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Statin Therapy for Patients with Diabetes (SPD)

HEDIS Measure

Statin Therapy for Patients with Diabetes (SPD)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The percentage of members 40–75 years of age during the measurement year with diabetes who do not have clinical atherosclerotic cardiovascular disease (ASCVD) who met the following criteria.

Two rates are reported:

  • Received Statin Therapy. Members who were dispensed at least one statin medication of any intensity during the measurement year.
  • Statin Adherence 80%. Members who remained on a statin medication of any intensity for at least 80% of the treatment period.

Numerator Compliance

Received Statin Therapy - At least one dispensing event for a statin medication of any intensity during the measurement year.

Statin Adherence 80% - Members who achieved a PDC of at least 80% during the treatment period.

IPSD - Index prescription start date. The earliest prescription dispensing date for any statin medication of any intensity during the measurement year.

Treatment period - number of days beginning on the IPSD through the end of the measurement year.

PDC - Proportion of days covered.

Best Practices

  • Educate on the importance of complying with statin therapy during every communication
  • Simplify the medication regimen by using once-daily dosing, if possible
  • Listen to members’ concerns and make them an active part of shared-decision making
  • Routinely arrange the next appointment for consistent follow-up and monitoring

High, Moderate And Low Intensity Statin Medications

Description Prescriptions Medication Lists
High-intensity statin therapy Atorvastatin 40-80 mg Atorvastatin High Intensity Medications List
High-intensity statin therapy Amlodipine-atorvastatin 40-80 mg Amlodipine Atorvastatin High Intensity Medications List
High-intensity statin therapy Rosuvastatin 20-40 mg Rosuvastatin High Intensity Medications List
High-intensity statin therapy Simvastatin 80 mg Simvastatin High Intensity Medications List
High-intensity statin therapy Ezetimibe-simvastatin 80 mg Ezetimibe Simvastatin High Intensity Medications List
Moderate-intensity statin therapy Atorvastatin 10-20 mg Atorvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Amlodipine-atorvastatin 10-20 mg Amlodipine Atorvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Rosuvastatin 5-10 mg Rosuvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Simvastatin 20-40 mg Simvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Ezetimibe-simvastatin 20-40 mg Ezetimibe Simvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Pravastatin 40-80 mg Pravastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Lovastatin 40 mg Lovastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Fluvastatin 40-80 mg Fluvastatin Moderate Intensity Medications List
Moderate-intensity statin therapy Pitavastatin 1–4 mg Pitavastatin Moderate Intensity Medications List
Low-intensity statin therapy Ezetimibe-simvastatin 10 mg Ezetimibe Simvastatin Low Intensity Medications List
Low-intensity statin therapy Fluvastatin 20 mg Fluvastatin Low Intensity Medications List
Low-intensity statin therapy Lovastatin 10-20 mg Lovastatin Low Intensity Medications List
Low-intensity statin therapy Pravastatin 10–20 mg Pravastatin Low Intensity Medications List
Low-intensity statin therapy Simvastatin 5-10 mg Simvastatin Low Intensity Medications List