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

CBE ID
0621
Endorsement Status
1.1 New or Maintenance
Previous Endorsement 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
        • Steward
          ActiveHealth Management
          Steward Organization POC Email