Inhaled Corticosteroid for Patients with Acute Asthma Exacerbation

Percentage of patients aged 6+ diagnosed with an acute asthma exacerbation and prescribed inhaled corticosteroid

Intraoperative Hypotension (IOH) among Non-Emergent Noncardiac Surgical Cases

Percentage of general, neuraxial, or regional anesthesia care cases in which the mean arterial pressure (MAP) fell below 65 mmHg for a cumulative total of 15 minutes or more

Functional Status Change for Patients with Upper or Lower Quadrant Edema

This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years and older with lymphedema or other causes of edema. For patients with such conditions affecting the arm, hand, chest, or breast body regions, the change in FS is assessed using the FOTO Upper Quadrant Edema (UQE) FS PROM.1 For patients with such conditions affecting the leg, foot, groin, or lower trunk regions, the change in FS is assessed using the FOTO Lower Quadrant Edema (LQE) FS PROM.2 PROM scores were scaled to the 0-100 metric, with higher scores representing higher perceived functional status.

To fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure at the patient and provider levels to assess quality.

Functional Status Change in Balance Confidence

This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted functional status (FS) change in balance confidence for patients aged 14+ with balance impairments. The change in FS is assessed using the FOTO Balance Confidence, an item-response theory-based PROM derived from the 16-items of the Activities-specific Balance Confidence (ABC) Scale©, (1-3) scored using the T-score metric (mean=50, SD=10), with higher scores representing higher balance confidence.(4)

Patient responses to ABC Scale© items may be used to directly score Balance Confidence PROM, thus allowing clinicians flexibility of choice of PROM used in routine clinical care without adding to patient response burden. In order to fairly measure performance between providers, this quality measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure the patient and provider levels to assess quality.

Functional Status Change for Patients Post Stroke

This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years and older who have experienced a stroke with sequelae impacting physical functional abilities. For patients with such conditions affecting use of the hand, arm, and upper trunk, the change in FS is assessed using the FOTO Stroke Upper Extremity (SUE) FS PROM.1 For patients with such conditions affecting the foot, leg, and lower trunk, the change in FS is assessed using the FOTO Stroke Lower Extremity (SLE) FS PROM.1 PROM cores were scaled to the 0-100 metric, with higher scores representing higher perceived functional status. In order to fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure (PM) at the patient and provider levels to assess quality.

Jaw Functional Status Scale (JFSS) Change

This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted functional status (FS) change in jaw functional status for patients aged 14+ with impairments related to jaw function. The change in FS is assessed using the FOTO Jaw Functional Status Scale (JFSS), an item-response theory (IRT)-based PROM derived from 13 of the 20 items of the Jaw Functional Limitation Scale (JFLS).1, 2 The JFLS is a condition-specific PROM for functional limitations in the masticatory system.3 The 13-item FOTO JFSS is scored using the T-score metric (mean=50, SD=10), with higher scores representing higher functional status. The JFSS PROM can be administered using either computerized adaptive test (CAT)4 or a 6-item short form.

In order to fairly measure performance between providers, this quality measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure at the patient and provider levels to assess quality.

Appropriate follow-up interval based on pathology findings in screening colonoscopy

Percentage of procedures among average-risk patients aged 45 to 75 years receiving a screening colonoscopy with biopsy or polypectomy and pathology findings who had a follow-up interval consistent with US Multi-Society Task Force (USMSTF) recommendations for repeat colonoscopy documented in their colonoscopy report

Screening Colonoscopy Adenoma Detection Rate

The percentage of patients aged 45 to 75 years with at least one conventional adenoma or colorectal cancer detected during screening colonoscopy

Appropriate Utilization of Vancomycin for Cellulitis

Percentage of Patients with Cellulitis Who Did Not Receive Vancomycin Unless MRSA Infection or Risk for MRSA Infection Was Identified

Appropriate Treatment of Psychosis and Agitation in the Emergency Department

Percentage of Adult Patients With Psychosis or Agitation Who Were Ordered an Oral Antipsychotic Medication in the Emergency Department