. "Appendix B: Adult Diabetes Care: Performance Measurement Set for 18- to 75-Year-Olds." Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Washington, DC: The National Academies Press, 2002.
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Leadership by Example: Coordinating Government Roles in Improving Health Care Quality
Aspect of Care
Quality Improvement Measures (per year)
External Accountability Measures (per year)
Total Cholesterol HDL Cholesterol
240 mg/dl or greater less than 35 mg/dl
200 - 239 mg/dl 35 - 45 mg/dl
less than 200 mg/dl greater than 45 mg/dl
undocumented undocumented
LDL Cholesterol Triglycerides
160 mg/dl or greater 400 mg/dl or greater
130 - 159 mg/dl 200 - 399 mg/dl
100 - 129 mg/dl less than 200 mg/dl
less than 100 mg/dl undocumented
undocumented
Per Patient: Number of lipid profiles;a trend of values for each test.
Urine Protein Testing
All Patients:
% of patients who received any test for micro-albuminuria.
% of patients with no urinalysis or with negative or trace urine protein, who received a test for microalbumin.
% of patients with at least one test for microalbumin during the measurement year, or if two of the three criteria for low risk are met, during the prior year; or who had evidence of medical attention for existing nephropathy.
Per Patient: Any test for microalbuminuria; if no urinalysis or with negative or trace urine protein, a test for microalbumin.
Eye Exam
All Patients:
% of patients receiving a dilated retinal eye exam.
% of patients receiving other eye exam (e.g., funduscopic photo with interpretation or other) by type of exam.
% of enrolled members who received a dilated eye exam or evaluation of retinal photographs by an optometrist or ophthalmologist during the reporting year, or during the prior year, if patient is at low
