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Diabetes Care for People with Serious Mental Illness: Medical Attention for Nephropathy

CBE ID
2604
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

The percentage of patients 18-75 years of age with a serious mental illness and diabetes (type 1 and type 2) who received a nephropathy screening test or had evidence of nephropathy during the measurement year.
Note: This measure is adapted from an existing health plan measure used in a variety of reporting programs for the general population (NQF #0062: Comprehensive Diabetes Care: Medical Attention for Nephropathy). It is endorsed by NQF and is stewarded by NCQA.

        • 1.14 Numerator

          Patients who received a nephropathy screening or monitoring test or had evidence of nephropathy during the measurement year.

        • 1.15 Denominator

          All patients 18-75 years as of December 31st of the measurement year with at least one acute inpatient visit or two outpatient visits for schizophrenia or bipolar I disorder, or at least one inpatient visit for major depression during the measurement year AND diagnosis of diabetes (type 1 and type 2) during the measurement year or the year before.

        • Exclusions

          Patients who do not have a diagnosis of diabetes and who had a diagnosis of gestational or steroid-induced diabetes.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Behavioral Health and Substance Use Fall Cycle 2019
          Initial Endorsement
          Last Updated
          Removal Date