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 (Claims)

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.

The number of days the member is covered by at least one statin medication prescription of appropriate intensity, divided by the number of days in the treatment period.

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