Measure titleBlood Pressure ControlMeasure IDBPD_DRP
Description

The percentage of patients 18–75 years of age with diabetes whose blood pressure (BP) was controlled (<140/90 mmHg) during the measurement period.

Measurement period.
Copyright and disclaimer notice

This measure and specification was developed by and is owned by the National Committee for Quality Assurance (“NCQA”). Financial support was provided via a grant from the Leona M. & Harry B. Helmsley Charitable Trust. NCQA holds a copyright in these materials and may rescind or alter these materials at any time. Users of the measure and specification shall not have the right to alter, enhance or otherwise modify the measure and specification, and shall not disassemble, recompile or reverse engineer the measure and specification. Anyone desiring to use or reproduce the materials, without modification for an internal non-commercial purpose may do so without obtaining any approval from NCQA. All other uses, including a commercial use (including but not limited to vendors using the measure and specification with a product or service to calculate measure results), or any external reproduction, distribution and publication of the measure or results (“rates”) therefrom must be approved by NCQA and are subject to a license at the discretion of NCQA. Any use of the materials to identify records or calculate measure results, for example, requires a custom license and may necessitate certification pursuant to NCQA’s Measure Certification Program.

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Clinical recommendation statement

American Diabetes Association (2022)

  • For individuals with diabetes and hypertension at higher cardiovascular risk (existing atherosclerotic cardiovascular disease [ASCVD] or 10-year ASCVD risk ≥15%), a blood pressure target of <130/80 mmHg may be appropriate if it can be safely attained. Level of evidence: B
  • For individuals with diabetes and hypertension at lower risk for cardiovascular disease (10- year atherosclerotic cardiovascular disease risk <15%), treat to a blood pressure target of <140/90 mmHg. Level of evidence: A

Joslin Diabetes Center (2020)

  • Blood pressure goal for each patient aged >18 years is ≤140/90 mmHg. Grade of Recommendation: 1B
  • Systolic blood pressure <130 mmHg may be appropriate for individuals without CVD or without multiple risk factors. Grade of Recommendation: 1B
Citations

American Diabetes Association (ADA). 2022. “10. Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes–2022.” Diabetes Care 2020; 45(Suppl. 1):S144–S174. https://doi.org/10.2337/dc22-S010

Joslin Diabetes Center Clinical Oversight Committee. Clinical Guidelines for Management of Adults with Diabetes. 2020. https://joslin-prod.s3.amazonaws.com/www.joslin.org/assets/2020-08/clinicalguidelinesformanagementofadultswithdiabetes.pdf

Characteristics
ScoringProportion.
TypeOutcome.
Stratification
None.
Risk adjustmentNone.
Improvement notationA higher rate indicates better performance.
Guidance

If there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic reading as the most recent blood pressure reading. Ranges and thresholds do not meet criteria for this measure. A distinct numeric result for both the systolic and diastolic BP reading is required for numerator compliance.

Definitions
Initial population

Patients 18-75 years of age by the end of the measurement period who had a visit during the measurement period, and a diagnosis of diabetes that is ongoing or starts during the first six months of the measurement period.

Exclusions

  • Patients in hospice or using hospice services any time during the measurement period. 
  • Patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period. 
  • Patients 66 and older by the end of the measurement period, with frailty and advanced illness. 
  • Patients receiving palliative care during the measurement period.
  • Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period.

Denominator

The initial population, minus exclusions.

Numerator

Patients whose most recent blood pressure is controlled (systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during the measurement period.

Data criteria (element level)

Table of Contents

  1. Definitions
  2. Functions

Definitions

Functions