eCQM Title

Functional Status Assessment for Total Knee Replacement

eCQM Identifier (Measure Authoring Tool)

eCQM Version Number

10.0.000

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

Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) 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.

Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third party codes contained in the specifications.

CPT(R) contained in the Measure specifications is copyright 2004-2020 American Medical Association. LOINC(R) copyright 2004-2020 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2020 International Health Terminology Standards Development Organisation. ICD-10 copyright 2020 World Health Organization. All Rights Reserved.

Disclaimer

The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.
 
Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].

Measure Scoring

Proportion

Measure Type

Process

Stratification

None

Risk Adjustment

None

Rate Aggregation

None

Rationale

Total knee arthroplasties (TKAs) are common surgical procedures for addressing knee pain and functional impairment, primarily caused by osteoarthritis. From 2008 to 2010, TKAs were the most common procedure for adults age 45 and older. From 2000 to 2010, physicians performed 5.2 million TKAs, with 693,400 procedures performed in 2010 alone (Williams, Wolford, & Bercovitz, 2015). Although TKAs were introduced as a procedure for older adults, the mean age of patients undergoing TKA is decreasing. In 2010, the mean age for those undergoing TKA was 66.2, a 3.9 percent decrease from 68.9 in 2000. Kurtz et al. (2009) projected that patients younger than 65 would account for 55 percent of TKAs by 2030. This growth in knee surgeries for younger patients is significant because they often require more expensive joint arthroplasties that will better withstand wear caused by physical activity (Bozic et al., 2006). 

This measure evaluates whether patients complete a patient-reported functional status assessment (FSA) before and after a TKA. Measuring functional status for patients undergoing total knee 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 et al., 2010).

Clinical Recommendation Statement

While there is no clinical guideline recommending that clinicians assess patients who are undergoing total knee replacements using patient-reported outcomes of function and pain, several clinical specialty societies support the use of a general health questionnaire and a disease-specific questionnaire for these patients. In particular, they recommend the Veterans RAND 12-item health survey (VR-12) or the Patient-Reported Outcomes Measurement Information System [PROMIS]-10-Global as the general health questionnaire and the Knee Injury and Osteoarthritis Outcome Score [KOOS], Jr. as the disease-specific questionnaire (American Association of Orthopaedic Surgeons, the American Joint Replacement Registry, The Hip Society, The Knee Society, & the American Association of Hip and Knee Surgeons, 2015).

Improvement Notation

A higher score indicates better quality

Reference

Reference Type: CITATION

Reference Text: 'American Association of Orthopaedic Surgeons, the American Joint Replacement Registry, The Hip Society, The Knee Society, & the American Association of Hip and Knee Surgeons. (2015). Patient-reported outcomes summit for total joint arthroplasty report. Retrieved from http://www.aahks.org/wp-content/uploads/2018/08/comment-letter-pro-summit-09082015.pdf'

Reference

Reference Type: CITATION

Reference Text: 'Bozic, K. J., Morsehed, S., Silverstein, M. D., et al. (2006). Use of cost-effectiveness analysis to evaluate new technologies in orthopaedics: The case of alternative bearing surfaces in total hip arthroplasty. Journal of Bone and Joint Surgery, American Volume, 88(4), 706-714.'

Reference

Reference Type: CITATION

Reference Text: 'Kurtz, S. M., Lau, E., Ong, K., et al. (2009). Future young patient demand for primary and revision joint arthroplasty: National projections from 2010 to 2030. Clinical Orthopaedics and Related Research, 467(10), 2606-2612.'

Reference

Reference Type: CITATION

Reference Text: 'Rothrock, N. E., Hays, R. D., Spritzer, K., et al. (2010). Relative to the general U.S. population, chronic diseases are associated with poorer health-related quality of life as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS). Journal of Clinical Epidemiology, 63(11), 1195-1204.'

Reference

Reference Type: CITATION

Reference Text: 'Williams, S. N., Wolford, M. L., & Bercovitz, A. (2015). Hospitalization for total knee replacement among inpatients aged 45 and over: United States, 2000-2010. NCHS Data Brief No. 210. Hyattsville, MD: National Center for Health Statistics.'

Definition

None

Guidance

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 (https://ecqi.healthit.gov/qdm) for more information on the QDM.

Transmission Format

TBD

Initial Population

Patients 19 years of age and older who had a primary total knee arthroplasty (TKA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients with two or more fractures indicating trauma at the time of the total knee 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.

Numerator

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, Knee Injury and Osteoarthritis Outcome Score [KOOS], KOOS Jr.) in the 90 days prior to or on the day of the primary TKA procedure, and in the 270 - 365 days after the TKA procedure

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Supplemental Data Elements

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

Population Criteria
Definitions
Functions
Terminology
Data Criteria (QDM Data Elements)
Supplemental Data Elements
Risk Adjustment Variables

Population Criteria

Initial Population

"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
  )

- Denominator
  - "Initial Population"

Denominator Exclusions

Hospice."Has Hospice"
  or "Has Total Knee Arthroplasty with 2 or More Lower Body Fractures"
  or "Has Dementia Diagnosis"

Numerator

"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"

- Numerator Exclusions
  - None

- Denominator Exceptions
  - None

- Stratification
  - None

Definitions

Denominator
- - "Initial Population"

Denominator Exclusions

Hospice."Has Hospice"
  or "Has Total Knee Arthroplasty with 2 or More Lower Body Fractures"
  or "Has Dementia Diagnosis"

Has Dementia Diagnosis

exists ( ["Diagnosis": "Severe dementia (disorder)"] Dementia
    where Dementia.prevalencePeriod overlaps "Measurement Period"
)

Has Qualifying Encounters

exists ( ( ["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"]
    union ["Encounter, Performed": "Telephone Visits"]
    union ["Encounter, Performed": "Online Assessments"] ) ValidEncounters
    where ValidEncounters.relevantPeriod during "Measurement Period"
)

Has TKA with Initial and Follow Up KOOS Assessments

exists ( "Total Knee Arthroplasty Procedure" TotalKnee
    with "Time KOOS Total Assessment Completed" InitialKOOSAssessmentTime
      such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialKOOSAssessmentTime
    with "Time KOOS Total Assessment Completed" FollowupKOOSAssessmentTime
      such that FollowupKOOSAssessmentTime in Interval[
      end of TotalKnee.relevantPeriod + 270 days, 
      end of TotalKnee.relevantPeriod + 365 days]
)

Has TKA with Initial and Follow Up KOOSJr Assessments

exists ( "Total Knee Arthroplasty Procedure" TotalKnee
    with "KOOSJr Total Assessment Completed" InitialKOOSJrAssessment
      such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialKOOSJrAssessment.relevantDatetime
    with "KOOSJr Total Assessment Completed" FollowupKOOSJrAssessment
      such that FollowupKOOSJrAssessment.relevantDatetime in Interval[
      end of TotalKnee.relevantPeriod + 270 days, 
      end of TotalKnee.relevantPeriod + 365 days]
)

Has TKA with Initial and Follow Up PROMIS10 Assessments

exists ( "Total Knee Arthroplasty Procedure" TotalKnee
    with "Time PROMIS10 Total Assessment Completed" InitialPROMIS10AssessmentTime
      such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialPROMIS10AssessmentTime
    with "Time PROMIS10 Total Assessment Completed" FollowupPROMIS10AssessmentTime
      such that FollowupPROMIS10AssessmentTime in Interval[
      end of TotalKnee.relevantPeriod + 270 days, 
      end of TotalKnee.relevantPeriod + 365 days]
)

Has TKA with Initial and Follow Up VR12 Oblique Assessments

exists ( "Total Knee Arthroplasty Procedure" TotalKnee
    with "Time VR12 Oblique Total Assessment Completed" InitialKneeAssessmentObliqueTime
      such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialKneeAssessmentObliqueTime
    with "Time VR12 Oblique Total Assessment Completed" FollowupObliqueAssessmentTime
      such that FollowupObliqueAssessmentTime in Interval[
      end of TotalKnee.relevantPeriod + 270 days, 
      end of TotalKnee.relevantPeriod + 365 days]
)

Has TKA with Initial and Follow Up VR12 Orthogonal Assessments

exists ( "Total Knee Arthroplasty Procedure" TotalKnee
    with "Time VR12 Orthogonal Total Assessment Completed" InitialOrthogonalAssessmentTime
      such that TotalKnee.relevantPeriod starts 90 days or less on or after InitialOrthogonalAssessmentTime
    with "Time VR12 Orthogonal Total Assessment Completed" FollowupOrthogonalAssessmentTime
      such that FollowupOrthogonalAssessmentTime in Interval[
      end of TotalKnee.relevantPeriod + 270 days, 
      end of TotalKnee.relevantPeriod + 365 days]
)

Has Total Knee Arthroplasty with 2 or More Lower Body Fractures

exists ( "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
)

Hospice.Has Hospice

exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice
    where ( DischargeHospice.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
        or DischargeHospice.dischargeDisposition ~ "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 Global."NormalizeInterval" ( HospicePerformed.relevantDatetime, HospicePerformed.relevantPeriod ) overlaps "Measurement Period"
  )

Initial Population

"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
  )

KOOSJr Total Assessment Completed

( ["Assessment, Performed": "Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]"] KOOSJr
    where KOOSJr.result is not null
)

Numerator

"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"

SDE Ethnicity

["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

["Patient Characteristic Payer": "Payer"]

SDE Race
- - ["Patient Characteristic Race": "Race"]

SDE Sex

["Patient Characteristic Sex": "ONC Administrative Sex"]

Time KOOS Total Assessment Completed

from
  ["Assessment, Performed": "Quality of life score [KOOS]"] KOOSLifeQuality,
  ["Assessment, Performed": "Sport-recreation score [KOOS]"] KOOSSport,
  ["Assessment, Performed": "Activities of daily living score [KOOS]"] KOOSActivityScore,
  ["Assessment, Performed": "Symptoms score [KOOS]"] KOOSSymptoms,
  ["Assessment, Performed": "Pain score [KOOS]"] KOOSPain
  let KOOSLifeQualityTime: start of Global."NormalizeInterval" ( KOOSLifeQuality.relevantDatetime, KOOSLifeQuality.relevantPeriod ),
  KOOSSportTime: start of Global."NormalizeInterval" ( KOOSSport.relevantDatetime, KOOSSport.relevantPeriod ),
  KOOSActivityScoreTime: start of Global."NormalizeInterval" ( KOOSActivityScore.relevantDatetime, KOOSActivityScore.relevantPeriod ),
  KOOSSymptomsTime: start of Global."NormalizeInterval" ( KOOSSymptoms.relevantDatetime, KOOSSymptoms.relevantPeriod ),
  KOOSPainTime: start of Global."NormalizeInterval" ( KOOSPain.relevantDatetime, KOOSPain.relevantPeriod )
  where KOOSLifeQualityTime same day as KOOSSportTime
    and KOOSSport.result is not null
    and KOOSLifeQualityTime same day as KOOSActivityScoreTime
    and KOOSActivityScore.result is not null
    and KOOSLifeQualityTime same day as KOOSSymptomsTime
    and KOOSSymptoms.result is not null
    and KOOSLifeQualityTime same day as KOOSPainTime
    and KOOSPain.result is not null
    and KOOSLifeQuality.result is not null
  return Max({ KOOSLifeQualityTime, KOOSSportTime, KOOSActivityScoreTime, KOOSSymptomsTime, KOOSPainTime })

Time PROMIS10 Total Assessment Completed

from
  ["Assessment, Performed": "PROMIS-10 Global Mental Health (GMH) score T-score"] PROMIS10MentalScore,
  ["Assessment, Performed": "PROMIS-10 Global Physical Health (GPH) score T-score"] PROMIS10PhysicalScore
  let PROMIS10MentalScoreTime: start of Global."NormalizeInterval" ( PROMIS10MentalScore.relevantDatetime, PROMIS10MentalScore.relevantPeriod ),
  PROMIS10PhysicalScoreTime: start of Global."NormalizeInterval" ( PROMIS10PhysicalScore.relevantDatetime, PROMIS10PhysicalScore.relevantPeriod )
  where PROMIS10MentalScoreTime same day as PROMIS10PhysicalScoreTime
    and PROMIS10PhysicalScore.result is not null
    and PROMIS10MentalScore.result is not null
  return Max({ PROMIS10MentalScoreTime, PROMIS10PhysicalScoreTime })

Time VR12 Oblique Total Assessment Completed

from
  ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - oblique method T-score"] VR12MentalAssessment,
  ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - oblique method T-score"] VR12PhysicalAssessment
  let VR12MentalAssessmentTime: start of Global."NormalizeInterval" ( VR12MentalAssessment.relevantDatetime, VR12MentalAssessment.relevantPeriod ),
  VR12PhysicalAssessmentTime: start of Global."NormalizeInterval" ( VR12PhysicalAssessment.relevantDatetime, VR12PhysicalAssessment.relevantPeriod )
  where VR12MentalAssessmentTime same day as VR12PhysicalAssessmentTime
    and VR12MentalAssessment.result is not null
    and VR12PhysicalAssessment.result is not null
  return Max({ VR12MentalAssessmentTime, VR12PhysicalAssessmentTime })

Time VR12 Orthogonal Total Assessment Completed

from
  ["Assessment, Performed": "VR-12 Mental component summary (MCS) score - orthogonal method T-score"] VR12MentalAssessment,
  ["Assessment, Performed": "VR-12 Physical component summary (PCS) score - orthogonal method T-score"] VR12PhysicalAssessment
  let VR12MentalAssessmentTime: start of Global."NormalizeInterval" ( VR12MentalAssessment.relevantDatetime, VR12MentalAssessment.relevantPeriod ),
  VR12PhysicalAssessmentTime: start of Global."NormalizeInterval" ( VR12PhysicalAssessment.relevantDatetime, VR12PhysicalAssessment.relevantPeriod )
  where VR12MentalAssessmentTime same day as VR12PhysicalAssessmentTime
    and VR12MentalAssessment.result is not null
    and VR12PhysicalAssessment.result is not null
  return Max({ VR12MentalAssessmentTime, VR12PhysicalAssessmentTime })

Total Knee Arthroplasty Procedure

["Procedure, Performed": "Primary TKA Procedure"] TKAProcedure
  where Global."NormalizeInterval" ( TKAProcedure.relevantDatetime, TKAProcedure.relevantPeriod ) starts 12 months or less before start of "Measurement Period"

Functions

Global.CalendarAgeInYearsAt(BirthDateTime DateTime, AsOf DateTime)
- - years between ToDate(BirthDateTime)and ToDate(AsOf)

Global.NormalizeInterval(pointInTime DateTime, period Interval<DateTime>)

if pointInTime is not null then Interval[pointInTime, pointInTime]
  else if period is not null then period 
  else null as Interval<DateTime>

Global.ToDate(Value DateTime)

DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)

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 "Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]" ("LOINC Code (82324-5)")
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 "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 "Online Assessments" (2.16.840.1.113883.3.464.1003.101.12.1089)
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)
valueset "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080)

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] (LOINC Code 82324-5)"
"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: Online Assessments" using "Online Assessments (2.16.840.1.113883.3.464.1003.101.12.1089)"
"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)"
"Encounter, Performed: Telephone Visits" using "Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080)"
"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

SDE Ethnicity

["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

["Patient Characteristic Payer": "Payer"]

SDE Race
- - ["Patient Characteristic Race": "Race"]

SDE Sex

["Patient Characteristic Sex": "ONC Administrative Sex"]

Risk Adjustment Variables

None

Measure Set

TBD