Primary Care Quality Measures For Medicaid Home Health Beneficiaries Page 4
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4RECOMMENDED
TARGET LEVELS
FREQUENCY
TESTS
Hemoglobin A1C
Less than 7%
Every 3 to 6
months
Blood Pressure
Less than 130/80
Every visit
Lipids:
HDL (good cholesterol)
Over 40 (men); Over 50 (women)
At least every
year
LDL (bad cholesterol)
Less than 100 (less than 70 if you have
heart disease)
Triglycerides
Less than 150
Eye Exam
Every year
Foot Exam (visual)
Every visit to
your healthcare
provider
Foot Exam (with sensory
Every year
testing)
Nurse Signature _________________________________ Date ____________________
MD Signature __________________________________ Date ____________________
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