In Order for the Clinical Quality Measure report to generate, the following must be documented in the relevant patient's chart:

1. Patients must be between the ages of 18 and 75 with a face to face encounter within the reporting period.

2. Patient must have a  diagnosis of Diabetes Type I or Type 2.  The summary Active Problems field or the encounter Assessment field must contain on of the following ICD codes: 250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73, 250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92, 250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04

2. Patients must have the most recent Hemoglobin A1c value of less than 8.0.  Note: Lab test name must be exactly "Hgb A1c" in order for the quality measure report to calculate it in the numerator (this include HL7 lab test names).  

**It is recommended that users add a lab item to the chart if the test was performed at a different facility.

*If the above measure is documented appropriately, this should increase the numerator and denominator for this measure to indicate that the patient has a diagnosis of Diabetes Type 1 or Type 2, has been since at least once in the reporting period, and the most recent documented Hemoglobin A1c is less than 8.0.

Numerator Calculation:

The numerator for this measurement is calculated based on the following:

1. The number of patients in the denominator with a most recent Hemoglobin A1C that was less than 8%.  (The name of the specific lab test must read exactly "Hgb A1c" om prder for them to be included in the numerator)

Denominator Calculation:

The denominator for this measurement is calculated based on the following:

1.  The number of patients between the ages of 18 and 75 during the reporting period with a face to face encounter;

2. AND Have one or more of the following ICD codes in the Summary Active Problems or Encounter Assessments Field: 250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73, 250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92, 250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04

All of the items listed in the above steps need to be documented as structured data (as detailed above) in order to allow the user to capture the numerator, denominator and percentage for this quality measure.

For information on how to export the numerator, denominator and percentage for each Clinical Quality Measure, click here.

For more information on reporting clinical quality measures, click here.