patvann/cms134v6-diabetes-medical-attention-for-nephropathy
patvann/cms134v6-diabetes-medical-attention-for-nephropathy
Patient Population:
- Patients 18-75 years of age with diabetes mellitus with a visit during the measurement period.
Measure Description:
- The percentage of patients 18-75 years of age with diabetes mellitus who had a nephropathy screening test or evidence of nephropathy (visit with nephrology, ace/arb medication, or renal diagnosis) within last 12 months.
Exclusions:
- Excludes patients who were in hospice care during the measurement year.
Intervention:
- Order a urine microalbumin test or complete POC testing.
- Lab results must be uploaded/come in via Data Integration and must also be reviewed by the provider to complete the intervention. If entering a historical microalbumin test via Data Integration, a lab report with a recorded results linked to the 14957-5 LOINC code must be used. These include:
- Albumin, Urine
- Albumin/Creatinine Ratio, Random Urine
Resources
CMS134v6 Diabetes: Medical Attention for Nephropathy
As the seventh leading cause of death in the U.S., diabetes kills approximately 75,000 people a year (CDC FastStats 2015). Diabetes is a group of diseases marked by high blood glucose levels, resulting from the body's inability to produce or use insulin (CDC Statistics 2014, ADA Basics 2013). People with diabetes are at increased risk of serious health complications including vision loss, heart disease, stroke, kidney failure, amputation of toes, feet or legs, and premature death. (CDC Fact Sheet 2014).
In 2012, diabetes cost the U.S. an estimated $245 billion: $176 billion in direct medical costs and $69 billion in reduced productivity. This is a 41 percent increase from the estimated $174 billion spent on diabetes in 2007 (ADA Economic 2013).
In 2011, diabetes accounted for 44% of new kidney failure cases. In the same year, 49,677 diabetics started treatment for kidney failure and 228,924 people of all ages with kidney failure due to diabetes were living on chronic dialysis or with a kidney transplant (CDC Statistics, 2014).
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