Kidney Health Evaluation for Patients with Diabetes (KED)

HEDIS Measure

Kidney Health Evaluation for Patients with Diabetes (KED)

Line of business: Commercial Medicaid Medicare

Data Collection Method:

Administrative (Claims)
Supplemental Data Submission

• Standard – Electronic Clinical Data System (ECDS) Layout
• Non-Standard - Medical Record

Measure Description

The percentage of members 18–85 years of age with diabetes (type 1 and type 2) who received a kidney health evaluation, defined by an estimated glomerular filtration rate (eGFR) and a urine albumin- creatinine ratio (uACR), during the measurement year.

Numerator Compliance

Members who received both an eGFR and a uACR during the measurement year on the same or different dates of service:

• At least one eGFR
• At least one uACR identified by either of the following:
  • Both a quantitative urine albumin test and a urine creatinine test with service dates four days or less apart
  • A uACR test

Best Practices

• Order a diabetes screening test every year and build care gap “alerts” in your electronic medical record
• Follow up with patients to discuss and educate on effects of diabetes
• Coordinate care with patients’ other providers
• Outreach patients who have not had their labs and ask them to complete as soon as possible
• Discuss with member the Importance of screening for diabetes
• Educate the member on symptoms of new-onset diabetes
• Educate the members about the importance of early detection and encourage screening
• Set care gap “alerts” in your electronic medical record

Quality Value Set Directory Coding Tips

Estimated Glomerular Filtration Rate Lab Test

Quantitative Urine Albumin Lab Test

Urine Albumin Creatinine Ratio Lab Test

Urine Creatinine Lab Test