Quality measures are reported for points toward an overall score. The measures available to a PT or OT will be determined by the method of submitting data—claims or vendor. To earn a score in 2019, PTs and OTs who use a vendor will need to report on at least 6 quality measures. PTs and OTs using claims will have only 5 available measures and will need to report on all of them.
Measure Title: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Quality #: 128
Measure Type: Process
NQSD: Community/Population Health
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous 12 months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous 12 months of the current encounter. Normal Parameters: Age 18 years and older BMI ≥ 18.5 and < 25 kg/m2.
Measure Title: Documentation of Current Medications in the Medical Record
Quality #: 130
Measure Type: Process
NQSD: Patient Safety
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administration.
Measure Title: Pain Assessment and Follow-Up
Quality #: 131
Measure Type: Process
NQSD: Communication and Care Coordination
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present.
Measure Title: Functional Outcome Assessment
Quality #: 182
Measure Type: Process
NQSD: Communication and Care Coordination
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified functional outcome deficiencies on the date of the identified deficiencies.
Measure Title: Functional Status Change for Patients with Knee Impairments
Quality #: 217
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
A patient-reported outcome measure of risk-adjusted change in functional status for patients aged 14 years+ with knee impairments. The change in functional status (FS) is assessed using the Knee 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).
Measure Title: Functional Status Change for Patients with Hip Impairments
Quality #: 218
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
A patient-reported outcome measure of risk adjusted change in functional status for patients 14 years+ with hip impairments. The change in functional status (FS) is assessed using the Hip 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).
Measure Title: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
Quality #: 219
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
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).
Measure Title: Functional Status Change for Patients with Low Back Impairments
Quality #: 220
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
A patient-reported outcome measure of risk adjusted change in functional status for patients 14 years+ with low back impairments. The change in functional status (FS) is assessed using the Low Back 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 by to assess quality. The measure is available as a computer adaptive test, for reduced patient burden, or a short form (static survey).
Measure Title: Functional Status Change for Patients with Shoulder Impairments
Quality #: 221
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
A patient-reported outcome measure of risk adjusted change in functional status for patients 14 years+ with shoulder impairments. The change in functional status (FS) is assessed using the Shoulder 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).
Measure Title: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
Quality #: 222
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
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).
Measure Title: Functional Status Change for Patients with General Orthopedic Impairments
Quality #: 223
Measure Type: Patient Reported Outcome
NQSD: Communication and Care Coordination
A patient-reported outcome measure of risk-adjusted change in functional status (FS) for patients aged 14 years+ with general orthopedic impairments (neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment). The change in FS is assessed using the General Orthopedic FS PROM (patient reported outcome measure) (©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).
