The number of patients in the denominator whose diabetes was optimally managed during the measurement period as defined by achieving ALL of the following:

• The most recent HbA1c in the measurement period has a value less than 8.0 mg/dL

• The most recent Blood Pressure in the measurement period has a systolic value of less than 140 mmHg AND a diastolic value of less than 90 mmHg

• On a statin medication, unless allowed contraindications or exceptions are present

• Patient is not a tobacco user

• Patient with ischaemic vascular disease (Ischaemic Vascular Disease Value Set) is on daily aspirin or anti-platelets, unless allowed contraindications or exceptions are present

Patients ages 18 to 75 with a diagnosis of diabetes (Diabetes Value Set) with any contact during the current or prior measurement period OR had diabetes (Diabetes Value Set) present on an active problem list at any time during the measurement period. Both contacts AND problem list must be queried for diagnosis (Diabetes Value Set).

AND patient has at least one established patient office visit (Established Pt Diabetes & Vasc Value Set) performed or supervised by an eligible provider in an eligible specialty for any reason during the measurement period.

Valid allowable exclusions include patients who were a permanent resident of a nursing home, pregnant, died or were in hospice or palliative care during the measurement year.

Statistical risk model (p4qm.org/measures/0729)

Clinician: Group/Practice

Electronic Health Records, Paper Patient Medical Records

National Quality Forum 2022 Key Rural Measures: An Update List of Measures to Advance Rural Health Priorities, Draft 1, page 1-26

Download from: www.qualityforum.org/Publications/2022/08/2022KeyRural_Measures__An_Updated_List_of_Measures_to_Advance_Rural_Health_Priorities.aspx

Technical Specifications: p4qm.org/measures/0729