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List of Evidence Based Measures - 2010

BCBSTX uses Evidence Based Measures (EBM) to evaluate aspects of physician performance based on claims and enrollment data. These measures were developed based on nationally recognized evidence based guidelines. View additional information about the EBM guidelines , such as the clinical intent and sponsoring organizations. The measures listed below were used for scoring physician performance in the 2010 BlueCompare EBM evaluation.

#	Category	Description	Measured Working Specialties
1	Preventive Screening	Mammography Screening	Family Practice, Geriatric Medicine, Internal Medicine, Obstetrics-Gynecology
2	Preventive Screening	Cervical Cancer Screening	Family Practice, Internal Medicine, Obstetrics-Gynecology
3	Preventive Screening	Colorectal Cancer Screening	Family Practice, Geriatric Medicine, Internal Medicine, Obstetrics-Gynecology
4	Diabetes	Diabetic Retinal Exam (Annual)	Endocrinology, Family Practice, Geriatric Medicine, Internal Medicine, Nephrology
5	Diabetes	Glycosylated Hemoglobin (HbA1c) Test for Diabetics (Annual)	Endocrinology, Family Practice, Geriatric Medicine, Internal Medicine, Nephrology
6	Diabetes	LDL Monitoring for Diabetes (Annual)	Cardiovascular Disease – Interventional, Cardiovascular Disease – Non-interventional, Endocrinology, Family Practice, Geriatric Medicine, Internal Medicine, Nephrology
7	Cardiovascular Disease	Treatment of Cardiovascular Conditions: Monitoring Lipid Levels (Annual)	Cardiovascular Disease – Interventional, Cardiovascular Disease – Non-interventional, Family Practice, Geriatric Medicine, Internal Medicine
8	Antibiotic Use	Appropriate Treatment for Children with Upper Respiratory Infections (URI)	Allergy-Immunology, Family Practice, Pediatric Allergy and Immunology, Pediatrics
9	Medication Monitoring	Use of Long-term Control Drugs for Persistent Asthma	Allergy-Immunology, Family Practice, Geriatric Medicine, Internal Medicine, Pediatric Allergy and Immunology, Pediatric Pulmonary Disease, Pediatrics, Pulmonary Disease
10	Imaging	Appropriate Use of Imaging in Low Back Pain Assessment	Family Practice, Geriatric Medicine, Internal Medicine, Neurology
11	Imaging	X-ray prior to MRI/CAT Scan in the Evaluation of Lower Back Pain	Family Practice, Geriatric Medicine, Internal Medicine, Neurology
12	Cancer	Follow-Up After Initial Diagnosis and Treatment of Colorectal Cancer (CEA)	Family Practice, Geriatric Medicine, Internal Medicine

Informational Only:
The measures shown below were not used to evaluate any physician’s EBM performance in 2010. The information is provided to physicians as feedback on performance.

#	Category	Description	Measured Working Specialties
1	Preventive Screening	Chlamydia Screening for Women	Family Practice, Internal Medicine, Obstetrics-Gynecology
2	Diabetes	Monitoring for Diabetic Nephropathy	Endocrinology, Family Practice, Geriatric Medicine, Internal Medicine