Comprehensive Diabetes Care: Eye Exam (Retinal) Performed

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Core Quality Measures Collaborative (CQMC) Consensus Core Set: Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMHs), and Primary Care
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Other Clinical

Defining Attributes

Definition

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who had an eye exam (retinal) performed.

Numerator

Patients who received an eye screening for diabetic retinal disease. This includes people with diabetes who had the following: (1) a retinal or dilated eye exam by an eye care professional (optometrists or ophthalmologist) in the measurement year, (2) a negative retinal exam or dilated eye exam (negative for retinopathy) by an eye care professional in the year prior to the measurement year, (3) Bilateral eye enucleation anytime during the patient's history through December 31 of the measurement year.

Denominator

Patients 18-75 years of age by the end of the measurement year who had a diagnosis of diabetes (type 1 or type 2) during the measurement year or the year prior to the measurement year.

Exclusions

Exclude patients who use hospice services or elect to use a hospice benefit any time during the measurement year, regardless of when the services began. Exclusions (optional): Exclude patients who did not have a diagnosis of diabetes, in any setting, AND who had a diagnosis of gestational or steroid-induced diabetes, in any setting, during the measurement year or the year prior to the measurement year; Exclude patients 65 and older with an advanced illness condition and frailty.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Electronic/paper chart records
Data Collection Methods

Reporting is specific to sub-program

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025