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
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
Exclude patients with two or more fractures indicating trauma in the 24 hours before or at the start of the total hip arthroplasty or patients with severe cognitive impairment that starts before or in any part of the measurement period.
Exclude patients who are in hospice care for any part of 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 5.6. Please refer to the QDM page 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 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
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
Revised the description to better capture the measure intent and logic surrounding the age requirement and to provide clarity and alignment across the header and logic.
Measure Section: Description
Source of Change: Measure Lead
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.
Measure Section: Guidance
Source of Change: Standards/Technical Update
Updated the narrative to exclude patients who have 2 lower body fractures within exactly 24 hours of the total hip arthroplasty (THA) to better meet the measure intent.
Measure Section: Denominator Exclusions
Source of Change: ONC Project Tracking System (JIRA): CQM-4858
Updated grammar and punctuation to improve readability.
Measure Section: Multiple Sections
Updated the timing precision in the definitions from datetime to date by adding 'day of', 'date from', and/or function 'ToDateInterval' to align with the measure intent.
Measure Section: Definitions
Updated the measure logic to exclude patients who have 2 lower body fractures within exactly 24 hours of the THA to better meet the measure intent.
Updated the logic to add the 'NormalizeInterval' function to additional QDM datatypes to decrease implementation burden due to variable use of timing attributes.
Added QDM datatypes Encounter, Performed and Assessment, Performed and associated logic to the Hospice.'Has Hospice Services' definition to provide additional approaches for identifying patients receiving hospice services.
Updated the 'HOOSJr Total Assessment Completed' definition name to align with the modeling across similar measures.
Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.
Updated the version number of the Hospice Library to v4.0.000.
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability. As a result of this change, the LOINC code 21112-8 is no longer required and has been removed from the Terminology section of the human readable specification.
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Replaced value set Hospice Care Ambulatory (2.16.840.1.113762.1.4.1108.15) with value set Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584) based on review by technical experts, SMEs, and/or public feedback.
Measure Section: Terminology
Added value set Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) based on review by technical experts, SMEs, and/or public feedback.
Value set Lower Body Fracture (2.16.840.1.113883.3.464.1003.113.12.1037): Deleted 1 SNOMED CT code (764932008) based on review by technical experts, SMEs, and/or public feedback.
Removed direct reference code LOINC code (21112-8) based on review by technical experts, SMEs, and/or public feedback.
Added direct reference code LOINC code (45755-6) based on review by technical experts, SMEs, and/or public feedback.
Added direct reference code SNOMED CT code (373066001) based on review by technical experts, SMEs, and/or public feedback.