Percentage of patients aged 18-75 years with a diagnosis of diabetes who received a kidney health evaluation defined by an Estimated Glomerular Filtration Rate (eGFR) AND Urine Albumin-Creatinine Ratio (uACR) within the measurement period
– DENOMINATOR
All patients aged 18-75 years with a diagnosis of diabetes at the start of the measurement period with a visit during the measurement period.
A qualifying visit in this case can include any of the following:
Annual Wellness Visit
Home Healthcare Services
Office Visit
Outpatient Consultation
Preventive Care Services Established Office Visit Up, 18 and Up
Preventive Care Services Initial Office Visit, 18 and Up
Telephone Visits
Numerator:
Patients who received a kidney health evaluation defined by an Estimated Glomerular Filtration Rate (eGFR) AND Urine Albumin-Creatinine Ratio (uACR) within the measurement period.
Denominator Exclusions:
Patients with a diagnosis of End Stage Renal Disease (ESRD)
Patients with a diagnosis of Chronic Kidney Disease (CKD) Stage 5
Patients who have an order for or are receiving hospice or palliative care.
– APPLICATION WORKFLOW
For Denominator:
To record an encounter, navigate to Patient > Provider Notes > Create Superbill. Under the ‘Procedure-CPTs’, enter the relevant encounter code.
eSuperbill for Encounter
To document the diabetes diagnosis, use the workflow Patient > Provider Notes > Diagnoses. Here, click ‘Add’ and search for the relevant diagnosis. Fill out the details and once done, click ‘Save’.
Example of Diabetes Diagnosis
For Numerator:
Both the kidney health tests can be ordered via Patient > Provider Notes > Orders > Lab. Here, click ‘Add’, select a laboratory and search for the relevant laboratory procedure. Fill out the details and once done, click ‘Save & Accept’ or ‘Sign & Accept’.
Example of Estimated Glomerular Filtration Lab Test
For Denominator Exclusions:
To document the ESRD or Stage 5 CKD head over to Patient > Provider Notes > Diagnoses. Here, click ‘Add’ and search for the relevant diagnosis. Fill out the details as needed and once done, click ‘Save’.
Example of ESRD Diagnosis
To document a patient receiving hospice care, navigate to Patient > Provider Notes > Evaluations. Hospice Care can also be recorded by the workflow Patient > Provider Notes > Create Superbill. Under the ‘Procedure-CPTs’ heading, add the relevant hospice care code.
Hospice Care Evaluation
To record a palliative encounter, navigate to Patient > Provider Notes > Evaluations or use the workflow Patient > Provider Notes > Diagnoses. Here, a diagnosis for ‘Encounter for palliative care’ has to be recorded.
Example of Palliative Encounter
To document a palliative intervention, navigate to Patient > Provider Notes > Evaluations.
