OrthoQCDR

MIPS Reporting for Orthopaedics and Physical Therapy

Measure Title: Patient-Reported Pain and/or Function Improvement after ACLR Surgery
Measure ID:CCOME4
High Priority Measure
Measure Type: Patient Reported Outcome
NQS Domain: Person and Caregiver Centered Experience and Outcome
Meaningful Measure:Functional Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable: No
Ratio Measure: No
Performance Rate Calculated: 1, 1st Performance Rate
Risk Adjusted: No
Care Setting: Hospital, Outpatient Services
Brief description of the measure: Percentage of patients 13 years of age and older who obtained at least a 10% improvement in knee pain and/or function as measured by validated patient-reported outcome measures (PROMs) completed up to 90 days prior to and 9 to 15 months after undergoing primary anterior cruciate ligament reconstruction (ALCR) surgery. PROMs include any validated measures of knee-related measures of pain and/or function, such as KOOS-Pain, KOOS-ADL, KOOS-PS, and KOOS-JR.

DENOMINATOR: All patients 13 years of age and older undergoing elective primary ACLR surgery who completed knee-related PROMs (e.g., KOOS-Pain, KOOS-ADL, KOOS-PS, KOOS-JR) to measure knee pain/or function up to 90 days prior to and 9-15 months after the surgery.

NUMERATOR: Patients whose knee pain and/or function scores at 9-15 months post-op improved by at least 10% (e.g., 10 points on a 100-point scale) from baseline

DENOMINATOR EXCEPTION: Patients under 13 years of age; revision ACLR surgery; knee pain and/or function PROMs not completed up to 90 days prior to and 9-15 months after surgery.