Indicator Definition
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1 Family Practice Sensitive Conditions Full data definition sign-off completed. Name of Measure Name of Measure (short) Family Practice Sensitive Conditions: Percent of emergency department or urgent care centre visits for health conditions that may be appropriately managed at a family physician s office. Family Practice Sensitive Conditions Developed by the Health Quality Council of Alberta (HQCA). This indicator measures the Percentage/Proportion of ED/Urgent Care Visits for diseases/conditions sensitive to management at family physician offices. NOTE: Clinicians will be engaged over the coming year to refine and improve on the definition of this particular measure. Domain Type of Measure Business Context Effectiveness Output Measure: Outcome AHS Strategic Direction AHS Health Plan: Improving Health for All Albertans Becoming the Best: 5-Year Health Action Plan Rationale Treatment of such conditions at family physician offices allows for proper follow up and better patient outcomes. Notes for Interpretation Organizational Strategy Benchmark Comparisons Cited References: See Rationale section above. N/A Health Quality Council of Alberta (HQCA) 2009 Measuring and Monitoring for Success Report. ( Page 1 of 8
2 Technical Specifications Metric Family Practice Sensitive Conditions Numeric (Ratio/Proportion), ie 28% of all ED/Urgent Care Visits for given fiscal year related to family practice sensitive conditions. Preferred Display Format 999% Total number of ED/Urgent Care Visits for diseases and conditions sensitive to management at family physician offices [FPSC Conditions] for given geography (ie AHS Zone, Alberta). Effective April Family Practice Sensitive Conditions are defined as a primary diagnosis in an ED/Urgent Care Visit with any of the following diagnosis headings (3 Digit): ICD 10-CA (3 Digit Level) Description A07 A56 A59 A63 A64 A74 B06 B07 B08 B09 B30 B35 B36 B37 B65 B80 B82 B83 B85 B86 C44 D04 D16 D17 D22 Other protozoal intestinal diseases Oth sexually transmitted chlamydial dis Trichomoniasis Oth predominantly sexually trans dis NEC Unspecified sexually transmitted disease Other diseases caused by chlamydiae Rubella [German measles] Viral warts Oth viral infect/skin/mucous lsn NEC Viral infectn NOS w skin & mucous lsn Viral conjunctivitis Dermatophytosis Other superficial mycoses Candidiasis Schistosomiasis [bilharziasis] Enterobiasis Unspecified intestinal parasitism Other helminthiases Pediculosis and phthiriasis Scabies Other malignant neoplasms of skin Carcinoma in situ of skin Benign neoplm bone/articular cartilage Benign lipomatous neoplasm Melanocytic naevi Page 2 of 8
3 (continued) D23 D24 D29 D36 E07 E29 E53 E61 E78 F40 G43 G56 H00 H01 H04 H10 H11 H15 H18 H43 H57 H60 H61 H65 H66 H68 H69 H72 H73 H74 H91 H92 H93 I78 J00 J01 J02 Other benign neoplasms of skin Benign neoplasm of breast Benign neoplasm male genital organs Benign neoplasm of oth&unspec sites Other disorders of thyroid Testicular dysfunction Deficiency of other B group vitamins Deficiency of other nutrient elements Disorders of lipoprotein metabolism and Phobic anxiety disorders Migraine Mononeuropathies of upper limb Hordeolum and chalazion Other inflammation of eyelid Disorders of lacrimal system Conjunctivitis Other disorders of conjunctiva Disorders of sclera Other disorders of cornea Disorders of vitreous body Other disorders of eye and adnexa Otitis externa Other disorders of external ear Nonsuppurative otitis media Suppurative&unspecified otitis media Eustachian salpingitis and obstruction Other disorders of Eustachian tube Perforation of tympanic membrane Other disorders of tympanic membrane Oth disorders of middle ear & mastoid Other hearing loss Otalgia and effusion of ear Other disorders of ear NEC Diseases of capillaries Acute nasopharyngitis [common cold] Acute sinusitis Acute pharyngitis Page 3 of 8
4 (continued) J06 J30 J31 J32 J02 J06 J30 J31 J32 J34 K00 K01 K02 K04 K05 K07 K08 K13 L01 L20 L21 L22 L23 L24 L25 L28 L29 L30 L42 L43 L50 L55 L57 L60 L63 L65 L70 Acute upper resp infect mult/unspec site Vasomotor and allergic rhinitis Chr rhinitis/nasopharyngitis/pharyngitis Chronic sinusitis Acute pharyngitis Acute upper resp infect mult/unspec site Vasomotor and allergic rhinitis Chr rhinitis/nasopharyngitis/pharyngitis Chronic sinusitis Other disorders of nose & nasal sinuses Disrd of tooth development & eruption Embedded and impacted teeth Dental caries Diseases of pulp and periapical tissues Gingivitis and periodontal diseases Dentofacial anomalies [malocclusion] Oth disrd of teeth & support structures Other diseases of lip and oral mucosa Impetigo Atopic dermatitis Seborrhoeic dermatitis Diaper [napkin] dermatitis Allergic contact dermatitis Irritant contact dermatitis Unspecified contact dermatitis Lichen simplex chronicus and prurigo Pruritus Other dermatitis Pityriasis rosea Lichen planus Urticaria Sunburn Skin ch dt chr exp to nonionizing radiat Nail disorders Alopecia areata Other nonscarring hair loss Acne Page 4 of 8
5 (continued) L71 L72 L73 L74 L81 L82 L84 L85 L90 L91 L92 M18 M20 M22 M53 M67 M70 M75 M76 M77 M85 M92 M94 N34 N60 N62 N63 N64 N72 N89 N91 N94 N97 O92 P37 P78 Q10 Q66 Rosacea Follicular cysts of skin&subc tissue Other follicular disorders Eccrine sweat disorders Other disorders of pigmentation Seborrhoeic keratosis Corns and callosities Other epidermal thickening Atrophic disorders of skin Hypertrophic disorders of skin Granulomatous disrd of skin&subc tis Arthrosis of first carpometacarpal joint Acquired deformities of fingers and toes Disorders of patella Other dorsopathies NEC Other disorders of synovium and tendon Soft tis disrd rel to use/overuse/press Shoulder lesions Enthesopathies low limb excluding foot Other enthesopathies Other disrd of bone density & structure Other juvenile osteochondrosis Other disorders of cartilage Urethritis and urethral syndrome Benign mammary dysplasia Hypertrophy of breast Unspecified lump in breast Other disorders of breast Inflammatory disease of cervix uteri Other noninflammatory disrd of vagina Absent, scanty and rare menstruation Pain oth cond ass w female org/cycle Female infertility Oth disrd breast/lactation childbirth Oth congenital infect/parasitic dis Oth perinatal digestive system disorders Cong malform of eyelid/lacrimal/orbit Congenital deformities of feet Page 5 of 8
6 (continued) R05 R21 R30 Cough Rash and other nonspecific skin eruption Pain associated with micturition R36 Urethral discharge R71 Abnormality of red blood cells R96 Other sudden death, cause unknown R98 Unattended death Z00 Genl exam/invest person wo complaint/dx Z02 Examination/encounter admin purposes Z09 Z11 Follow-up exam after tx other conditions Specl screen exam infect/parasitic dis Z12 Special screening examination for neoplm Z13 Special screening exam other dis/disrd Z20 Z23 Contact w exposure to communicable dis Need immuniz against single bact dis Z24 Need immuniz against certain viral dis Z25 Need immuniz against oth viral dis Z26 Need immuniz against oth infect dis Z27 Z29 Need immuniz against cmb infect dis Need for other prophylactic measures Z30 Contraceptive management Z31 Procreative management Z32 Pregnancy examination and test Z41 Proc purposes oth than health state Z45 Z46 Adjustment/management implanted dev Fitting & adjustment of other devices Z47 Other orthopaedic follow-up care Z48 Other surgical follow-up care Z51 Other medical care Z53 Persons encount health serv spec proc Z56 Problems rel to employment/unemployment Z64 Problem to certain psychosocial circumst Z70 Counselling rel sex attitude/beh/orient Exclusion Z76 Z92 N/A Persons encount healthserv oth circumst Personal history of medical treatment Page 6 of 8
7 Data Source(s) for Refresh Rate of Provincial Ambulatory (ED/Urgent Care) Abstract Data. Approximately 3 to 4 months. Total number of ED/Urgent Care Visits for given geography (ie AHS Zone, Alberta, etc.) ED/Urgent Care Visits identified using MISPRIME codes within the Provincial Ambulatory Data. The following are the MISPRIME codes used to identify these ED/Urgent Care Visits in the denominator: Effective until March 31, 2010 Abstract_Type = E Includes visits with MIS Primary (MISPRIME) codes of Emergency General Emergency Hospital Urgent Care Centre Interim Emergency Assessment Trauma Emergency Community Urgent Care Exclusion Data Source(s) for Refresh Rate of Technical Notes Calculation Relationship to Other s Level of Reporting Frequency of Reporting Limitations N/A Provincial Ambulatory (ED/Urgent Care) Abstract Data. Approximately 3 to 4 months. ** See Cites References for link to additional Technical Notes provided by HQCA. (Total number of ED/Urgent Care Visits for diseases and conditions sensitive to management at family physician offices [FPSC Conditions] / Total number of ED/Urgent Care Visits). Age Standardized ED/Urgent Care Visit Rate for Family Practice Sensitive Conditions per 1,000 or 100,000 Population. Provincial, AHS Zone Annually and/or Quarterly (Depending on availability of provincial ambulatory data). Measure depends on availability of Provincial Ambulatory data. Pending approval by the PMISC steering committee. Page 7 of 8
8 Document Version History Version Version Date Summary of Changes 1.0 July 17, 2010 New Template created for Percentage of ED/Urgent Care Visits related to Family Practice Sensitive Conditions. July 19, 2010 September 15, 2010 October 12, 2010 Review and adjust formatting. Added comments Added new signoff page. 1.1 December 7, 2010 Align title and names, update contact information, move primary diagnosis 3 digit codes to for from Description. 1.2 December 20, 2010 Update business context. 2.0 January 13, 2011 Version ready for signoff. 2.2 March 18, 2011 Add Note to definition identifying Clinicians engagement for definition refinement. 2.3 October 18, 2011 Full data definition signoff completed. Page 8 of 8
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