Diabetes Monitoring for People With Diabetes and Schizophrenia (SMD)

CBE ID

1934

1.5 Project

Behavioral Health and Substance Use

Endorsement Status

Endorsement Removed

1.0 New or Maintenance

Maintenance

1.1 Measure Structure

Single Measure

Previous Endorsement Cycle

Spring 2018

Is Under Review

1.6 Measure Description

The percentage of patients 18 – 64 years of age with schizophrenia and diabetes who had both an LDL-C test and an HbA1c test during the measurement year.

Measure Specs(active tab)
Scientific Acceptability
Use & Usability
Comments

Measure Specs

General Information(active tab)
Numerator
Denominator
Exclusions
Measure Record
Point of Contact

General Information

1.7 Measure Type

Process

1.3 Electronic Clinical Quality Measure (eCQM)

1.8 Level of Analysis

Health Plan

Integrated Delivery System

Population: Regional and State

1.9 Care Setting

Outpatient Services

1.20 Types of Data Sources

Claims Data

Numerator

1.14 Numerator

One or more HbA1c tests and one or more LDL-C tests performed during the measurement year.

Denominator

1.15 Denominator

Patients age 18-64 years of age as of the end of the measurement year (e.g. December 31) with a schizophrenia and diabetes diagnosis.

Exclusions

Exclude patients who use hospice services or elect to use a hospice benefit any time during the measurement year, regardless of when the services began.

Exclude patients who do not have a diagnosis of diabetes (Diabetes Value Set), in any setting, during the measurement year or year prior to the measurement year and who had a diagnosis of gestational diabetes or steroid-induced diabetes (Diabetes Exclusions Value Set), in any setting, during the measurement year or the year prior to the measurement year.

Measure Record

Most Recent Endorsement Activity

Measure Retired and Endorsement Removed Behavioral Health and Substance Use Spring Cycle 2018

Initial Endorsement

2012-11

Last Updated

2022-10

Removal Date

Thu, 10/06/2022 - 09:40

Point of Contact

Steward Organization

National Committee for Quality Assurance

Steward POC email

measureendorsement@ncqa.org

Steward Organization Copyright

The performance measures and specifications were developed by and are owned by the National Committee for Quality Assurance (“NCQA”). The performance measures and specifications are not clinical guidelines and do not establish a standard of medical care. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in these materials and can rescind or alter these materials at any time. These materials may not be modified by anyone other than NCQA. Anyone desiring to use or reproduce the materials without modification for an internal, quality improvement non-commercial purpose may do so without obtaining any approval from NCQA. All other uses, including a commercial use and/or external reproduction, distribution and publication must be approved by NCQA and are subject to a license at the discretion of NCQA.
©2018 NCQA, all rights reserved.
Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. NCQA disclaims all liability for use or accuracy of any coding contained in the specifications.
Content reproduced with permission from HEDIS, Volume 2: Technical Specifications for Health Plans. To purchase copies of this publication, including the full measures and specifications, contact NCQA Customer Support at 888-275-7585 or visit www.ncqa.org/publications.

Importance

Equity

Feasibility

Scientific Acceptability