Measure: CMS122
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)
Measure Versions
| eMeasure Code |
Measure Year |
Full Version Number |
Title |
| CMS122v12 |
2024 |
12.0.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v11 |
2023 |
11 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v10 |
2022 |
10.0.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v9 |
2021 |
9.3.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v8 |
2020 |
8.4.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v7 |
2019 |
7.4.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v6 |
2018 |
6.1.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
| CMS122v5 |
2017 |
5.0.000 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) |
Description
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.
Guidance
Patient Group Definitions
| Group |
Description |
Instructions Links |
| Initial Population | Patients 18-75 years of age by the end of the measurement period, with diabetes with a visit during the measurement period | Webchart Instructions |
| Denominator | Equals Initial Population | Webchart Instructions |
| 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 during the measurement period.
Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:
- Advanced illness with two outpatient encounters during the measurement period or the year prior
- OR advanced illness with one inpatient encounter during the measurement period or the year prior
- OR taking dementia medications during the measurement period or the year prior
Exclude patients receiving palliative care for any part of the measurement period. | Webchart Instructions |
| 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 | Webchart Instructions |
| Numerator Exclusions | Not Applicable | Webchart Instructions |
| Denominator Exceptions | None | |
Details
| Full eMeasure Code |
eMeasure Identifier |
Measure Year |
Version |
NQF # |
GUID |
| CMS122v11 |
122 |
2023 |
11 |
0059 |
f2986519-5a4e-4149-a8f2-af0a1dc7f6bc |
| Steward |
Developer |
Endorsed By |
| National Committee for Quality Assurance |
National Committee for Quality Assurance |
None |
| Scoring Method |
Measure Type |
Stratification |
Risk Adjustment |
| Proportion |
Intermediate Outcome |
None |
None |
Rate Aggregation
None
Improvement Notation
Lower score indicates better quality
Rationale
Clinical Recommendation Statement
Definition
Transmission Format
Applicable Value Sets
| Category |
Value Set |
OID |
| Diagnosis |
Diabetes |
2.16.840.1.113883.3.464.1003.103.12.1001 |
| Diagnosis |
Frailty Diagnosis |
2.16.840.1.113883.3.464.1003.113.12.1074 |
| Encounter, Performed |
Acute Inpatient |
2.16.840.1.113883.3.464.1003.101.12.1083 |
| Encounter, Performed |
Annual Wellness Visit |
2.16.840.1.113883.3.526.3.1240 |
| Encounter, Performed |
Emergency Department Visit |
2.16.840.1.113883.3.464.1003.101.12.1010 |
| Encounter, Performed |
Encounter Inpatient |
2.16.840.1.113883.3.666.5.307 |
| Encounter, Performed |
Frailty Encounter |
2.16.840.1.113883.3.464.1003.101.12.1088 |
| Encounter, Performed |
Home Healthcare Services |
2.16.840.1.113883.3.464.1003.101.12.1016 |
| Encounter, Performed |
Hospice Encounter |
2.16.840.1.113883.3.464.1003.1003 |
| Encounter, Performed |
Nonacute Inpatient |
2.16.840.1.113883.3.464.1003.101.12.1084 |
| Encounter, Performed |
Nutrition Services |
2.16.840.1.113883.3.464.1003.1006 |
| Encounter, Performed |
Observation |
2.16.840.1.113883.3.464.1003.101.12.1086 |
| Encounter, Performed |
Office Visit |
2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed |
Outpatient |
2.16.840.1.113883.3.464.1003.101.12.1087 |
| Encounter, Performed |
Palliative Care Encounter |
2.16.840.1.113883.3.464.1003.101.12.1090 |
| Encounter, Performed |
Preventive Care Services - Established Office Visit, 18 and Up |
2.16.840.1.113883.3.464.1003.101.12.1025 |
| Encounter, Performed |
Preventive Care Services-Initial Office Visit, 18 and Up |
2.16.840.1.113883.3.464.1003.101.12.1023 |
| Encounter, Performed |
Telephone Visits |
2.16.840.1.113883.3.464.1003.101.12.1080 |
| Intervention, Order |
Hospice Care Ambulatory |
2.16.840.1.113883.3.526.3.1584 |
| Intervention, Performed |
Hospice Care Ambulatory |
2.16.840.1.113883.3.526.3.1584 |
| Intervention, Performed |
Palliative Care Intervention |
2.16.840.1.113883.3.464.1003.198.12.1135 |
| Laboratory Test, Performed |
HbA1c Laboratory Test |
2.16.840.1.113883.3.464.1003.198.12.1013 |
| Medication, Active |
Dementia Medications |
2.16.840.1.113883.3.464.1003.196.12.1510 |
| Patient Characteristic Ethnicity |
Ethnicity |
2.16.840.1.114222.4.11.837 |
| Patient Characteristic Payer |
Payer |
2.16.840.1.114222.4.11.3591 |
| Patient Characteristic Race |
Race |
2.16.840.1.114222.4.11.836 |
| Patient Characteristic Sex |
ONC Administrative Sex |
2.16.840.1.113762.1.4.1 |
| Symptom |
Frailty Symptom |
2.16.840.1.113883.3.464.1003.113.12.1075 |
References
Disclaimer
Copyright
Source:
https://ecqi.healthit.gov/ecqm/measures/cms122v1