Table 1. Description of National Quality Forum Quality Metric Measures Reported By Patient Centered Medical Homes Practices (n = 52)*
Domain DesignationMeasure NumberMeasure Description†Type of Practice Reporting
Chronic diseaseNQF 1Percentage of patients aged 5–40 years with asthma seen for at least 2 office visits and who were evaluated within 12 months for the frequency of asthma symptomsAdult/pediatric/mixed
NQF 13Percentage of visits for patients >18 years old with hypertension seen for at least 2 office visits, with BP recordedAdult/mixed
NQF 18‡Percentage of patients 18–85 years of age who had a diagnosis of hypertension and whose BP was adequately controlled during the yearsAdult/mixed
NQF 36Percentage of patients who were identified as having persistent asthma, were appropriately prescribed medication, and of the ages:

  • N1D1: 4–10 years

  • N2D2: 11–49 years

  • N3D3: 4–49 years

Adult/pediatric/mixed
NQF 47Percentage of patients aged 5–40 years with mild, moderate, or severe persistent asthma who were prescribed inhaled corticosteroid or an acceptable alternativeAdult/pediatric/mixed
NQF 59‡Percentage of patients 18–75 years of age with diabetes (type 1 or type 2) who had HbA1c >9.0%Adult/mixed
NQF 61Percentage of patients 18–75 years of age with diabetes (type 1 or type 2) who had BP <140/90 mm HgAdult/mixed
NQF 67Percentage of patients with coronary artery disease, ≥18 years old, who were prescribed an oral antiplatelet agentAdult/mixed
NQF 75Percentage of patients with ischemic vascular disease, ≥18 years old, who:

  • N1D1: were tested for complete lipid profile

  • N2D1: have LDL <100 mg/dL

Adult/mixed
NQF 81Percentage of patients with heart failure, ≥18 years old, and prescribed an ACE inhibitor or ARB therapyAdult/mixed
NQF 575‡Percentage of patients 18–75 years of age with diabetes (type 1 or type 2) who had HbA1c <8.0%Adult/mixed
Preventive careNQF 24Percentage of patients aged 2–16 years of age who had outpatient visit with a PCP or OB/GYN and had evidence of:

  • N1D1: BMI percentile documentation

  • N2D1: nutrition counseling

  • N3D1: physical activity counseling

  • N1D2: BMI percentile documentation (age 2–10 years)

  • N2D2: nutrition counseling (age 2–10 years)

  • N3D2: physical activity counseling (age 2–10 years)

  • N1D3: BMI percentile documentation (age 11–16 years)

  • N2D3: nutrition counseling (age 11–16 years)

  • N3D3: physical activity counseling (age 11–16 years)

Pediatric/mixed
NQF 0028a‡The percentage of patients, who are ≥18 years of age, have been seen for at least 2 office visits, and who were queried about tobacco use within 24 monthsAdult/mixed
NQF 0028b‡The percentage of patients, who are ≥18 years of age, have been seen for at least 2 office visits, and who received cessation interventionAdult/mixed
NQF 34Percentage of adults 50–75 years of age who had appropriate screening for colorectal cancerAdult/mixed
NQF 38The percentage of children 2 years of age who had the following vaccines and/or their combinations by their 2nd birthday:

  • N1D1: diphtheria, tetanus, acellular pertussis (4× DTaP)

  • N2D1: polio (IPV)

  • N3D1: measles, mumps, rubella (MMR)

  • N4D1: H influenza type B (2× HIB)

  • N5D1: hepatitis B (3× HBV)

  • N6D1: chicken pox (VZV)

  • N7D1: pneumonococcal conjugate (4× PCV)

  • N8D1: hepatitis A (2× Hep A)

  • N9D1: rotavirus vaccines (2/3× RV)

  • N10D1: influenza vaccines (2)

  • N11D1: combination 1 (4× DTaP, 3× IPV, 1× MMR, 1× VZV, 3× HBV)

  • N12D1: combination 2 (4× DTaP, 3× IPV, 1× MMR, 1× VZV, 3× HBV, 4× PCV)

Pediatric/mixed
NQF 41Percentage of patients aged ≥50 years old who received influenza immunization during the flu season (September through February).Adult/mixed
NQF 43Percentage of patients ≥65 years old who have ever received a pneumococcal vaccineAdult/mixed
NQF 421Percentage of patients aged 18 to ≥65 years with a calculated BMI in past 6 months or during the current visit documented AND, if the most recent BMI is outside parameters, a follow-up plan is documentedAdult/mixed
NQF 2Percentage of children 2–18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic, and received a group A streptococcus (strep) test for the episode.Pediatric/mixed
Mental healthNQF 105Percentage of patients ≥18 years old who were diagnosed with a new episode of major depression and dispensed antidepressant medication for:

  • N1D1: ≥84 days after diagnosis

  • N2D1: ≥180 days after diagnosis

Adult/mixed

  • ↵* The 52 practices comprised 6 pediatric, 14 adult, and 32 mixed practices.

  • ↵† In the descriptions, the N represents the numerator and D, the denominator. In these measures the denominator typically consists of patient characteristics such as age and, occasionally, a diagnosed disease condition, whereas the numerator indicates access to a health care service (eg, screening, counseling, prescription of medication) or treatment success.

  • ↵‡ This National Quality Forum (NQF) quality metric was measured by practices under the Million Hearts initiative.

  • ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blocker; BMI, body mass index; BP, blood pressure; LDL, low-density lipoprotein; OB/GYN, obstetrician/gynecologist; PCP, primary care physician.