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Primary Care and Chronic Illness

Valid for Measure Submission

Continuity of Primary Care for Children with Medical Complexity

  • This measure assesses the percentage of children with medical complexity age 1 to 17 years old who have a Bice-Boxerman continuity of care index (hereafter referred to as Bice-Boxerman COC index) of >=0.5 in the primary care setting over a 12-month period.

    CBE ID
    3153

Diabetes: Foot Exam

  • The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year.

    CBE ID
    0056

Diabetic Foot Care and Patient Education Implemented

  • The percentage of home health episodes of care in which diabetic foot care and patient/caregiver education were included in the physician-ordered plan of care and implemented for diabetic patients since the previous OASIS assessment.

    CBE ID
    0519

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

  • Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months

    CBE ID
    0089

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

  • Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months

    CBE ID
    0089e

Glycemic Control - Hyperglycemia

  • Average percentage of hyperglycemic hospital days for individuals with a diagnosis of diabetes mellitus, anti-diabetic drugs (except metformin) administered, or at least one elevated glucose level during the hospital stay

    CBE ID
    2362e