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ADC Pulmonary improving early identification and treatment of Chrobic Obstructive Pulmonary Disease vs National average

Spirometry for COPD – percentage of adults 40 years of age and older with a new diagnosis or newly active COPD who received spirometry testing to confirm the diagnosis.

Improving Early Identification and Treatment of COPD with Spirometry Testing

Chronic obstructive pulmonary disease (COPD), characterized by blocked airflow and diminished capacity to breathe, is a major health problem in the U.S. Risk factors include smoking, old age and exposure to occupational and environmental pollutants. The use of spirometry testing in the assessment and diagnosis of COPD helps with diagnosis confirmation, enables early identification and appropriate treatment planning.

What You Can Do

Be aware of your symptoms and make an appointment with your doctor if you experience any of the following:

  • Shortness of breath, especially during physical activities
  • Wheezing
  • Chest tightness
  • Having to clear your throat first thing in the morning, due to excess mucus in your lungs
  • A chronic cough that produces sputum that may be clear, white, yellow or greenish
  • Blueness of the lips or fingernail beds (cyanosis)
  • Frequent respiratory infections
  • Lack of energy
  • Unintended weight loss (in later stages)

Our most recent report from September, 2012 shows The Austin Diagnostic Clinic Pulmonary patients exceed the national average in appropriate spirometry testing for COPD.

 

ADC Rheumatology Improving rheumatoid arthritis outcomes and preventing complications vs National average

DMARD Therapy for Rheumatoid Arthritis – Percentage of patients aged 18 years and older who were diagnosed with RA and were prescribed, dispensed, or administered at least one ambulatory prescription for a DMARD
TB Screen Prior to DMARD Therapy – Percentage of patients aged 18 years and older with a diagnosis of RA who have documentation of a tuberculosis (TB) screening performed and results interpreted within 6 months prior to receiving a first course of therapy using a biologic disease-modifying anti-rheumatic drug (DMARD)

Improving RA Outcomes and Preventing Complications with DMARD Therapy and Tuberculosis Screens

Early diagnosis and management of Rheumatoid Arthritis (RA) presents an important opportunity to alter the course of this progressive disease. Treatment in the first few months after disease onset takes advantage of a window of opportunity to effectively limit structural damage to joints and improves health outcomes. AmericanCollege of Rheumatology (ACR) guidelines underscore early therapy with disease modifying anti-rheumatic drugs (DMARD’s).

Some DMARD’s require a screen for tuberculosis (TB) prior to treatment.  While DMARD can improve your status with RA, some do pose a risk of progression from latent tuberculosis infection (LTBI) to TB disease.  As a patient safety issue, all patients being considered for biologic DMARD should receive a tuberculin skin test to rule out LTBI.

Our most recent report from September, 2012 shows The Austin Diagnostic Clinic Rheumatology patients exceed the national average in appropriate TB screens and DMARD therapy for RA.

What You Can Do

Be aware of your symptoms and make an appointment with your doctor if you have persistent discomfort and swelling in your joints.

 

Chronic kidney disease patients with a current lipid profile

Chronic kidney disease patients with a current lipid profile

Preventing Complications with Kidney Diseases by Monitoring Cholesterol and Triglycerides 

It is recommended that persons with chronic kidney disease (CKD) have their cholesterol and triglycerides checked at least once every year with a blood test called a fasting lipid profile.  This will allow your provider to detect abnormalities early that may be treated to prevent atherosclerotic cardiovascular disease (ACVD).

Many factors influence abnormal cholesterol and triglycerides for patients with CKD, including their treatments as well as changes in how much protein their kidneys can filter. Therefore, it is prudent to evaluate cholesterol and triglycerides more often than is recommended in the general population.

Our most recent report from September, 2012 shows The Austin Diagnostic Clinic Nephrology patients exceed the national average in annual Lipid Profile testing for CKD patients.

What You Can Do

Speak with your doctor about routine cholesterol and triglyceride checks.  Most people are recommended to have a Lipid Profile test every 5 years.  If you have CKD, you should visit a Nephrologist and have a Lipid Profile test done at least once per year.

 

Diabetes Management through ADC endocrinology vs National average

Control – Percentage of diabetic patients with a HbA1C <9%, LDLPrevention – Percentage of diabetic patients with a foot and eye exam documented within 12 months

Diabetes Management through Assessment, Control and Prevention

Over 21 million Americans have diabetes and because diabetes is with you 24/7, knowing what to do to keep it in control is one of the cornerstones of quality care.

Diabetes management can be divided into three categories:

  1. Assessment– Have your blood sugar, cholesterol, blood pressure, and kidney function tested routinely.
  2. Control – Reach target goals set by the American Diabetes Association for your blood sugar, cholesterol, blood pressure, and kidney function.
  3. Prevention – Avoid complications from diabetes by smoking cessation and being current on your flu vaccination, pneumococcus vaccination, eye exams, and foot exams.

Our most recent report from July, 2013 shows The Austin Diagnostic Clinic Endocrinology patients exceed the national average Diabetes Control and Complication Prevention.

What you can do

If you think you are at risk for diabetes, or you have diabetes and need help managing it, make an appointment at The Austin Diagnostic Clinic with a primary care physician to check your blood sugar. Let us help you manage your health.

ADC Cardiology Quality Chart comparing Beta Blocker and AntiPlatelet Therapy vs National average

Beta Blocker Therapy – Percentage of patients aged 18 years and older with a diagnosis of heart failure who also have LVSD and who were prescribed beta blocker therapy

Anti-Platelet Therapy – Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed oral antiplatelet therapy

About this quality report

This report compares The Austin Diagnostic Clinic to the national average in prescribing beta blockers and anti-platelet therapies for cholesterol management.

Use of antiplatelet therapy has shown to reduce the occurrence of cardiac events in patients with coronary artery disease, including a heart attack.  For those who have experienced a heart attack, medications called beta-blockers can be prescribed to regulate heart rate and improve heart function.

The most recent report in January 2013 shows ADC exceeds the national average in both Anti Platelet and Beta Blocker Therapies for cardiac disease management.

What you can do

If you have cardiovascular disease, speak with one of our Cardiologists about methods proven to improve health outcomes that are specific to your needs.

ADC Cardiology Quality Chart Comparing ADC to national data 2013

Cholesterol Screen – Percentage of patients 18 to 75 years of age with CAD who were discharged for acute MI, who have a documented LDL result within 12 months

Cholesterol Control – Percentage of patients 18 to 75 years of age with CAD who were discharged for acute MI, who have a documented LDL result within 12 months that was

About this quality report

High cholesterol is associated with elevated levels of LDL-C (“bad cholesterol”). A person with a serum total cholesterol of 240 mg/dL or greater is considered to have high cholesterol.  There are 33.6 million American adults at or above this threshold. High cholesterol causes fatty deposits to adhere to artery walls and impedes blood flow.  There are no signs or symptoms of high cholesterol, which increases a person’s risk for heart failure or stroke due to reduced blood flow to the heart and brain.

High cholesterol is often a silent threat  to health and increases the risk of poor cardiovascular health. If cholesterol is monitored and reduced, it is possible to lower the risk of stroke or heart attack.

The most recent report in July 2012 shows The Austin Diagnostic Clinic Cardiology patients exceed the national average in both performing cholesterol screenings and keeping their cholesterol levels in control.

This report looks at how ADC doctors are screening for cholesterol and whether patients are controlling their cholesterol.

What you can do

Speak with your Primary Care Physician about routine cholesterol checks.  Most people are recommended to have a cholesterol test every 5 years.  If you have cardiovascular disease, you should visit a Cardiologist and have your cholesterol checked at least once per year.  Incorporating needed lifestyle and diet changes, in addition to necessary medications, is key to lowering cholesterol and improving health outcomes.

Preventive Care Screenings performed at ADC vs National Average

Breast Cancer Screen – Percentage of women aged 40 through 69 years who had a documented mammogram to screen for breast cancer within 24 months
Colon Cancer Screen – Percentage of patients aged 50 through 80 years who received the appropriate colorectal cancer screening (FOBT within 12 months or Colonoscopy within 10 years)
Osteoporosis Screen – Percentage of female patients aged 65 years and older who have a central dual-energy X-ray absorptiometry (DXA) measurement documented at least once since age 60 or pharmacologic therapy prescribed within 12 months

Protecting Health with Preventive Care

Mammograms, colonoscopies, and bone density scans help diagnose and catch disease early before they spread to other areas of the body.

Our most recent report from January, 2013 shows that together our Primary Care Providers, Menopause Specialists, Gastroenterologists and Obstetrics/Gynecologists at The Austin Diagnostic Clinic score above the national average in performing screenings for Breast Cancer, Colon Cancer, and Osteoporosis.

What You Can Do

Establish a relationship with one of our Primary Care Physicians at The Austin Diagnostic Clinic and visit them annually to discuss your preventive care needs.

 

 

Diabetes Management through ADC primary care vs National average

Assessment- Percentage of diabetic patients with a LDL, HbA1C and urine microalbumin result documented within 12 months
Control – Percentage of diabetic patients with a HbA1C <9%, LDLPrevention – Percentage of diabetic patients with a foot and eye exam documented within 12 months

Diabetes Management through Assessment, Control and Prevention

Over 21 million Americans have diabetes and because diabetes is with you 24/7, knowing what to do to keep it in control is one of the cornerstones of quality care.

Diabetes management can be divided into three categories:

  1. Assessment– Have your blood sugar, cholesterol, blood pressure, and kidney function tested routinely.
  2. Control – Reach target goals set by the American Diabetes Association for your blood sugar, cholesterol, blood pressure, and kidney function.
  3. Prevention – Avoid complications from diabetes by smoking cessation and being current on your flu vaccination, pneumococcus vaccination, eye exams, and foot exams.

Our most recent report from July, 2013 shows The Austin Diagnostic Clinic Primary Care patients exceed the national average in all three categories of Assessment, Control and Prevention.

What you can do

If you think you are at risk for diabetes, or you have diabetes and need help managing it, make an appointment at The Austin Diagnostic Clinic with a primary care physician to check your blood sugar. Let us help you manage your health.