May 16, 2019
Patients with diabetes require consistent medical care and monitoring to reduce the risk of severe complications and improve outcomes. Interventions to improve diabetes outcomes go beyond glycemic control as diabetes affects the entire body.
The comprehensive HEDIS® diabetes care composite measure includes HbA1c control, retinal eye exams, medical attention for nephropathy, and blood pressure control. This measure is meant to provide a comprehensive picture of the clinical management of patients with diabetes. All comprehensive diabetes care measures are used for HEDIS reporting.
View the diabetes tip sheet to learn more about what’s included in the measure, new exclusions to the measure including advanced illness and frailty of the patient, and ways you can close gaps in care for patients with diabetes. The tip sheet also covers required medical record documentation and claim coding to reduce the need for medical record reviews.
For more information and/or questions regarding this article, email ProviderClinicalConsulting@premera.com.
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).