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2003 National Healthcare Quality Report

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Percent of adults with diagnosed diabetes with HbA1c level >9.5% (poor control); < 9.0 (minimally acceptable); < 7.0 (optimal).

Measure Source

This measure is a combined measure developed expressly for the purpose of reporting both minimal and optimal levels of quality. See Comments.

Tables

1.25 Percent of adults age 18 and over with diagnosed diabetes with HbA1c level >9.5% (poor control); <9.0 (minimally acceptable); < 7.0 (optimal), United States, 1999-2000.

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health and Nutrition Examination Survey.

Denominator

Adults, age 18 or older, with diagnosed diabetes.

Numerator

Adults with diabetes who had hemoglobin A1c level greater than 9.5%, or less than 7.0, or less than 9.0, respectively.

Comments

This measure was planned at the NHQR Federal Interagency Workgroup meeting on January 10, 2002 at Agency for Healthcare Research and Quality (AHRQ). The combined measure represents input from the National Alliance for Diabetes Quality Improvement and National Quality Forum for a 9.5 cut point representing tracking of minimal quality and input from the National Institutes of Health for input on cut point of 7.0 representing optimal level of quality. More information on this measure and this meeting are available from AHRQ.

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