Table of Contents


Population Criteria

        • "Has Qualifying Encounters"
            and exists ( "Total Knee Arthroplasty Procedure" )
            and exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
                where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 19
            )
         
        • "Initial Population"
         
        • Hospice."Has Hospice"
            or "Has Total Knee Arthroplasty with 2 or More Lower Body Fractures"
            or "Has Dementia Diagnosis"
         
        • "Has TKA with Initial and Follow Up KOOS Assessments"
            or "Has TKA with Initial and Follow Up KOOSJr Assessments"
            or "Has TKA with Initial and Follow Up PROMIS10 Assessments"
            or "Has TKA with Initial and Follow Up VR12 Oblique Assessments"
            or "Has TKA with Initial and Follow Up VR12 Orthogonal Assessments"
         
        • None
         
        • None
         
        • None
         
  • Definitions

    Functions

    Terminology

    • code "Activities of daily living score [KOOS]" ("LOINC Code (72100-1)")
    • code "Birth date" ("LOINC Code (21112-8)")
    • code "Discharge to healthcare facility for hospice care (procedure)" ("SNOMEDCT Code (428371000124100)")
    • code "Discharge to home for hospice care (procedure)" ("SNOMEDCT Code (428361000124107)")
    • code "Pain score [KOOS]" ("LOINC Code (72102-7)")
    • code "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" ("CPT Code (99024)")
    • code "PROMIS-10 Global Mental Health (GMH) score T-score" ("LOINC Code (71969-0)")
    • code "PROMIS-10 Global Physical Health (GPH) score T-score" ("LOINC Code (71971-6)")
    • code "Quality of life score [KOOS]" ("LOINC Code (72098-7)")
    • code "Severe dementia (disorder)" ("SNOMEDCT Code (428351000124105)")
    • code "Sport-recreation score [KOOS]" ("LOINC Code (72099-5)")
    • code "Symptoms score [KOOS]" ("LOINC Code (72101-9)")
    • code "VR-12 Mental component summary (MCS) score - oblique method T-score" ("LOINC Code (72026-8)")
    • code "VR-12 Mental component summary (MCS) score - orthogonal method T-score" ("LOINC Code (72028-4)")
    • code "VR-12 Physical component summary (PCS) score - oblique method T-score" ("LOINC Code (72025-0)")
    • code "VR-12 Physical component summary (PCS) score - orthogonal method T-score" ("LOINC Code (72027-6)")
    • valueset "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307)
    • valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
    • valueset "Fracture - Lower Body" (2.16.840.1.113883.3.464.1003.113.12.1037)
    • valueset "Hospice care ambulatory" (2.16.840.1.113762.1.4.1108.15)
    • valueset "Knee Injury and Osteoarthritis Outcome Score for Joint Replacement [KOOSJR]" (2.16.840.1.113883.3.464.1003.118.12.1218)
    • valueset "Office Visit" (2.16.840.1.113883.3.464.1003.101.12.1001)
    • valueset "ONC Administrative Sex" (2.16.840.1.113762.1.4.1)
    • valueset "Outpatient Consultation" (2.16.840.1.113883.3.464.1003.101.12.1008)
    • valueset "Payer" (2.16.840.1.114222.4.11.3591)
    • valueset "Primary TKA Procedure" (2.16.840.1.113883.3.464.1003.198.12.1007)
    • valueset "Race" (2.16.840.1.114222.4.11.836)

    Data Criteria (QDM Data Elements)

    • "Assessment, Performed: Activities of daily living score [KOOS]" using "Activities of daily living score [KOOS] (LOINC Code 72100-1)"
    • "Assessment, Performed: Knee Injury and Osteoarthritis Outcome Score for Joint Replacement [KOOSJR]" using "Knee Injury and Osteoarthritis Outcome Score for Joint Replacement [KOOSJR] (2.16.840.1.113883.3.464.1003.118.12.1218)"
    • "Assessment, Performed: Pain score [KOOS]" using "Pain score [KOOS] (LOINC Code 72102-7)"
    • "Assessment, Performed: PROMIS-10 Global Mental Health (GMH) score T-score" using "PROMIS-10 Global Mental Health (GMH) score T-score (LOINC Code 71969-0)"
    • "Assessment, Performed: PROMIS-10 Global Physical Health (GPH) score T-score" using "PROMIS-10 Global Physical Health (GPH) score T-score (LOINC Code 71971-6)"
    • "Assessment, Performed: Quality of life score [KOOS]" using "Quality of life score [KOOS] (LOINC Code 72098-7)"
    • "Assessment, Performed: Sport-recreation score [KOOS]" using "Sport-recreation score [KOOS] (LOINC Code 72099-5)"
    • "Assessment, Performed: Symptoms score [KOOS]" using "Symptoms score [KOOS] (LOINC Code 72101-9)"
    • "Assessment, Performed: VR-12 Mental component summary (MCS) score - oblique method T-score" using "VR-12 Mental component summary (MCS) score - oblique method T-score (LOINC Code 72026-8)"
    • "Assessment, Performed: VR-12 Mental component summary (MCS) score - orthogonal method T-score" using "VR-12 Mental component summary (MCS) score - orthogonal method T-score (LOINC Code 72028-4)"
    • "Assessment, Performed: VR-12 Physical component summary (PCS) score - oblique method T-score" using "VR-12 Physical component summary (PCS) score - oblique method T-score (LOINC Code 72025-0)"
    • "Assessment, Performed: VR-12 Physical component summary (PCS) score - orthogonal method T-score" using "VR-12 Physical component summary (PCS) score - orthogonal method T-score (LOINC Code 72027-6)"
    • "Diagnosis: Fracture - Lower Body" using "Fracture - Lower Body (2.16.840.1.113883.3.464.1003.113.12.1037)"
    • "Diagnosis: Severe dementia (disorder)" using "Severe dementia (disorder) (SNOMEDCT Code 428351000124105)"
    • "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient (2.16.840.1.113883.3.666.5.307)"
    • "Encounter, Performed: Office Visit" using "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)"
    • "Encounter, Performed: Outpatient Consultation" using "Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008)"
    • "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" using "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 (CPT Code 99024)"
    • "Intervention, Order: Hospice care ambulatory" using "Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15)"
    • "Intervention, Performed: Hospice care ambulatory" using "Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15)"
    • "Patient Characteristic Birthdate: Birth date" using "Birth date (LOINC Code 21112-8)"
    • "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
    • "Patient Characteristic Payer: Payer" using "Payer (2.16.840.1.114222.4.11.3591)"
    • "Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
    • "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex (2.16.840.1.113762.1.4.1)"
    • "Procedure, Performed: Primary TKA Procedure" using "Primary TKA Procedure (2.16.840.1.113883.3.464.1003.198.12.1007)"

    Supplemental Data Elements

    Risk Adjustment Variables