CMS 122 - Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Medical Codify

CMS122v5 (2017)

CMS122v6 (2018)

CMS122v7 (2019)

Description:  Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.

Initial Patient Population:  Patients 18-75 years of age with diabetes with a visit during the measurement period.

Denominator:  Equals Initial Population

Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%.

Inverse Measure:  Yes

Clinical Instructions

Track all patients between the ages of 18-75 whose most recent HbA1c level, performed during the measurement period, is >9.0%. Use either the Test and Procedures section of the encounter, or add the Lab Results - Set 1 to the encounter template. 

• While documenting the Visit encounter, document the results of the HbA1c one of two ways:
  • Option 1: Test and Procedures Section
    • Open the Tests and Procedures section.
    • Using the autocomplete, begin typing Hemoglobin A1c.
    • Click the Add to Exam button.
    • After adding the new section, open the Hemoglobin A1c section and add the result.
    • Click the Next button, or close the section.
  • Option 2: Add Lab Results - Set 1 to Encounter
    • Click the Tools icon in the upper-right corner of the encounter.
    • Click the Lab Results - Set 1 header to add the section to the encounter template. Close the Tools window.
    • Click the Lab Results - Set 1 header to open the section and add the result.
    • Click the Next button, or close the section.
• Continue documenting the encounter, as needed.
• When completed, Close and Archive the encounter.

Evidence

Initial Patient Population

Denominator

Equals Initial Population

Numerator

Denominator Exclusion

Source(s)

Medical Codify