Patricia Franklin, MD, FACS, the registrar of FORCE-TJR, shared the 16 new measures it uses for the Physician Quality Reporting System (PQRS). Data on these will be forwarded to the government, and will also be crunched into the usual bits for benchmarking and comparison amongst the other FORCE members.
Franklin says these measures are likely to stay in place for some time, but others may be added. Not all providers or practices may make use of all of them, but many practices may find tracking some or all of them useful. They are:
Functional Status Assessment for Knee Replacement: Percentage of patients who complete preoperative and follow-up patient-reported functional status assessment.
Pain Status Assessment for Knee Replacement: Percentage of patients who complete a preoperative and follow-up patient-reported pain assessment.
Mental Health Assessment for Knee Replacement: Percentage of patients who completed a pre-operative and follow-up patient-reported mental health assessment.
Improvement in Function for Knee Replacement: Percentage of patients with improvement in functional status post-operatively, greater than or equal to five points from preoperative levels.
Improvement in Pain after Knee Replacement: Percentage of patients with pain assessment score greater than 70 post-operatively, measured by the KOOS pain assessment score.
Functional Status Assessment for Hip Replacement: Percentage of patients who completed a pre-operative and follow-up patient-reported functional status assessment.
Pain Status Assessment for Hip Replacement: Percentage of patients who completed a pre-operative and follow-up patient-reported pain assessment.
Mental Health Assessment for Hip Replacement: Percentage of patients who completed a pre-operative and follow-up patient-reported mental health assessment.
Improvement in Function after Hip Replacement: Percentage of patients who had improvement of five points or greater from preoperative functional status in their post-operative functional levels.
Improvement in Pain after Hip Replacement Measure: Percentage of patients with a post-operative HOOS pain assessment score greater than 70.
Functional Status Assessment for Patients with Knee OA: Percentage of patients who completed at least one patient reported functional status assessment in a given year.
Pain Status Assessment for Patients with Knee OA: Percentage of patients who completed at least one patient-reported pain status assessment in a given year.
Mental Health Assessment for Patients with Knee OA: Percentage of patients who completed at least one patient-reported mental health assessment in a given year.
Functional Status Assessment for Patients with Hip OA: Percentage of patients who completed at least one patient-reported functional status assessment in a given year.
Pain Status Assessment for Patients with Hip OA: Percentage of patients who completed at least one patient-reported pain status assessment in a given year.
Mental Health Assessment for Patients with Hip: Percentage of patients who completed at least one patient-reported mental health assessment in a given year.
For more information on this topic, contact Patricia Franklin, MD, MPH, MBA, Registrar, FORCE-TJR, Worcester, MA. Email: Patricia.Franklin@umassmed.edu.
