The Safety and Effectiveness of Diabetes Quality Metrics in Elderly Patients

Improving health care quality for seniors with complex chronic conditions is a critical issue for health services and health policy research. Widely-used quality metrics for patients with chronic illness put forth by agencies such as HEDIS and CMS are often based on clinical trials evidence of reduced risk for clinical outcomes in younger study populations with fewer comorbidities, and may not be generalizable or appropriate for elderly patients. The primary goal of this study is to compare the effectiveness of meeting standard national quality metrics for diabetes medication adherence for specific medications, and to meeting HbA1c targets, on preventing adverse events, hospitalizations, and ED visits in elderly patients with diabetes.

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