Abstract CE-29 TABLE 1 Performance on Quality Indicatore (QI)

		Lupus clinic			General Rheumatology clinic				P-value

QI No.	Description of QI	QI eligible (N)	Met QI (n)	PP (%)	QI eligible (N)	Met QI (n)	PP (%)
1	ANA, CBC, Platelet, Creatinine, UA at diagnosis of lupus	QI eligible (N)	Met QI (n)	PP (%)	QI eligible (N)	Met QI (n)	PP (%)	60	60	100	40	39	97.5	0.4
2	AntidsDNA, C3/4, APL within 6 months of diagnosis	60	42	70.0	40	12	30.0	< 0.001
3	Counselling for use of sunscreen	60	59	98.3	40	35	87.5	0.036
4	Influenza vaccine in last year if on ISM	37	36	97.3	24	20	83.3	0.07
5	Pneumococcal vaccine if on ISM	37	32	86.5	24	12	50.0	0.003
6	DEXA if have received ≥7.5 mg/day CS for ≥3 months	42	40	95.2	25	12	48.0	< 0.001
7	Calcium and Vitamin D if have received ≥7.5 mg/d CS for ≥3 months or is post-menopausal	45	38	84.4	31	22	71.0	0.25
8	Antiresorptive agent if have received ≥7.5 mg/d CS for ≥1 month & central T score ≤ 2.5 or h/o fragility fracture	10	10	100	3	3	100	N\A
9	Counselling about drugs at initiation	60	54	90.0	40	36	90.0	1.00
10	Baseline tests at initiation of drugs	59	58	98.3	40	38	95.0	0.56
11	Tests for drug monitoring	59	53	89.8	38	33	86.8	0.74
12	Steroid sparing agent if have taken ≥10 mg/day CS for ≥3 months	38	38	100	22	18	81.8	0.007
13	Follow up tests (UA, CBC, Creatinine) done for LN at every 3 months	17	12	70.6	7	5	71.4	1.00
14	Treatment with ISM & CS within 1 month of diagnosis of Class 3/4 LN	13	13	100	7	7	100	N\A
15	Antihypertensive if have proteinuria ≥ 300 mg/d or GFR < 60 ml/min & ≥ 2 BP readings > 130/80	14	13	92.9	9	9	100	1.00
16	ACE inhibitor or ARB if have proteinuria ≥300 mg/d	15	14	93.3	7	4	57.1	0.07
17	Assessment of CVD risk & counselling	60	19	31.7	40	7	17.5	0.16
18	Tests in pregnancy (AntiSSA/SSB, APL)	9	6	66.7	5	2	40.0	0.58
19	Treatment of APS in future pregnancies	1	1	100	1	1	100	N\A
20	Reproductive health counselling	23	20	87.0	13	10	76.9	0.64

Abbreviations: PP – Performance percentage, ANA – Antinuclear antibody, CBC – Complete Blood Count, UA – Urinalysis, APL – Anti- phospholipid antibodies, ISM – Immunosuppressive medications, CS – Corticosteroids, HCQ – Hydroxychloroquine, MTX – Methotrexate, MMF – Mycophenolate mofetil,LN – Lupus Nephritis, ARB – Angiotensin receptor blocker, CVD – Cardiovascular Disease, APS – Antiphospholipid antibody syndrome