eCQM Title | Functional Status Assessment for Total Hip Replacement |
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eCQM Identifier (Measure Authoring Tool) | 56 | eCQM Version number | 8.1.000 |
NQF Number | Not Applicable | GUID | 2f291003-3f2f-48af-bef9-e5aacb95ac3e |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | Centers for Medicare & Medicaid Services (CMS) | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | None | ||
Description | |||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
exists ( "Total Hip Arthroplasty Procedure" ) and exists ( "Qualifying Encounter" ) and exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 19
"Initial Population"
Hospice."Has Hospice" or exists ( "Total Hip Arthroplasty with 2 or More Lower Body Fractures" ) or exists ( "Dementia Diagnosis" )
exists ( "Assessed Initial and Followup HOOS with THA" ) or exists ( "Assessed Initial and Followup HOOSJr with THA" ) or exists ( "Assessed Initial and Followup PROMIS10 with THA" ) or exists ( "Assessed Initial and Followup VR12 Oblique with THA" ) or exists ( "Assessed Initial and Followup VR12 Orthogonal with THA" )
"Total Hip Arthroplasty Procedure" TotalHip with "HOOS Total Assessment Scores" InitialHipAssessmentHOOS such that TotalHip.relevantPeriod starts 90 days or less on or after day of InitialHipAssessmentHOOS.authorDatetime with "HOOS Total Assessment Scores" FollowupHipAssessmentHOOS such that FollowupHipAssessmentHOOS.authorDatetime 270 days or more after day of end of TotalHip.relevantPeriod and FollowupHipAssessmentHOOS.authorDatetime 365 days or less after day of end of TotalHip.relevantPeriod
"Total Hip Arthroplasty Procedure" TotalHip with "HOOSJr Total Assessment Scores" InitialHipAssessment such that TotalHip.relevantPeriod starts 90 days or less on or after day of InitialHipAssessment.authorDatetime with "HOOSJr Total Assessment Scores" FollowupHipAssessment such that FollowupHipAssessment.authorDatetime 270 days or more after day of end of TotalHip.relevantPeriod and FollowupHipAssessment.authorDatetime 365 days or less after day of end of TotalHip.relevantPeriod
"Total Hip Arthroplasty Procedure" TotalHip with "PROMIS10 Total Assessment Scores" InitialHipAssessmentPROMIS10 such that TotalHip.relevantPeriod starts 90 days or less on or after day of InitialHipAssessmentPROMIS10.authorDatetime with "PROMIS10 Total Assessment Scores" FollowupHipAssessmentPROMIS10 such that FollowupHipAssessmentPROMIS10.authorDatetime 270 days or more after day of end of TotalHip.relevantPeriod and FollowupHipAssessmentPROMIS10.authorDatetime 365 days or less after day of end of TotalHip.relevantPeriod
"Total Hip Arthroplasty Procedure" TotalHip with "VR12 Oblique Total Assessment Scores" InitialHipAssessmentOblique such that TotalHip.relevantPeriod starts 90 days or less on or after day of InitialHipAssessmentOblique.authorDatetime with "VR12 Oblique Total Assessment Scores" FollowupHipAssessmentOblique such that FollowupHipAssessmentOblique.authorDatetime 270 days or more after day of end of TotalHip.relevantPeriod and FollowupHipAssessmentOblique.authorDatetime 365 days or less after day of end of TotalHip.relevantPeriod
"Total Hip Arthroplasty Procedure" TotalHip with "VR12 Orthogonal Total Assessment Scores" InitialHipAssessmentOrthogonal such that TotalHip.relevantPeriod starts 90 days or less on or after day of InitialHipAssessmentOrthogonal.authorDatetime with "VR12 Orthogonal Total Assessment Scores" FollowupHipAssessmentOrthogonal such that FollowupHipAssessmentOrthogonal.authorDatetime 270 days or more after day of end of TotalHip.relevantPeriod and FollowupHipAssessmentOrthogonal.authorDatetime 365 days or less after day of end of TotalHip.relevantPeriod
["Diagnosis": "Severe dementia (disorder)"] Dementia where Dementia.prevalencePeriod overlaps "Measurement Period"
"Initial Population"
Hospice."Has Hospice" or exists ( "Total Hip Arthroplasty with 2 or More Lower Body Fractures" ) or exists ( "Dementia Diagnosis" )
["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality with ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport such that HOOSLifeQuality.authorDatetime same day as HOOSSport.authorDatetime and HOOSSport.result is not null with ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore such that HOOSLifeQuality.authorDatetime same day as HOOSActivityScore.authorDatetime and HOOSActivityScore.result is not null with ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms such that HOOSLifeQuality.authorDatetime same day as HOOSSymptoms.authorDatetime and HOOSSymptoms.result is not null with ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain such that HOOSLifeQuality.authorDatetime same day as HOOSPain.authorDatetime and HOOSPain.result is not null where HOOSLifeQuality.result is not null
( ["Assessment, Performed": "Hip Dysfunction and Osteoarthritis Outcome Score for Joint Replacement [HOOSJR]"] HOOSJr where HOOSJr.result is not null )
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ( "Total Hip Arthroplasty Procedure" ) and exists ( "Qualifying Encounter" ) and exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 19
exists ( "Assessed Initial and Followup HOOS with THA" ) or exists ( "Assessed Initial and Followup HOOSJr with THA" ) or exists ( "Assessed Initial and Followup PROMIS10 with THA" ) or exists ( "Assessed Initial and Followup VR12 Oblique with THA" ) or exists ( "Assessed Initial and Followup VR12 Orthogonal with THA" )
["Assessment, Performed": "PROMIS-10 Global Mental Health (GMH) score T-score"] Promis10MentalScore with ["Assessment, Performed": "PROMIS-10 Global Physical Health (GPH) score T-score"] Promis10PhysicalScore such that Promis10MentalScore.authorDatetime same day as Promis10PhysicalScore.authorDatetime and Promis10PhysicalScore.result is not null where Promis10MentalScore.result is not null
( ["Encounter, Performed": "Outpatient Consultation"] union ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure"] ) ValidEncounters where ValidEncounters.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
( ["Procedure, Performed": "Primary THA Procedure"] THAProcedure where THAProcedure.relevantPeriod starts 12 months or less before start of "Measurement Period" )
"Total Hip Arthroplasty Procedure" THAProcedure where Count(["Diagnosis": "Fracture - Lower Body"] LowerBodyFracture where LowerBodyFracture.prevalencePeriod starts less than 1 day on or before THAProcedure.relevantPeriod )>= 2
( ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - oblique method T-score"] VR12MentalAssessment where VR12MentalAssessment.result is not null ) VR12MentalScore with ( ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - oblique method T-score"] VR12PhysicalAssessment where VR12PhysicalAssessment.result is not null ) VR12PhysicalScore such that VR12MentalScore.authorDatetime same day as VR12PhysicalScore.authorDatetime
( ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - orthogonal method T-score"] VR12MentalOrthogonal where VR12MentalOrthogonal.result is not null ) VR12MentalScore with ( ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - orthogonal method T-score"] VR12PhysicalOrthogonal where VR12PhysicalOrthogonal.result is not null ) VR12PhysicalScore such that VR12MentalScore.authorDatetime same day as VR12PhysicalScore.authorDatetime
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |