Documentation and treatment of XXXX : quality of care and missed opportunities in a family medicine resident clinic.

@entity1 @entity551 @entity101
BACKGROUND: In the USA, uncontrolled @entity101 contributes to 1000 deaths a day. However, little is known about the quality of @entity101 management in family medicine resident clinics. OBJECTIVES: To examine rates of documentation and treatment of elevated blood pressure, and to identify missed opportunities to address @entity101 . Study design A cross-sectional chart review of 1011 adult @entity1 visits between 2 January and 4 February 2013 was performed in a resident-run federally qualified health centre. For @entity1 with elevated blood pressure at time of visit, we noted whether or not the residents had documented a diagnosis or discussion of @entity101 and the presence or absence of a treatment plan. We compared these rates with those from a national sample of primary care physicians. RESULTS: 262/1011 (26%) of adult @entity1 had elevated blood pressure at time of visit. Of those, 115/262 (44%) had documentation and a plan for treatment, 79/262 (30%) had documentation but no plan, and 68/262 (26%) had neither documentation nor plan. Nationally, 45% of @entity1 are diagnosed and treated compared with 44% of study visits with documentation and treatment. CONCLUSIONS: Fewer than half of visits of @entity1 with elevated blood pressure resulted in both documentation and a treatment plan. Nevertheless, these rates are comparable to national providers. @entity551 was more likely to be missed during acute visits and in @entity1 with less elevated blood pressure.
