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 - 75 years of age with Diabetes (Type 1 or Type 2) during the reporting period.

2. The Summary Active Problems field or the Face to Face encounter Assessment field, must contain one of the following ICD codes: 250.4, 250.40, 250.41, 250.42, 250.43, 403, 403.0, 403.00, 403.01, 403.1, 403.10, 403.11, 403.9, 403.90, 403.91, 404, 404.0, 404.00, 404.01, 404.02, 404.03, 404.1, 404.10, 404.11, 404.12, 404.13, 404.9, 404.90, 404.91, 404.92, 404.93, 405.01, 405.11, 405.91, 580, 580.0, 580.4, 580.8, 580.81, 580.89, 580.9, 581, 581.0, 581.1, 581.2, 581.3, 581.8, 581.81, 581.89, 581.9, 582, 582.0, 582.1, 582.2, 582.4, 582.8, 582.81, 582.89, 582.9, 583, 583.0, 583.1, 583.2, 583.4, 583.6, 583.7, 583.8, 583.81, 583.89, 583.9, 584, 584.5, 584.6, 584.7, 584.8, 584.9, 585, 585.1, 585.2, 585.3, 585.4, 585.5, 585.6, 585.9, 586, 587, 588, 588.0, 588.1, 588.8, 588.81, 588.89, 588.9, 753.0, 753.1, 753.10, 753.11, 753.12, 753.13, 753.14, 753.15, 753.16, 753.17, 753.19, 791.0, V42.0, V45.1, V45.11, V45.12, V56, V56.0, V56.1, V56.2, V56.3, V56.31, V56.32, V56.8

3. The Face to Face encounter Plan field or the Summary Interventions field must show documentation that the patient had a nephropathy screening test or evidence of nephropathy during the reporting period. It must contain one of the following CPT codes: 82042, 82043, 82044, 84156,3060F, 3061F, 3062F, 3066F, G8506

4. To accomplish this, use the shortcut code, “PQRIdmNep” in the Face to Face encounter Plan field to insert the pick list header “Diabetes + Nephropathy:”  Left-Click on the pick list header to display a list of items in SMARText Quick Access that meet the criteria. CPT codes: 82042, 82043, 82044, 84156 are not included in the pick list but can be entered by doing a Shift + F11 or F11 search.

Numerator Calculation:

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

1. The number of patients that have a Face to Face encounter within the reporting period that has one of  the appropriate CPT item in the SOAPnote Plan field: 82042, 82043, 82044, 84156,3060F, 3061F, 3062F, 3066F, G8506

Denominator Calculation:

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

1. The number of patients that were between 18 and 75 years of age by the start of reporting period, with a Face to Face Encounter during the reporting period;

2. And have a diagnosis for Diabetes (Type 1 or Type 2) in the Summary Active Problems or Encounter Assessment field. This can be accomplished with the documentation of one of the following ICD codes: 250.4, 250.40, 250.41, 250.42, 250.43, 403, 403.0, 403.00, 403.01, 403.1, 403.10, 403.11, 403.9, 403.90, 403.91, 404, 404.0, 404.00, 404.01, 404.02, 404.03, 404.1, 404.10, 404.11, 404.12, 404.13, 404.9, 404.90, 404.91, 404.92, 404.93, 405.01, 405.11, 405.91, 580, 580.0, 580.4, 580.8, 580.81, 580.89, 580.9, 581, 581.0, 581.1, 581.2, 581.3, 581.8, 581.81, 581.89, 581.9, 582, 582.0, 582.1, 582.2, 582.4, 582.8, 582.81, 582.89, 582.9, 583, 583.0, 583.1, 583.2, 583.4, 583.6, 583.7, 583.8, 583.81, 583.89, 583.9, 584, 584.5, 584.6, 584.7, 584.8, 584.9, 585, 585.1, 585.2, 585.3, 585.4, 585.5, 585.6, 585.9, 586, 587, 588, 588.0, 588.1, 588.8, 588.81, 588.89, 588.9, 753.0, 753.1, 753.10, 753.11, 753.12, 753.13, 753.14, 753.15, 753.16, 753.17, 753.19, 791.0, V42.0, V45.1, V45.11, V45.12, V56, V56.0, V56.1, V56.2, V56.3, V56.31, V56.32, V56.8

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.