• The CDC measure is a hybrid Healthcare Effectiveness & Data Information Set (HEDIS®) measure; it requires both administrative claims data and data abstracted during a medical record review. The DVHA completed a medical record review for this measure for the first time in 2014. The diabetes in poor control measure was first produced by VT Medicaid in 2019.
• The annual reported rate captures activity during the previous calendar year. 
• The target trendline in the graph above represents the 25th national benchmark percentile for Medicaid programs across the country. 
• Please note that a lower rate is better for this measure.

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of NCQA.

For this measure, lower rates are better.

This composite measure, with 7 different elements including this one for HbA1-c poor control, looks at how well Vermont Medicaid cares for the common and serious chronic disease of diabetes. Diabetes is one of the most costly and highly prevalent chronic diseases in the U.S. Many complications, such as amputation, blindness and kidney failure can be prevented if detected and addressed in the early stages.

Vermont Medicaid has developed a care management program, the Vermont Chronic Care Initiative, that helps Medicaid beneficiaries with the most need, including those with diabetes, to better manage their conditions. Please see Partners and Action Plan below for more information.

Last updated:  September 2021

• Vermont Medicaid beneficiaries
• Medicaid providers and Community Health Teams
• Vermont Department of Health
• Vermont Chronic Care Initiative

Vermont Chronic Care Initiative:

http://dvha.vermont.gov/for-providers/vermont-chronic-care-initiative-vcci

Vermont Department of Health - Diabetes Prevention and Control:

http://healthvermont.gov/prevent/diabetes/diabetes...

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“The source for certain health plan measure rates and benchmark (averages and percentiles) data (“the Data”) is Quality Compass® 2022 and is used with the permission of the National Committee for Quality Assurance (“NCQA”). Any analysis, interpretation or conclusion based on the Data is solely that of the authors, and NCQA specifically disclaims responsibility for any such analysis, interpretation or conclusion. Quality Compass is a registered trademark of NCQA. 

The Data comprises audited performance rates and associated benchmarks for Healthcare Effectiveness Data and Information Set measures (“HEDIS® ”) and HEDIS CAHPS® survey measure results. HEDIS measures and specifications were developed by and are owned by NCQA. HEDIS measures and specifications are not clinical guidelines and do not establish standards of medical care. NCQA makes no representations, warranties or endorsement about the quality of any organization or clinician that uses or reports performance measures or any data or rates calculated using HEDIS measures and specifications, and NCQA has no liability to anyone who relies on such measures or specifications. 

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