Diabetes: Retinal exam (≥1 in 24 months)
Clinical Quality & Outcomes
How this indicator is defined
Methodology version v1.0
Percentage of rostered patients with diabetes who have a documented retinal examination within the past 24 months.
Proportion of eligible patients (percentage)
The percentage of eligible patients (the denominator) who have at least one Diabetes retinal exam record within the 2-year window. Each patient is counted once.
Data inputs
- Diabetes retinal exam
Derived from
What this indicator measures— Name, alignment, goal, rationale.
- Indicator nameField 1 — Indicator name
- Diabetes: Retinal exam (≥1 in 24 months)
- AlignmentField 2 — Alignment
- Diabetes Canada Clinical Practice Guidelines (2018)
- Canadian Ophthalmological Society guidelines
- Strategic goalField 3 — Strategic goal
- Prevent diabetic retinopathy progression through early detection via regular retinal exams.
- RationaleField 5 — Rationale
- Diabetic retinopathy is the leading cause of blindness in working-age adults. Annual to biennial retinal exams enable early laser or injection therapy before vision loss occurs.
How it's computed— Scoring method, numerator, denominator, inclusions, exclusions.
- NumeratorField 6 — Numerator
- Rostered patients in the denominator with ≥1 retinal exam result (dilated fundoscopy or digital retinal photography) documented within 24 months of reporting-period end.
- DenominatorField 7 — Denominator
Active rostered patients with a diabetes diagnosis, age 18–85 at reporting-period end.
- Sex eligibility: F, M
- Age range: 18–85
- Active as of reporting-period end: yes
- ExclusionsField 9 — Exclusions
- Patients deceased before the reporting-period end date.
- Patients deactivated from the roster before the reporting-period end date.
How patients are attributed— Attribution rule and risk adjustment.
- Attribution ruleField 10 — Attribution rule
- Enrolment (rostered)
- Risk-adjustment modelField 11 — Risk-adjustment model
- None
How comparison works— Peer group, reliability threshold, peer comparator.
- Reliability thresholdField 13 — Reliability threshold
- 20
Data + reporting— Data source, reporting frequency, direction of improvement, limitations.
- Reporting frequencyField 15 — Reporting frequency
- quarterly
- Direction of improvementField 16 — Direction of improvement
- Higher is better
Targets + governance— Target, justification, owner, review, approval, version, notes.
- TargetField 18 — Target
- 65.0% — the clinic's target for this indicator, set by the product owner.
- Methodology versionField 23 — Methodology version
- v1.0