eCQM Title | Functional Status Assessment for Total Knee Replacement |
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eCQM Identifier (Measure Authoring Tool) | 66 | eCQM Version number | 8.3.000 |
NQF Number | Not Applicable | GUID | be8d9655-1194-46ef-b43e-4b1d0c36ab71 |
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 Knee Arthroplasty Procedure" ) and exists ( "Qualifying Encounters" ) 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 Knee Arthroplasty with 2 or More Lower Body Fractures" or exists "Dementia Diagnosis"
exists ( "Assessed Initial and Follow up KOOS with TKA" ) or exists ( "Assessed Initial and Follow up KOOSJr with TKA" ) or exists ( "Assessed Initial and Follow up PROMIS10 with TKA" ) or exists ( "Assessed Initial and Follow up VR12 Oblique with TKA" ) or exists ( "Assessed Initial and Follow up VR12 Orthogonal with TKA" )
"Total Knee Arthroplasty Procedure" TotalKnee with "KOOS Total Assessment Scores" InitialKneeAssessmentKOOS such that InitialKneeAssessmentKOOS.authorDatetime 90 days or less on or before start of TotalKnee.relevantPeriod with "KOOS Total Assessment Scores" FollowupKneeAssessmentKOOS such that FollowupKneeAssessmentKOOS.authorDatetime between end of TotalKnee.relevantPeriod + 270 days and end of TotalKnee.relevantPeriod + 365 days
"Total Knee Arthroplasty Procedure" TotalKnee with "KOOSJr Total Assessment Scores" InitialKneeAssessmentKOOSJr such that InitialKneeAssessmentKOOSJr.authorDatetime 90 days or less on or before start of TotalKnee.relevantPeriod with "KOOSJr Total Assessment Scores" FollowupKneeAssessmentKOOSJr such that FollowupKneeAssessmentKOOSJr.authorDatetime between end of TotalKnee.relevantPeriod + 270 days and end of TotalKnee.relevantPeriod + 365 days
"Total Knee Arthroplasty Procedure" TotalKnee with "PROMIS10 Total Assessment Scores" InitialKneeAssessmentPROMIS10 such that InitialKneeAssessmentPROMIS10.authorDatetime 90 days or less on or before start of TotalKnee.relevantPeriod with "PROMIS10 Total Assessment Scores" FollowupKneeAssessmentPROMIS10 such that FollowupKneeAssessmentPROMIS10.authorDatetime between end of TotalKnee.relevantPeriod + 270 days and end of TotalKnee.relevantPeriod + 365 days
"Total Knee Arthroplasty Procedure" TotalKnee with "VR12 Oblique Total Assessment Scores" InitialKneeAssessmentOblique such that InitialKneeAssessmentOblique.authorDatetime 90 days or less on or before start of TotalKnee.relevantPeriod with "VR12 Oblique Total Assessment Scores" FollowupKneeAssessmentOblique such that FollowupKneeAssessmentOblique.authorDatetime between end of TotalKnee.relevantPeriod + 270 days and end of TotalKnee.relevantPeriod + 365 days
"Total Knee Arthroplasty Procedure" TotalKnee with "VR12 Orthogonal Total Assessment Scores" InitialKneeAssessmentOrthogonal such that InitialKneeAssessmentOrthogonal.authorDatetime 90 days or less on or before start of TotalKnee.relevantPeriod with "VR12 Orthogonal Total Assessment Scores" FollowupKneeAssessmentOrthogonal such that FollowupKneeAssessmentOrthogonal.authorDatetime between end of TotalKnee.relevantPeriod + 270 days and end of TotalKnee.relevantPeriod + 365 days
["Diagnosis": "Severe dementia (disorder)"] Dementia where Dementia.prevalencePeriod overlaps "Measurement Period"
"Initial Population"
Hospice."Has Hospice" or exists "Total Knee Arthroplasty with 2 or More Lower Body Fractures" or exists "Dementia Diagnosis"
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 Knee Arthroplasty Procedure" ) and exists ( "Qualifying Encounters" ) and exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 19 )
["Assessment, Performed": "Quality of life score [KOOS]"] KOOSLifeQuality with ["Assessment, Performed": "Sport-recreation score [KOOS]"] KOOSSport such that KOOSLifeQuality.authorDatetime same day as KOOSSport.authorDatetime and KOOSSport.result is not null with ["Assessment, Performed": "Activities of daily living score [KOOS]"] KOOSActivityScore such that KOOSLifeQuality.authorDatetime same day as KOOSActivityScore.authorDatetime and KOOSActivityScore.result is not null with ["Assessment, Performed": "Symptoms score [KOOS]"] KOOSSymptoms such that KOOSLifeQuality.authorDatetime same day as KOOSSymptoms.authorDatetime and KOOSSymptoms.result is not null with ["Assessment, Performed": "Pain score [KOOS]"] KOOSPain such that KOOSLifeQuality.authorDatetime same day as KOOSPain.authorDatetime and KOOSPain.result is not null where KOOSLifeQuality.result is not null
( ["Assessment, Performed": "Knee Injury and Osteoarthritis Outcome Score for Joint Replacement [KOOSJR]"] KOOSJr where KOOSJr.result is not null )
exists ( "Assessed Initial and Follow up KOOS with TKA" ) or exists ( "Assessed Initial and Follow up KOOSJr with TKA" ) or exists ( "Assessed Initial and Follow up PROMIS10 with TKA" ) or exists ( "Assessed Initial and Follow up VR12 Oblique with TKA" ) or exists ( "Assessed Initial and Follow up VR12 Orthogonal with TKA" )
["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 TKA Procedure"] TKAProcedure where TKAProcedure.relevantPeriod starts 12 months or less before start of "Measurement Period"
"Total Knee Arthroplasty Procedure" TKAProcedure where Count(["Diagnosis": "Fracture - Lower Body"] LowerBodyFracture where LowerBodyFracture.prevalencePeriod starts less than 1 day on or before TKAProcedure.relevantPeriod )>= 2
( ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - oblique method T-score"] VR12Mental where VR12Mental.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"] VR12MentalAssessment where VR12MentalAssessment.result is not null ) VR12MentalScore with ( ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - orthogonal method T-score"] VR12PhysicalAssessment where VR12PhysicalAssessment.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 |