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


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


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


Number of sampled health plan members with diabetes.

Data Interpretation Issues

Evidence from health plan administrative records and survey interviews indicates that the American Association of Diabetes Educators (AADE) and the National Committee for Quality Assurance (NCQA) surveys might substantially underestimate the proportion of persons with diabetes who have a routine A1C test. Note that starting in 2017, Utah commercial HMOs and PPOs are now regarded as functionally the same and are used together in calculating the state averages.

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.

Healthy People Objective D-11:

Increase the proportion of adults with diabetes who have a glycosylated hemoglobin measurement at least twice a year
U.S. Target: 71.1 percent

How Are We Doing?

The American Diabetes Association recommends an A1C exam about every three months.

What Is Being Done?

The Diabetes Prevention and Control Program has been combined with the Heart Disease and Stroke Program, the Physical Activity, Nutrition and Obesity Program, and a School Health Program. The new program is known as the Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program. One of EPICC's main goals is to decrease the proportion of people with diabetes who have A1Cs greater than 9%. A number of studies show that people who attend diabetes self-management education classes have lower A1C levels. These classes are usually taught by a dietitian, pharmacist, or certified diabetes educator, and have been shown to help individuals develop a variety of skills, including blood sugar monitoring, they need to manage their diabetes. A list of classes is available at [].

Available Services

Diabetes Self-Management Education (DSME) []

Related Indicators

Related Relevant Population Characteristics Indicators:

Graphical Data Views

Percentage of Persons With Diabetes Who Had Their Hemoglobin A1c Tested Within the Last Year, Utah, 2000-2020

::chart - missing::

This Indicator Report 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 report and represents a significant expansion of the report'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 report.
Medicaid vs. Commercial PlansYearPercentage of Persons With Diabetes
Record Count: 74
Commercial HMOs200067.5%
Commercial HMOs200174.2%
Commercial HMOs200276.3%
Commercial HMOs200383.3%
Commercial HMOs200482.4%
Commercial HMOs200586.5%
Commercial HMOs200685.5%
Commercial HMOs200787.7%
Commercial HMOs200888.5%
Commercial HMOs200989.2%
Commercial HMOs201082.4%
Commercial HMOs201190.4%
Commercial HMOs201288.9%
Commercial HMOs201391.2%
Commercial HMOs201491.6%
Commercial HMOs201594.1%
Commercial HMOs201692.4%
Commercial HMOs201790.1%
Commercial HMOs201890.3%
Commercial HMOs201990.3%
Commercial HMOs202087.9%
Commercial PPOs201384.3%
Commercial PPOs201488.0%
Commercial PPOs201589.1%
Commercial PPOs201689.3%
Commercial PPOs201790.1%
Commercial PPOs201890.3%
Commercial PPOs201990.3%
Commercial PPOs202087.5%
U.S. Medicaid Average200980.5%
U.S. Medicaid Average201080.6%
U.S. Medicaid Average201182.0%
U.S. Medicaid Average201282.5%
U.S. Medicaid Average201383.0%
U.S. Medicaid Average201486.3%
U.S. Medicaid Average201585.6%
U.S. Medicaid Average201686.7%
U.S. Medicaid Average201787.5%
U.S. Medicaid Average201888.0%
U.S. Medicaid Average201988.2%
U.S. Medicaid Average202082.8%
U.S. Commercial Average200989.1%
U.S. Commercial Average201089.0%
U.S. Commercial Average201189.9%
U.S. Commercial Average201289.6%
U.S. Commercial Average201389.8%
U.S. Commercial Average201490.3%
U.S. Commercial Average201589.5%
U.S. Commercial Average201690.1%
U.S. Commercial Average201790.6%
U.S. Commercial Average201891.0%
U.S. Commercial Average201991.0%
U.S. Commercial Average202087.6%

Data Notes

This quality of care measure Indicator Report 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 Source

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

References and Community Resources

Healthy Living through Environment, Policy & Improved Clinical Care (EPICC Program), Information on Diabetes [] [[br]][[br]] Utah Department of Health, Office of Health Care Statistics []

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/03/2021, Published on 01/14/2022
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 12 August 2022 16:08:04 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: ".

Content updated: Fri, 14 Jan 2022 06:29:41 MST