eCQM Title | Functional Status Assessment for Total Hip Replacement |
||
eCQM Identifier (Measure Authoring Tool) | 56 | eCQM Version number | 7.4.000 |
NQF Number | Not Applicable | GUID | 2f291003-3f2f-48af-bef9-e5aacb95ac3e |
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 | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
Reference | |||
Reference | |||
Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
exists ( "Total Hip Arthroplasty Procedure" ) and exists ( "Qualifying Encounter" ) and exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 19
"Initial Population"
Hospice."Has Hospice" or exists ( "Total Hip Arthroplasty with 2 or More Lower Body Fractures" ) or exists ( "Dementia Diagnosis" )
exists "Total Hip Arthroplasty with Initial Assessment" and exists "Hip Assessment 270 to 365 Days after Total Hip Arthroplasty Procedure"
( ["Assessment, Performed": "Hip Dysfunction and Osteoarthritis Outcome Score for Joint Replacement [HOOSJR]"] HOOSJr where HOOSJr.result is not null ) union "HOOS Total Assessment" union "VR12 Total Assessment" union "PROMIS10 Total Assessment"
["Diagnosis": "Severe dementia (disorder)"] Dementia where Dementia.prevalencePeriod overlaps "Measurement Period"
"Initial Population"
Hospice."Has Hospice" or exists ( "Total Hip Arthroplasty with 2 or More Lower Body Fractures" ) or exists ( "Dementia Diagnosis" )
"Complete Assessment" HipAssessment with "Total Hip Arthroplasty with Initial Assessment" TotalHip such that HipAssessment.authorDatetime 270 days or more after day of end of TotalHip.relevantPeriod and HipAssessment.authorDatetime 365 days or less after day of end of TotalHip.relevantPeriod
["Assessment, Performed": "Quality of life score [HOOS]"] HOOSLifeQuality with ["Assessment, Performed": "Sport-recreation score [HOOS]"] HOOSSport such that HOOSLifeQuality.authorDatetime same day as HOOSSport.authorDatetime and HOOSSport.result is not null with ["Assessment, Performed": "Activities of daily living score [HOOS]"] HOOSActivityScore such that HOOSLifeQuality.authorDatetime same day as HOOSActivityScore.authorDatetime and HOOSActivityScore.result is not null with ["Assessment, Performed": "Symptoms score [HOOS]"] HOOSSymptoms such that HOOSLifeQuality.authorDatetime same day as HOOSSymptoms.authorDatetime and HOOSSymptoms.result is not null with ["Assessment, Performed": "Pain score [HOOS]"] HOOSPain such that HOOSLifeQuality.authorDatetime same day as HOOSPain.authorDatetime and HOOSPain.result is not null where HOOSLifeQuality.result is not null
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "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 HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ( "Total Hip Arthroplasty Procedure" ) and exists ( "Qualifying Encounter" ) and exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 19
exists "Total Hip Arthroplasty with Initial Assessment" and exists "Hip Assessment 270 to 365 Days after Total Hip Arthroplasty Procedure"
["Assessment, Performed": "PROMIS 10 Global Mental Health Score"] Promis10MentalScore with ["Assessment, Performed": "PROMIS 10 Global Physical Health Score"] Promis10PhysicalScore such that Promis10MentalScore.authorDatetime same day as Promis10PhysicalScore.authorDatetime and Promis10PhysicalScore.result is not null where Promis10MentalScore.result is not null
( ["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"] ) QualifyingEncounter where QualifyingEncounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
( ["Procedure, Performed": "Primary THA Procedure"] THAProcedure where THAProcedure.relevantPeriod starts 12 months or less before start of "Measurement Period" )
"Total Hip Arthroplasty Procedure" THAProcedure where Count(["Diagnosis": "Fracture - Lower Body"] LowerBodyFracture where LowerBodyFracture.prevalencePeriod starts less than 1 day on or before THAProcedure.relevantPeriod )>= 2
"Total Hip Arthroplasty Procedure" TotalHip with "Complete Assessment" HipAssessment such that TotalHip.relevantPeriod starts 90 days or less on or after day of HipAssessment.authorDatetime
["Assessment, Performed": "VR12 Mental Component T Score"] VR12MentalScore with ["Assessment, Performed": "VR12 Physical Component T Score"] VR12PhysicalScore such that VR12MentalScore.authorDatetime same day as VR12PhysicalScore.authorDatetime and VR12PhysicalScore.result is not null where VR12MentalScore.result is not null
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |