WHA’s Annual Integrated Healthcare Association’s (IHA) Align. Measure. Perform (AMP) assessment of Performance Results.
NCQA Measure: Comprehensive Diabetes Care (CDC)
Healthcare providers and Health Plans can help individuals address their diabetes by managing their high blood glucose (blood sugar) with self-care, taking medications as instructed, eating a healthy diet, being physically active and quitting smoking.
Numerator Criteria: HEDIS MY2022
Assesses adults 18-75 years of age with diabetes (type 1 and type 2) who had each of the following:
COMPREHENSIVE
|
WHA MY2020 |
WHA MY2021 |
WHA MY2022 |
WHA NCQA PERCENTILE RANK MY 2022 |
NCQA 2020290TH PERCENTILE RANK GOAL |
|
HbA1c Poor Control
(>9 %) * |
28.29
|
22,49
|
27.49
|
50th
|
19.95
|
|
HbA1c Control (<8 %)
|
60.78
|
67.97
|
63.26
|
33rd
|
70.32
|
|
Diabetic Retinal Eye Exam
|
53.60
|
50.37
|
62.04
|
75th
|
66.42
|
|
Kidney Health Evaluation
|
58.33
|
59.03
|
58.57
|
75th
|
59.49
|
|
18 – 64 years of age
|
57.63
|
58.38
|
57.93
|
75th
|
58.95
|
|
65 – 74 years of age
|
65.19
|
65.22
|
64.03
|
75th
|
65.93
|
|
75 – 85 years of age
|
60.0
|
62.50
|
64.52
|
75th
|
80.9
|
|
BP Control (<140/90)
|
77.13
|
72.13
|
65.45
|
33rd
|
78.57
|
|
Received Statin Therapy
|
66.63
|
68.79
|
69.11
|
75th
|
71.33
|
|
Statin Adherence (>80%)
|
70.75
|
71.35
|
72.46
|
33rd
|
81.3
|
* Lower is better for this measure
COMPREHENSIVE
|
WHA MY2021 |
WHA MY2022 |
WHA
|
5 Star
|
|
HbA1c Poor Control (>9 %) *
|
17.01
|
14.33
|
|
|
|
HbA1c Control (<8 %)
|
74.83
|
79.80
|
4
|
>83
|
|
Diabetic Retinal Eye Exam
|
58.88
|
69.06
|
3
|
>79
|
|
Kidney Health Evaluation
|
74.15
|
60.43
|
1
|
>97
|
|
18 – 64 years of age
|
66.67
|
55.17
|
|
|
|
65 – 74 years of age
|
60.33
|
61.09
|
|
|
|
75 – 85 years of age
|
64.18
|
60.23
|
|
|
|
BP Control (<140/90)
|
74.15
|
70.45
|
|
|
|
Received Statin Therapy
|
72.22
|
75.68
|
|
|
|
Statin Adherence (>80%)
|
84.62
|
70.54
|
|
|
COMPREHENSIVE
|
WHA MY2020 |
WHA MY2021 |
WHA MY2022 |
CMS QHP
|
|
HbA1c Control (<8 %)
|
51.28
|
54.26
|
59.61
|
25th
|
|
Diabetic Retinal Eye Exam
|
43.85
|
43.55
|
49.15
|
50th
|
|
Kidney Health Evaluation
|
|
74.15
|
54.54
|
75th
|
|
18 – 64 years of age
|
|
66.67
|
49.89
|
|
|
65 – 74 years of age
|
|
60.33
|
60.87
|
|
|
75 – 85 years of age
|
|
64.18
|
100
|
|
|
BP Control (<140/90)
|
58.15
|
59.12
|
58.29
|
25th
|
Patient Population Management
DO YOU KNOW WHERE YOUR DIABETIC PATIENTS ARE?
Many practices with electronic health records are now able to query their systems to identify their diabetic patients. Having a list of your diabetic patients makes it easier for office staff to follow-up on routine lab tests and results, annual eye exams and reach out to your patients who have not been seen recently. Since most primary care practices see a significant number of patients with diabetes, WHA recommends practices start their disease-based population management with diabetes. WHA also offers an innovative virtual diabetes reversal treatment program from Virta Health. Members enrolled in this program are medically supervised as they lower A1c, reduce or eliminate diabetes medications and lose weight.
Best practices and tips for using ICGM in adult patients with type 2 diabetes on insulin or non-insulin therapies. Medscape. (2022, August 1). Retrieved September 8, 2022, from https://www.medscape.org/viewarticle/977222
O'Neill, A. (2022, March 14). Diabetes recognition program. NCQA. Retrieved September 8, 2022, from https://www.ncqa.org/programs/health-care-providers-practices/diabetes-recognition-program-drp
Type 2 diabetes reversal program. WHA. (n.d.). Retrieved September 8, 2022, from https://www.westernhealth.com/health-and-wellness/secure/health-living/disease-management-programs/diabetes-wellness/diabetes-reversal-program
Last review date: February 16, 2024