Mount Carmel Health Partners HEDIS Tip Sheets

HEDIS Tip Sheet •Timed urine for albumin or protein. •Spot urine (e.g., urine dipstick or test strip) for albumin or protein. •Urine for albumin/creatinine ratio. •24-hour urine for total protein. •Random urine for protein/creatinine ratio. • ACE or ARB medications are usually found in the “Medications” section of the chart. • Diagnosis of ESRD, stage 4 chronic kidney disease, chronic or acute renal failure, renal insufficiency, or diabetic nephropathy are usually found in the “History" or "Progress Notes” or "Consults" sections of the chart. • Nephrology visits would be found in either the “Progress Notes” sections or the “Consults” sections of the chart. Member Outreach Tips: • Ask patients if they have had a urine microalbumin or urine protein/albumin test or a visit with a nephrologist in the measurement year if they are currently taking an ACE Inhibitor/ARB before reminding them they are due. Additionally, also ask if they have ever been diagnosed with kidney disease. • If patients have not met any of the above criteria, encourage them to schedule a visit with their PCP for screening. Supplemental Data Tips • The urine microalbumin or protein/albumin test must indicate the test date and the result must be present for the patient to meet this measure. • For ACE inhibitor or ARB medications, please list the name of the medication and date. • For a nephrologist visit, please list the name of the nephrologist and the visit date (not just the consult date; the patient must actually see the nephrologist). • For a diagnosis of ESRD, stage 4 chronic kidney disease, chronic or acute renal failure, renal insufficiency, or diabetic nephropathy, please indicate the date diagnosed. • For any of the above, the testing, medications, or diagnosis must be completed, documented or re-documented during the measurement year. Description Angiotensin converting enzyme inhibitors Angiotensin II inhibitors Prescription • Benazepril • Captopril � Azilsartan � Candesartan � Aliskiren-valsartan � Enalapril � Lisinopril � Perindopril � Eprosartan � Losartan �Telmisartan � Fosinopril � Moexipril � Irbesartan � Olmesartan � Amlodipine-benazepril � Valsartan � Candesartan-hydrochlorothiazide � Hydrochlorothiazide-moexipril � Captopril-hydrochlorothiazide � Amlodipine-telmisartan � Eprosartan-hydrochlorothiazide � Amlodipine-olmesartan � Enalapril-hydrochlorothiazide � Amlodipine-perindopril � Fosinopril-hydrochlorothiazide � Hydrochlorothiazide-irbesartan 21 • Trandolapril � Hydrochlorothiazide-lisinopril � Amlodipine-hydrochlorothiazide- olmesartan � Amlopipine-valsartan � Ramipril � Azilsartan-chlorthalidone � Benazepril-hydrochlorothiazide � Amlodipine-hydrochlorothiazide- valsartan Antihypertensive combinations � Quinapril � Hydrochlorothiazide-losartan � Hydrochlorothiazide- olmesartan � Hydrochlorothiazide-quinapril � Hydrochlorothiazide- telmisartan � Hydrochlorothiazide-valsartan • Sacubitril-valsatran • Trandolapril-verapamil

Mount Carmel Health Partners HEDIS Tip Sheets | Page 21