Preventive health care

Frequency of ongoing
prenatal care

Received at least 81% of expected prenatal visits

Timeliness of prenatal care

Received a prenatal care visit during first trimester or within
42 days of Network Health enrollment  

Timeliness of postpartum care

Received a postpartum visit 21 to 56 days after delivery 

Childhood immunizations
Ages: 0 – 2 years old

Received the following immunizations by second birthday:

• One chicken pox (VZV) 
• One measles, mumps, and rubella (MMR) 
• Two hepatitis A (HepA) 
• Two influenza (flu) vaccines 
• Two or three rotavirus (RV) 
• Three H influenza type B (HiB) 
• Three hepatitis B (HepB) 
• Three polio (IPV) 
• Four diptheria, tetanus, and acellular pertussis (DTaP) 
• Four pneumococcal conjugate (PCV) 

Lead screening in children
Ages: 0 – 2 years old

Received one or more capillary or venous lead blood tests for lead poisoning by second birthday

Well-child visits
Ages: 0 – 15 months old

Received at least six well-child visits with PCP within first
15 months of life

Well-child visits
Ages: 3 – 6 years old

Received one or more annual well-child visits with PCP

Adolescent well visits
Ages: 12 – 21 years old

Received at least one annual comprehensive well visit with PCP or OB/GYN

Adolescent immunizations

Received the following immunizations by 13^th birthday:

• One meningococcal
• One tetanus, diptheria toxoids, and acellular pertussis (Tdap)

Or:

• One tetanus, diptheria toxoids (Td)

HPV vaccine

Received three doses of the human papillomavirus (HPV) vaccine by 13^th birthday

Cervical cancer screening(s)
Ages: 21 – 64 years old

Received one or more Pap tests in 2009, 2010, or 2011

Weight counseling for nutrition and physical activity
Ages: 3 – 17 years old

Received an outpatient visit with a PCP or OB/GYN and had evidence of the following during the measurement year:

• Body mass index (BMI) percentile documentation^*
• Counseling for nutrition
• Counseling for physical activity

^*Because BMI norms for youth vary with age and gender, this measure evaluates whether BMI percentile is assessed rather than an absolute BMI value.

BMI assessment
Ages: 18 – 74 years old

Received an outpatient visit and BMI was documented in 2010 or 2011

Condition-specific care

Cholesterol management 
For Network Health patients with cardiovascular conditions
Ages: 18 – 75 years old

Received:

•  LDL-C screening  
•  LDL-C control (< 100 mg/dl)^*

^*Must report most-recent values

Comprehensive diabetes care
For Network Health patients with Type 1 or Type 2 diabetes
Ages: 18 – 75 years old

Received:

• HbA1c tests and values^*
• Dilated eye exam for diabetic retinal disease 
• LDL-C tests and values^*  
• Nephropathy screening 
• Blood pressure (BP) control monitoring^*

High blood pressure control 
Ages: 18 – 85 years old

Received hypertension (HTN) diagnosis and had adequately controlled BP^*

^*Must report most-recent values

Please note: Measurement year is January 1, 2011 to December 31, 2011, unless otherwise indicated.