Diabetes – Interpretive notes

  • The Diabetes Care Score represents the % of diabetes measures (aspects of care) that a team’s patient population has achieved. For example, if your team’s score is .68, this means that your population or registry of patients with diabetes has achieved 68% of the 3 measures included in the calculation (HbA1C testing, HbA1C level and blood pressure level). In future iterations of D2D, the composition of the indicator will be modified to include other measures of diabetes care like foot and eye exams, based on increasing EMR maturity/data quality and capacity to access data on personalized targets.
  • Your score may be low if you have a lot of patients with diabetes that have only one process/outcome measure within the appropriate target.
  • Your score may also be low if you have patients with no measures in range, even though others have most of the measures in range.
  • How you document and are able to access blood pressure and HBA1c data in your EMR will affect the numerator i.e. your score will be low if documentation is an issue for your team.
  • The way your team documents diabetes diagnoses in the EMR affects your denominator (i.e. number of patients with diabetes). Your diabetes score may be over or understated depending on how “clean” your diabetes registry is.

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