Clinical Quality Measures
Measure Description: Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months
Denominator: All patients aged 18 years and older with a diagnosis of diabetic retinopathy
Numerator: Patients who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy AND the presence or absence of macular edema during one or more office visits within 12 months
Measure Calculation in ChARM EHR: MANUAL
This measure is calculated based on the actions recorded under 'Encounter > MU' section.
To satisfy this measure, for patient with Age >= 18 years with an active diagnosis of 'Diabetic Retinopathy’ (Example ICD 10 codes : E08.311,E08.3213, E08.3411 ), Macular Exam Study should be performed and the level of Severity of Retinopathy should be recorded. Also, presence or absence of Macular Edema should be recorded under 'Encounter > MU' section.
Denominator Exception: Patients will be manually exempted based on other conditions listed below in 'Encounter > MU' section.