Important Facts for HEDIS (Healthcare Effectiveness Data and Information Set) Measures: Diabetes Care - Hemoglobin A1c (A1C)
DefinitionPercentage of health plan members with diabetes who had their Hemoglobin A1c tested within the last year.
NumeratorNumber of sampled health plan members with diabetes who had their Hemoglobin A1c tested within the last year.
DenominatorNumber of sampled health plan members with diabetes.
Data Interpretation IssuesEvidence 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