In this blog post we will explore the Comprehensive Diabetes Care HEDIS measure. .
What is New for 2020?
New measure Kidney Health Evaluation for Patient with Diabetes measure was added in 2020. This is a new measure. It evaluates the percent of members that are between 18 and 85 years of age that have diabetes and who received a kidney health evaluation, including estimated glomerular filtration gate test (eGFR) and a urine albumin-creating ration.
What is Comprehensive Diabetes Care Measure?
Measure that evaluates percentage of adult members between ages of 18 and 75 years of age (looks at both type 1 and type 2 diabetes) and who had each of the following:
- HbA1c testing
- HbA1c poor control (>9%)
- HbA1c control of (<8%)
- Retinal Eye Exam performed
- Blood Pressure Control (<140/90 mm/Hg)\
Documentation:
Record your efforts: document results of, all of the above mentioned test, in the patient’s medical record.
How to meet this measure?
- Provide reminders to patients for upcoming appointments and screenings.
- Draw labs in your office if available or refer patients to a local lab for screenings.
- Refer patients to participating eye professionals for annual retinal eye exams.
- Follow up on lab test, eye exams and specialist referrals and document in your chart.
- Telephone visits, e-visits and virtual check-ins are acceptable settings for blood pressure readings and should be recorded in the chart.
- Include Category II reporting codes on claims to reduce the burden of HEDIS medical record review.
- Educate patients on topics (for example, home monitoring of blood sugar and blood pressure, taking medications as prescribed, and other healthy lifestyle education like diet, exercise, and smoking cessation).
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