NDPP Measurement‎

Screening Result

The indication of whether the user’s attributed patients are recommended to have a screening for Pre-Diabetes and Type 2 Diabetes.

Valid values include No (i.e., patients who are not recommended) and Yes (i.e., patients who are recommended).

Eligibility Result

The indication of whether the user’s attributed patients are eligible for participation in the National Diabetes Prevention Program.

Valid values include No (i.e., patients who are not eligible) and Yes (i.e., patients who are eligible).

Risk Result

The result assigned to a user’s attributed patients that identifies their prospective predictive 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’.

Patient ID

The participant-supplied identifier(s) that identifies 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.

Note: Regardless of how many Patient IDs that an individual patient may have, they will only have a single HIN ID assigned.

Patient Name

The first and/or last names of a user’s attributed patients.

Attributed Patients

The count of unique patients who are attributed to the selected Attribution Entity and who meet the criteria of the selected personal characteristics.

For more information about the filters impacting this metric, visit the Insightsreporting dashboard’s filter section.

Patients Recommended for Screening

The count of a user’s unique attributed patients who are recommended to have a screening for Pre-Diabetes and Type 2 Diabetes.

For more information about the screening measure, visit the National Diabetes Prevention Program methodology section.

Patients Eligible for NDPP

The count of a user’s unique attributed patients who are eligible for participation in the National Diabetes Prevention Program.

For more information about the eligibility measure, visit the National Diabetes Prevention Program methodology section.

Patients at Elevated Risk

The count of a user’s unique attributed patients who are at Moderate or greater risk (i.e., Total Points = 3+) for developing Pre-Diabetes and Type 2 Diabetes.

For more information about the risk measure, visit the National Diabetes Prevention Program methodology section.

Record of Measurement Information for Attributed Patients

HIN ID

The HealthInfoNet-assigned identifier that identifies a unique patient within the HIE’s data warehouse.

Note: This field can be used to join patient records across all patient-level table exports.

Patient Name

The first and last names of the user’s attributed patient.

Date of Birth

The date of birth of the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

Screening Result

The indication of whether the user’s attributed patient is recommended to have a screening for Pre-Diabetes and Type 2 Diabetes.

Valid values include No (i.e., the patient is not recommended) and Yes (i.e., the patient is recommended).

Eligibility Result

The indication of whether the user’s attributed patient is eligible for participation in the National Diabetes Prevention Program.

Valid values include No (i.e., the patient is not eligible) and Yes (i.e., the patient is eligible).

Risk Result

The result assigned to a user’s attributed patient that identifies their prospective predictive 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’.

View patient’s MaineCare medications

MaineCare Medications

Shows only the selected patient’s MaineCare medications.

View patient’s address history

Address History

Shows only the selected patient’s address history information.

View patient’s encounters

Encounter Detail

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 personal characteristics

Patient Detail

Shows only the selected patient’s demographics and personal characteristics.

View patient’s predicted risks

Risk Detail

Shows only the selected patient’s risk results information.