Diabetes: Hemoglobin A1c Poor Control

Last updated: May 18, 2016

CMS Measure ID: CMS122v3
Version: 3
NQF Number: 0059
Measure Description:

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.

Initial Patient Population:

Patients 18-75 years of age with diabetes with a visit during the measurement period

Denominator Statement:

Equals Initial Patient Population

Denominator Exclusions:

None

Numerator Statement:

Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Diabetes: Hemoglobin A1c Poor Control
Measure Score: Proportion
Score Type: Outcome
Improvement Notation:

Lower score indicates better quality

Guidance:

Patient is numerator compliant if most recent HbA1c level >9%, the most recent HbA1c result is missing, or if there are no HbA1c tests performed and results documented during the measurement period.

Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included.

Specifications

External Resources