Kidney Health Evaluation for Patients with Diabetes

We collect clinical data from our providers to measure and improve the quality of care our members receive.  Kidney Health Evaluation for Patients with Diabetes (KED) is one aspect of care we measure in our quality programs.  KED tracks members ages 18 to 85 with diabetes (type 1 or type 2) who received an annual kidney health evaluation.  An evaluation is defined by an estimated glomerular filtration rate (eGFR) and a urine albumin-creatinine ratio (uACR) during the measurement year.  The uACR is identified by the member having both a quantitative urine albumin test and a urine creatinine test with service dates four or less days apart.

Tips to Consider

  • Identify care gaps and schedule lab tests before office visits to review results and adjust treatment plans if needed.
  • Discuss the importance that regular kidney health evaluations (KED) include both blood and urine tests with members.
  • Lab orders should include eGFR AND uACR; easy for lab tech to have member provide a urine specimen.
  • Communicate with members and other treating providers to ensure all tests are completed and results are documented in the medical record.
  • Submit claims and encounter data in a timely manner.