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Measure #222: Functional Status Change for Patients with Elbow, Wrist or Hand 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 (FS) for patients 14 years+ with elbow, wrist or hand impairments. The change in FS is assessed using the Elbow/Wrist/Hand 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 patient-reported outcome measure is to be submitted once per treatment episode for all patients with a functional deficit related to the elbow, wrist or hand. This is a patient-reported 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 elbow, wrist or hand deficits will submit this measure.

Measure #222 Specifications

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