Page 284 - QAP Manual 2020
P. 284

Background Information

                                         Q#      Q                      Indicator/Intent       Other Notes                        Field Appropriate (Y/N)
                                         BI-21   When was the last time   Used to calculate the   This may include a documented hearing test   Y
                                                 this person had a hearing   proportion of people   that happened as part of a routine physical
                                                 test?                  who have regular    but must be a test that seeks to determine
                                                                        routine exams and flu   whether a person has hearing loss. It does
                                                                        vaccination in a timely   not need to be a visit to a hearing specialist.
                                                                        manner              However, this is must include testing a
                                                                                            person’s hearing.
                                         BI-22   During the past 12     Used to calculate the                                     Y
                                                 months, has this person   proportion of people who
                                                 had a flu vaccination?   had routine preventive
                                                                        health care

                                         BI-23   How much does this     Calculated with height to                                 Y
                                                 person weigh?  ___ ___   determine body mass
                                                 ___ lbs.               index (BMI)

                                         BI-24   How tall is this person?   Calculated with weight to                             Y
                                                 ___feet  ___ ___ inches   determine body mass
                                                                        index (BMI)
                                         BI-25   Does this person use   To calculate the       This includes e-cigarettes.        Y
                                                 nicotine or tobacco    proportion of people who
                                                 products (e.g., cigarettes,   maintain healthy habits in
                                                 e-cigarettes, chewing   such areas as smoking,
                                                 tobacco, etc.)?        weight, and exercise







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