Functional Status Assessment for Total Hip Replacement

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 Physician Performance Measure (Measure) and related data specifications are owned and stewarded by the Centers for Medicare & Medicaid Services (CMS). CMS contracted (Contract HHSP23320095627WC; HHSP23337008T) with the National Committee for Quality Assurance (NCQA) to develop this electronic measure. NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications.

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Measuring functional status for patients undergoing total hip replacement permits longitudinal assessment - from the patient's perspective - of the impact of surgical intervention on pain, physical function, as well as health-related quality of life (Rothrock 2010)

The American Association of Hip and Knee Surgeons (AAHKS) states that it is important to ensure that the general/mental health survey be completed prior to surgery during the preoperative visit, as well as the post-operative visit. AAHKS recommends using a general health instrument, such as the VR-12 or PROMIS Global 10 in addition to condition-specific tools.

A higher score indicates better quality

The American Association of Hip and Knee Surgeons (2015). Patient Reported Outcomes Summit for Total Joint Arthroplasty Report. Retrieved from the American Association of Hip and Knee Surgeons Website: http://www.aahks.org/wp-content/uploads/2016/08/AAHKS-2015-Outcomes-Summit-Report.pdf

Rothrock NE, Hays RD, Spritzer K, Yount SE, Riley W, Cella D. Relative to the general US population, chronic diseases are associated with poorer health-related quality of life as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS). J Clin Epidemiol 2010; 63(11):1195-204.

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A Functional Status Assessment (FSA) is based on administration of a validated instrument to eligible patients that asks patients to answer questions related to various domains including: pain, physical function, emotional well-being, health-related quality of life, symptom acuity.

The same FSA instrument must be used for the initial and follow-up assessment.

TBD

Patients 18 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 multiple fractures indicating trauma at the time of the total hip arthroplasty or patients with severe cognitive impairment.

Exclude patients who were in hospice care during the measurement year.

Patients with patient-reported functional status assessment (i.e., VR-12, PROMIS-10-Global Health, HOOS) in the 90 days prior to or on the day of primary THA procedure, and 270 - 365 days after THA procedure

Not Applicable

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For every patient evaluated by this measure also identify payer, race, ethnicity, and sex

Not Applicable