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Diabetes Care for People with Serious Mental Illness: Blood Pressure Control (<140/90 mm Hg)

CBE ID
2606
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) whose most recent blood pressure (BP) reading during the measurement year is <140/90 mm Hg.

Note: This measure is adapted from an existing health plan measure used in a variety of reporting programs for the general population (NQF #0061: Comprehensive Diabetes Care: Blood Pressure Control <140/90 mm Hg) which is endorsed by NQF and is stewarded by NCQA.

        • 1.14 Numerator

          Patients whose most recent BP reading is less than 140/90 mm Hg during the measurement year.

          This intermediate outcome is a result of blood pressure control (<140/90 mm Hg). Blood pressure control reduce the risk of cardiovascular diseases. There is no need for risk adjustment for this intermediate outcome measure.

        • 1.15 Denominator

          All patients 18-75 years of age as of December 31 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 diabetes (type 1 and type 2) during the measurement year or year prior to the measurement year.

        • Exclusions

          Patients who do not have a diagnosis of diabetes and meet one of the following criteria may be excluded from the measure:
          -Patients with a diagnosis of polycystic ovaries.
          -Patients with 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