HEDISHbA1c HEDIS, diabetes, diabetes mellitus, type 1 diabetes, type 2 diabetes, blood glucose, blood sugar, insulin HEDISHbA1c.Year Percentage of health plan members with diabetes who had their Hemoglobin A1c tested within the last year. Number of sampled health plan members with diabetes who had their Hemoglobin A1c tested within the last year. Number of sampled health plan members with diabetes. This quality of care measure Indicator Report came from the Healthcare Effectiveness Data and Information Set (HEDIS), which is developed and maintained by the National Committee for Quality Assurance (NCQA). The HEDIS measurement set contains over 70 measures across eight major areas of care such as helping people stay healthy or caring for people with chronic illness. Health plans nationwide collect these measures to see how they performed in different areas of health care over the past year. Each year, Utah HMOs report HEDIS measures to the Utah Department of Health. All data are reviewed by NCQA-certified auditors to ensure that the reported HEDIS measures are representative and accurate. The National Committee for Quality Assurance (NCQA) is a non-profit organization committed to assessing, reporting on, and improving the quality of care provided by the nation's health plans. Evidence from health plan administrative records and survey interviews indicates that the American Association of Diabetes Educators (AADE) and the National Committee for Quality Assurance (NCQA) surveys might substantially underestimate the proportion of persons with diabetes who have a routine A1C test. Note that starting in 2017, Utah commercial HMOs and PPOs are now regarded as functionally the same and are used together in calculating the state averages. 11/03/2021 The Hemoglobin A1c (A1C) test measures the level of blood glucose for persons with diabetes. High levels of blood glucose puts people at risk for blindness, kidney disease, and lower extremity infections. With support from their provider, people can can reduce their risk of serious complications by controlling their levels of blood glucose. D-11 The American Diabetes Association recommends an A1C exam about every three months. The Diabetes Prevention and Control Program has been combined with the Heart Disease and Stroke Program, the Physical Activity, Nutrition and Obesity Program, and a School Health Program. The new program is known as the Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program. One of EPICC's main goals is to decrease the proportion of people with diabetes who have A1Cs greater than 9%. A number of studies show that people who attend diabetes self-management education classes have lower A1C levels. These classes are usually taught by a dietitian, pharmacist, or certified diabetes educator, and have been shown to help individuals develop a variety of skills, including blood sugar monitoring, they need to manage their diabetes. A list of classes is available at [https://livingwell.utah.gov/program.php?grp=diab]. Diabetes Self-Management Education (DSME) [https://livingwell.utah.gov/program.php?grp=diab] Healthy Living through Environment, Policy & Improved Clinical Care (EPICC Program), Information on Diabetes [https://livingwell.utah.gov/program.php?grp=diab] [[br]][[br]] Utah Department of Health, Office of Health Care Statistics [https://stats.health.utah.gov/about-the-data/health-plan-quality/] CHD_OHCS cletamendi@utah.gov A 01/14/2022 Updates to graphs made by:Kmcnamara@utah.gov, 11/3/2021 Detail modified by: sterlingpetersen@utah.gov, 10/30/2020 The numbers for indicator come from the Annual Quality Compass. Each year she should populate a template with all of the new data. The template is at G:\All\IBIS\Indicators\HEDIS\Data for HEDIS Indicator_2000-2013.xlsx, which KPM can then use to update the indicators online. 3 x 01/14/2022 Status changed by: vlund@utah.gov 01/14/2022 D-11 D D-11 Increase the proportion of adults with diabetes who have a glycosylated hemoglobin measurement at least twice a year 71.1 percent 187 08/15/2011 x PopChar DiabAllHosp DiabDth DiabDth.UT_US DiabGestDiab DiabGestDiab.year DiabMgt DiabMgt.LHD DiabPrev DiabPrev.LHD HEDISHbA1c.Year Utah, 2000-2020 Percentage of Persons With Diabetes