WHA’s Annual Integrated Healthcare Association’s (IHA) Align. Measure. Perform (AMP) assessment of Performance Results.
NCQA Measure: Comprehensive Diabetes Care (CDC)
Healthcare providers and Health Plans can help individuals address their diabetes by managing their high blood glucose (blood sugar) with self-care, taking medications as instructed, eating a healthy diet, being physically active and quitting smoking.
Numerator Criteria: HEDIS MY2021
Assesses adults 18-75 years of age with diabetes (type 1 and type 2) who had each of the following:
|
Comprehensive Diabetes Care |
WHA MY 2019 | WHA MY 2020 | WHA MY 2021 | WHA NCQA Percentile Rank MY 2020 | NCQA 2020 90th Percentile Rank Goal |
|---|---|---|---|---|---|
|
HbA1c Testing
HbA1c Poor Control (>9 %)*
HbA1c Control (<8 %)
Diabetic Retinal Eye Exam
Monitor Nephropathy
Kidney Health Evaluation
(New MY2020) 18 – 64 years of age
65 – 74 years of age
75 – 85 years of age
BP Control (<140/90)
Received Statin Therapy
Statin Adherence (>80%)
|
91.97
23.36
64.96
57.18
89.78
71.22
67.33 71.37 |
86.6
28.29
60.78
53.60
57.18
58.3
57.63
65.19
60.0
77.13
66.63
70.75 |
92.91
22.49
67.97
50.37
Retired
59.03
58.38
65.22
62.50
72.13 68.79 71.35 |
67th
75th
90th
33rd
75th
75th
75th
75th
75th
67th 33rd |
94.38
21.31
67.88
66.1
59.99
59.53
64
67.33
76.4
72.18 81.25 |
Patient Population Management: Do you know where your diabetic patients are?
Many practices with electronic health records are now able to query their systems to identify their diabetic patients. Having a list of your diabetic patients makes it easier for office staff to follow-up on routine lab tests and results, annual eye exams and reach out to your patients who have not been seen recently. Since most primary care practices see a significant number of patients with diabetes, WHA recommends practices start their disease-based population management with diabetes. WHA also offers an innovative virtual diabetes reversal treatment program from Virta Health. Members enrolled in this program are medically supervised as they lower A1c, reduce or eliminate diabetes medications and lose weight. Dr. Khuram Arif, Chief Medical Officer at WHA noted "this treatment can help our members with type 2 diabetes prevent diabetes from progressing or reverse it entirely.”
Resources:
Best practices and tips for using ICGM in adult patients with type 2 diabetes on insulin or non-insulin therapies. Medscape. (2022, August 1). Retrieved September 8, 2022, from https://www.medscape.org/viewarticle/977222
O'Neill, A. (2022, March 14). Diabetes recognition program. NCQA. Retrieved September 8, 2022, from https://www.ncqa.org/programs/health-care-providers-practices/diabetes-recognition-program-drp
Type 2 diabetes reversal program. WHA. (n.d.). Retrieved September 8, 2022, from https://www.westernhealth.com/health-and-wellness/secure/health-living/disease-management-programs/diabetes-wellness/diabetes-reversal-program