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Non-Diabetic Nephropathy - Use of ACE Inhibitor or ARB Therapy

CBE ID
0621
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

The percentage of patients aged 18 years and older with proteinuria who are taking an angiotensin converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB)

        • 1.14 Numerator

          Patients with a current fill for an ACE-I or ARB

        • 1.15 Denominator

          All patients aged 18 years and older with a urine protein >= 200 mg/g

        • Exclusions

          Specific exclusions:
          Patients with contraindication to an ACE inhibitor or ARB, including pregnancy, prior angioedema, hypotension, hyperkalemia, rising creatinine, chronic kidney disease stage 3-5 (without dialysis), aortic stenosis, hypertrophic cardiomyopathy, multiple myeloma with treatment, diabetes diagnosis, renal transplant, immunosuppresive therapy
          Patient data confirming pregnancy/delivery, pregnancy planning, breastfeeding, hypotension, or refill for Aliskiren in the past 6 months

          General exclusions:
          • Evidence of metastatic disease or active treatment of malignancy (chemotherapy or radiation therapy) in the last 6 months;
          • Patients who have been in a skilled nursing facility in the last 3 months

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Renal Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date