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Measure #219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
National Quality Strategy Domain: Communication and Care Coordination
Meaningful Measure Area: Patient Reported Functional Outcomes
Measure Type: Patient Reported Outcome
High Priority: Yes
Description: A patient-reported outcome measure of risk-adjusted change in functional status for patients 14 years+ with foot, ankle and lower leg impairments. The change in functional status (FS) assessed using the Foot/Ankle FS patient reported outcome measure (PROM) (©Focus on Therapeutic Outcomes, Inc.). The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static survey)
Instructions: This outcomes measure is to be submitted once per treatment episode for all patients with a functional deficit related to the lower leg, foot or ankle. This is an outcome measure and its calculation requires submitting of the patient’s FS score, as a minimum, at admission to and again at discharge from an episode of rehabilitation. The admission score is recorded during the first rehabilitation treatment encounter, and the discharge score is recorded at or near the conclusion of the final rehabilitation treatment encounter. It is anticipated that Merit-based Incentive Payment System (MIPS) eligible clinicians providing treatment for functional lower leg, foot or ankle deficits will submit this measure.