The percentage of patients 18-75 years of age with a serious mental and diabetes (type 1 and type 2) whose most recent HbA1c level during the measurement year is <8.0%.
Note: This measure is adapted from an existing health plan measure used in a variety of reporting programs for the general population (NQF #0575: Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control <8.0). This measure is endorsed by NQF and is currently stewarded by NCQA.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Patients whose most recent HbA1c level was less than 8.0% during the measurement year.
The outcome is an out of range result of an HbA1c test, indicating good control of diabetes. Good control reduces the risk for complications including renal failure, blindness, and neurologic damage. There is no need for risk adjustment for this intermediate outcome measure.
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1.15 Denominator
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.
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Exclusions
Patients who do not have a diagnosis of diabetes and who had a diagnosis of gestational or steroid-induced diabetes.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Behavioral Health and Substance Use Fall Cycle 2019Initial EndorsementLast UpdatedRemoval Date
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StewardNational Committee for Quality AssuranceSteward Organization POC EmailSteward Organization Copyright
© [2014] by the National Committee for Quality Assurance
1100 13th Street, NW, Suite 1000
Washington, DC 20005
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Risk Adjustment
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