eCQM Title | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
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eCQM Identifier (Measure Authoring Tool) | 122 | eCQM Version number | 7.4.000 |
NQF Number | 0059 | GUID | f2986519-5a4e-4149-a8f2-af0a1dc7f6bc |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | National Quality Forum | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Outcome | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate"] Birthdate where Global."CalendarAgeInYearsAt"(Birthdate.birthDatetime, start of "Measurement Period")in Interval[18, 75 ) ) and exists ( AdultOutpatientEncounters."Qualifying Encounters" ) and exists ( ["Diagnosis": "Diabetes"] Diabetes where Diabetes.prevalencePeriod overlaps "Measurement Period" )
"Initial Population"
Hospice."Has Hospice"
"Has Most Recent Elevated Hba1c" or "Has Most Recent HbA1c Without Result" or "Has No Record Of HbA1c"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Annual Wellness Visit"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Home Healthcare Services"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
"Initial Population"
Hospice."Has Hospice"
Last(["Laboratory Test, Performed": "HbA1c Laboratory Test"] HighHbA1c where HighHbA1c.relevantPeriod during "Measurement Period" and HighHbA1c.result is not null sort by resultDatetime ).result > 9 '%'
Last(["Laboratory Test, Performed": "HbA1c Laboratory Test"] HbA1cNoResult where HbA1cNoResult.relevantPeriod during "Measurement Period" sort by resultDatetime ).result is null
not exists ["Laboratory Test, Performed": "HbA1c Laboratory Test"] NoHbA1c where NoHbA1c.relevantPeriod during "Measurement Period"
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ( ["Patient Characteristic Birthdate"] Birthdate where Global."CalendarAgeInYearsAt"(Birthdate.birthDatetime, start of "Measurement Period")in Interval[18, 75 ) ) and exists ( AdultOutpatientEncounters."Qualifying Encounters" ) and exists ( ["Diagnosis": "Diabetes"] Diabetes where Diabetes.prevalencePeriod overlaps "Measurement Period" )
"Has Most Recent Elevated Hba1c" or "Has Most Recent HbA1c Without Result" or "Has No Record Of HbA1c"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |