Patients Suffering From a Knee Injury who Improve Physical Function

Percentage of patients 18 years or older suffering from a knee injury who achieve the Minimal Clinically Important Difference (MCID) in the KOS or PROMIS Physical Function, or like mapped measure during the performance year.

Additionally, a risk-adjusted MCID proportional difference determined by calculating the difference between the risk model predicted and observed MCID proportion will be reported for each PT/OT/MSK Provider/Group. The risk adjustment will be calculated using a logistic regression model using: baseline function score, baseline pain score, age, sex, payer, surgical status, and symptom duration (time from surgery or symptom onset to baseline physical therapy visit) as well as instrument tool used. These measures will serve as a PT/OT/MSK Provider performance measure at the eligible PT/OT/MSK Provider or group level.

This measure will include one rate:
1) The overall performance rate of non-surgical and surgical patients who achieve the MCID in KOS/PROMIS Physical Function/or like mapped measure.

Patients Suffering From a Neck Injury who Improve Pain

Percentage of patients 18 years or older suffering from a neck injury who achieve the Minimal Clinically Important Difference (MCID) in the Numeric Pain Rating Scale, or like mapped measure during the performance year.

Additionally, a risk-adjusted MCID proportional difference determined by calculating the difference between the risk model predicted and observed MCID proportion will be reported for each PT/OT/MSK Provider/Group. The risk adjustment will be calculated using a logistic regression model using: baseline function score, baseline pain score, age, sex, payer, surgical status, and symptom duration (time from surgery or symptom onset to baseline physical therapy visit) as well as instrument tool used. These measures will serve as a PT/OT/MSK Provider performance measure at the eligible PT/OT/MSK Provider or group level.

This measure will include one rate:
1) The overall performance rate of non-surgical and surgical patients who achieve the MCID in the Numeric Pain Rating Scale like mapped measure.

Glaucoma – Intraocular Pressure Reduction

Percentage of glaucoma patient visits where their IOP was below a threshold level based on the severity of their diagnosis.

Diabetic Macular Edema – Loss of Visual Acuity

Percentage of patients with a diagnosis of diabetic macular edema with a loss of less than 3 Snellen lines (which is equivalent to less than 0.3 logMAR) within the past 12 months.

Acute Anterior Uveitis: Post-treatment Grade 0 anterior chamber cells

Percentage of patients with acute anterior uveitis post-treatment with Grade 0 anterior chamber cells

Refractive Surgery: Patients with a postoperative uncorrected visual acuity (UCVA) of 20/20 or better within 30 days

Percentage of patients with an uncorrected visual acuity (UCVA) of 20/20 or better within 30 days

Endothelial Keratoplasty – Dislocation Requiring Surgical Intervention

Percentage of endothelial keratoplasty patients with a rebubbling or revision or repair procedure within 90 days after surgery

Intraocular Pressure Reduction Following Trabeculectomy or an Aqueous Shunt Procedure

Percentage of patients who underwent trabeculectomy or aqueous shunt procedure who had IOP reduced by 20% or more from their pretreatment between 3 and 4 months of treatment or a reduction in overall number of glaucoma medications.

Amblyopia: Interocular visual acuity

Percentage of newly diagnosed amblyopic patients with one or more of the following: A. a corrected interocular (or if not reported, the uncorrected) visual acuity difference less than 0.23 logMAR 3-12 months after first diagnosis of amblyopia OR B. an improvement in the corrected visual acuity of the amblyopic eye of 3 or more Snellen lines (> or = 0.30 logMAR) 3-12 months after first diagnosis of amblyopia OR C. a final visual acuity in the amblyopic eye equal to 20/30 or better (less than or equal to 0.18 log Mar) 3-12 months after first diagnosis of amblyopia

Complications After Cataract Surgery

Percentage of eyes of patients aged 18 years and older with a diagnosis of cataract who had cataract surgery and had the following complications with 90 days after cataract surgery: prolonged inflammation, incision complications, iris complications, retinal detachment, cystoid macular edema, corneal complications, or a return to OR.