|  
               
                  Indicator  
               
                  ID |  
               
                  Indicator Name |  
               
                  Description |  
               
                  Source |  
               
                  Version |  
               
                  Status |  
               
                  PublicationDate
 | 
|  
               
                  
                     Coronary Artery Disease  
                
                  (CDM) | 
|  
               CDM-CAD-001 |  
               
                  CAD Identification
 |  
               This indicator is used to identify patients with Coronary Artery Disease (CAD). Click for 
                  indicator clinical details and usage. |  
               OntarioMD |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-CAD-002 |  
               
                  CAD Testing Status
  
                 |  
               This indicator is used to identify patients who are missing elements of care commonly associated with Coronary Disease Management. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-CAD-003 |  
               
                  CAD Overdue Items
 |  
               This indicator is used to identify patients missing specific elements of care used in the CAD Testing Status indicator. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               
                  
                     COPD (CDM) | 
|  
               CDM-COPD-001 |  
               
                  COPD Identification
 |  
               This indicator is used to identify patients with Chronic Obstructive Pulmonary Disease (COPD). Click for 
                  indicator clinical details and usage. |  
               CPCSSN |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-COPD-002 |  
               
                  COPD Smoking Counselling
 |  
               This indicator is used to Identify patients with COPD who may be eligible for smoking cessation counselling. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-COPD-003 |  
                  
                     
                        COPD Inhaled   
                  Corticosteroids  Prescribed  
                    
 |  
               This indicator is used to identify patients with COPD receiving inhaled corticosteroids either as monotherapy or in conjunction with other treatments. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-COPD-004 |  
               
                  COPD Short-Acting Bronchodilator Prescribed
 |  
               This indicator is used to identify patients with COPD who have had a short-acting bronchodilator prescribed in the past year. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-COPD-005 |  
                  
                     COPD Influenza  
                  Immunization  
                    
 |  
               This indicator is used to identify patients 65+ with COPD who are not up to date with immunization against influenza. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-COPD-006 |  
               
                  COPD Pneumococcal Immunization
 |  
               This indicator is used to identify patients with COPD who are not immunized against pneumonia. Click for indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Depression (CDM) | 
|  
               CDM-DEP-001 |  
               
                  
                     Depression PHQ9 Screening Status
 
  
                 |  
               This indicator is used to identify patients with major depression who have not been screened with a patient health questionnaire (PHQ-9) in the past 12 months.  
               Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Diabetes (CDM) | 
|  
               CDM-DIAB-001 |  
               
                  Diabetes Identification
 |  
               This indicator is used to identify patients with diabetes. Click for 
                  indicator clinical details and usage. |  
               OntarioMD |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-DIAB-002 |  
                  
                     
                        Diabetes HbA1c  
                  Testing Status
 
  
                    
 |  
               This indicator is used to identify patients with diabetes who have had less than two HbA1c tests within the past 12 months. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-DIAB-003 |  
               
                  Diabetes with HbA1c in Range
 |  
               This indicator is used to identify patients with diabetes whose most recent glycemic control in the last 12 months was in the following ranges:   
                  HbA1c <= 7% 
                  7% < HbA1c <= 8.5% 
                  HbA1c > 8.5%
  
               Click for 
                  indicator clinical details and usage. |  
               AFHTO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-DIAB-004 |  
                  
                     Diabetes Assessment Billed
 
 |  
               This indicator is used to identify diabetic patients who may be due for diabetic management assessment and who may eligible to have a K030 service code billed.  
               Click for 
                  indicator clinical details and usage. 
 |  
                  HQO |  
                  2.0 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               CDM-DIAB-005 |  
               
                  Diabetes Management Incentive Billed
 |  
               This indicator is used to identify diabetic patients for whom a diabetes management incentive (Q040) has not been billed in the past 12 months. Click for   
                
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-DIAB-006 |  
               
                  
                     Diabetes Retinal Exam Status
 
  
                 |  
               This indicator is used to identify diabetic patients due for a retinal screening. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-DIAB-007 |  
               
                  Diabetes Foot Exam Status |  
               This indicator is used to identify diabetic patients due for a foot exam. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-DIAB-008 |  
                  Diabetes Microalbuminuria Testing Status |  
               This indicator is used to identify diabetic patients due for microalbuminuria screening. 
                  Click for indicator clinical details and usage. |  
                  HQO |  
                  2.0 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               CDM-DIAB-009 |  
               
                  Diabetes Creatinine Testing Status |  
               This indicator is used to identify diabetic patients due for a  kidney functioning test (through an eGFR screening or serum creatinine test). Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-DIAB-010 |  
               
                  Diabetes BMI Recorded |  
               This indicator is used to identify diabetic patients who have not BMI recorded in the past 12 months. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               CDM-DIAB-011 |  
                  
                     Diabetes Statins  
                  Prescribed
 
  
                    
 |  
               This indicator is used to identify diabetic patients 40 and older who are not currently prescribed a statin medication. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Hypertension (CDM) | 
|  
               CDM-HTN-001 |  
               
                  HTN Identification |  
               This indicator is used to identify patients with Hypertension. Click for 
                  indicator clinical details and usage. |  
               OntarioMD |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-HTN-002 |  
               
                  HTN Testing Status
 |  
               This indicator is used to identify patients with one or more completed elements of care commonly associated with Hypertension. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-HTN-003 |  
               
                  HTN Overdue Items |  
               This indicator is used to identify patients missing specific elements of care used in the Hypertension Testing Status indicator. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               CDM-HTN-004 |  
               
                  HTN BP In Control |  
               This indicator is used to identify patients with Hypertension both with and without Diabetes whose blood pressure is not within control. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Antibiotics (Medication Management) | 
|  
               MED-ABX-001 |  
               
                  Use of Antibiotics |  
               This indicator is used to identify antibiotic prescribing patterns across different age groups in a practice. Click for 
                  indicator clinical details and usage. |  
               HDC |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Opioids (Medication Management) | 
|  
               MED-OPI-001 |  
               
                  Opioids Prescribed |  
               This indicator is used to identify non-palliative care patients who currently are prescribed one or more opioids. Click for 
                  indicator clinical details and usage |  
               HQO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               MED-OPI-002 |  
                  
                     
                        Opioid and  
                  Benzodiazepine 
                     Co-prescribing
 
 
  
                   
 |  
               This indicator is used to identify non-palliative care patients with one or more current opioid prescriptions who also have one or more current benzodiazepine prescriptions. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               MED-OPI-003 |  
               
                  Opioid Daily Dosage: Total MMEq/day |  
               This indicator is used to identify patients who have a high cumulative daily dosage of opioids based on current opioid prescriptions. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               MED-OPI-004 |  
               
                  Opioid High-Risk Co-prescribing |  
               This indicator is used to identify patients potentially at risk due to co-prescribing of opioids with other types of medications: benzodiazepines, z-drugs, pregabalin, or gabapentine. Click for 
                  indicator clinical details and usage. |  
               NHS |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-OPI-005 |  
               
                  
                     Buprenorphine Prescribed
 
  
                 |  
               This indicator is used to identify patients with a current buprenorphine prescription used to treat opioid addiction. Click for 
                  indicator clinical details and usage. |  
               CAMH |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-OPI-006 |  
               
                  Opioid High-Risk Co-prescribing Recall |  
               This indicator is used to identify patients potentially at risk due to co-prescribing of opioids with another specific type of medication: benzodiazepines, z-drugs, pregabalin, and gabapentine.  
               Click for 
                  indicator clinical details and usage. |  
               NHS |  
               1.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Other Drugs (Medication Management) | 
|  
               MED-OTH-001 |  
               
                  Digoxin Medication Use
 |  
               This indicator is used to identify and monitor patients prescribed digoxin within the past year. Click for 
                  indicator clinical details and usage. |  
               HDC |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-OTH-002 |  
               
                  Concurrent Use Of NSAID With Anticoagulants
 
  
                 |  
               This indicator is used to identify patients currently prescribed a Non-steroidal anti-inflammatory drug (NSAID) who are not currently prescribed an anticoagulant. Click for 
                  indicator clinical details and usage. |  
               NHS |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-OTH-003 |  
               
                  
                     Concurrent Use Of NSAID, RAS Drug, and Diuretic
 
  
                 |  
               This indicator is used to identify patients currently prescribed a Non-steroidal anti-inflammatory drug (NSAID) along with a Renin-angiotensin system blocking drug (RAS) and/or a diuretic. Click for 
                  indicator clinical details and usage. |  
               NHS |  
               2.0 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-OTH-004 |  
                  Anticoagulant Use and Monitoring |  
               This indicator is used to identify patients currently prescribed a Direct Oral Anticoagulant (DOAC) who have not been recently monitored for kidney functioning with an eGFR screening. Click for 
                  indicator clinical details and usage. |  
                  PCQ |  
                  2.0 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               
                  
                     Psychoactive (Medication Management) | 
|  
               MED-PSY-001 |  
               
                  
                     Antidepressants Prescribed
 
  
                 |  
               This indicator is used to identify patients prescribed an antidepressant medication. Click for 
                  indicator clinical details and usage. |  
               HDC |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-PSY-002 |  
               
                  
                     Antipsychotics Prescribed
 
  
                 |  
               This indicator is used to identify patients prescribed an antipsychotic medication. Click for 
                  indicator clinical details and usage. |  
               HDC |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               MED-PSY-003 |  
                  Benzodiazepines Prescribed |  
               This indicator is used to identify patients prescribed a benzodiazepine medication. Click for 
                  indicator clinical details and usage. |  
                  HDC |  
                  1.1 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               MED-PSY-004 |  
               
                  Nonbenzodiazepine Sleep Drugs Prescribed |  
               This indicator is used to identify patients prescribed a nonbenzodiazepine medication for sleeping (z-drug). Click for 
                  indicator clinical details and usage. |  
               PCQ |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Seniors (Medication Management) | 
|  
               MED-SNRS-001 |  
                  Polypharmacy: 65+ |  
               This indicator is used to identify senior patients (65 years and older) prescribed multiple medications. Click for 
                  indicator clinical details and usage. |  
                  HQO |  
                  1.1 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               
                  
                     Hospitalization (Practice Management) | 
|  
               PRM-HOSP-001 |  
               
                  Seven-day Follow-up After Discharge From Hospital |  
               This indicator is used to measure percentage of patients who have had a 7-day post hospital discharge follow-up. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Patient Status (Practice Management) | 
|  
               PRM-PAT-001 |  
               
                  Patient Status |  
               This indicator provides an overview of the patient population based on patient demographic status recorded in the EMR. Click for 
                  indicator clinical details and usage. |  
               OntarioMD |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               
                  
                     Allergies (Preventive Health Care) | 
|  
               PHC-ALRG-001 |  
               
                  Allergies Recorded |  
               This indicator is used to identify patients without allergy information documented. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                     Baby and Child Well-being (Preventive Health Care) | 
|  
               PHC-CHLD-001 |  
                  
                     Enhanced Well-baby Visit
 
  
                    |  
               This indicator is used to recall patients who have not been seen for an 18-month well-baby visit. Click for 
                  indicator clinical details and usage. |  
                  HQO |  
                  1.1 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               
                  
                     Blood Pressure (Preventive Health Care) | 
|  
               PHC-BP-001 |  
                  BP Testing |  
               This indicator is used to identify patients 18+ who have not had their blood pressure measured within the past 24 months. Click for 
                  indicator clinical details and usage. |  
                  CIHI |  
                  1.1 |  
                  
                     DFC |  
                  2020-06-15 | 
|  
               
                  
                     Cancer (Preventive Health Care) | 
|  
               PHC-CAN-001 |  
               
                  Patient Care Breast Cancer Screening |  
               This indicator is used to assist with the management of preventive screening for breast cancer. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               PHC-CAN-002 |  
               
                  Patient Care Breast Cancer Screening Overdue |  
               This indicator is used to prioritize patients that need a recall for breast cancer screening. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               PHC-CAN-003 |  
               
                  Patient Care Cervical Cancer Screening |  
               This indicator is used to assist with the management of preventive screening for cervical cancer. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               PHC-CAN-004 |  
               
                  Patient Care Cervical Cancer Screening Overdue |  
               This indicator is used to prioritize patients that need a recall for cervical cancer screening. Click for indicator clinical details and usage. |  
               HQO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               PHC-CAN-005 |  
                  Patient Care Colorectal Cancer Screening |  
               This indicator is used to assist with the management of preventive screening for colorectal cancer. Click for indicator clinical details and usage. |  
                  CIHI |  
                  2.1 |  
                  Final |  
                  2020-06-15 | 
|  
               PHC-CAN-006 |  
               
                  Patient Care Colorectal Cancer Screening Overdue |  
               This indicator is used to prioritize patients that need a recall for colorectal cancer screening. Click for 
                  indicator clinical details and usage |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               
                  
                                                                                         Obesity (Preventive Health Care)                                           | 
|  
               PHC-OBES-001 |  
               
                  Obesity Screening |  
               This indicator is used to identify patients who are currently overweight or obese. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               
                  
                     Immunizations (Preventive Health Care) | 
|  
               PHC-IMM-001 |  
                  
                     
                        Patient Care  
                  Childhood Immunizations
 
 |  
               This indicator is used to recall patients who have not completed routine childhood immunizations. Click for 
                  indicator clinical details and usage. |  
               AFHTO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               PHC-IMM-002 |  
                  
                     Patient Care  
                  Childhood Immunizations Recall
 
  
                    |  
               This indicator is used  
               to recall patients who have not completed routine childhood immunizations by their 30th month of age. Click for 
                  indicator clinical details and usage. |  
                  AFHTO |  
                  2.1 |  
                  Final |  
                  2020-06-15 | 
|  
               PHC-IMM-003 |  
                  
                     
                        Patient Care  
                  Influenza Immunization
 
 
 |  
               This indicator is used to identify patients age 65+ who are immunized against influenza. Click for 
                  indicator clinical details and usage. |  
               CIHI |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               PHC-IMM-004 |  
                  Pneumococcal Immunization |  
               This indicator is used to identify patients age 65+ who are immunized against pneumonia. Click for 
                  indicator clinical details and usage. |  
                  HQO |  
                  2.1 |  
                  Final |  
                  2020-06-15 | 
|  
               PHC-IMM-005 |  
               
                  HPV Vaccination |  
               This indicator is used to identify patients who aren’t immunized for Human papillomavirus (HPV). Click for 
                  indicator clinical details and usage. |  
               HQO |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               PHC-IMM-006 |  
                  
                     
                        Meningococcal  
                  Vaccination
 
  
                    
 |  
               This indicator is used to identify patients who aren’t immunized for Meningitis. Click for 
                  indicator clinical details and usage. |  
               HQO |  
               1.1 |  
               
                  DFC |  
               2020-06-15 | 
|  
               
                  
                                                                                        Smoking (Preventive Health Care)               | 
|  
               PHC-SMK-001 |  
               
                  Smoking Status |  
               This indicator is used to identify patients without smoking status documented. Click for 
                  indicator clinical details and usage. |  
               AFHTO |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               
                                                                                             Care Bonus (Reporting)                            | 
|  
               RPT-BNS-001 |  
                  
                     
                        Preventive Care Bonus Breast  
                  Cancer Screening 
 |  
               This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage. |  
               MOHLTC |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               RPT-BNS-002 |  
               
                  Preventive Care Bonus Cervical Cancer Screening |  
               This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for 
                  indicator clinical details and usage. |  
               MOHLTC |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               RPT-BNS-003 |  
               
                  Preventive Care Bonus Colorectal Cancer Screening |  
               This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage. |  
               MOHLTC |  
               2.1 |  
               Final |  
               2020-06-15 | 
|  
               RPT-BNS-004 |  
                  Preventive Care Bonus Childhood Immunizations |  
               This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for 
                  indicator clinical details and usage. |  
                  MOHLTC |  
                  2.1 |  
                  Final |  
                  2020-06-15 | 
|  
               RPT-BNS-005 |  
               
                  Preventive Care Bonus Influenza 
                     Immunization
 |  
               This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for 
                  indicator clinical details and usage. |  
               MOHLTC |  
               2.1 |  
               Final |  
               2020-06-15 |