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Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.

Date Reviewed: May 9, 2024
Do Not Support: Not Tested
    Group/Practice Individual Clinician
Support
    Health Plan

Measure Info

MIPS 001 CBE 0059 HEDIS HBD
Measure Type
Process
Measure Steward
National Committee for Quality Assurance
Clinical Topic Area
Diabetes
Care Setting
Outpatient
Data Source
Claims
Registry

ACP supports “Hemoglobin A1c (HbA1c) Poor Control (>9%)” at the health plan level. Each percentage drop in A1c levels leads to a lower risk of complications and better patient outcomes. Physicians should encourage patients with diabetes to test their A1c levels twice a year to maintain a proper A1c level. ACP appreciates the addition of the exclusion criteria for patients where the potential harms outweigh the benefits of treating a target HbA1c (e.g., patients in hospice, palliative care, SNP/long-term care, frailty, dementia, and a diagnosis of advanced illness). The measure encourages team-based care at the health plan level. ACP does not support this measure at the individual physician or group practice level since there is no testing data.