Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period, or diabetics with no diagnosis of retinopathy in any part of the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period
Numerator
Patients with an eye screening for diabetic retinal disease. This includes diabetics who had one of the following:
- Diabetic with a diagnosis of retinopathy that in any part of the measurement period and a retinal or dilated eye exam by an eye care professional during the measurement period
- Diabetic with no diagnosis of retinopathy in any part of the measurement period and a retinal or dilated eye exam by an eye care professional during the measurement period or the year prior to the measurement period
To complete this measure, the clinician would need to perform one of the following:
- Clinical Decision Support: The clinician completes the "Screening for Diabetic Retinopathy" Clinical Decision Support rule within the appropriate time frame (as defined above)
- Imported Items: An imported Item exists with a date within the appropriate time frame (as defined above), and the name includes any of the following phrases:
- Dilated eye exam
- Retinal exam
- Retinal eye exam
- Text In Chart: In the Physical Exam, Assessment or Plan, enter any of the following phrases:
- dilated eye exam completed within 1 year
- dilated eye exam done within 1 year
- retinal exam completed within 1 year
- retinal exam done within 1 year
- retinal eye exam completed within 1 year
- retinal eye exam done within 1 year
- dilated eye exam completed within 2 years
- dilated eye exam done within 2 years
- retinal exam completed within 2 years
- retinal exam done within 2 years
- retinal eye exam completed within 2 years
- retinal eye exam done within 2 years
Denominator
A patient will qualify for this measure by meeting all of the following criteria:
- Patients 18-75 years of age by the end of the measurement period
- An active diagnosis of diabetes,
- A visit during the measurement period
- Visits must have the appropriate office visit CPT code entered into Amazing Charts
Denominator Exclusions
- Exclude patients whose hospice or palliative care overlaps the measurement period:
- Identified in the patient's Alerts and Directives, located in the demographic screen or the Summary Sheet, in the name, text or comments saved with that alert/directive. The Alert/Directive should include either of the following phrases:
- palliative
- hospice
- Identified in the patient's Alerts and Directives, located in the demographic screen or the Summary Sheet, in the name, text or comments saved with that alert/directive. The Alert/Directive should include either of the following phrases:
- Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period:
- Accomplished with adding the appropriate billing codes for Domiciliary or rest home visit for evaluation and management. The codes are 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
- Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:
- Advanced Illness diagnosis during the measurement period or the year prior:
- Identified through a diagnosis in the chart. Note: a diagnosis alone is not enough, the DX code must be added to the assessment and attached to the visit CPT code
- Advanced illness with one inpatient encounter during the measurement period or the year prior
- Taking dementia medications during the measurement period or the year prior
- Advanced Illness diagnosis during the measurement period or the year prior: