The percentage of patients with a diagnosis of diabetes mellitus aged 41 to 75 years, or aged 18 to 40 years with additional risk factors, whose most recent LDL-C value is more than 100 mg/dL and who are taking a lipid lowering agent.
Measure Specs
General Information
Numerator
Patients who are taking a lipid lowering agent
Denominator
Patients with a diagnosis of diabetes mellitus aged 41 to 75 years, or aged 18 to 40 years with additional risk factors, whose most recent LDL-C value is more than 100 mg/dL.
Exclusions
SPECIFIC DENOMINATOR EXCLUSIONS
One of the following is correct:
1. Presence of patient data c via online PHR or telephonic nurse assessment confirming breast feeding in the past 6 months
2. If Pregnancy Loose Version Validation is confirmed for the member (see below)
General exclusions:
1. Evidence of metastatic disease or active treatment of malignancy (chemotherapy or radiation therapy) in the last 6 months;
2. Patients who have been in a skilled nursing facility in the last 3 months
3. Patients who are terminally ill or in Hospice
4. Patient or provider feedback indicating allergy, intolerance or other contraindication to lipid lowering therapy anytime in the past
Public Comments