NDPP Measurement

Overview

The NDPP Measurement reporting dashboard provides measurement information in support of the National Diabetes Prevention Program (NDPP) about a user’s attributed patients through both population- and patient-level views. Available measurement was developed in collaboration with the Maine Centers for Disease Control and Prevention (Maine CDC) and the Office of MaineCare Services (OMS).

For more information on the measures calculated for the NDPP, visit our methodology section.

Additional resources from Maine CDC and OMS about NDPP efforts include:

Show Attribution Filters

Filter	Description
Attribution Type	The source/methodology used to define a user’s attributed patients, and those patients' relationships to individual providers and/or organizations (i.e., attributed entities). For more information, visit the Attribution Type methodology section.
Attribution Level	The category used to group like-attributed entities in order to establish a hierarchical relationship among the individual providers and/or organizations identified in a user’s selected Attribution Type. This filter option is conditional per selections to the Attribution Type filter option. For more information, visit the Attribution Level methodology section.
Attribution Entity	The name(s) of the individual provider(s) and/or organization(s) corresponding to a user’s selected Attribution Level to which patients are attributed for reporting purposes. This filter option is conditional per selections to the Attribution Type and Attribution Level filter options. For more information, visit the Attribution Entity methodology section.
MaineCare Eligible Member	The indication of whether a user’s attributed patients are active, eligible MaineCare (Medicaid) members at the time of reporting per MaineCare’s daily member eligibility file. Valid values include Yes (i.e., patients that are active, eligible MaineCare members) and No (i.e., patients that are not active, eligible MaineCare members). For more information, visit the MaineCare Eligibility methodology section.
MaineCare Eligible Encounter	The indication of whether a user’s attributed patients had a MaineCare- (Medicaid-) eligible encounter, regardless of whether the patients are currently active, eligible Medicaid members per MaineCare’s daily member eligibility file. Valid values include Yes (i.e., patients that had a MaineCare-eligible encounter) and No (i.e., patients that did not have a MaineCare-eligible encounter). For more information, visit the MaineCare Eligibility methodology section.

Show Demographic Filters

Filter	Description
Sex	The standardized sex category(ies) of user’s attributed patients based on their most recently reported legal/insurance sex values. Valid values include Male, Female, X, and Unknown. Additional Notes: Patients who are reported with a null (i.e., blank) sex value will be categorized within the ‘Unknown’ value. Patients who are reported with a sex value that does not map to the valid values will not be identified by the filter until such time as HealthInfoNet updates its mapping procedures accordingly. For more information, visit the Value-Add Field Logic methodology section.
Age Group	The age group(s) of a user’s attributed patients based on their reported dates of birth. Valid values include 0-4, 5-9, 10-14, 15-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+. Additional Notes: Patients who are reported with a null (i.e., blank) date of birth value will be categorized within the ‘Unknown’ value. For more information, visit the Value-Add Field Logic methodology section.
Race	The standardized race category(ies) of a user’s attributed patients based on their most recently reported race values. Valid values include AIAN (American Indian or Alaska Native), Asian, Black (Black or African American), Multi (two or more races), NHPI (Native Hawaiian or Pacific Islander), White, and Unknown. Additional Notes: Patients who are reported with a null (i.e., blank) race value will be categorized within the ‘Unknown’ value. Patients who are reported with a race value that does not map to the valid values will not be identified by the filter until such time as HealthInfoNet updates its mapping procedures accordingly. For more information, visit the Value-Add Field Logic methodology section.
Ethnicity	The standardized ethnicity category(ies) of a user’s attributed patients based on their most recently reported ethnicity values. Valid values include Hispanic, Non-Hispanic and Unknown. Additional Notes: Patients who are reported with a null (i.e., blank) ethnicity value will be categorized within the ‘Unknown’ value. Patients who are reported with an ethnicity value that does not map to the valid values will not be identified by the filter until such time as HealthInfoNet updates its mapping procedures accordingly. For more information, visit the Value-Add Field Logic methodology section.
City/Town (ZIP Code)	The primary city(ies)/town(s) of residence by ZIP Code of a user’s attributed patients based on their most recently reported values. For more information, visit the Value-Add Field Logic methodology section.

Content-Relevant Filters

Filter	Description
Patient ID	The participant-supplied identifier(s) that recognizes a user’s attributed patients based on where they received care. An individual patient may have many participant-supplied identifiers if they have been treated at multiple care locations over time. Valid values are inclusive of Medical Record Number (MRN) values and other source system identifiers submitted via participants' Admission, Discharge, and Transfer (ADT) HL7 feeds, as well as Medicaid ID values (sometimes referred to as 'A' numbers) shared by the Office of MaineCare Services to uniquely identify its Medicaid members.
Patient Name	The first and/or last names of a user’s attributed patients.
Screening Result	The ability to identify patients in the Patient Measure Results table that are recommended for screening for Pre-Diabetes and Type 2 Diabetes. Valid values include 0 (i.e., not recommended) and 1 (i.e., recommended).
Eligibility Result	The ability to identify patients in the Patient Measure Results table that have been screened and are eligible for participating in the NDPP. Valid values include 0 (i.e., not eligible) and 1 (i.e., eligible).
Risk Result	The ability to identify patients in the Patient Measure Results table that are at risk for developing Pre-Diabetes and Type 2 Diabetes. Valid values include: Total Points = 0 - Minimal Risk Total Points = 1-2 - Low Risk Total Points = 3-4 - Moderate Risk Total Points = 5+ - High Risk Patients excluded from the measure will have a result of ‘N/A’.

Table Field Definitions

Entity Measure Results

Field	Description
Count of Total Attributed Patients	The count of a user’s attributed unique patients.
Count of Patients with Screening Recommendation for Pre-Diabetes & T2 Diabetes	The count of a user’s attributed unique patients who are recommended for screening for Pre-Diabetes and Type 2 Diabetes.
Count of Patients Screened & Eligible for NDPP Participation	The count of a user’s attributed unique patients who have been screened and are eligible for participating in the NDPP.
Count of Patients with Moderate or Greater Risk for Developing Pre-Diabetes & T2 Diabetes	The count of a user’s attributed unique patients who are at Moderate or Greater Risk (i.e., total risk points = 3+) for developing Pre-Diabetes and Type 2 Diabetes.

Patient Measure Results

Field	Description
Patient Name	The first and last names of the patient.
Date of Birth	The date of birth of the patient.
Screening Recommendation for Pre-Diabetes & T2 Diabetes	The indicator that identifies whether the patient is recommended for screening for Pre-Diabetes and Type 2 Diabetes. Valid values include 0 (i.e., not recommended) and 1 (i.e., recommended).
Screened & Eligible for NDPP Participation	The indicator that identifies whether the patient has been screened and is eligible for participating in the NDPP. Valid values include 0 (i.e., not screened or eligible) and 1 (i.e., screened and eligible).
Risk for Developing Pre-Diabetes & T2 Diabetes	The calculated result of the patient’s risk for developing Pre-Diabetes and Type 2 Diabetes. Valid values include: Total Points = 0 - Minimal Risk Total Points = 1-2 - Low Risk Total Points = 3-4 - Moderate Risk Total Points = 5+ - High Risk Patients excluded from the measure will have a result of ‘N/A’.

Linkage Options

Linkage	Target Dashboard	Target Outcome
View patient’s demographic information	Patient Profile	Shows only the selected patient’s demographic information.
View patient’s risk information	Patient Risk	Shows only the selected patient’s risk results information.
View patient’s utilization information	Patient Utilization	Shows only the selected patient’s encounter records.
View patient’s performance measurement	Performance Measurement	Shows only the selected patient’s available performance measure results.
View patient’s address history	Address History	Shows only the selected patient’s address history information.
View patient’s MaineCare medications	MaineCare Medications	Shows only the selected patient’s MaineCare medications.