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This document discusses essential practices for diabetes management, specifically focusing on patients aged 18-75 with A1c levels tested within the measurement year. It emphasizes the importance of targeting the top 10 percentile as per NCQA standards, while also recognizing that internal data can be directional but should aim for improvement. Publicly available data must maintain high standards for financial comparisons. Key components such as reliable measures, stakeholder collaboration, and innovative payment reforms are crucial for elevating quality improvement (QI) initiatives and overall care coordination.
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For diabetes patients % with A1c tested within measurement year, age 18-75. Target NCQA top 10 percentile.
Data for internal feedback and QI can be imperfect (“directional & good enough”) • Public data for comparison has a financial impact & must be impeccable: • Measures broadly accepted • From a trusted source and methodology • Consistent across payers • Meaningful • Timely • Actionable • Tied to QI initiatives/tools • Payment reform to support QI work and *financially reward reporting of practice level data • Critical- to improve/coordinate care using data that is collected during the course of routine care • Cost of care- need more focus on specialty care/ procedures
