HEDIS Quality Measure: Diabetes Care

  • June 4, 2020

    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. That’s why the comprehensive diabetes care composite measure includes HbA1c control, retinal eye exams, medical attention for nephropathy, and blood pressure control.

    The HEDIS® Comprehensive Diabetes Care (CDC) measure is a composite measure 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 CDC 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 care gaps for diabetic patients. The tip sheet also covers required medical record documentation and claim coding to reduce the need for medical record reviews.

    For more information, email ProviderClinicalConsultants@premera.com.

    HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

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