Quality Metrics
Our Performance results are posted online for our patient/family public access. The data posted on this sector reflects care provided to all patients. We are committed to improve the quality of care we provide to our patients/families. For example Our Medical providers accept improvement through voluntary engagement in regards to performance measurement and improvement. We are continuously developing was that help us improve the quality of health care and practice services offered.
Body Mass Index (BMI) Screening and Follow-Up Plan
“Obesity is a chronic, multifactorial disease with complex psychological, environmental (social and cultural), genetic, physiologic, metabolic and behavioral causes and consequences. The prevalence of overweight and obese people is increasing worldwide at an alarming rate in both developing and developed countries. Environmental and behavioral changes brought about by economic development, modernization and urbanization have been linked to the rise in global obesity. The health consequences are becoming apparent (1).”
03/31/2023 ~ 03/31/2024
Denominator: 775
Numerator: 712
92%
More than a third of U.S. adults have a body mass index [BMI] >= 30 kg/m2 and are at increased risk for diabetes, cardiovascular disease (CVD), and obstructive sleep apnea (2;3;4). Hales reported that the prevalence of obesity among adults and youth in the United States was 39.8 percent and 18.5 percent respectively, from 2015–2016. Furthermore, the prevalence of obesity in adults increased to 42.4 percent in 2018, with the highest percentage among adults in the 40–59 age bracket compared with other age groups (5). Hales also disaggregated the data according to race/ethnicity and noted that obesity prevalence was higher among non-Hispanic Black adults and Hispanic adults when compared with other races and ethnicities. Obesity prevalence was lowest among nonHispanic Asian men and women. Among men, obesity prevalence was higher among Hispanic men, compared with non-Hispanic Black men and non-Hispanic white men. Obesity prevalence was higher among Hispanic men compared with non-Hispanic Black men. Among women, the prevalence among non-Hispanic Black women was 56.9 percent, which was higher than all other race/ethnicities. In general, the prevalence of obesity in the U.S. remains higher than the Healthy People 2020 goal of 30.5 percent among adults (6).
1. Fitch, A., Everling, L., Fox, C.,Goldberg, J., Heim, C., Johnson, K., …Webb, B. (2013, May). Prevention and
management of obesity for adults. Bloomington, MN: Institute for Clinical Systems Improvement.
2. Flegal, K. M., Carroll, M. D., Kit, B. K., & Ogden, C. L. (2012). Prevalence of obesity and trends in the
distribution of body mass index among U. S. adults, 1999-2010. JAMA, 307(5), 491-497. doi.10.1001/jama.2012.39
3. Ogden, C.L., Carroll, M.D., Fryar, C.D., Flegal, K.M. (2015). Prevalence of obesity among adults and youth:
United States, 2011–2014. NCHS data brief, no 219. Hyattsville, MD: National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data/databriefs/db219.pdf
4. Dong, Z., Xu, X., Wang, C., Cartledge, S., Maddison, R., & Mohammed Shariful Islam, S. (2020). Association of overweight and obesity with obstructive sleep apnoea: A systematic review and metaanalysis. Obesity Medicine, 17. doi: https://doi.org/10.1016/j.obmed.2020.100185
5. Hales, C. M., Carroll, M. D., Fryar, C. D., et al. (2017). Prevalence of obesity among adults and youth: United States, 2015-2016. NCHS Data Brief No. 288. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db288.htm
6. Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C.L. (2020). Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018. NCHS Data Brief No. 360. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db360.htm
Screening: Tobacco Use: Screening and Cessation Intervention
There is good evidence that tobacco screening and brief cessation intervention (including counseling and/or pharmacotherapy) is successful in helping tobacco users quit. Tobacco users who are able to stop using tobacco lower their risk for heart disease, lung disease, and stroke.
03/31/2023 ~ 03/31/2024
Denominator: 775
Numerator: 592
76%
Optimal Asthma Control
Roughly 7% of adults and children in Minnesota are currently living with asthma. Asthma is a disease associated with familial, infectious, allergenic, socioeconomic, psychosocial, and environmental factors. It is not curable but is treatable. Despite improvements in diagnosis and management, and an increased understanding of the epidemiology, immunology, and biology of the disease, asthma prevalence has progressively increased over the past 15 years.
03/31/2023 ~ 04/03/2024
Denominator: 33
Numerator: 25
76%
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Denominator: 13
Numerator: 66
508%
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Hemoglobin A1c Control for Patients with Diabetes (HBD)
Diabetes is a chronic condition marked by high blood sugar due to the body’s inability to make or use insulin. The American Diabetes Association recommends an A1c goal between 7.0% and 8.0%, depending on patient characteristics (e.g., life expectancy, low blood sugar risk),1 but over 13% of adults diagnosed with diabetes have an A1c greater than 9.0%.2 Proper blood sugar management can prevent serious health conditions, including heart disease, vision loss and kidney disease.3 With support from health care providers, patients can manage their blood sugar by identifying causes of an increase or decrease in blood sugar, tracking physical activity, eating meals at regular times and controlling food portions. Monitoring and managing blood sugar is essential for reducing risk of complications and prolonging life.
03/31/2023 ~ 03/31/2024
Denominator: 121
Numerator: 87
72%
1. American Diabetes Association Professional Practice Committee. 2024. “6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes—2024.” Diabetes Care 2024 47 (Suppl. 1): S111–S125.
2. Centers for Disease Control and Prevention (CDC). 2023. “National Diabetes Statistics Report.” https://www.cdc.gov/diabetes/data/statistics-report/index.html
3. Centers for Disease Control and Prevention (CDC). 2021. Manage Blood Sugar. https://www.cdc.gov/diabetes/managing/manage-blood-sugar.html
Controlling High Blood Pressure (CBP)
Controlling high blood pressure is an important step in preventing heart attacks, stroke and kidney disease, and in reducing the risk of developing other serious conditions.3 Health care providers and plans can help individuals manage their high blood pressure by prescribing medications and encouraging low-sodium diets, increased physical activity and smoking cessation.
03/31/2023 ~ 03/31/2024
Denominator: 45
Numerator: 36
80%
3. James, P.A., S. Oparil, B.L. Carter, W.C. Cushman, C. Dennison-Himmelfarb, et al. 2014. “Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report from the Panel Members Appointed to the Eight Joint National Committee (JNC8).” JAMA 311(5):507–20. doi:10.1001/jama.2013.284427
Screening for Depression and Follow-Up Plan
Depression is a serious medical illness associated with higher rates of chronic disease, increased health care utilization, and impaired functioning [1]. Results from a 2016 U.S. survey data indicated that 12.8 percent of adolescents (3.1 million adolescents) had a major depressive episode (MDE) in the past year, with nine percent of adolescents (2.2 million adolescents) having one MDE with severe impairment [2].
03/31/2023 ~ 03/31/2024
Denominator: 660
Numerator: 353
53%
1. Pratt, L. A., & Brody, D. J. (2014). Depression in the U.S. household population, 2009-2012. NCHS Data Brief No.
172. Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data/databriefs/db172.pdf
2. Substance Abuse and Mental Health Services Administration. (2017). Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.