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Indicator Report - HEDIS (Healthcare Effectiveness Data and Information Set) Measures: Diabetes Care - Hemoglobin A1c (A1C)

Why Is This Important?

The Hemoglobin A1c (A1C) test measures the level of blood glucose for persons with diabetes. High levels of blood glucose puts people at risk for blindness, kidney disease, and lower extremity infections. With support from their provider, people can can reduce their risk of serious complications by controlling their levels of blood glucose

Percentage of Persons With Diabetes Who Had Their Hemoglobin A1c Tested Within the Last Year, Utah, 2000-2014

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data table
This indicator contains information about Medicaid Health Maintenance Organizations (HMOs), commercial HMOs, and commercial Preferred Provider Organizations (PPOs). 2013 was the first year that PPOs were been included in this indicator and represents a significant expansion of the indicator's scope. With the inclusion of PPOs to the other plans, over 50% of Utahns who currently have health insurance are covered by one of the health plans in this indicator.

Data Notes

This quality of care measure indicator came from the Healthcare Effectiveness Data and Information Set (HEDIS), which is developed and maintained by the National Committee for Quality Assurance (NCQA). The HEDIS measurement set contains over 70 measures across eight major areas of care such as helping people stay healthy or caring for people with chronic illness. Health plans nationwide collect these measures to see how they performed in different areas of health care over the past year. Each year, Utah HMOs report HEDIS measures to the Utah Department of Health. All data are reviewed by NCQA-certified auditors to ensure that the reported HEDIS measures are representative and accurate. The National Committee for Quality Assurance (NCQA) is a non-profit organization committed to assessing, reporting on, and improving the quality of care provided by the nation's health plans.

Data Sources

Healthcare Effectiveness Data and Information Set (HEDIS), National Center for Quality Assurance (NCQA).

Definition

Percentage of health plan members with diabetes who had their Hemoglobin A1c tested within the last year.

How We Calculated the Rates

Numerator: Number of sampled health plan members with diabetes who had their Hemoglobin A1c tested within the last year.
Denominator: Number of sampled health plan members with diabetes.

Page Content Updated On 11/03/2014, Published on 12/02/2014
The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 18 December 2014 23:26:48 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.utah.gov".

Content updated: Tue, 2 Dec 2014 11:41:25 MST