CMS 131 - Diabetes: Eye Exam
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CMS 131 / Quality ID #117
Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period.
Denominator: | All patients aged 18-75 years of age with diabetes with a visit during the measurement period.
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Denominator Exclusions: | If patient was in Hospice during the measurement period:
Exclude patients 66 and older who are living long term in an institution for more than 90 days during the measurement period.
Exclude patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured:
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Numerator: | Patients with an eye screening for diabetic retinal disease. This includes diabetics who had one of the following: Diabetic with a diagnosis of retinopathy that overlaps the measurement period and a retinal or dilated eye exam by an eye care professional in the measurement period. And, diabetic with no diagnosis of retinopathy overlapping the measurement period and a retinal or dilated eye exam by an eye care professional in the measurement period or the year prior to the measurement period.
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Office Visit Documentation: |
Once all steps have been completed, the measure will be added to the Quality Measures Report. |
Guidance: | Only patients with Type 1 or Type 2 diabetes will be included. Patients with a diagnosis of secondary diabetes due to another condition will not be included. The eye exam must be performed by an ophthalmologist or optometrist. |
Measure type: | Process |
High Priority Measure: | No |
Telehealth Eligible: | Yes |