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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


 
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