1 Basic Facts
- 1.1 Stage of development
- 1.2 Potential or current usage
2 Brief overview of the measure
3 General description=
- 3.1 Rationale for selection
- 3.2 Domain(s) of quality
4 Application and interpretation of the measure
5 Calculation of the measure
6 Appraisal of the measure
- 6.1 Development approach
7 Other items
8 Owner details

Basic Facts

Stage of development

Implemented

Potential or current usage

Brief overview of the measure

General description=

Rationale for selection

Domain(s) of quality

Application and interpretation of the measure

Stated intent of the measure

∙ To ensure coverage of the population of people with diabetes. ∙ To determine the proportion of patients known to have diabetes who are screened regularly. ∙ To ensure there are no differences between populations (equity). ∙ To confirm that we are screening adequately. ∙ To report annually on screening coverage.

Caveats - Considerations

Level of health care delivery/setting

Target population

Stratification by vulnerable populations

Associated incentives

Calculation of the measure

Output of calculation

Numerator description

∙ The number of people with diabetes who have had a retinal screen within the last two years. ∙ The number of people with diabetes who have had a retinal screen within the last three years.

With the change to three-yearly screening, we will need to look at screening at both two and

three years.

Denominator description

The number of people with diabetes enrolled in a primary health organisation (PHO) who live in a district health board (DHB) region, by lead DHB on the last day of the reporting period (reported at a patient level).

For people enrolled in a cross-boundary PHO, DHB of domicile will determine the DHB area

(reported at a patient level).

Time period

Criteria/standard for optimal performance

Data source

Method of extraction

Appraisal of the measure

Development approach

Other items

This needs to be at the DHB level and assumes DHBs will get the population with diabetes from the PHO register. This is really a percentage of patients due to be screened. This is an annual reporting measure, and it depends on the enrolled population at the time of reporting. All eligible people with diabetes should be screened, however, some may be under ophthalmology care or have co-morbidities preventing screening. It is expected that at least 90 percent of the population with diabetes PWD will be screened.

DSRGMR Proportion of People with Diabetes Screened

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