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Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)

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Compare Versions of: "Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)"

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Table Options
Measure Information 2024 Performance Period
Title Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)
CMS eCQM ID CMS122v12
CBE ID* Not Applicable
MIPS Quality ID 001
Measure Steward National Committee for Quality Assurance
Description

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

Measure Scoring Proportion
Measure Type Intermediate Clinical Outcome
Stratification

None

Risk Adjustment

None

Rationale

Diabetes is the seventh leading cause of death in the United States (Centers for Disease Control and Prevention [CDC], 2022a). In 2019, diabetes affected more than 37 million Americans (11.3% of the U.S. population) and killed more than 87,000 people (American Diabetes Association [ADA],...

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Clinical Recommendation Statement

American Diabetes Association (2022b):

- An A1C goal for many nonpregnant adults of <7% (53 mmol/mol) without significant hypocalcemia is appropriate. (Level of evidence: A)

- On the basis of provider judgement and patient preference, achievement of lower A1C levels than the goal of 7% may...

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Improvement Notation

Lower score indicates better quality

Definition

None

Guidance

If the HbA1c test result is in the medical record, the test can be used to determine numerator compliance.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Initial Population

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

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients who are in hospice care for any part of the measurement period.

Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.

Exclude patients 66 and older by the end...

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Numerator

Patients whose most recent HbA1c level (performed during the measurement period) is >9.0% or is missing, or was not performed during the measurement period

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
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Last Updated: May 01, 2025