Percentage of patients 18 years and older diagnosed with polyneuropathy whose pain score at 12 months (+/- 60 days) was improved from the index score.
Measure Type: High Priority
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.
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.
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.]
Arteriovenous Fistulae Thrombectomy Clinical Success Rate
Percentage of clinically successful arteriovenous fistulae (AVF) thrombectomies for patients on maintenance hemodialysis.
Discontinuation of Proton Pump Inhibitors for patients who do not meet criteria for long-term utilization.
The percentage of patients on a Proton Pump Inhibitor with an appropriately documented indication or an order for discontinuation for not meeting criteria for long-term utilization.
Consultation to Palliative Care for Patients with End Stage Conditions
The measure will identify patients with end stage diagnoses who meet any of the listed criteria for a palliative care consult