Reduction of Polyneuropathy-Related Pain

Percentage of patients 18 years and older diagnosed with polyneuropathy whose pain score at 12 months (+/- 60 days) was improved from the index score.

Documentation of Seizure Frequency

Percentage of patients with epilepsy who had seizure frequency documented at each visit.

Ankylosing Spondylitis: Controlled Disease Or Improved Disease Function

Percentage of qualifying visits for patients aged 18 years and older with a diagnosis of ankylosing spondylitis whose most recent BASDAI score is less than 4 OR who were in suboptimal disease control (BASDAI score >= 4.0) and who have seen an improvement by at least one point over the previous BASDAI score within the last 12 months.

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.]