Hemoglobin A1c Test for Pediatric Patients

Last updated: January 31, 2017

CMS Measure ID: CMS148v5
Version: 5
NQF Number: None
Measure Description:

Percentage of patients 5-17 years of age with diabetes with a Hemoglobin A1c (HbA1c) test during the measurement period

Initial Patient Population:

Patients 5 to 17 years of age with a diagnosis of diabetes where the diagnosis overlaps the most recent visit during the measurement period

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patients with documentation of date and result for a HbA1c test during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Previous Version: Hemoglobin A1c Test for Pediatric Patients
Improvement Notation:

Higher scores indicate better quality

Guidance:

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

Release Notes

Header

  • ‚ÄčUpdated Copyright.

    Section: Copyright

    Source: Annual Update

  • Spelled out the abbreviation HBA1c at the time of first usage.

    Section: Description

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Removed Endorsement.

    Section: Endorsed By

    Source: Measure Lead

  • Updated the Initial Population description with a timing statement to match the Initial Population logic.

    Section: Initial Population

    Source: Measure Lead

  • Removed Endorsement Number.

    Section: NQF Number

    Source: Measure Lead

Logic

  • Moved Diabetes Visit from grouping value set to variable name to increase the visibility of which visits qualify for the measure.

    Section: Initial Population

    Source: Measure Lead

  • Removed the encounter that was required prior to the measurement period from the logic.

    Section: Initial Population

    Source: Measure Lead

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Value set Critical Care Management (2.16.840.1.113883.3.464.1003.101.12.1067): Added Critical Care Management.

    Section: QDM Data Elements

    Source: None

  • Value set Diabetes Visit (2.16.840.1.113883.3.464.1003.103.12.1012): Removed Diabetes Visit.

    Section: QDM Data Elements

    Source: None

  • Value set Discharge Services - Hospital Inpatient (2.16.840.1.113883.3.464.1003.101.12.1007): Added Discharge Services - Hospital Inpatient.

    Section: QDM Data Elements

    Source: None

  • Value set Discharge Services- Observation Care (2.16.840.1.113883.3.464.1003.101.12.1039): Added Discharge Services- Observation Care.

    Section: QDM Data Elements

    Source: None

  • Value set Emergency Department Interaction (2.16.840.1.113883.3.464.1003.101.12.1068): Added Emergency Department Interaction.

    Section: QDM Data Elements

    Source: None

  • Value set Emergency Department Visit (2.16.840.1.113883.3.464.1003.101.12.1010): Added Emergency Department Visit.

    Section: QDM Data Elements

    Source: None

  • Value set Face-to-Face Interaction (2.16.840.1.113883.3.464.1003.101.12.1048): Added Face-to-Face Interaction.

    Section: QDM Data Elements

    Source: None

  • Value set Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016): Added Home Healthcare Services.

    Section: QDM Data Elements

    Source: None

  • Value set Hospital Inpatient Visit - Initial (2.16.840.1.113883.3.464.1003.101.12.1004): Added Hospital Inpatient Visit - Initial.

    Section: QDM Data Elements

    Source: None

  • Value set Hospital Inpatient Visit Subsequent (2.16.840.1.113883.3.464.1003.101.12.1069): Added Hospital Inpatient Visit Subsequent.

    Section: QDM Data Elements

    Source: None

  • Value set Hospital Observation Care - Initial (2.16.840.1.113883.3.464.1003.101.12.1002): Added Hospital Observation Care - Initial.

    Section: QDM Data Elements

    Source: None

  • Value set Inpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1071): Added Inpatient Consultation.

    Section: QDM Data Elements

    Source: None

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Added Office Visit.

    Section: QDM Data Elements

    Source: None

  • Value set Ophthalmologic Outpatient Visit (2.16.840.1.113883.3.464.1003.101.12.1072): Added Ophthalmologic Outpatient Visit.

    Section: QDM Data Elements

    Source: None

  • Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Added Outpatient Consultation.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care - Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024): Added Preventive Care - Established Office Visit, 0 to 17.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care- Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022): Added Preventive Care- Initial Office Visit, 0 to 17.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care Services - Other (2.16.840.1.113883.3.464.1003.101.12.1030): Added Preventive Care Services - Other.

    Section: QDM Data Elements

    Source: None

  • Value set Preventive Care Services-Individual Counseling (2.16.840.1.113883.3.464.1003.101.12.1026): Added Preventive Care Services-Individual Counseling.

    Section: QDM Data Elements

    Source: None

  • Moved Diabetes Visit from grouping value set to variable name to increase the visibility of which visits qualify for the measure.

    Section: QDM Variables

    Source: Measure Lead

  • Value set Critical Care Management (2.16.840.1.113883.3.464.1003.101.12.1067): Added Critical Care Management.

    Section: QDM Variables

    Source: None

  • Value set Discharge Services - Hospital Inpatient (2.16.840.1.113883.3.464.1003.101.12.1007): Added Discharge Services - Hospital Inpatient.

    Section: QDM Variables

    Source: None

  • Value set Discharge Services- Observation Care (2.16.840.1.113883.3.464.1003.101.12.1039): Added Discharge Services- Observation Care.

    Section: QDM Variables

    Source: None

  • Value set Emergency Department Interaction (2.16.840.1.113883.3.464.1003.101.12.1068): Added Emergency Department Interaction.

    Section: QDM Variables

    Source: None

  • Value set Emergency Department Visit (2.16.840.1.113883.3.464.1003.101.12.1010): Added Emergency Department Visit.

    Section: QDM Variables

    Source: None

  • Value set Face-to-Face Interaction (2.16.840.1.113883.3.464.1003.101.12.1048): Added Face-to-Face Interaction.

    Section: QDM Variables

    Source: None

  • Value set Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016): Added Home Healthcare Services.

    Section: QDM Variables

    Source: None

  • Value set Hospital Inpatient Visit - Initial (2.16.840.1.113883.3.464.1003.101.12.1004): Added Hospital Inpatient Visit - Initial.

    Section: QDM Variables

    Source: None

  • Value set Hospital Inpatient Visit Subsequent (2.16.840.1.113883.3.464.1003.101.12.1069): Added Hospital Inpatient Visit Subsequent.

    Section: QDM Variables

    Source: None

  • Value set Hospital Observation Care - Initial (2.16.840.1.113883.3.464.1003.101.12.1002): Added Hospital Observation Care - Initial.

    Section: QDM Variables

    Source: None

  • Value set Inpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1071): Added Inpatient Consultation.

    Section: QDM Variables

    Source: None

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Added Office Visit.

    Section: QDM Variables

    Source: None

  • Value set Ophthalmologic Outpatient Visit (2.16.840.1.113883.3.464.1003.101.12.1072): Added Ophthalmologic Outpatient Visit.

    Section: QDM Variables

    Source: None

  • Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Added Outpatient Consultation.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care - Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024): Added Preventive Care - Established Office Visit, 0 to 17.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care- Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022): Added Preventive Care- Initial Office Visit, 0 to 17.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care Services - Other (2.16.840.1.113883.3.464.1003.101.12.1030): Added Preventive Care Services - Other.

    Section: QDM Variables

    Source: None

  • Value set Preventive Care Services-Individual Counseling (2.16.840.1.113883.3.464.1003.101.12.1026): Added Preventive Care Services-Individual Counseling.

    Section: QDM Variables

    Source: None

Value Set

  • Value set Critical Care Management (2.16.840.1.113883.3.464.1003.101.12.1067): Added Critical Care Management.

    Section: None

    Source: None

  • Value set Diabetes Visit (2.16.840.1.113883.3.464.1003.103.12.1012): Removed Diabetes Visit.

    Section: None

    Source: None

  • Value set Discharge Services - Hospital Inpatient (2.16.840.1.113883.3.464.1003.101.12.1007): Added Discharge Services - Hospital Inpatient.

    Section: None

    Source: None

  • Value set Discharge Services- Observation Care (2.16.840.1.113883.3.464.1003.101.12.1039): Added Discharge Services- Observation Care.

    Section: None

    Source: None

  • Value set Emergency Department Interaction (2.16.840.1.113883.3.464.1003.101.12.1068): Added Emergency Department Interaction.

    Section: None

    Source: None

  • Value set Emergency Department Visit (2.16.840.1.113883.3.464.1003.101.12.1010): Added Emergency Department Visit.

    Section: None

    Source: None

  • Value set Face-to-Face Interaction (2.16.840.1.113883.3.464.1003.101.12.1048): Added Face-to-Face Interaction.

    Section: None

    Source: None

  • Value set Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016): Added Home Healthcare Services.

    Section: None

    Source: None

  • Value set Hospital Inpatient Visit - Initial (2.16.840.1.113883.3.464.1003.101.12.1004): Added Hospital Inpatient Visit - Initial.

    Section: None

    Source: None

  • Value set Hospital Inpatient Visit Subsequent (2.16.840.1.113883.3.464.1003.101.12.1069): Added Hospital Inpatient Visit Subsequent.

    Section: None

    Source: None

  • Value set Hospital Observation Care - Initial (2.16.840.1.113883.3.464.1003.101.12.1002): Added Hospital Observation Care - Initial.

    Section: None

    Source: None

  • Value set Inpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1071): Added Inpatient Consultation.

    Section: None

    Source: None

  • Value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001): Added Office Visit.

    Section: None

    Source: None

  • Value set Ophthalmologic Outpatient Visit (2.16.840.1.113883.3.464.1003.101.12.1072): Added Ophthalmologic Outpatient Visit.

    Section: None

    Source: None

  • Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Added Outpatient Consultation.

    Section: None

    Source: None

  • Value set Preventive Care - Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024): Added Preventive Care - Established Office Visit, 0 to 17.

    Section: None

    Source: None

  • Value set Preventive Care- Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022): Added Preventive Care- Initial Office Visit, 0 to 17.

    Section: None

    Source: None

  • Value set Preventive Care Services - Other (2.16.840.1.113883.3.464.1003.101.12.1030): Added Preventive Care Services - Other.

    Section: None

    Source: None

  • Value set Preventive Care Services-Individual Counseling (2.16.840.1.113883.3.464.1003.101.12.1026): Added Preventive Care Services-Individual Counseling.

    Section: None

    Source: None

External Resources