Comprehensive diagnostic testing, interventions, education and rehabilitation.

EPN Diabetes Patients with 2 Hemoglobin A1c Tests in the Prior 12 Months

Initiative      Comprehensive Diabetes Care
Metric   Appropriate Diabetes control testing follow up
Definition   Patients with Diabetes age >18 having at least 2 Hemoglobin A1c tests in the past 12 months
Measurement   Percentage of patients meeting the metric definition
Numerator   Number of patients having at least 2 Hemoglobin A1c tests in the prior 12 months
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


Best Practice Alert appears and identifies patient as overdue for Diabetes Treatment Protocol Health Maintenance Topic appears as overdue four months after last Hemoglobin A1c test results have been received into EPICare medical record Monthly reports distributed to practices identifying patients overdue for testing







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