Monitoring of Diabetes Mellitus Patients
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The percentage of type II diabetes mellitus patients whose; (1) glycohaemoglobin has been determined at least once a year (if the glycohaemoglobin is over (or equal to) 7.0%, the code on the treatment invoice should be 9050), (2) creatinine has been determined at least once a year, (3) total cholesterol content has been determined least once a year (if the patient has a total cholesterol value greater than 5.0 mmol/l, then regardless of the disease or condition, the code 9040 is always entered on the invoice); (4) cholesterol fractions have been determined at least once in 3 years, (5) who has been advised by the family nurse (lifestyle, control of the disease) at least once a year.
Numerator
The number of type II diabetes mellitus patients who have: (1) defined glycaemic haemoglobin, (2) defined creatinine in the blood serum, (3) defined total cholesterol in the blood serum, (4) defined cholesterol fractions in the blood serum, (5) counselling of the family nurse performed.
Denominator
All type II diabetic patients (ODC-10 code E11) who are on the current (reviewed) year in lists of chronic illnesses.
Exclusions
The following cases are excluded; if according to the population register, the person has left Estonia (lives abroad) or the corresponding diagnosis of chronic illness is on the treatment invoice only with the extension "0 - diagnosis unspecified".
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Estonian Health Insurance Fund database
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Merilind et al. Pay for performance of Estonian family doctors and impact of different practice- and patient-related characteristics on a good outcome: A quantitative assessment