Quality Care 1 (指标监测 1)

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Temperature(体温)

Normal: 97°F (36.1°C) to 99°F (37.2°C)

Fever: Over 100.4°F (38°C) 

Heart Rate (心率)

Normal:60 to 100 

Tachycardia:>100

Bradycardia:<60

Respiratory Rate (呼吸频次)

Normal:12-20

Abnormal:>20

Blood pressure (血压)

Normal:SBP<120 mmHg; DBP<80 mmHg

Elevated BP:SBP 120-129 mmHg; DBP < 80 mmHg

Stage 1 hypertension:SBP 130-139 mmHg;DBP 80-89 mmHg

Stage 2 hypertension:SBP >= 140 mmHg; DBP >= 90 mmHg

Pain (疼痛)

0-10, higher is more painful

BMI (体重指数)

Normal:18.5 to <25; Asian <23

Overweight:25.0 to <30; Asian 23-27.9 

Obesity:>=30.0; Asian >=28

Quality Care 2 (指标监测 2)

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HBA1c (糖化血红蛋白)

Normal:4% - 5.6%

Prediabetes:5.7% - 6.4% 

Diabetes:>= 6.5% 

Target HbA1c: < 7%

LDL (低密度脂蛋白)

Normal:<  100 mg/dL

Accepatable if no comorbility: 100 to 129 mg/dL

Borderline: 130 to 159 mg/dL 

High:160 to 189 mg/dL or higher

Triglyceride(甘油三酯)

Normal: <150

Borderline: 150-199

High: 200-499

Very high: >=500

HDL (高密度脂蛋白)

Normal: >=60 (higher is better)

Borderline: 60-40

Low: <40

PHQ-9(抑郁症评分)

Mild: 10-14

Moderate: 15-19

Severe: >=20

Physical activity (运动推荐)

150 minutes of moderate aerobic activity every week

Quality Care 3 (指标监测 3)

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Annual well exam (每年体检)

The annual exam is easily covered by insurance.

Highly recommended for everyone!!!

STD screen (性病筛查)

Indication: 16 - 24 years old

Cervical Cancer (宫颈癌筛查)

Indication: >=21 years old

Breast cancer screen (乳腺癌筛查)

Indication: >=40 years old with cancer risk

                  >= 50 years old

Colon cancer screen (肠癌筛查)

Indication: >=50 years old

Lung cancer screen (肺癌筛查)

Indication: 55-80 years old with smoking history

Quality Care 4 (指标监测 4)

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Prostate cancer screen (前列腺癌筛查)

Indication: 55-69 years old

Osteoporosis screen (骨质疏松症筛查)

Indication: Female >=65 years old; post-menopausal with risk factors

                  Male >=70 years old; 50-69 years old with risk factors

Diabetic complication screen (糖尿病并发症筛查)

Annual eye exam

Annual podiatry exam

Annual renal function exam

COPD 检查(肺气肿检查)

Spirometry

Flu shot(每年流感疫苗接种)

Annually monitor

Pneumococcus vaccine(肺炎疫苗)

Indication: > 65 years old or adult with risk factors