CQM Measure CMS90v6 Functional Status Assessment for Complex Chronic Conditions

CQM Measure CMS90v6 Functional Status Assessment for Complex Chronic Conditions

NQS Domain: Patient and Family Engagement

Description: Percentage of patients aged 65 years and older with heart failure who completed initial and follow-up patient reported functional status assessments.

Denominator Logic

Patient was >= 65 years old on or before the start of measurement period.

AND Patient had appointment A scheduled <= 185 days after the start of measurement period, with CPT code [99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215] entered during measurement period.

AND Patient had appointment B scheduled 30 - 180 days after appointment A, with CPT code [99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215] entered during measurement period.

AND Patient had active patient problem Heart Failure (CQM ValueSet: 2.16.840.1.113883.3.526.3.376) recorded during measurement period.

Exclusion Logic

Patient had active problem Severe Dementia (CQM ValueSet: 2.16.840.1.113883.3.526.3.1025) or All Cancer (CQM ValueSet: 2.16.840.1.113883.3.464.1003.108.12.1011) recorded during measurement period.

Numerator Logic

Patient had lab test Functional Status Assessment for Heart Failure (CQM ValueSet: 2.16.840.1.113883.3.464.1003.118.12.1031) recorded within 2 weeks of both appointment A and B.

For more information, please visit the CMS website here.

How To (Website) 

Step 1: Access patient record, then click Problem List

Step 2: Next, "Add Problem"

 

Step 3: Finally, enter the problem as appropriate for the patient condition and click "Save"

 

Was this article helpful?
0 out of 0 found this helpful
Have more questions? Submit a request

Comments

Powered by Zendesk