In November 2016, MNCM’s Measurement and Reporting Committee (MARC) approved a recommendation to publicly report the Comprehensive Diabetes Care: Eye Exam HEDIS measure in the 2018 report year (2017 dates of service) to align with federal programs (e.g., MACRA, Star Ratings) and NCQA accreditation.
This is an example of MNCM’s work to actively align measures to meet the current and future requirements for both clinicians and health plans.
This HEDIS measure reports the percentage of patients 18-75 years of age who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal or dilated eye exam (no evidence of retinopathy) in the 12 month prior the measurement period. This measure is not well suited to provider data collection as eye exams are often performed outside of a medical group’s system. The data for this measure will come from health plan claims which provide a much more comprehensive picture than the medical record alone. Minnesota-based health plans will collect the data and submit it to MNCM for aggregation and reporting. To confirm, data for this measure will not be submitted by medical groups through the direct data submission process as part of the Optimal Diabetes Care measure.
Additionally, results will be privately reported to medical groups in the 2016 report year (2015 dates of service).
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