URSA-MSSP-ECQM-A1C: Glycemic Assmt for Pts w/ Diabetes >9% (CMS122v13)

  • Published on Aug 21, 2025
  • 2 minute(s) read
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Measure Description

Among patients aged 18 to 75 with diabetes and a prior qualifying visit in the last 12 months, the percentage with a most recent HbA1c > 9% or without documentation of HbA1c results in the last 12 months.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Entity
  • Component Class: Long-Form
  • Denominator Case Field: Patient ID
  • Target Direction: Down

Denominator Description

Patients aged 18 to 75 with diabetes and a prior qualifying visit in the last 12 months.

Numerator Description

Patients with qualifying documentation in the last 12 months characterizing the result of the most recent prior HbA1c, and with the most recent prior instance of this documentation indicating a result <= 9%. If the patient does not have a documented HbA1c in the last 12 months it is considered "not controlled".

Published Fields

  • Data Model Keys

    • Patient ID
    • Affiliated Program Entity ID
    • Affiliated Program Entity Provider ID
    • Primary Payor ID
    • Primary Plan ID

  • Operations Support Fields

    • Is Patient Affiliated to a Program Entity
    • Program Entity Operational ID
    • Program Operational ID
    • Patient Operational ID

  • Patient Fields

    • Is Patient Alive
    • Patient Age Integer
    • Patient Date of Birth
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • UW HIP ADI Quintile Category
    • UW HIP ADI Decile Category
    • Is Patient Sex Female
    • Is Patient Sex Male

  • Date Fields

    • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
    • Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.

  • Provider Fields

    • Primary Plan Attributee Provider ID
    • Primary Plan Attributee Provider Description

  • Insurance Fields

    • Is Any Current Plan Membership
    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Denominator Fields

    • Is Denominator Event Criterion Met
    • Is Any Required Exclusion
    • Is Eligible Population
    • Is Required Exclusion for Hospice Services
    • Is Required Exclusion for Patient Death
    • Is Required Exclusion for Palliative Care
    • Is Required Exclusion for Age 66+ with Advanced Illness and Frailty
    • Is Required Exclusion for 66+ Living Long Term in a Nursing Home
    • Qualifying Denominator Visit Date

  • Numerator Fields

    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Document ID
    • Numerator Document Effective Date
    • Numerator HCPCS Code

  • Measure Fields

    • Denominator
    • Numerator

  • [No Field Group]