Diabetes: Hemoglobin A1c Poor Control

eCQMs / NQF #: CMS122v7 / 0059
Measure: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.
Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%.
Denominator: Patients 18-75 years of age with diabetes with a visit during the measurement period.
Exclusion:   Exclude patients who were in hospice care during the measurement year
Domain: Effective Clinical Care


In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient (age 18 to 75) at least one time during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator:

Required Data Elements for the Numerator:

Denominator Exclusion:


•  The patient must be age 18 years old and younger than 75 years of age prior to the start of the measurement period.

•  The HbA1c LOINC code can be linked to a corresponding electronic lab result condition or a numeric result template field.

•  The patient is numerator compliant if most recent HbA1c level >9%, the most recent HbA1c result is missing, or if there are no HbA1c tests performed and results documented during the measurement period.

•  Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included.

•   The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes