Hemoglobin A1c Test for Pediatric Patients

Last updated: July 12, 2017

CMS Measure ID: CMS148v4
Version: 4
NQF Number: 0060
Measure Description:

Percentage of patients 5-17 years of age with diabetes with an HbA1c test during the measurement period

Initial Patient Population:

Patients 5 to 17 years of age with a diagnosis of diabetes and a face-to-face visit between the physician and the patient that predates the most recent visit by at least 12 months

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
Next Version: Hemoglobin A1c Test for Pediatric Patients
Previous Version: Hemoglobin A1c Test for Pediatric Patients
Measure Score: Proportion
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

  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.

Logic

  • Changed data type of 'result' or 'finding' to 'performed'.
  • Introduced the new timing operator 'overlaps' to replace two lines of logic (AND/AND NOT) or to enforce when an event or set of events occur to meet the measure intent.
  • Introduced variable $DiabetesVisit to allow re-use of logical expressions and reduce redundancy/complexity.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.

Value Sets

  • Value set Diabetes (OID 2.16.840.1.113883.3.464.1003.103.12.1001): Added 54 ICD10CM codes.

External Resources