Comprehensive diagnostic testing, interventions, education and rehabilitation.

EPN Diabetes Patients with Most Recent Hemoglobin A1c Tests > 8.5%

Initiative      Comprehensive Diabetes Care
Metric   Appropriate Diabetes control testing follow up
Definition   Patients with Diabetes age >18 with their most recent Hemoglobin A1c test >8.5% in the past 12 months
Measurement   Percentage of patients meeting the metric definition
Numerator   Number of patients with their most recent Hemoglobin A1c test > 8.5%
Denominator   Number of patients with a Diabetes diagnosis in their EPICare problem list

Patients residing in a nursing home                           
Patients new to EPN within the last 6 months
Patients with a new Diabetes diagnosis within the past 6 months
Patients referred to an Endocrinology Specialist for care


Monthly reports distributed to practices identifying patients with most recent Hemoglobin A1c test result > 8.5%


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