Improving Hypertension _ Diabetes Control and Prevention
  
An e-NEWSLETTER from Quality Insights                                                                                  January 12, 2017
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sign up now for upcoming  Living with Diabetes: Ask the Experts Town Hall events

event icon Receiving a diagnosis of type 2 diabetes can be overwhelming for patients. The American Diabetes Association (ADA) understands the issues commonly faced by people living with diabetes, and have created "Town Hall" meetings to address common concerns and questions.

Please share these free online educational series for patients living with type 2 diabetes. Each Town Hall will feature a 15-minute video followed by a live 45-minute question-and-answer session with diabetes experts to provide meaningful insights and tips. Below are two upcoming sessions.
Join the conversations free of charge. Simply click on the Town Hall links above and fill out the registration form for each event. The Town Halls are open to all. Invite anyone you know who has diabetes or is at risk for developing the disease. Simply share the link: diabetes.org/experts
 
review these resources to learn How to become a Medicare Diabetes Prevention Program SUPPLIER

Supplier enrollment for the Medicare Diabetes Prevention Program (DMPP) began January 1, 2018. Below are three fact sheets to help you understand what a MDPP is and how to enroll as a supplier.
PART II: High Blood Pressure in Adults - Screening and Follow-up 

bp cuff In last week's e-newsletter we highlighted three screening and follow-up tips for patients with high blood pressure. Below are a few more tips from the American College of Cardiology to keep in mind when screening your patients and the follow-up afterwards:
  1. For an adult 45 years of age without hypertension, the 40-year risk for developing hypertension is 93 percent for African Americans, 92 percent for Hispanics, 86 percent for whites, and 84 percent for Chinese adults. In 2010, hypertension was the leading cause of death and disability-adjusted life-years worldwide, and a greater contributor to events in women and African Americans compared with whites. 
  2. It is important to screen for and manage other cardiovascular disease (CVD) risk factors in adults with hypertension: smoking, diabetes, dyslipidemia, excessive weight, low fitness, unhealthy diet, psychosocial stress, and sleep apnea. Basic testing for primary hypertension includes fasting blood glucose, complete blood cell count, lipids, basic metabolic panel, thyroid stimulating hormone, urinalysis, electrocardiogram with optional echocardiogram, uric acid, and urinary albumin-to-creatinine ratio.
  3. Nonpharmacologic interventions to reduce blood pressure (BP) include: weight loss for overweight or obese patients with a heart healthy diet, sodium restriction, and potassium supplementation within the diet; and increased physical activity with a structured exercise program. Men should be limited to no more than 2 and women no more than 1 standard alcohol drink(s) per day. The usual impact of each lifestyle change is a 4-5 mm Hg decrease in systolic BP (SBP) and 2-4 mm Hg decrease in diastolic BP (DBP); but diet low in sodium, saturated fat, and total fat and increase in fruits, vegetables, and grains may decrease SBP by approximately 11 mm Hg.
 
learn about the benefits of Prediabetes screening

While there are no clear symptoms of prediabetes, some people with prediabetes may have some of the symptoms of diabetes or even problems from diabetes already. According to the ADA, screening results indicating prediabetes include:
 
According to a National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) resource , screening for prediabetes and intervening before a patient has progressed to type 2 diabetes offers a host of benefits, including:
  • Better patient outcomes: Successful lifestyle changes resulting in 5 to 7 percent weight loss and increased physical activity can improve patients' health-related quality of life.
  • Cost-effectiveness: Interventions for prediabetes are highly cost-effective.
  • Recognition and referral: Identifying prediabetes and offering or referring high-risk people to interventions and support are consistent with evidence-based guidelines for preventive care and constitute important ways of assisting patients and families in self-care management-both of which are necessary for providers and practices to seek and receive recognition from National Committee for Quality Assurance (NCQA) as a Patient-Centered Medical Home (PCMH). 
CMS Launches New quality payment program Data Submission System for Clinicians  

hit logo The Centers for Medicare & Medicaid Services (CMS) recently launched a new data submission system for clinicians participating in the Quality Payment Program (QPP). Clinicians can now submit all of their 2017 Merit-based Incentive Payment System (MIPS) data through one platform on the qpp.cms.gov website.

Eligible clinicians can submit and update data any time from January 2, 2018 to March 31, 2018, with the exception of CMS Web Interface users who will have a different timeframe to report quality data from January 22, 2018 to March 16, 2018. Clinicians are encouraged to login early to familiarize themselves with the system.

To learn more about the QPP data submission system, please review this fact sheet or view any of the following training videos:
  1. Merit-based Incentive Payment System (MIPS) Data Submission
  2. Advancing Care Information (ACI) Data Submission for Alternative Payment Models (APMs)
  3. Data Submission via a Qualified Clinical Data Registry and Qualified Registry
Visit qpp.cms.govto explore measures and activities and to review guidance on MIPS, APMs, what to report, and more.

Go to the QPP Resource Library on CMS.gov to review QPP resources.

Questions? Email your questions to  QPP@cms.hhs.gov or call 1.866.288.8292 (TTY: 1.877.715.6222).
contact information

For more details about the Improving Hypertension and Diabetes Care & Prevention project, please contact Rhonda Dodson.
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Funding provided by the Pennsylvania Department of Health through the State Public Health Actions to Prevent and Control 
Diabetes,  Heart Disease, Obesity and Associated Risk Factors and Promote School Health federal grant from the Centers for 
Disease Control  and Prevention. Publication number: PADOH-HD-011218