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