Percentage of patients 18 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery
Patients 19 years of age and older who had a primary total hip arthroplasty (THA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period
Equals Initial Population
Patients with two or more fractures indicating trauma at the time of the total hip arthroplasty or patients with severe cognitive impairment that overlaps the measurement period.
Exclude patients whose hospice care overlaps the measurement period.
Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12], Patient-Reported Outcomes Measurement Information System [PROMIS]-10-Global Health, Hip Disability and Osteoarthritis Outcome Score [HOOS], HOOS Jr.) in the 90 days prior to or on the day of the primary THA procedure, and in the 270 - 365 days after the THA procedure
Not Applicable
None
A higher score indicates better quality
The same functional status assessment (FSA) instrument must be used for the initial and follow-up assessment.
This eCQM is a patient-based measure.
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
Percentage of patients 19 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270 - 365 days after the surgery
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
Updated eCQM Version Number.
Measure Section: eCQM Version Number
Source of Change: Standards Update
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated rationale to change 'elderly' to 'older adults' to use a more neutral description.
Measure Section: Rationale
Source of Change: Measure Lead
Updated clinical recommendation statement to define Veterans RAND 12-Item Health Survey (VR-12), Patient-Reported Outcomes Measurement Information System (PROMIS), and Knee Injury and Osteoarthritis Outcome Score (KOOS) assessment types.
Measure Section: Clinical Recommendation Statement
Updated references.
Measure Section: Reference
Added text to identify the Quality Data Model (QDM) version used in the measure specification.
Measure Section: Guidance
Added text to indicate whether the measure is patient-based or episode-based.
Updated guidance to use the same functional status assessment (FSA) instrument for the initial and follow-up assessments to promote harmonization between CMS56, CMS66 and CMS90.
Standardized the use of 'Follow Up' in definition names to promote harmonization between CMS56, CMS66 and CMS90.
Measure Section: Numerator
Removed 'day of' from the timing logic to ensure the initial assessment is completed before the procedure and to promote harmonization with CMS66.
Measure Section: Definitions
Source of Change: ONC Project Tracking System (Jira): CQM-3686
Added the 'Max' operator to ensure the time of the last assessment component is used in relation to other events (applicable for all assessment types) and improve alignment with measure intent.
Updated timing logic for the follow-up assessment to use 'in Interval' to simplify logic and promote harmonization between measures.
Clinical Quality Language (CQL) Library version update: Updated version number of the Hospice Library (Hospice-2.2.000).
Measure Section: Multiple Sections
QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded.
Updated CQL expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4).
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays.
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008): Deleted 1 SNOMED CT code (17436001) based on terminology update.
Measure Section: Terminology
Value set Primary THA Procedure (2.16.840.1.113883.3.464.1003.198.12.1006): Deleted 2 SNOMED CT codes (33788003, 425443008) based on terminology update.
Value set Fracture Lower Body (2.16.840.1.113883.3.464.1003.113.12.1037): Deleted 1 SNOMED CT code (208540000) based on terminology update.