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Clinical Quality Measures Report - Diabetes: Eye Exam

Overview
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period.

A patient will be in the denominator when they have all of the following- 

  • An age between 18 and 75 years old
  • A visit during your reporting period 
  • A Diabetes diagnosis with an Onset Date prior to the visit's Procedure Date. This diagnosis must be for Type 1 or Type 2 Diabetes. 

A patient will be excluded from the denominator when:

  • Only a diagnosis of secondary diabetes due to another condition. The denominator only looks for patients with a diagnosis of Type 1 and Type 2 diabetes.

A patient will be in the numerator when they have all of the following- 

  • A Retinal or Dilated Eye Exam added to their EMR or EHR from in the snomed code section with a Start Date and End Date during or within the year prior to your reporting period
    • This Eye Exam must be performed by an ophthalmologist or optometrist provider. 
    • If performed prior to the reporting period, they also need a Negative Findings snomed code entered as the CQM Value on the Retinal or Dilated Eye Exam snomed code
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