HCC Solution Chart 2016

Quality Improvement for Health Plans

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1241 E. Dyer Road, Suite 145, Santa Ana, CA 92705 • (866) 421-5535 MedXM1.Com 1. HIV/AIDS 8. Metastatic Cancer and Acute Leukemia 9. Lung and Other Severe Cancers 10. Lymphoma and Other Cancers 11. Colorectal, Bladder, and Other Cancers & Tumors 12. Breast, Prostate, and Other Cancers & Tumors 17. Diabetes with Acute Complications 18. Diabetes with Chronic Complications 19. Diabetes without Complication 21. Protein-Calorie Malnutrition 22. Morbid Obesity 33. Intestinal Obstruction/Perforation 34. Chronic Pancreatitis 35. Inflammatory Bowel Disease 40. Rheumatoid Arthritis and Inflammatory Connective Tissue Disease 54. Drug/Alcohol Psychosis 55. Drug/Alcohol Dependence 57. Schizophrenia 58. Depressive, Bipolar, and Paranoid Disorders 70. Quadriplegia 71. Paraplegia 72. Spinal Cord Disorders/Injuries 73. Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease 74. Cerebral Palsy 75. Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/ Inflammatory and Toxic Neuropathy 76. Muscular Dystrophy 77. Multiple Sclerosis 78. Parkinson's and Huntington's Diseases 79. Seizure Disorders and Convulsions 82. Respirator Dependence/Tracheostomy Status 85. Congestive Heart Failure 88. Angina Pectoris 96. Specified Heart Arrhythmias 103. Hemiplegia/Hemiparesis 104. Monoplegia, Other Paralytic Syndromes 106. Atherosclerosis of the Extremities with Ulceration or Gangrene 107. Vascular Disease with Complications 108. Vascular Disease 110. Cystic Fibrosis 111. Chronic Obstructive Pulmonary Disease 112. Fibrosis of Lung and Other Chronic Lung Disorders 122. Proliferative Diabetic Retinopathy and Vitreous Hemorrhage 124. Exudative Macular Degeneration 134. Dialysis Status 136. Chronic Kidney Disease (Stage 5) 137. Chronic Kidney Disease, Severe (Stage 4) 157. Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone 158. Pressure Ulcer of Skin with Full Thickness Skin Loss 161. Chronic Ulcer of Skin, Except Pressure 173. Traumatic Amputations and Complications 188. Artificial Openings for Feeding or Elimination 189. Amputation Status, Lower Limb/Amputation Complications HCC Description History Meds Physical Exam Labs Procedures Ostomy HIV Meds Chemo Meds Chemo Meds Chemo Meds Chemo Meds Chemo Meds Meds x x x x x x x Mastectomy (Breast Ca) Meds Meds Meds Meds Meds Meds Meds Meds Meds Meds BMI BMI Diet History Diet History x Meds x x x x x x x x x Dialysis Fistula, Amputation Micro- albumin, eGFR, A1c Meds x A1c Retinal Photos, Microfilament Test Digital Ankle Brachial Index CAGE; Mini-Cog CAGE Meds x PHQ 9 Appearance Appearance Ostomy Ostomy Meds x x x x x Meds x x Meds x x Meds Filament Testing x x x x x x x x x x x x Meds Meds x x x 08/16 Meds Meds Meds eGFR eGFR eGFR Ostomy Peripheral Ulcer, Gangrene Dialysis Fistula Staging of Pressure Ulcer Staging of Pressure Ulcer Peripheral Venous Ulcer x x x x x x x x x x x x x x x x x x x x x x x x x x x x Amputation Amputation Digital Ankle Brachial Index Digital Ankle Brachial Index Digital Ankle Brachial Index Spirometry Spirometry Spirometry Retinal Photos Retinal Photos Supporting Clinical Evidence from HRA

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