Measure ID: MEX5 - 2023
Measure Title: Hammer Toe Outcome
Percentage of patients with a who have a lesser toe deformity (hammer and claw toes) causing pain that receive an intervention and have clinically significant reduction in pain as a result of that intervention.
All patients aged 18 and older on the date of initial encounter for one of the diagnosis codes associated with this measure. (Q66.89, M20.41, M20.42, M20.51, M20.5x2, M20.61, M20.62)
Are provided an intervention to address their pain
Shoe wear modifications
Report a level of pain of 3 or more on a scale of 1 – 10 on the initial visit
Patients in the denominator received an intervention as defined in the denominator.
Pain Evaluation – Consists of a documented evaluation of patient reported pain level utilizing a standardized pain scale.
Performance Met Numerator
Pain Decreased Significantly (second value equal to or less than 50% of the initial value) (BMC Med. 2017; 15: 35.
Published online 2017 Feb 20. doi: 10.1186/s12916-016-0775-3)
Performance Not Met Numerator 4 Pain level not documented
Performance Not Met Numerator 5 Pain not decreased by 50% or more.
Clinician documented that the patient was not an eligible candidate for evaluation of lesser toe pain. For example, the patient has condition that would not allow them to accurately respond to a pain level exam or the patient has previously documented peripheral neuropathy with loss of protective sensation.
Patients who have been prescribed Opioids
Patient who fail to return for follow up (a 2nd visit)
Denominator Exceptions: Clinician documented that patient was not an eligible candidate for treatment of hammer toe 183B
Numerator Exclusions: None
NQF ID: N/A
High Priority: Yes
Measure Type: Patient-Reported Outcome-based Performance Measure (PRO-PM)
Care Setting: Ambulatory Care: Clinician Office/Clinic
Includes Telehealth?: No
Number of performance rates to be submitted: 1
Performance Rate Description(s): Proper Evaluation of a Hammer Toe is critical to proper treatment. Percentage of patients who are evaluated for a hammer toe and experience a decrease in pain
Traditional vs Inverse measure: Traditional
Proportional, continuous variable, and/or ratio measure indicator: Proportional
Submission Pathway: Traditional MIPS