Jawda Primary Care (PC) Service Quality Performance Indicators

JAWDA KPI Quarterly

Guidelines for Primary
Care (PC) Service
Providers
Issued: January 2021

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Table of Contents
About this Guidance.................................................................................................................................. 4
Breast Cancer Screening............................................................................................................................... 5
Cervical Cancer Screening ............................................................................................................................ 7
Colorectal Cancer Screening ........................................................................................................................ 9
Depression screening ................................................................................................................................. 12
Depression follow up care plan ................................................................................................................. 12
Comprehensive oral screening................................................................................................................... 13
Timeliness of Antenatal care visits ............................................................................................................ 14
Post-Partum Follow-Up and Care Coordination ........................................................................................ 14
Diabetes: Hemoglobin A1c (HbA1c) Poor Control Rate (> 9%) or no test result ...................................... 15
Diabetes: Hemoglobin A1c (HbA1c) Good Control Rate (≤7.0%) .............................................................. 17
Percent of diabetics (age 18-75) who had annual foot examination ....................................................... 20
Percent of diabetics (age 18-75) who had an annual retinal or dilated eye examination by an eye care
professional ................................................................................................................................................ 21
Percent diabetics (age 18-75) who had an annual nephropathy screening test or evidence of
nephropathy ............................................................................................................................................... 22
Controlling High Blood Pressure ................................................................................................................ 23
Percent hypertensive who had an annual dyslipidemia screening .......................................................... 25
Percent hypertensive who had an annual nephropathy screening test or evidence of nephropathy ... 25
Osteoporosis Screening.............................................................................................................................. 26
Childhood Immunization Status (CIS) ........................................................................................................ 27
Screening of iron deficiency in children from 1-5 years............................................................................ 27
Structured development screen for children from 18 to 30 months ....................................................... 28
Screening of Autism in children from 18- 24 month ................................................................................. 29
Percentage of Outpatient Referral ............................................................................................................ 30

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Executive Summary
The Department of Health– Abu Dhabi (DOH) is the regulatory body of the healthcare
sector in the Emirate of Abu Dhabi and ensures excellence in healthcare for the community
by monitoring the health status of its population.

The Emirate of Abu Dhabi is experiencing a substantial growth in the number of hospitals,
centers and clinics. This is ranging from school clinics and mobile units to internationally
renowned specialist and tertiary academic centers. Although, access and quality of care has
improved dramatically over the last couple of decades, mirroring the economic upturn and
population boom of Emirate of Abu Dhabi, however challenges remain in addressing
further improvements.

The main challenges that are presented with increasingly dynamic population include an
aging population with increased expectation for treatment, utilization of technology and
diverse workforce leading to increased complexity of healthcare provision in Abu Dhabi. All
of this results in an increased and inherent risk to quality and patient safety.

DOH has developed dynamic and comprehensive quality framework in order to bring about
improvements across the health sector. This guidance relates to the quality indicators that
DOH is mandating be collected and monitor by all Primary healthcare provider in Abu
Dhabi.

The guidance sets out the full definition and method of calculation for patient safety and
clinical effectiveness indicators. For enquiries about this guidance, please contact
[email protected]

This document is subjected for review and therefore it is advisable to utilize online
versions available on the DOH at all times.

Issued: Version 1 January 2021

Published Updates Version 2: January 2022
Version 3: July 2022
Version 4: Oct 2022

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 Jawda Primary Care (PC) Service Quality Performance Indicators

About this Guidance

The guidance sets out the definitions and reporting frequency of JAWDA Primary Care (PC)
performance indicators. The Department of Health (DoH), with consultation from local and
international expertise of chronic disease management has developed Primary Care
facilities performance Indicators that are aimed for assessing the degree to which a
provider competently and safely delivers the appropriate clinical services to the patient
within the optimal period of time.

The Jawda KPI for primary care in this guidance include measures to monitor i.e. how well
primary care service providers care for their patients, how often they follow best practices
and how effective they are at keeping patients healthy, and how patients feel about their
experience at primary care service providers. Healthcare providers are the most qualified
professionals to develop and evaluate quality of care for people with chronic conditions;
therefore, it is crucial that clinicians retain a leadership position in defining performance
among primary care healthcare service providers.

Who is this guidance for?

All healthcare facilities who are licensed by DoH as Primary healthcare service provider or
who are providing Primary care Services as part of their portfolio in the Emirate of Abu
Dhabi.

For further details, kindly refer Standard for Primary Healthcare Services in Emirate
of Abu Dhabi published in September 2022 on DOH website Standards - recources - Department
of Health (doh.gov.ae)

How do I follow this guidance?

Each provider will nominate one member of staff to coordinate, collect and monitor
primary care quality indicators. Primary care provider is required to submit quarterly
submission of data through Jawda e-notification system.

Note: Jawda team may use centrally collected claim data submitted by healthcare providers
through Shafafiya portal to validate the data submitted by the providers through Jawda
portal.

What is the Regulation related to this guidance?

 Legislation establishing the Health Sector
 Department of Health Standard for primary care issued March 2020
https://www.doh.gov.ae/en/resources/standards
 As per DoH Policy for Quality and Patient Safety issued January 15th 2017, this guidance
applies to all DoH Licensed Hospital Healthcare Facilities in the Emirate of Abu Dhabi in
accordance with the requirements set out in this Standard.

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Cancer screening Number: PC001

KPI
Description Breast Cancer Screening
(title):
Domain Prevention and early detection
Sub-Domain Process
Definition Percentage of women aged 40 to 69 years who had at least one mammogram
to screen for breast cancer in the 27 months (prior to the end of the reporting
quarter)
Calculation Numerator:

Women with one or more mammograms to screen for breast cancer in the 27
months (prior to the end of the reporting quarter)

CPT code for mammogram – 77065,77066 ,77067

Numerator Guidance:
o Time frame: 27 months (prior to the end of reporting quarter)
= 3 months (quarter) + 24 months prior
o Mammogram can be performed in the same or different facility

Denominator:

Women 40-69 years of age with a consultation visit/visits during the

reporting quarter

AND

* who had at least one consultation visit within the 24 months (prior to the
beginning of reporting quarter)

Denominator Guidance:
o The consultations should be by the same provider, however can be by the
same or different Primary care physician/s
o Face to face or telemedicine consultations should be included
o In case of multiple consultation visits within prior months, please
consider the earliest one.

Denominator Exclusions:

o Are pregnant or breastfeeding (during the reporting quarter) –

Appendix B (O00- O9A)

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 Jawda Primary Care (PC) Service Quality Performance Indicators

o Are known case or have a previous history of:

 Breast cancer – Z85.3
 Metastatic disease to the breast – C79.81
 Any other cancer arising in the breast – C50.011, C50.012,
C50.019, C50.111, C50.112, C50.119, C50.211,2, C50.219,
C50.311, C50.312, C50.319, C50.411, C50.412, C50.419,
C50.511, C50.512, C50.519, C50.611, C50.612, C50.619,
C50.811, C50.812, C50.819, C50.911, C50.912, C50.919,
C50.411, C80.1, D24.1, D24.2, D24.9, D48.60, D48.61,
D48.62, D48.7 (Not limited to mentioned codes)
 Have breast implants – Z98.82 (not applicable for individuals
with implants for cosmetic reasons)
 Bilateral mastectomy - Z90.10, Z90.11, Z90.12, Z90.13

o Have any active breast complaints such as a lump or nipple discharge.

N63.0, N63.10, N63.11, N63.12, N63.13, N63.14, N63.20, N63.21,
N63.22, N63.23, N64.52, N64.0, N64.1, N64.2, N64.3, N64.4, N64.51,
N64.52, N64.53, N64.59, N64.81

o Individuals with documented reason for not qualifying for breast

cancer screening clinical requirements

o Individuals who do not qualify for breast cancer screening insurance

benefits

o Individuals with documented reason for not ordering breast cancer

screening (e.g.: refusal)

o Already screened individuals – Mammogram performed prior to the

earliest consultation visit in your facility, within the 27 months.

Reporting Quarterly
Frequency
Unit Measure % mammogram screening
International HAAD Standard for Breast Cancer Screening & Diagnosis
comparison if https://www.doh.gov.ae/en/Shafafiya/reporting
available https://www.ncqa.org/hedis/measures/
https://www.ahrq.gov/
https://www.qualityforum.org/QPS/QPSTool

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Desire Higher is better

Direction
Data Source  Centrally collected claim data (KEH)
 Patient medical record

Type: Cancer screening Number: PC002

KPI
Description Cervical Cancer Screening
(title):
Domain Prevention and early detection
Sub-Domain Process
Definition Percentage of women aged 25-65 years who had at least one Pap smear or
HPV to screen for cervical cancer
Calculation Numerator:

Women aged 25-65 years who received one PAP smear or HPV test to screen
for cervical cancer, during the reporting quarter

OR

Prior to the beginning of reporting quarter:

o For aged 25-29 years: within the three years prior

o For aged 30-65 years: within the five years prior

CPT code for Cervical Cancer Screening:

HPV Test: 87623, 87624, 87625

PAP Smear: 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153,
88164, 88165, 88166, 88167, 88174, 88175

Numerator Guidance:
Cervical Cancer Screening can be performed in the same or different facility

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Jawda Primary Care (PC) Service Quality Performance Indicators

Denominator:

Sexually active women (past or present), symptom free, aged 25-29 years
with a consultation visit/visits during the reporting quarter

AND

* who had at least one consultation visit within the three years (prior to the
beginning of reporting quarter)

OR

Sexually active women (past or present), symptom free, aged 30-65 years
with a consultation visit/visits during the reporting quarter

AND

* who had at least one consultation visit within the five years (prior to the
beginning of reporting quarter)

Denominator Guidance:

o The consultations should be by the same provider, however can be by the

same or different Primary care physician/s
o Face to face or telemedicine consultations should be included
o In case of multiple consultation visits within prior months, please
consider the earliest one.

Denominator Exclusions:

o Are pregnant (during the reporting quarter) – Appendix B (O00- O9A)

o Patients who had their cervix removed

o Women who had a total hysterectomy with no residual cervix for

benign indications or a congenital absence of cervix.

o Individuals with documented reason for not qualifying for cervical

cancer screening clinical requirements

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 Jawda Primary Care (PC) Service Quality Performance Indicators

o Individuals who do not qualify for cervical cancer screening insurance

benefits

o Individuals with documented reason for not ordering pap smear or

HPV (e.g.: refusal)

o Already screened individuals – Cervical cancer screening performed

prior to the earliest consultation visit in your facility, within three
years (for 25-29 years); five years (for 30-65 years)

Reporting Quarterly
Frequency
Unit Measure % cervical screening
International HAAD Standard for Cervical cancer Screening & Diagnosis
comparison if https://www.doh.gov.ae/en/Shafafiya/reporting
available https://www.ncqa.org/hedis/measures/
https://www.ahrq.gov/
https://www.qualityforum.org/QPS/QPSTool
Desire Higher is better
Direction
Data Source  Centrally collected claim data (KEH))
 Patient medical record

Type: Cancer screening Number: PC003

KPI
Description Colorectal Cancer Screening
(title):
Domain Prevention and early detection
Sub-Domain Process
Definition Percentage of adults aged 40-75 years who had colorectal cancer screening
through a Fecal Immunochemical Test (FIT) every year or colonoscopy every
10 years

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Calculation Numerator:

Proportion of adult 40-75 years who had Fecal Immunochemical Test (FIT)
during the reporting quarter or within one year (prior to the beginning of
reporting quarter)
FIT Test: CPT 82274

OR

Proportion of adult 40-75 years who had Colonoscopy during the reporting
quarter or within 10 years (prior to the beginning of reporting quarter)
Colonoscopy: CPT 45378

Numerator Guidance:
Colorectal Cancer Screening can be performed in the same or different facility

Denominator:

Number of adults aged 40-75 years with a consultation visit/visits during the
reporting quarter

AND

* who had at least one consultation visit within 10 years (prior to the
beginning of reporting quarter)

Denominator Guidance:

o The consultations should be by the same provider, however can be by the

same or different Primary care physician/s
o Face to face or telemedicine consultations should be included
o In case of multiple consultation visits within prior months, please
consider the earliest one.

Denominator exclusions:

o Patients with a history of colorectal cancer or total colectomy –

Z85.038, Z90.49

o Individuals with documented reason for not qualifying for colorectal

cancer screening (FIT) clinical requirements

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 Jawda Primary Care (PC) Service Quality Performance Indicators

o Individuals who do not qualify for colorectal cancer screening (FIT)

insurance benefits

o Individuals with documented reason for not ordering FIT (e.g.: refusal)

o Already screened individuals –

 FIT performed prior to the earliest consultation visit in

your facility, within one year
 Colonoscopy performed prior to the earliest consultation
visit in your facility, within 10 years

Note: In case of colonoscopy refusal, FIT should be encouraged

Reporting Quarterly
Frequency
Unit Measure % screening for colorectal cancer
International HAAD Standard for Colorectal Cancer Screening & Diagnosis
comparison if https://www.doh.gov.ae/en/Shafafiya/reporting
available https://www.ncqa.org/hedis/measures/
https://www.ahrq.gov/
https://www.qualityforum.org/QPS/QPSTool
Desire Higher is better
Direction
Data Source  Centrally collected claim data (KEH))
 Patient medical record

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Mental Health Number: PC004

KPI
Description Depression screening
(title):
Domain Prevention and early detection
Sub-Domain Process
Definition

Calculation
Reporting
Frequency
Unit Measure
To be updated for later submissions
International
comparison if
available
Desire
Direction
Data Source

Type: Mental Health Number: PC005

KPI Description
(title): Depression follow up care plan

Domain Clinical effectiveness

Sub-Domain Process

Definition
Calculation
Reporting
Frequency

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Unit Measure
International To be updated for later submissions
comparison if
available
Desire
Direction
Data Source

Type: Oral Health Number: PC006

KPI
Description Comprehensive oral screening
(title):
Domain Clinical Effectiveness
Sub-Domain Process
Definition
Calculation To be updated for later submissions
Reporting
Frequency
Unit Measure
International
comparison
if available
Desire
Direction
Data Source

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Women ‘s health Number: PC007

KPI
Description Timeliness of Antenatal care visits
(title):
Domain Clinical Effectiveness
Sub-Domain Process
Definition
Calculation
Reporting
Frequency
Unit Measure
To be updated for later submissions
International
comparison if
available
Desire
Direction
Data Source

Type: Women’s health Number: PC008

KPI
Description Post-Partum Follow-Up and Care Coordination
(title):
Domain Clinical Effectiveness
Sub-Domain Process
Definition
Calculation

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Reporting
Frequency
Unit Measure
International
To be updated for later submissions
comparison
if available
Desire
Direction
Data Source

Type: Chronic disease management Number: PC009

KPI
Description Diabetes: Hemoglobin A1c (HbA1c) Poor Control Rate (> 9%) or no test
(title): result

Domain Clinical Effectiveness

Sub-Domain Outcome
Definition Percentage of diabetics whose most recent HbA1c level was > 9.0 % or who had
no test result within 15 months (prior to the end of reporting quarter)
Calculation Numerator

Patients in the denominator population whose most recent HbA1c level was
> 9.0 % OR who had no test result within 15 months (prior to the end of
reporting quarter)

HbA1C – CPT – 83036

Numerator Guidance:
Timeframe: 15 months (prior to the end of reporting quarter)
= 3 months (quarter) + 12 months prior

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Jawda Primary Care (PC) Service Quality Performance Indicators

Denominator

Total number of unique patients (18-75), with diabetes related outpatient

visit/s during the reporting quarter

AND

who had at least 2 diabetes related outpatient visits within 12 months (prior to
the reporting quarter)

Denominator Guidance:

o Diabetes related outpatient visit is defined as, OP consultation visit with:

 Principal Diagnosis as Diabetes/ related complications
OR
 Secondary Diagnosis (Reason for visit) as Diabetes/ related
complications
OR
 with diabetes medication/ insulin prescription.

ICD 10 Codes: E10, E11, E13, O24 series (See Appendix – D)

o The consultations should be by the same provider, however can be by the

same or different Primary care physician/s

o Face to face or telemedicine consultations should be included

Denominator exclusions
Patient with diagnosis of polycystic ovaries, gestational diabetes, or steroid-
induced diabetes
ICD-10: O24.410, O24.414, O24.415, O24.419, O24.420, O24.424, O24.425,
O24.429, O24.430, O24.434, O24.435, O24.439, E28.2,

E09.00 E09.01 E09.10 E09.11 E09.21 E09.22 E09.29 E09.311 E09.319

E09.3211 E09.3212 E09.3213 E09.3219 E09.3291
E09.3292 E09.3293 E09.3299 E09.3311 E09.3312
E09.3313 E09.3319 E09.3391 E09.3392 E09.3393
E09.3399 E09.3411 E09.3412 E09.3413 E09.3419
E09.3491 E09.3492 E09.3493 E09.3499 E09.3511
E09.3512 E09.3513 E09.3519 E09.3521 E09.3522
E09.3523 E09.3529 E09.3531 E09.3532 E09.3533

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 Jawda Primary Care (PC) Service Quality Performance Indicators

E09.3539 E09.3541 E09.3542 E09.3543 E09.3549

E09.3551 E09.3552 E09.3553 E09.3559 E09.3591
E09.3592 E09.3593 E09.3599 E09.36 E09.37X1 E09.37X2
E09.37X3 E09.37X9 E09.39 E09.40 E09.41 E09.42 E09.43 E09.44
E09.49 E09.51 E09.52 E09.59 E09.610 E09.618 E09.620
E09.621 E09.622 E09.628 E09.630 E09.638
E09.641 E09.649 E09.65 E09.69 E09.8 E09.9

Reporting Quarterly
Frequency
Unit Measure % Hemoglobin A1c >9.0 or no test result
Desired Lower is better
Direction
International Quality Measures | CMS
comparison https://www.ncqa.org/hedis/measures/
if available https://www.ahrq.gov/
https://www.qualityforum.org/QPS/QPSTool
Data Source  Centrally collected claim data (KEH))
 Patient medical record

Type: chronic disease management Number: PC010

KPI
Description Diabetes: Hemoglobin A1c (HbA1c) Good Control Rate (≤7.0%)
(title):
Domain Clinical Effectiveness
Sub-Domain Outcome
Definition Percentage of diabetics whose most recent HbA1c level was ≤7.0% (good
control) within 15 months (prior to the end of reporting quarter)

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Calculation Numerator

Patients in the denominator population whose most recent HbA1c level

was ≤7.0% within 15 months (prior to the end of reporting quarter)

HbA1C – CPT – 83036

Numerator Guidance:
Timeframe: 15 months (prior to the end of reporting quarter)
= 3 months (quarter) + 12 months prior

Denominator
Total number of unique patients (18-75), with diabetes related outpatient
visit/s during the reporting quarter

AND

who had at least 2 diabetes related outpatient visits within 12 months

(prior to the reporting quarter)

Denominator Guidance:

o Diabetes related outpatient visit is defined as, OP consultation visit

with:
 Principal Diagnosis as Diabetes/ related complications
OR
 Secondary Diagnosis (Reason for visit) as Diabetes/ related
complications
OR
 with diabetes medication/ insulin prescription.

ICD 10 Codes: E10, E11, E13, O24 series (See Appendix – D)

o The consultations should be by the same provider, however can be by

the same or different Primary care physician/s

o Face to face or telemedicine consultations should be included

Denominator Exclusions
Patient with diagnosis of polycystic ovaries, gestational diabetes, or
steroid-induced diabetes

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 Jawda Primary Care (PC) Service Quality Performance Indicators

ICD-10: O24.410, O24.414, O24.415, O24.419, O24.420, O24.424,

O24.425, O24.429, O24.430, O24.434, O24.435, O24.439, E28.2,

E09.00 E09.01 E09.10 E09.11 E09.21 E09.22 E09.29 E09.311

E09.319 E09.3211 E09.3212 E09.3213 E09.3219
E09.3291 E09.3292 E09.3293 E09.3299 E09.3311
E09.3312 E09.3313 E09.3319 E09.3391 E09.3392
E09.3393 E09.3399 E09.3411 E09.3412 E09.3413
E09.3419 E09.3491 E09.3492 E09.3493 E09.3499
E09.3511 E09.3512 E09.3513 E09.3519 E09.3521
E09.3522 E09.3523 E09.3529 E09.3531 E09.3532
E09.3533 E09.3539 E09.3541 E09.3542 E09.3543
E09.3549 E09.3551 E09.3552 E09.3553 E09.3559
E09.3591 E09.3592 E09.3593 E09.3599 E09.36
E09.37X1 E09.37X2 E09.37X3 E09.37X9 E09.39
E09.40 E09.41 E09.42 E09.43 E09.44 E09.49 E09.51 E09.52 E09.59
E09.610 E09.618 E09.620 E09.621 E09.622
E09.628 E09.630 E09.638 E09.641 E09.649
E09.65 E09.69 E09.8 E09.9

Reporting Quarterly
Frequency
Unit Measure % Hemoglobin A1C ≤7.0%

Desired Lower is better

Direction
International https://www.ncqa.org/hedis/measures/
comparison if https://www.ahrq.gov/
available https://www.qualityforum.org/QPS/QPSTool

Data Source  Centrally collected claim data (KEH)

 Patient medical record

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: chronic disease management Number: PC011

KPI
Description Percent of diabetics (age 18-75) who had annual foot examination
(title):
Domain Clinical Effectiveness

Sub-Domain Process

Definition
Calculation

To be updated for later submissions

Reporting
Frequency
Unit Measure
International
comparison if
available
Desired
Direction
Data Source

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: chronic disease management Number: PC012

KPI
Description Percent of diabetics (age 18-75) who had an annual retinal or dilated
(title): eye examination by an eye care professional

Domain Clinical Effectiveness

Sub-Domain Process
Definition

Calculation

Reporting
Frequency
Unit Measure
Desired
Direction To be updated for later submissions
International
comparison
if available
Data Source

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Chronic disease management Number: PC013

KPI
Description Percent diabetics (age 18-75) who had an annual nephropathy
(title): screening test or evidence of nephropathy

Domain Clinical Effectiveness

Sub-Domain Process
Definition
Calculation

Reporting
Frequency
Unit Measure
Desired To be updated for later submissions
Direction
International
comparison if
available
Data Source

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Chronic disease management Number: PC014

KPI
Description Controlling High Blood Pressure
(title):
Domain Effectiveness
Sub-Domain outcome
Definition Percentage of patients 18 - 85 years of age who had a diagnosis of essential
hypertension overlapping the measurement period and whose most recent
blood pressure was adequately controlled (< 140/90 mmHg) during the
reporting quarter
Calculation Numerator:
Patients whose most recent blood pressure is adequately controlled (systolic
blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during
the reporting quarter

Numerator Guidance:
o If no blood pressure is recorded during the measurement period, the
patient's blood pressure is assumed "not controlled."
o If there are multiple blood pressure readings on the same day, use the
lowest systolic and the lowest diastolic reading as the most recent blood
pressure reading.
o The most recent blood pressure reading during the reporting quarter
can be in the same or different facility.

Denominator:
Total number of unique patients (18-75), with hypertension related
outpatient visit/s during the reporting quarter

AND

who had at least 2 hypertension related outpatient visits within 12 months

(prior to the reporting quarter)

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Denominator Guidance:

o Hypertension related outpatient visit is defined as, OP consultation visit

with:
 Principal Diagnosis as Hypertension
OR
 Secondary Diagnosis (Reason for visit) as Hypertension
OR
 with antihypertensives prescription.

Diagnosis for essential hypertension (ICD-10-CM): I10

o The consultations should be by the same provider, however can be by the

same or different Primary care physician/s

o Face to face or telemedicine consultations should be included

Denominator Exclusions:
o Documentation of End stage renal disease (ESRD), dialysis, renal
transplant (before or during the reporting quarter)

ICD codes: I12.0, I13.11, I13.2, N18.6, Z94.0, Z99. 2,

CPT codes: 90935- 90999 (Dialysis Services and Procedures CPT®
Code range)

o Pregnancy (during the reporting quarter) Appendix B ( O00- O9A)

Reporting Quarterly
Frequency
Unit Measure Percentage.
International https://mdinteractive.com/MIPS_Family_Practice
comparison if
available
Desired Higher is better
Direction
Data Source  Centrally collected claim data (KEH)
 Patient medical record

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Chronic disease management Number: PC015

KPI
Description Percent hypertensive who had an annual dyslipidemia screening
(title):
Domain Effectiveness
Sub-Domain outcome
Definition

Calculation
Reporting
Frequency
Unit Measure To be updated for later submissions

International
comparison if
available
Desired
Direction
Data Source

Type: Chronic disease management Number: PC016

KPI
Description Percent hypertensive who had an annual nephropathy screening test
(title): or evidence of nephropathy

Domain Clinical Effectiveness

Sub-Domain Process
Definition

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Calculation

To be updated for later submissions

Reporting
Frequency
Unit Measure
Desired
Direction
International
comparison if
available
Data Source

Type: Disease management Number: PC017

KPI
Description Osteoporosis Screening
(title):
Domain Clinical Effectiveness
Sub-Domain Process
Definition
Calculation
Reporting To be updated for later submissions
Frequency
Unit Measure

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 Jawda Primary Care (PC) Service Quality Performance Indicators

International
comparison if
available
Desired
Direction
Data Source

Type: child health Number: PC018

KPI
Description Childhood Immunization Status (CIS)
(title):
Domain Clinical Effectiveness
Sub-Domain Process
Definition
Calculation
Reporting
Frequency
Unit Measure
To be updated for later submissions
International
comparison
if available
Desired
Direction
Data Source

Type: Child health Number: PC019

KPI
Description Screening of iron deficiency in children from 1-5 years
(title):

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Domain Prevention and early detection

Sub-Domain Process
Definition

Calculation
Reporting
Frequency
Unit Measure
To be updated for later submissions
International
comparison
if available
Desired
Direction
Data Source

Type: Child health Number: PC020

KPI
Description Structured development screen for children from 18 to 30 months
(title):
Domain Prevention and early detection
Sub-Domain Process
Definition

Calculation
To be updated for later submissions
Reporting
Frequency
Unit Measure

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 Jawda Primary Care (PC) Service Quality Performance Indicators

International
comparison
if available

Desired
Direction
Data Source

Type: Child health Number: PC021

KPI
Description Screening of Autism in children from 18- 24 month
(title):
Domain Prevention and early detection
Sub-Domain Process
Definition

Calculation
Reporting
Frequency
Unit Measure
To be updated for later submissions
International
comparison
if available
Desired
Direction
Data Source

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Type: Referral Number: PC022

KPI
Description Percentage of Outpatient Referral
(title):
Domain Efficiency
Sub-Domain Process
Definition

Calculation
Reporting
Frequency
To be updated for later submissions
Unit Measure
International
comparison
if available
Desired
Direction
Data Source

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 Jawda Primary Care (PC) Service Quality Performance Indicators

Appendix A – CPT Category II codes

To be updated for later submissions

APPENDIX – B ICD-10 CM CODES (O00- O9A)

O00.00 O00.1 O00.201 O00.80 O00.90 O01.0 O01.1 O01.9
O00.01 O00.202 O00.81 O00.91
O00.209
O02.0 O02.1 O02.81 O02.89 O02.9 O03.0 O03.1 O03.2
O03.30 O03.31 O03.32 O03.33 O03.34 O03.35 O03.36 O03.37
O03.38 O03.39 O03.4 O03.5 O03.6 O03.7 O03.80 O03.81
O03.82 O03.83 O03.84 O03.85 O03.86 O03.87 O03.88 O03.89
O03.9 O04.5 O04.6 O04.7 O04.80 O04.81 O04.82 O04.83
O04.84 O04.85 O04.86 O04.87 O04.88 O04.89 O07.0 O07.1
O07.2 O07.30 O07.31 O07.32 O07.33 O07.34 O07.35 O07.36
O07.37 O07.38 O07.39 O07.4 O08.0 O08.1 O08.2 O08.3
O08.4 O08.5 O08.6 O08.7 O08.81 O08.82 O08.83 O08.89
O08.9 O09.00 O09.01 O09.02 O09.03 O09.10 O09.11 O09.12
O09.13 O09.211 O09.212 O09.213 O09.219 O09.291 O09.292 O09.293
O09.299 O09.30 O09.31 O09.32 O09.33 O09.40 O09.41 O09.42
O09.43 O09.511 O09.512 O09.513 O09.519 O09.521 O09.522 O09.523
O09.529 O09.611 O09.612 O09.613 O09.619 O09.621 O09.622 O09.623
O09.629 O09.70 O09.71 O09.72 O09.73 O09.811 O09.812 O09.813
O09.819 O09.821 O09.822 O09.823 O09.829 O09.891 O09.892 O09.893
O09.899 O09.90 O09.91 O09.92 O09.93 O10.011 O10.012 O10.013
O10.019 O10.02 O10.03 O10.111 O10.112 O10.113 O10.119 O10.12
O10.13 O10.211 O10.212 O10.213 O10.219 O10.22 O10.23 O10.311
O10.312 O10.313 O10.319 O10.32 O10.33 O10.411 O10.412 O10.413
O10.419 O10.42 O10.43 O10.911 O10.912 O10.913 O10.919 O10.92
O10.93 O11.1 O11.2 O11.3 O11.9 O12.00 O12.01 O12.02
O12.03 O12.10 O12.11 O12.12 O12.13 O12.20 O12.21 O12.22
O12.23 O13.1 O13.2 O13.3 O13.9 O14.00 O14.02 O14.03
O14.10 O14.12 O14.13 O14.20 O14.22 O14.23 O14.90 O14.92
O14.93 O15.00 O15.02 O15.03 O15.1 O15.2 O15.9 O16.1
O16.2 O16.3 O16.9 O20.0 O20.8 O20.9 O21.0 O21.1
O21.2 O21.8 O21.9 O22.00 O22.01 O22.02 O22.03 O22.10
O22.11 O22.12 O22.13 O22.20 O22.21 O22.22 O22.23 O22.30
O22.31 O22.32 O22.33 O22.40 O22.41 O22.42 O22.43 O22.50

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O22.51 O22.52 O22.53 O22.8X1 O22.8X2 O22.8X3 O22.8X9 O22.90

O22.91 O22.92 O22.93 O23.00 O23.01 O23.02 O23.03 O23.10
O23.11 O23.12 O23.13 O23.20 O23.21 O23.22 O23.23 O23.30
O23.31 O23.32 O23.33 O23.40 O23.41 O23.42 O23.43 O23.511
O23.512 O23.513 O23.519 O23.521 O23.522 O23.523 O23.529 O23.591
O23.592 O23.593 O23.599 O23.90 O23.91 O23.92 O23.93 O24.011
O24.012 O24.013 O24.019 O24.02 O24.03 O24.111 O24.112 O24.113
O24.119 O24.12 O24.13 O24.311 O24.312 O24.313 O24.319 O24.32
O24.33 O24.410 O24.414 O24.419 O24.420 O24.424 O24.429 O24.430
O24.434 O24.439 O24.811 O24.812 O24.813 O24.819 O24.82 O24.83
O24.911 O24.912 O24.913 O24.919 O24.92 O24.93 O25.10 O25.11
O25.12 O25.13 O25.2 O25.3 O26.00 O26.01 O26.02 O26.03
O26.10 O26.11 O26.12 O26.13 O26.20 O26.21 O26.22 O26.23
O26.30 O26.31 O26.32 O26.33 O26.40 O26.41 O26.42 O26.43
O26.50 O26.51 O26.52 O26.53 O26.611 O26.612 O26.613 O26.619
O26.62 O26.63 O26.711 O26.712 O26.713 O26.719 O26.72 O26.73
O26.811 O26.812 O26.813 O26.819 O26.821 O26.822 O26.823 O26.829
O26.831 O26.832 O26.833 O26.839 O26.841 O26.842 O26.843 O26.849
O26.851 O26.852 O26.853 O26.859 O26.86 O26.872 O26.873 O26.879
O26.891 O26.892 O26.893 O26.899 O26.90 O26.91 O26.92 O26.93
O28.0 O28.1 O28.2 O28.3 O28.4 O28.5 O28.8 O28.9
O29.011 O29.012 O29.013 O29.019 O29.021 O29.022 O29.023 O29.029
O29.091 O29.092 O29.093 O29.099 O29.111 O29.112 O29.113 O29.119
O29.121 O29.122 O29.123 O29.129 O29.191 O29.192 O29.193 O29.199
O29.211 O29.212 O29.213 O29.219 O29.291 O29.292 O29.293 O29.299
O29.3X1 O29.3X2 O29.3X3 O29.3X9 O29.40 O29.41 O29.42 O29.43
O29.5X1 O29.5X2 O29.5X3 O29.5X9 O29.60 O29.61 O29.62 O29.63
O29.8X1 O29.8X2 O29.8X3 O29.8X9 O29.90 O29.91 O29.92 O29.93
O30.001 O30.002 O30.003 O30.009 O30.011 O30.012 O30.013 O30.019
O30.021 O30.022 O30.023 O30.029 O30.031 O30.032 O30.033 O30.039
O30.041 O30.042 O30.043 O30.049 O30.091 O30.092 O30.093 O30.099
O30.101 O30.102 O30.103 O30.109 O30.111 O30.112 O30.113 O30.119
O30.121 O30.122 O30.123 O30.129 O30.191 O30.192 O30.193 O30.199
O30.201 O30.202 O30.203 O30.209 O30.211 O30.212 O30.213 O30.219
O30.221 O30.222 O30.223 O30.229 O30.291 O30.292 O30.293 O30.299
O30.801 O30.802 O30.803 O30.809 O30.811 O30.812 O30.813 O30.819
O30.821 O30.822 O30.823 O30.829 O30.891 O30.892 O30.893 O30.899
O30.90 O30.91 O30.92 O30.93 O31.00X0 O31.00X1 O31.00X2 O31.00X3
O31.00X4 O31.00X5 O31.00X9 O31.01X0 O31.01X1 O31.01X2 O31.01X3 O31.01X4
O31.01X5 O31.01X9 O31.02X0 O31.02X1 O31.02X2 O31.02X3 O31.02X4 O31.02X5
O31.02X9 O31.03X0 O31.03X1 O31.03X2 O31.03X3 O31.03X4 O31.03X5 O31.03X9
O31.10X0 O31.10X1 O31.10X2 O31.10X3 O31.10X4 O31.10X5 O31.10X9 O31.11X0

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O31.11X1 O31.11X2 O31.11X3 O31.11X4 O31.11X5 O31.11X9 O31.12X0 O31.12X1

O31.12X2 O31.12X3 O31.12X4 O31.12X5 O31.12X9 O31.13X0 O31.13X1 O31.13X2
O31.13X3 O31.13X4 O31.13X5 O31.13X9 O31.20X0 O31.20X1 O31.20X2 O31.20X3
O31.20X4 O31.20X5 O31.20X9 O31.21X0 O31.21X1 O31.21X2 O31.21X3 O31.21X4
O31.21X5 O31.21X9 O31.22X0 O31.22X1 O31.22X2 O31.22X3 O31.22X4 O31.22X5
O31.22X9 O31.23X0 O31.23X1 O31.23X2 O31.23X3 O31.23X4 O31.23X5 O31.23X9
O31.30X0 O31.30X1 O31.30X2 O31.30X3 O31.30X4 O31.30X5 O31.30X9 O31.31X0
O31.31X1 O31.31X2 O31.31X3 O31.31X4 O31.31X5 O31.31X9 O31.32X0 O31.32X1
O31.32X2 O31.32X3 O31.32X4 O31.32X5 O31.32X9 O31.33X0 O31.33X1 O31.33X2
O31.33X3 O31.33X4 O31.33X5 O31.33X9 O31.8X10 O31.8X11 O31.8X12 O31.8X13
O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 O31.8X23 O31.8X24
O31.8X25 O31.8X29 O31.8X30 O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35
O31.8X39 O31.8X90 O31.8X91 O31.8X92 O31.8X93 O31.8X94 O31.8X95 O31.8X99
O32.0XX0 O32.0XX1 O32.0XX2 O32.0XX3 O32.0XX4 O32.0XX5 O32.0XX9 O32.1XX0
O24.434 O24.439 O24.811 O24.812 O24.813 O24.819 O24.82 O24.83
O24.911 O24.912 O24.913 O24.919 O24.92 O24.93 O25.10 O25.11
O25.12 O25.13 O25.2 O25.3 O26.00 O26.01 O26.02 O26.03
O26.10 O26.11 O26.12 O26.13 O26.20 O26.21 O26.22 O26.23
O26.30 O26.31 O26.32 O26.33 O26.40 O26.41 O26.42 O26.43
O26.50 O26.51 O26.52 O26.53 O26.611 O26.612 O26.613 O26.619
O26.62 O26.63 O26.711 O26.712 O26.713 O26.719 O26.72 O26.73
O26.811 O26.812 O26.813 O26.819 O26.821 O26.822 O26.823 O26.829
O26.831 O26.832 O26.833 O26.839 O26.841 O26.842 O26.843 O26.849
O26.851 O26.852 O26.853 O26.859 O26.86 O26.872 O26.873 O26.879
O26.891 O26.892 O26.893 O26.899 O26.90 O26.91 O26.92 O26.93
O28.0 O28.1 O28.2 O28.3 O28.4 O28.5 O28.8 O28.9
O29.011 O29.012 O29.013 O29.019 O29.021 O29.022 O29.023 O29.029
O29.091 O29.092 O29.093 O29.099 O29.111 O29.112 O29.113 O29.119
O29.121 O29.122 O29.123 O29.129 O29.191 O29.192 O29.193 O29.199
O29.211 O29.212 O29.213 O29.219 O29.291 O29.292 O29.293 O29.299
O29.3X1 O29.3X2 O29.3X3 O29.3X9 O29.40 O29.41 O29.42 O29.43
O29.5X1 O29.5X2 O29.5X3 O29.5X9 O29.60 O29.61 O29.62 O29.63
O29.8X1 O29.8X2 O29.8X3 O29.8X9 O29.90 O29.91 O29.92 O29.93
O30.001 O30.002 O30.003 O30.009 O30.011 O30.012 O30.013 O30.019
O30.021 O30.022 O30.023 O30.029 O30.031 O30.032 O30.033 O30.039
O30.041 O30.042 O30.043 O30.049 O30.091 O30.092 O30.093 O30.099
O30.101 O30.102 O30.103 O30.109 O30.111 O30.112 O30.113 O30.119
O30.121 O30.122 O30.123 O30.129 O30.191 O30.192 O30.193 O30.199
O30.201 O30.202 O30.203 O30.209 O30.211 O30.212 O30.213 O30.219
O30.221 O30.222 O30.223 O30.229 O30.291 O30.292 O30.293 O30.299
O30.801 O30.802 O30.803 O30.809 O30.811 O30.812 O30.813 O30.819
O30.821 O30.822 O30.823 O30.829 O30.891 O30.892 O30.893 O30.899

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O30.90 O30.91 O30.92 O30.93 O31.00X0 O31.00X1 O31.00X2 O31.00X3

O31.00X4 O31.00X5 O31.00X9 O31.01X0 O31.01X1 O31.01X2 O31.01X3 O31.01X4
O31.01X5 O31.01X9 O31.02X0 O31.02X1 O31.02X2 O31.02X3 O31.02X4 O31.02X5
O31.02X9 O31.03X0 O31.03X1 O31.03X2 O31.03X3 O31.03X4 O31.03X5 O31.03X9
O31.10X0 O31.10X1 O31.10X2 O31.10X3 O31.10X4 O31.10X5 O31.10X9 O31.11X0
O31.11X1 O31.11X2 O31.11X3 O31.11X4 O31.11X5 O31.11X9 O31.12X0 O31.12X1
O31.12X2 O31.12X3 O31.12X4 O31.12X5 O31.12X9 O31.13X0 O31.13X1 O31.13X2
O31.13X3 O31.13X4 O31.13X5 O31.13X9 O31.20X0 O31.20X1 O31.20X2 O31.20X3
O31.20X4 O31.20X5 O31.20X9 O31.21X0 O31.21X1 O31.21X2 O31.21X3 O31.21X4
O31.21X5 O31.21X9 O31.22X0 O31.22X1 O31.22X2 O31.22X3 O31.22X4 O31.22X5
O31.22X9 O31.23X0 O31.23X1 O31.23X2 O31.23X3 O31.23X4 O31.23X5 O31.23X9
O31.30X0 O31.30X1 O31.30X2 O31.30X3 O31.30X4 O31.30X5 O31.30X9 O31.31X0
O31.31X1 O31.31X2 O31.31X3 O31.31X4 O31.31X5 O31.31X9 O31.32X0 O31.32X1
O31.32X2 O31.32X3 O31.32X4 O31.32X5 O31.32X9 O31.33X0 O31.33X1 O31.33X2
O31.33X3 O31.33X4 O31.33X5 O31.33X9 O31.8X10 O31.8X11 O31.8X12 O31.8X13
O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 O31.8X23 O31.8X24
O31.8X25 O31.8X29 O31.8X30 O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35
O31.8X39 O31.8X90 O31.8X91 O31.8X92 O31.8X93 O31.8X94 O31.8X95 O31.8X99
O32.0XX0 O32.0XX1 O32.0XX2 O32.0XX3 O32.0XX4 O32.0XX5 O32.0XX9 O32.1XX0
O32.1XX1 O32.1XX2 O32.1XX3 O32.1XX4 O32.1XX5 O32.1XX9 O32.2XX0 O32.2XX1
O32.2XX2 O32.2XX3 O32.2XX4 O32.2XX5 O32.2XX9 O32.3XX0 O32.3XX1 O32.3XX2
O32.3XX3 O32.3XX4 O32.3XX5 O32.3XX9 O32.4XX0 O32.4XX1 O32.4XX2 O32.4XX3
O32.4XX4 O32.4XX5 O32.4XX9 O32.6XX0 O32.6XX1 O32.6XX2 O32.6XX3 O32.6XX4
O32.6XX5 O32.6XX9 O32.8XX0 O32.8XX1 O32.8XX2 O32.8XX3 O32.8XX4 O32.8XX5
O32.8XX9 O32.9XX0 O32.9XX1 O32.9XX2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9
O33.0 O33.1 O33.2 O33.3XX0 O33.3XX1 O33.3XX2 O33.3XX3 O33.3XX4
O33.3XX5 O33.3XX9 O33.4XX0 O33.4XX1 O33.4XX2 O33.4XX3 O33.4XX4 O33.4XX5
O33.4XX9 O33.5XX0 O33.5XX1 O33.5XX2 O33.5XX3 O33.5XX4 O33.5XX5 O33.5XX9
O33.6XX0 O33.6XX1 O33.6XX2 O33.6XX3 O33.6XX4 O33.6XX5 O33.6XX9 O33.7XX0
O33.7XX1
O33.7XX2
O33.7XX3
O33.7XX4
O33.7XX5
O33.7XX9

O33.8 O33.9 O34.00 O34.01 O34.02 O34.03 O34.10 O34.11

O34.12 O34.13 O34.211 O34.29 O34.30 O34.31 O34.32 O34.33
O34.212
O34.219
O34.40 O34.41 O34.42 O34.43 O34.511 O34.512 O34.513 O34.519
O34.521 O34.522 O34.523 O34.529 O34.531 O34.532 O34.533 O34.539
O34.591 O34.592 O34.593 O34.599 O34.60 O34.61 O34.62 O34.63

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O34.70 O34.71 O34.72 O34.73 O34.80 O34.81 O34.82 O34.83

O34.90 O34.91 O34.92 O34.93 O35.0XX0 O35.0XX1 O35.0XX2 O35.0XX3
O35.0XX4 O35.0XX5 O35.0XX9 O35.1XX0 O35.1XX1 O35.1XX2 O35.1XX3 O35.1XX4
O35.1XX5 O35.1XX9 O35.2XX0 O35.2XX1 O35.2XX2 O35.2XX3 O35.2XX4 O35.2XX5
O35.2XX9 O35.3XX0 O35.3XX1 O35.3XX2 O35.3XX3 O35.3XX4 O35.3XX5 O35.3XX9
O35.4XX0 O35.4XX1 O35.4XX2 O35.4XX3 O35.4XX4 O35.4XX5 O35.4XX9 O35.5XX0
O35.5XX1 O35.5XX2 O35.5XX3 O35.5XX4 O35.5XX5 O35.5XX9 O35.6XX0 O35.6XX1
O35.6XX2 O35.6XX3 O35.6XX4 O35.6XX5 O35.6XX9 O35.7XX0 O35.7XX1 O35.7XX2
O35.7XX3 O35.7XX4 O35.7XX5 O35.7XX9 O35.8XX0 O35.8XX1 O35.8XX2 O35.8XX3
O35.8XX4 O35.8XX5 O35.8XX9 O35.9XX0 O35.9XX1 O35.9XX2 O35.9XX3 O35.9XX4
O35.9XX5 O35.9XX9 O36.0110 O36.0111 O36.0112 O36.0113 O36.0114 O36.0115
O36.0119 O36.0120 O36.0121 O36.0122 O36.0123 O36.0124 O36.0125 O36.0129
O36.0130 O36.0131 O36.0132 O36.0133 O36.0134 O36.0135 O36.0139 O36.0190
O36.0191 O36.0192 O36.0193 O36.0194 O36.0195 O36.0199 O36.0910 O36.0911
O36.0912 O36.0913 O36.0914 O36.0915 O36.0919 O36.0920 O36.0921 O36.0922
O36.0923 O36.0924 O36.0925 O36.0929 O36.0930 O36.0931 O36.0932 O36.0933
O36.0934 O36.0935 O36.0939 O36.0990 O36.0991 O36.0992 O36.0993 O36.0994
O36.0995 O36.0999 O36.1110 O36.1111 O36.1112 O36.1113 O36.1114 O36.1115
O36.1119 O36.1120 O36.1121 O36.1122 O36.1123 O36.1124 O36.1125 O36.1129
O36.1130 O36.1131 O36.1132 O36.1133 O36.1134 O36.1135 O36.1139 O36.1190
O36.1191 O36.1192 O36.1193 O36.1194 O36.1195 O36.1199 O36.1910 O36.1911
O36.1912 O36.1913 O36.1914 O36.1915 O36.1919 O36.1920 O36.1921 O36.1922
O36.1923 O36.1924 O36.1925 O36.1929 O36.1930 O36.1931 O36.1932 O36.1933
O36.1934 O36.1935 O36.1939 O36.1990 O36.1991 O36.1992 O36.1993 O36.1994
O36.1995 O36.1999 O36.20X0 O36.20X1 O36.20X2 O36.20X3 O36.20X4 O36.20X5
O36.20X9 O36.21X0 O36.21X1 O36.21X2 O36.21X3 O36.21X4 O36.21X5 O36.21X9
O36.22X0 O36.22X1 O36.22X2 O36.22X3 O36.22X4 O36.22X5 O36.22X9 O36.23X0
O36.23X1 O36.23X2 O36.23X3 O36.23X4 O36.23X5 O36.23X9 O36.4XX0 O36.4XX1
O36.4XX2 O36.4XX3 O36.4XX4 O36.4XX5 O36.4XX9 O36.5110 O36.5111 O36.5112
O36.5113 O36.5114 O36.5115 O36.5119 O36.5120 O36.5121 O36.5122 O36.5123
O36.5124 O36.5125 O36.5129 O36.5130 O36.5131 O36.5132 O36.5133 O36.5134
O36.5135 O36.5139 O36.5190 O36.5191 O36.5192 O36.5193 O36.5194 O36.5195
O36.5199 O36.5910 O36.5911 O36.5912 O36.5913 O36.5914 O36.5915 O36.5919
O36.5920 O36.5921 O36.5922 O36.5923 O36.5924 O36.5925 O36.5929 O36.5930
O36.5931 O36.5932 O36.5933 O36.5934 O36.5935 O36.5939 O36.5990 O36.5991
O36.5992 O36.5993 O36.5994 O36.5995 O36.5999 O36.60X0 O36.60X1 O36.60X2
O36.60X3 O36.60X4 O36.60X5 O36.60X9 O36.61X0 O36.61X1 O36.61X2 O36.61X3
O36.61X4 O36.61X5 O36.61X9 O36.62X0 O36.62X1 O36.62X2 O36.62X3 O36.62X4
O36.62X5 O36.62X9 O36.63X0 O36.63X1 O36.63X2 O36.63X3 O36.63X4 O36.63X5
O36.63X9 O36.70X0 O36.70X1 O36.70X2 O36.70X3 O36.70X4 O36.70X5 O36.70X9
O36.71X0 O36.71X1 O36.71X2 O36.71X3 O36.71X4 O36.71X5 O36.71X9 O36.72X0
O36.72X1 O36.72X2 O36.72X3 O36.72X4 O36.72X5 O36.72X9 O36.73X0 O36.73X1

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O36.73X2 O36.73X3 O36.73X4 O36.73X5 O36.73X9 O36.80X0 O36.80X1 O36.80X2

O36.80X3 O36.80X4 O36.80X5 O36.80X9 O36.8120 O36.8121 O36.8122 O36.8123
O36.8124 O36.8125 O36.8129 O36.8130 O36.8131 O36.8132 O36.8133 O36.8134
O36.8135 O36.8139 O36.8190 O36.8191 O36.8192 O36.8193 O36.8194 O36.8195
O36.8199 O36.8210 O36.8211 O36.8212 O36.8213 O36.8214 O36.8215 O36.8219
O36.8220 O36.8221 O36.8222 O36.8223 O36.8224 O36.8225 O36.8229 O36.8230
O36.8231 O36.8232 O36.8233 O36.8234 O36.8235 O36.8239 O36.8290 O36.8291
O36.8292 O36.8293 O36.8294 O36.8295 O36.8299 O36.8910 O36.8911 O36.8912
O36.8913 O36.8914 O36.8915 O36.8919 O36.8920 O36.8921 O36.8922 O36.8923
O36.8924 O36.8925 O36.8929 O36.8930 O36.8931 O36.8932 O36.8933 O36.8934
O36.8935 O36.8939 O36.8990 O36.8991 O36.8992 O36.8993 O36.8994 O36.8995
O36.8999 O36.90X0 O36.90X1 O36.90X2 O36.90X3 O36.90X4 O36.90X5 O36.90X9
O36.91X0 O36.91X1 O36.91X2 O36.91X3 O36.91X4 O36.91X5 O36.91X9 O36.92X0
O36.92X1 O36.92X2 O36.92X3 O36.92X4 O36.92X5 O36.92X9 O36.93X0 O36.93X1
O36.93X2 O36.93X3 O36.93X4 O36.93X5 O36.93X9 O40.1XX0 O40.1XX1 O40.1XX2
O40.1XX3 O40.1XX4 O40.1XX5 O40.1XX9 O40.2XX0 O40.2XX1 O40.2XX2 O40.2XX3
O40.2XX4 O40.2XX5 O40.2XX9 O40.3XX0 O40.3XX1 O40.3XX2 O40.3XX3 O40.3XX4
O40.3XX5 O40.3XX9 O40.9XX0 O40.9XX1 O40.9XX2 O40.9XX3 O40.9XX4 O40.9XX5
O40.9XX9 O41.00X0 O41.00X1 O41.00X2 O41.00X3 O41.00X4 O41.00X5 O41.00X9
O41.01X0 O41.01X1 O41.01X2 O41.01X3 O41.01X4 O41.01X5 O41.01X9 O41.02X0
O41.02X1 O41.02X2 O41.02X3 O41.02X4 O41.02X5 O41.02X9 O41.03X0 O41.03X1
O41.03X2 O41.03X3 O41.03X4 O41.03X5 O41.03X9 O41.1010 O41.1011 O41.1012
O41.1013 O41.1014 O41.1015 O41.1019 O41.1020 O41.1021 O41.1022 O41.1023
O41.1024 O41.1025 O41.1029 O41.1030 O41.1031 O41.1032 O41.1033 O41.1034
O41.1035 O41.1039 O41.1090 O41.1091 O41.1092 O41.1093 O41.1094 O41.1095
O41.1099 O41.1210 O41.1211 O41.1212 O41.1213 O41.1214 O41.1215 O41.1219
O41.1220 O41.1221 O41.1222 O41.1223 O41.1224 O41.1225 O41.1229 O41.1230
O41.1231 O41.1232 O41.1233 O41.1234 O41.1235 O41.1239 O41.1290 O41.1291
O41.1292 O41.1293 O41.1294 O41.1295 O41.1299 O41.1410 O41.1411 O41.1412
O41.1413 O41.1414 O41.1415 O41.1419 O41.1420 O41.1421 O41.1422 O41.1423
O41.1424 O41.1425 O41.1429 O41.1430 O41.1431 O41.1432 O41.1433 O41.1434
O41.1435 O41.1439 O41.1490 O41.1491 O41.1492 O41.1493 O41.1494 O41.1495
O41.1499 O41.8X10 O41.8X11 O41.8X12 O41.8X13 O41.8X14 O41.8X15 O41.8X19
O41.8X20 O41.8X21 O41.8X22 O41.8X23 O41.8X24 O41.8X25 O41.8X29 O41.8X30
O41.8X31 O41.8X32 O41.8X33 O41.8X34 O41.8X35 O41.8X39 O41.8X90 O41.8X91
O41.8X92 O41.8X93 O41.8X94 O41.8X95 O41.8X99 O41.90X0 O41.90X1 O41.90X2
O41.90X3 O41.90X4 O41.90X5 O41.90X9 O41.91X0 O41.91X1 O41.91X2 O41.91X3
O41.91X4 O41.91X5 O41.91X9 O41.92X0 O41.92X1 O41.92X2 O41.92X3 O41.92X4
O41.92X5 O41.92X9 O41.93X0 O41.93X1 O41.93X2 O41.93X3 O41.93X4 O41.93X5
O41.93X9 O42.00 O42.011 O42.012 O42.013 O42.019 O42.02 O42.10
O42.111 O42.112 O42.113 O42.119 O42.12 O42.90 O42.911 O42.912
O42.913 O42.919 O42.92 O43.011 O43.012 O43.013 O43.019 O43.021

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O43.022 O43.023 O43.029 O43.101 O43.102 O43.103 O43.109 O43.111

O43.112 O43.113 O43.119 O43.121 O43.122 O43.123 O43.129 O43.191
O43.192 O43.193 O43.199 O43.211 O43.212 O43.213 O43.219 O43.221
O43.222 O43.223 O43.229 O43.231 O43.232 O43.233 O43.239 O43.811
O43.812 O43.813 O43.819 O43.891 O43.892 O43.893 O43.899 O43.90
O43.91 O43.92 O43.93 O44.00 O44.01 O44.02 O44.03 O44.10
O44.11 O44.12 O44.13 O45.001 O45.002 O45.003 O45.009 O45.011
O45.012 O45.013 O45.019 O45.021 O45.022 O45.023 O45.029 O45.091
O45.092 O45.093 O45.099 O45.8X1 O45.8X2 O45.8X3 O45.8X9 O45.90
O45.91 O45.92 O45.93 O46.001 O46.002 O46.003 O46.009 O46.011
O46.012 O46.013 O46.019 O46.021 O46.022 O46.023 O46.029 O46.091
O46.092 O46.093 O46.099 O46.8X1 O46.8X2 O46.8X3 O46.8X9 O46.90
O46.91 O46.92 O46.93 O47.00 O47.02 O47.03 O47.1 O47.9
O48.0 O48.1 O60.00 O60.02 O60.03 O60.10X0 O60.10X1 O60.10X2
O60.10X3 O60.10X4 O60.10X5 O60.10X9 O60.12X0 O60.12X1 O60.12X2 O60.12X3
O60.12X4 O60.12X5 O60.12X9 O60.13X0 O60.13X1 O60.13X2 O60.13X3 O60.13X4
O60.13X5 O60.13X9 O60.14X0 O60.14X1 O60.14X2 O60.14X3 O60.14X4 O60.14X5
O60.14X9 O60.20X0 O60.20X1 O60.20X2 O60.20X3 O60.20X4 O60.20X5 O60.20X9
O60.22X0 O60.22X1 O60.22X2 O60.22X3 O60.22X4 O60.22X5 O60.22X9 O60.23X0
O60.23X1 O60.23X2 O60.23X3 O60.23X4 O60.23X5 O60.23X9 O61.0 O61.1
O61.8 O61.9 O62.0 O62.1 O62.2 O62.3 O62.4 O62.8
O62.9 O63.0 O63.1 O63.2 O63.9 O64.0XX0 O64.0XX1 O64.0XX2
O64.0XX3 O64.0XX4 O64.0XX5 O64.0XX9 O64.1XX0 O64.1XX1 O64.1XX2 O64.1XX3
O64.1XX4 O64.1XX5 O64.1XX9 O64.2XX0 O64.2XX1 O64.2XX2 O64.2XX3 O64.2XX4
O64.2XX5 O64.2XX9 O64.3XX0 O64.3XX1 O64.3XX2 O64.3XX3 O64.3XX4 O64.3XX5
O64.3XX9 O64.4XX0 O64.4XX1 O64.4XX2 O64.4XX3 O64.4XX4 O64.4XX5 O64.4XX9
O64.5XX0 O64.5XX1 O64.5XX2 O64.5XX3 O64.5XX4 O64.5XX5 O64.5XX9 O64.8XX0
O64.8XX1 O64.8XX2 O64.8XX3 O64.8XX4 O64.8XX5 O64.8XX9 O64.9XX0 O64.9XX1
O64.9XX2 O64.9XX3 O64.9XX4 O64.9XX5 O64.9XX9 O65.0 O65.1 O65.2
O65.3 O65.4 O65.5 O65.8 O65.9 O66.0 O66.1 O66.2
O66.3 O66.40 O66.41 O66.5 O66.6 O66.8 O66.9 O67.0
O67.8 O67.9 O68 O69.0XX0 O69.0XX1 O69.0XX2 O69.0XX3 O69.0XX4
O69.0XX5 O69.0XX9 O69.1XX0 O69.1XX1 O69.1XX2 O69.1XX3 O69.1XX4 O69.1XX5
O69.1XX9 O69.2XX0 O69.2XX1 O69.2XX2 O69.2XX3 O69.2XX4 O69.2XX5 O69.2XX9
O69.3XX0 O69.3XX1 O69.3XX2 O69.3XX3 O69.3XX4 O69.3XX5 O69.3XX9 O69.4XX0
O69.4XX1 O69.4XX2 O69.4XX3 O69.4XX4 O69.4XX5 O69.4XX9 O69.5XX0 O69.5XX1
O69.5XX2 O69.5XX3 O69.5XX4 O69.5XX5 O69.5XX9 O69.81X0 O69.81X1 O69.81X2
O69.81X3 O69.81X4 O69.81X5 O69.81X9 O69.82X0 O69.82X1 O69.82X2 O69.82X3
O69.82X4 O69.82X5 O69.82X9 O69.89X0 O69.89X1 O69.89X2 O69.89X3 O69.89X4
O69.89X5 O69.89X9 O69.9XX0 O69.9XX1 O69.9XX2 O69.9XX3 O69.9XX4 O69.9XX5

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O69.9XX9 O70.0 O70.1 O70.20 O70.3 O70.4 O70.9 O71.00

O70.21
O70.22
O70.23
O71.02 O71.03 O71.1 O71.2 O71.3 O71.4 O71.5 O71.6
O71.7 O71.81 O71.82 O71.89 O71.9 O72.0 O72.1 O72.2
O72.3 O73.0 O73.1 O74.0 O74.1 O74.2 O74.3 O74.4
O74.5 O74.6 O74.7 O74.8 O74.9 O75.0 O75.1 O75.2
O75.3 O75.4 O75.5 O75.81 O75.82 O75.89 O75.9 O76
O77.0 O77.1 O77.8 O77.9 O80 O82 O85 O86.0
O86.11 O86.12 O86.13 O86.19 O86.20 O86.21 O86.22 O86.29
O86.4 O86.81 O86.89 O87.0 O87.1 O87.2 O87.3 O87.4
O87.8 O87.9 O88.011 O88.012 O88.013 O88.019 O88.02 O88.03
O88.111 O88.112 O88.113 O88.119 O88.12 O88.13 O88.211 O88.212
O88.213 O88.219 O88.22 O88.23 O88.311 O88.312 O88.313 O88.319
O88.32 O88.33 O88.811 O88.812 O88.813 O88.819 O88.82 O88.83
O89.01 O89.09 O89.1 O89.2 O89.3 O89.4 O89.5 O89.6
O89.8 O89.9 O90.0 O90.1 O90.2 O90.3 O90.4 O90.5
O90.6 O90.81 O90.89 O90.9 O91.011 O91.012 O91.013 O91.019
O91.02 O91.03 O91.111 O91.112 O91.113 O91.119 O91.12 O91.13
O91.211 O91.212 O91.213 O91.219 O91.22 O91.23 O92.011 O92.012
O92.013 O92.019 O92.02 O92.03 O92.111 O92.112 O92.113 O92.119
O92.12 O92.13 O92.20 O92.29 O92.3 O92.4 O92.5 O92.6
O92.70 O92.79 O94 O98.011 O98.012 O98.013 O98.019 O98.02
O98.03 O98.111 O98.112 O98.113 O98.119 O98.12 O98.13 O98.211
O98.212 O98.213 O98.219 O98.22 O98.23 O98.311 O98.312 O98.313
O98.319 O98.32 O98.33 O98.411 O98.412 O98.413 O98.419 O98.42
O98.43 O98.511 O98.512 O98.513 O98.519 O98.52 O98.53 O98.611
O98.612 O98.613 O98.619 O98.62 O98.63 O98.711 O98.712 O98.713
O98.719 O98.72 O98.73 O98.811 O98.812 O98.813 O98.819 O98.82
O98.83 O98.911 O98.912 O98.913 O98.919 O98.92 O98.93 O99.011
O99.012 O99.013 O99.019 O99.02 O99.03 O99.111 O99.112 O99.113
O99.119 O99.12 O99.13 O99.210 O99.211 O99.212 O99.213 O99.214
O99.215 O99.280 O99.281 O99.282 O99.283 O99.284 O99.285 O99.310
O99.311 O99.312 O99.313 O99.314 O99.315 O99.320 O99.321 O99.322
O99.323 O99.324 O99.325 O99.330 O99.331 O99.332 O99.333 O99.334
O99.335 O99.340 O99.341 O99.342 O99.343 O99.344 O99.345 O99.350
O99.351 O99.352 O99.353 O99.354 O99.355 O99.411 O99.412 O99.413
O99.419 O99.42 O99.43 O99.511 O99.512 O99.513 O99.519 O99.52
O99.53 O99.611 O99.612 O99.613 O99.619 O99.62 O99.63 O99.711
O99.712 O99.713 O99.719 O99.72 O99.73 O99.810 O99.814 O99.815
O99.820 O99.824 O99.825 O99.830 O99.834 O99.835 O99.840 O99.841

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 Jawda Primary Care (PC) Service Quality Performance Indicators

O99.842 O99.843 O99.844 O99.845 O99.89 O9A.111 O9A.112 O9A.113

O9A.119 O9A.12 O9A.13 O9A.211 O9A.212 O9A.213 O9A.219 O9A.22
O9A.23 O9A.311 O9A.312 O9A.313 O9A.319 O9A.32 O9A.33 O9A.411
O9A.412 O9A.413 O9A.419 O9A.42 O9A.43 O9A.511 O9A.512 O9A.513
O9A.519 O9A.52 O9A.53

APPENDIX – C ICD-10 CM CODES (K00- K94)

To be updated for later submissions

APPENDIX – D ICD-10 CM CODES (E10. E11, E13, O24 Series)

E10.10 E10.11 E10.21 E10.22 E10.29 E10.311 E10.319 E10.3211

E10.3212 E10.3213 E10.3219 E10.3291 E10.3292 E10.3293 E10.3299 E10.3311

E10.3312 E10.3313 E10.3319 E10.3391 E10.3392 E10.3393 E10.3399 E10.3411

E10.3412 E10.3413 E10.3419 E10.3491 E10.3492 E10.3493 E10.3499 E10.3511

E10.3512 E10.3513 E10.3519 E10.3521 E10.3522 E10.3523 E10.3529 E10.3531

E10.3532 E10.3533 E10.3539 E10.3541 E10.3542 E10.3543 E10.3549 E10.3551

E10.3552 E10.3553 E10.3559 E10.3591 E10.3592 E10.3593 E10.3599 E10.36

E10.37X1 E10.37X2 E10.37X3 E10.37X9 E10.39 E10.40 E10.41 E10.42

E10.43 E10.44 E10.49 E10.51 E10.52 E10.59 E10.610 E10.618
E10.620 E10.621 E10.622 E10.628 E10.630 E10.638 E10.641 E10.649
E10.65 E10.69 E10.8 E10.9 E11.00 E11.01 E11.21 E11.22
E11.29 E11.311 E11.319 E11.3211 E11.3212 E11.3213 E11.3219 E11.3291

E11.3292 E11.3293 E11.3299 E11.3311 E11.3312 E11.3313 E11.3319 E11.3391

E11.3392 E11.3393 E11.3399 E11.3411 E11.3412 E11.3413 E11.3419 E11.3491

E11.3492 E11.3493 E11.3499 E11.3511 E11.3512 E11.3513 E11.3519 E11.3521

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 Jawda Primary Care (PC) Service Quality Performance Indicators

E11.3522 E11.3523 E11.3529 E11.3531 E11.3532 E11.3533 E11.3539 E11.3541

E11.3542 E11.3543 E11.3549 E11.3551 E11.3552 E11.3553 E11.3559 E11.3591

E11.3592 E11.3593 E11.3599 E11.36 E11.37X1 E11.37X2 E11.37X3 E11.37X9

E11.39 E11.40 E11.41 E11.42 E11.43 E11.44 E11.49 E11.51
E11.52 E11.59 E11.610 E11.618 E11.620 E11.621 E11.622 E11.628
E11.630 E11.638 E11.641 E11.649 E11.65 E11.69 E11.8 E11.9
E13.00 E13.01 E13.10 E13.11 E13.21 E13.22 E13.29 E13.311

E13.319 E13.3211 E13.3212 E13.3213 E13.3219 E13.3291 E13.3292 E13.3293

E13.3299 E13.3311 E13.3312 E13.3313 E13.3319 E13.3391 E13.3392 E13.3393

E13.3399 E13.3411 E13.3412 E13.3413 E13.3419 E13.3491 E13.3492 E13.3493

E13.3499 E13.3511 E13.3512 E13.3513 E13.3519 E13.3521 E13.3522 E13.3523

E13.3529 E13.3531 E13.3532 E13.3533 E13.3539 E13.3541 E13.3542 E13.3543

E13.3549 E13.3551 E13.3552 E13.3553 E13.3559 E13.3591 E13.3592 E13.3593

E13.3599 E13.36 E13.37X1 E13.37X2 E13.37X3 E13.37X9 E13.39 E13.40
E13.41 E13.42 E13.43 E13.44 E13.49 E13.51 E13.52 E13.59
E13.610 E13.618 E13.620 E13.621 E13.622 E13.628 E13.630 E13.638
E13.641 E13.649 E13.65 E13.69 E13.8 E13.9 O24.011 O24.012
O24.013 O24.019 O24.02 O24.03 O24.111 O24.112 O24.113 O24.119
O24.12 O24.13 O24.311 O24.312 O24.313 O24.319 O24.32 O24.33
O24.811 O24.812 O24.813 O24.819 O24.82 O24.83

APPENDIX – E - ICD 10 CM CODES (M80.0 to M80.8 Series)

To be updated for later submissions

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