Percentage of patients 18 years and older diagnosed with polyneuropathy whose pain score at 12 months (+/- 60 days) was improved from the index score.
Category: Quality Measures
Documentation of Seizure Frequency
Percentage of patients with epilepsy who had seizure frequency documented at each visit.
Nutritional Assessment and Intervention Plan in patients with Wounds and Ulcers
The percentage of patients in the denominator for whom an appropriate intervention plan is recommended by the practitioner based on the assessment results
Non-Invasive Arterial Assessment of patients with lower extremity wounds or ulcers for determination of healing potential
Percentage of patients aged 18 years or older with a non-healing lower extremity wound or ulcer that undergo a non-invasive arterial assessment once in a 12-month period
Adequate Compression at each visit for Patients with Venous Leg Ulcers (VLUs) appropriate to arterial supply
Percentage of venous leg ulcer visits among patients aged 18 years and older in which adequate compression is performed at each treatment visit during the 12-month reporting period. Arterial status must first be assessed to ensure that compression can be implemented safely.
Diabetic Foot Ulcer (DFU) Healing or Closure
Percentage of diabetic foot ulcers that have achieved healing or closure within 6 months, stratified by the Wound Healing Index.
Venous Leg Ulcer (VLU) Healing or Closure
Percentage of venous leg ulcers among patients aged 18 or older that have achieved healing or closure within 12 months, stratified by the Wound Healing Index. Healing or closure is defined as complete epithelialization without drainage or the need for a dressing over the closed ulceration, although venous compression would still be required.
Adequate Off-loading of Diabetic Foot Ulcers performed at each visit, appropriate to location of ulcer
Percentage of visits in which diabetic foot ulcers received adequate off-loading during the 12-month reporting period, appropriate to the location of the ulcer. (Off-loading is not a simple documentation process but may include performing a procedure such as Total Contact Casting or special bandaging.)
Pressure Ulcer* (PU) Healing or Closure (ulcerations not on the lower extremity)
Percentage of Stage 2, 3, or 4 pressure ulcers* (not on the lower extremity) among patients aged 18 or older that achieve healing or closure within 6 months [Note: Because both CMS and ICD10-CM use the term “pressure ulcer” for open cutaneous lesions, we are using that term.]
Objective Measurement of Wound Surface Area With AI-Based Imaging
Percentage of chronic wound/ulcer treatment visits in which wound surface area is measured objectively with an AI-based imaging tool, allowing for an objective evaluation of surface area reduction over time.