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Diabetic Measures Updates, February 2018

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Did you know that someone is diagnosed with diabetes every 21 seconds?  In 2015, 9.4 percent of the American population had diabetes, equaling out to over 30 million Americans1.  The Physician Alliance is working with physician practices to improve quality measures including diabetes.

The Healthcare Effectiveness Data and Information Set (HEDIS) measures performance on specific care and service dimensions.  It is a tool that is utilized by over 90% of America's health plans in collecting data.  The following are highlights of the 2018 HEDIS measurement for effectiveness of care for comprehensive adult diabetes care:

  • Bilateral eye enucleation has been added to the Eye Exam (Retinal) Performed indicator
  • Revised language in step 1 of the BP Control <140/90 mm Hg numerator and added notes clarifying the intent when excluding BP readings from the numerator.
  • Clarified medical record requirements for evidence of ACE inhibitor/ARB therapy (for the Medical Attention for Nephropathy indicator).
  • Replaced medication table references with references to medication lists
  • Added “sacubitril-valsartan” to description of Antihypertensive combinations in the ACE Inhibitor/ARB Medications List

To view the full table of summary table of HEDIS measure changes, click here or you can download condition specific care directly from The Physician Alliance website. Now is the time to reach out to diabetic patients to help improve the health of your patient population. Also available on The Physician Alliance website are diabetes self-management forms that can be downloaded and given to patients to help in managing diabetes along with several other patient self-management forms. Posters on diabetic care management are also available on the website.

Sources: (12/12/2018, diabetes.org/diabetes-basics/statistics1), American Diabetes Association, Centers for Disease Control, National Committee for Quality Assurance (NCQA.org).

This blog is for informational purposes only and should not be considered medical advice. Please consult with your doctor for more information or if you have a medical concern.

To read additional blog articles, please visit our Blog archives page.

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