quality reports : Clinical Quality : Medical Group Performance


Quality Insights: Clinical Quality in Primary Care

Diabetes Care for Adults:
Tests to Monitor Kidney Disease

Healthcare quality measure: This measure looks at adult patients (ages 18 to 75), who have Type 1 or Type 2 diabetes. This test is for people who do not have kidney disease. It shows the percent of patients who have had a microalbuminuria test for kidney disease within the past year.

Reasons for this measure: Diabetes is a serious disease. If it is not well controlled, diabetes can lead to kidney disease, vision (eye) problems, foot or leg amputations, or other health problems. Kidney disease damages the parts of the kidney that filter out waste from the body. Doctors need to test your kidneys to make sure they are working. A microalbuminuria test checks for kidney function.

Almost 21 million adults in the United States have diabetes.

Click on a column heading to put the results below in order.
Medical Group
Comparison
Rate
Rating
Benchmarks:
   Nat'l Average
   90th Percentile
   MA Rate		 National Average
National 90th Percentile
MA Rate
82.4%
89.0%
88.3%		  
Atrius Health, Inc., Harvard Vanguard Kenmore
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92.3%

 above three benchmarksabove three benchmarksabove three benchmarksabove three benchmarks

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MA Rate (88.3%)

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Explanation of the Star Ratings...

  • above three benchmarksabove three benchmarksabove three benchmarksabove three benchmarks Four stars means the rate is above three benchmarks
  • above two benchmarksabove two benchmarksabove two benchmarksabove two benchmarks Three stars means the rate is above two benchmarks
  • above one benchmarkabove one benchmarkabove one benchmarkabove one benchmark Two stars means the rate is above one benchmark
  • not above benchmarksnot above benchmarksnot above benchmarksnot above benchmarks One star means the rate is not above benchmarks
  • no data available MHQP has too little data to report on this measure. This can happen when the patients or illnesses a medical group cares for are not part of this report.

The three benchmarks used for comparison are:

  • The MHQP Massachusetts Statewide Rate
  • The National 90th Percentile
  • The National Average

Click here to view the MHQP Massachusetts Statewide Rates
and National benchmarks.

For more information on benchmarks, please see Questions & Answers.

Ways your doctor can help...

  • Teach you about diabetes. This includes ways you can control diabetes with food and exercise. It also includes early signs of diabetes complications (problems) that you should watch for.
  • Ask you to have a yearly microalbuminuria test (if you do not already have kidney disease). Your doctor might also want you to test your blood sugar and check your blood pressure.
  • Ask you to have eye exams and other tests to measure how well your diabetes is under control.
  • May prescribe medications. If so, your doctor will explain how these medications work and how to take them.
  • As needed, refer you to a dietician, diabetes educator, or medical specialist who can help in your diabetes care.

Ways you can help...

  • Make a diabetes plan with your doctor. This plan should include what foods to eat, how often to exercise, and when to have appointments.
  • Control your blood sugar. Eat the foods you are supposed to eat. This is one of the best ways you can control diabetes and prevent kidney disease.
  • Be active each day. This might include taking walks, going to a gym, or doing other types of exercise.
  • Get all the tests your doctor recommends. This includes a microalbuminuria test and other tests that measure how well your diabetes is under control.
  • Know that other diseases (such as high blood pressure) can make diabetes problems worse.
  • Go to the doctor at least once a year. Some people with diabetes see their doctors more often, maybe every 3 to 4 months. Make sure to keep all appointments, even when you are feeling well.

Ways to learn more...

 

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