Page 285 - QAP Manual 2020
P. 285

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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