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Measures Assessed (in order)

CDC -Hemoglobin A1c Control for Patients with Diabetes
CDC -Eye Exam for Diabetes
CCS -Cervical Cancer Screening
COL -Colorectal Cancer Screening
CBP -Controlling High Blood Pressure / Blood Pressure Control for Patients with Diabetes
PPC -Prenatal and Postpartum Care
WCC -Weight, Nutrition, and Physical Activity Counseling for Children and Adolescents
CIS -Childhood Immunizations / Immunizations for Adolescents
TRC -Transitions of Care

Instructions: Skipped questions will count against you. If a question asks 'why or why not'  in addition to True/False or Yes/No, this portion of the question must also be completed. Please use the date format specified. HEDIS resource materials may be used. 

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* 1. Name (First, Last):

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* 2. Supervisor Name (First, Last):

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* 3. Assuming the year is 2022, which date would you abstract for the HbA1c (MM/DD/YYYY)? 

Q1 HbA1c

Date

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* 4. Assuming the result is recorded in MY2022, is the HbA1c test result compliant?  What is the result value for the HbA1c test below? 
  

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* 5. The provider documents in the medical record "the patient's HbAlc ranges 7.0-8.0". This documentation meets criteria for abstraction

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* 6. The date of service for the scenario below is 09/10/2022. What is the test date for A1c?  What is the A1c value?  What date would you record for COL?

Q5HbA1c

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* 7. The date of service for the example below is 3/28/2022.  What is the A1C test date and value?

Q6 HbA1c

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* 8. The DOS is 07/21/2022, what is the A1c value for this patient?
Q7 HbA1c

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* 9. The date of service for the exam below is 2/4/22. Was there evidence of diabetic retinopathy?

Q8 diabetic retinopathy

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* 10. Date of service for the exam below is 11/16/2021. Was a dilated eye exam performed?  Was retinopathy found? 
Does this eye exam make this patient compliant for the diabetic eye exam measure?
Q9 Diabetic Retinopathy

  Yes No Unable to determine
Dilated eye exam performed
Retinopathy found
Patient compliant for the diabetic eye exam measure

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* 11. How would you record the cervical cancer screening date below on the abstraction form?  How would the cervical cancer screening type be documented on the abstraction form? Cervical Cytology or HrHPV?

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* 12. True or false: The documentation below supports optional exclusion for the CCS measure? Why or why not?

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* 13. The member has a cervical cytology test and HPV test performed on the same date of service. The cervical cytology is negative with a result date of 02/05/2022 and the HPV test is negative with a result date of 05/07/2022. Which test and result date will you abstract?

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* 14. Using the example below, what date will you abstract for COL screening?

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* 15. Using the example below, what date will you abstract for COL screening?

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* 16. What is the COL screening date in the example below?

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* 17. Using the example below, what would you record for the COL screening date?

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* 18. Is the test result below compliant for abstraction in MY2022 if it was completed in 2021?

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* 19. The member has an unspecified FOBT test performed during the measurement year and the number of returned samples is unknown. Does this FOBT test meet criteria for COL compliance?

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* 20. A pathology report in the medical record does not indicate whether a colonoscopy or sigmoidoscopy was performed. Within the report there is evidence the scope advanced beyond the splenic flexure. Would you enter the screening type as a flexible sigmoidoscopy or a colonoscopy?

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* 21. The member had a Cologuard performed in July 2020. Can this screening test be abstracted for MY2022?

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* 22. A provider's note, DOS 4/11/22, reports Cologuard done "about 2 years ago- normal." What date would you abstract and enter on the abstraction form?

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* 23. An office visit note on encounter date 5/30/22 says "Colorectal cancer screening done 5 years ago. One polyp removed. Recommend repeat in 3 years." What date would you use?  Why?

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* 24. In the example below, what is the date of service and blood pressure reading you would enter in the abstraction form assuming this is MY2022?

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* 25. A blood pressure taken on the same day as a colonoscopy is eligible for abstraction?

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* 26. A blood pressure taken in the urgent care is eligible for abstraction?

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* 27. A blood pressure taken on the same day as a wart or mole removal is eligible for abstraction?

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* 28. The member has their blood pressure measured three times during an encounter with their PCP. The blood pressure readings are as follows: 152/75, 141/91, 139/89. How will you abstract and record the blood pressure reading
for this encounter?

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* 29. What BP would you abstract from the documentation below?
Will this close the measure for the member?
Why or why not?

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* 30. Based on the documentation below, you will abstract the BP as 120/70? 

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* 31. Prenatal scenario one: First prenatal visit 1/25/21
Using the documentation below, what is the date of the last menstrual period (enter as MM/DD/YYYY)?
Using the documentation below, what is the estimated date of delivery- (enter as MM/DD/YYYY)?

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* 32. In the documentation from the obstetrician's office below, what provider type performed the physical exam?

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* 33. Prenatal scenario two: First prenatal visit 1/11/21
Using the documentation below, what is the date of the last menstrual period?
Using the documentation below, what is the estimated date of delivery?

Date
Date

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* 34. In the documentation below, what provider type performed the physical exam?
Is there evidence in the physical exam below of a pelvic exam with obstetric observations? Yes/No

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* 35. To be eligible for abstraction for prenatal care, the provider type must be an OB/GYN or other prenatal care practitioner. For visits with a PCP a diagnosis of pregnancy must be present to qualify for abstraction.

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* 36. Documentation of last menstrual period (LMP) estimated delivery date (EDD) or gestational age by the OB/GYN or other prenatal care practitioner is all the evidence required to meet compliance for prenatal care, assuming the date of service is in range.

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* 37. When abstracting for prenatal care, it is the abstractor's responsibility to calculate the first trimester and if the date of service is not with in the first 3 months of pregnancy, the abstractor is to reject the medical record.

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* 38. The abstraction tool is designed to calculate the date range for prenatal care based on the estimated date of delivery and enrollment criteria.

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* 39. Does the medical record documentation below meet eligibility criteria for postpartum care? Yes/No
Why or why not?

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* 40. Does the medical record documentation below meet eligibility criteria for postpartum care? Yes/No
Why or why not?

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* 41. The postpartum visit may be performed by an OB/GYN, other prenatal care provider or PCP. True/False

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* 42. Notation by the appropriate provider type of perineaI or cesarean incision/ wound check meets criteria for a postpartum visit? True/False

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* 43. If date of delivery in the medical record is different from the date of delivery on the abstraction form, abstract the date of delivery from the medical record to update the abstraction form. True/False

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* 44. Based on the scenario below, which documentation best meets criteria for nutrition and physical activity counseling? A/B

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* 45. Based on the scenario below, what is the member's BMI%?

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* 46. Based on the scenario below, does the documentation meet criteria for nutrition counseling? Yes/No
Physical activity counseling? Yes/No

  Yes No
Nutrition counseling
Physical activity counseling

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* 47. Based on the scenario below, does the documentation meet criteria for nutrition counseling? Yes/No
Physical activity counseling? Yes/No

  Yes No
Nutrition counseling
Physical activity counseling

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* 48. Based on the documentation below, how would you record member's height?  Weight? BMI%?

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* 49. Based on the scenario below, does the documentation meet criteria for nutrition counseling? Yes/No
Physical activity counseling? Yes/No

  Yes No Unable to determine
Nutrition counseling
Physical activity counseling

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* 50. For the WCC measure, the member will be 3 years old on 11/30/22. The only available documentation is an office visit that occurred on 7 /11/22. The documentation for this visit would make the member compliant for all three WCC submeasures. Can you abstract the data and enter it into the abstraction form? Yes/No
Why or why not?

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* 51. When abstracting the WCC submeasure weight assessment, what three values are required to make the member compliant?

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* 52. When abstracting the WCC submeasure weight assessment, the three required values can be abstracted from different dates of service. True/False

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* 53. Were the vaccines below administered on or before the child's 2nd birthday? Yes/No 

  Yes No Unable to determine
Were the vaccines below administered on or before the child's 2nd birthday?

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* 54.  For this example, which immunizations are compliant (Check only the vaccinations that are compliant).  Select all that apply.

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* 55. Child's date of birth is January 30, 2019, were the vaccines below administered on or before the child's 2nd birthday? Yes/No

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* 56. Child's date of birth is January 30, 2019.  For this example, which immunizations are compliant (check only the ones which are compliant?

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* 57. For the TRC measure an engagement visit after discharge must be done in person. TRUE or FALSE

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* 58. The patient's son called into the provider's office and spoke to the nurse, because the patient was not feeling well enough to go into the office. Together the son and nurse reconciled the patient's medication list from the hospitalization. Is this example compliant for medication reconciliation?

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* 59. A patient was hospitalized for a knee replacement. A week after discharge the patient develops problems urinating and follows up with his urologist. This visit cannot be used for the engagement visit after discharge because it is not related to the reason for hospitalization. TRUE/FALSE

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* 60. During a routine visit, the cardiologist finds the patient to be in an irregular heart rhythm and advises the patient to go to the ER. When the patient arrives at the ER, she tells the staff her cardiologist, Dr. Whitman, sent her for further evaluation and testing. The patient is admitted. This would count for meeting the criteria for inpatient admission documentation. True/False

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* 61. Does EMR example below document everything needed as evidence for receipt of discharge information? Yes/No

0 of 61 answered
 

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