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Diabetes

The PMC reviewed relevant performance measures and makes the following recommendations.

November 2018 printable version of recommendations.
July 2018 printable version of recommendations.
Printable version of the recommendations.
Addendum to printable version of the recommendations.

ACP supports this measure.

ID# MIPS 117
NQF 0055

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Diabetes: Eye Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who had an eye exam (retinal) performed.
Date Reviewed: November 4, 2018

ACP supports this measure.

ID# MIPS 119
NQF 0062

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Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a nephropathy screening or monitoring test or had evidence of nephropathy during the measurement year.
Date Reviewed: November 4, 2018

ACP supports this measure with modifications.

ID# NQF 0575

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Comprehensive Diabetes Care: Hemoglobin A1c Control (<8%)

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) whose most recent HbA1c level is <8.0% during the measurement year.
Date Reviewed: July 21, 2018

ACP supports this measure with modifications.

ID# NQF 1932

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Diabetes Screening for People with Schizophrenia or Bipolar Disorder who are Using Antipsychotic Medications (SSD)

The percentage of patients 18 – 64 years of age with schizophrenia or bipolar disorder, who were dispensed an antipsychotic medication and had a diabetes screening test during the measurement year.
Date Reviewed: July 21, 2018

ACP does not support this measure.

ID# NQF 1934

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Diabetes Monitoring for People with Diabetes and Schizophrenia

The percentage of patients 18 – 64 years of age with schizophrenia and diabetes who had both an LDL-C test and an HbA1c test during the measurement year.
Date Reviewed: July 21, 2018

ACP does not support this measure.

ID# QPP 163
ID# NQF 0056

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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.
Date Reviewed: November 19, 2017

ACP supports this measure with modifications.

ID# QPP 001
ID# NQF 0059

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Comprehensive Diabetes Care: Hemoglobin A1c (HgbA1c)

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.  
Date Reviewed: November 19, 2017

ACP does not support this measure.

ID# QPP 127
ID# NQF 0416

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Diabetic Foot & Ankle Care, Ulcer Prevention-Evaluation of Footwear

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing.
Date Reviewed: November 19, 2017

ACP does not support this measure.

ID# QPP 126
ID# NQF 0417

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Diabetic Foot & Ankle Care, Peripheral Neuropathy-Neurological Evaluation

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months.
Date Reviewed: November 19, 2017

ACP supports this measure.

ID# NQF 0057

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Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Testing

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received an HbA1c test during the measurement year.
Date Reviewed: November 7, 2015

ACP does not support this measure.

ID# NQF 0575

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Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%)

The percentage of members 18-75 years of age with diabetes (type 1 and type 2) whose most recent HbA1c level is <8.0% during the measurement year.
Date Reviewed: April 27, 2015