CMS56v8 – Functional Status Assessment for Total Hip Replacement

Functional Status Assessment for Total Hip Replacement CMS56v8 Percentage of patients 18 years of age and older who received an elective primary total hip arthroplasty (THA) and completed a functional status assessment within 90 days prior to the surgery and in the 270-365 days after the surgery
INITIAL POPULATION

Patients 19 years of age and older who had a primary total hip arthroplasty (THA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period.

DENOMINATOR

Patients 19 years of age and older who had a primary total hip arthroplasty (THA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period.

NUMERATOR

Patients with patient-reported functional status assessment results (i.e., VR-12, PROMIS-10-Global Health, HOOS, HOOS Jr.) in the 90 days prior to or on the day of the primary THA procedure, and in the 270 – 365 days after THA procedure.

 – DENOMINATOR EXCLUSIONS

Patients with two or more fractures indicating trauma at the time of the total hip arthroplasty or patients with severe cognitive impairment that overlaps measurement period.

APPLICATION WORKFLOW

For Denominator:

Patients 19 years of age and older who had a primary total hip arthroplasty (THA) in the year prior to the measurement period and who had an outpatient encounter during the measurement period. To record procedures, navigate to Patient > Provider Notes > eSuperbill

 

For Numerator:

Patients with patient-reported functional status assessment results (i.e., VR-12, PROMIS-10-Global Health, HOOS, HOOS Jr.) in the 90 days prior to or on the day of the primary THA procedure, and in the 270 – 365 days after THA procedure. To document assessment results, navigate to Patient > Clinical > Evaluations

EVALUATIONS

For Denominator Exclusion

Exclude patients whose hospice care overlaps the measurement period.