholesterolOutreach to patients who need cholesterol measurement or statin prescription
32F. Population Management OutreachSmokingOutreach to tobacco users or smokers
33F. Population Management OutreachCholesterolOutreach to patients with increased CVD risk who are not on a statin for primary prevention
34G. Population Management Community ResourcesBPReferral to community pharmacist for hypertension medication management
35G. Population Management Community ResourcesOtherReferral to HealtheRx resource
  • BP, blood pressure; LDL, low-density lipoprotein; CVD, cardiovascular disease; ASCVD, atherosclerotic cardiovascular disease; IVD, Ischemic vascular disease.