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REGCLR2: Tendinitis/ Enthesopathy- Injection Treatment Outcomes for Adults

Measure Description:

Percentage of patients aged 18 or older with a diagnosis of Tendinitis that have a reduction in pain after injection therapy

Denominator:

All patients aged 18 years and older who report pain greater than 3 on a scale of 1 to 10 on date of initial encounter for treatment of conditions in the diagnosis
AND
Diagnosis for any tendinitis and/or enthesopathy
ICD Codes
M65.261 M65.262, M65.27, M65.271, M65.272, M76.61, M76.62 , M76.71 , M76.72 , M76.811 , M76.812 , M76.821 , M76.822 , M76.891 , M76.892 , , M77.32 , M77.41 , M77.42 , M77.51 , M77.52
AND
Patients who received an injection identified as CPT 20550-Injection(s); single tendon sheath, or ligament, aponeurosis and/or CPT 20551-Injection(s); single tendon origin/insertion during the reporting period

Numerator:

Patients in the denominator received an injection identified as CPT 20550-Injection(s); single tendon sheath, or ligament, aponeurosis or CPT 20551 Injection(s); single tendon origin/insertion and experienced a decrease in pain.
DEFINITION
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)
OR
Performance Not Met Numerator 4 Pain level not documented
Performance Not Met Numerator 5 Pain not decreased by 50% or more.

Denominator Exclusions:

Clinician documented that the patient did not return for follow up.
Patient who are prescribed opioids for pain control.

Denominator Exceptions: None

Numerator Exclusions: None

NQS Domain: Effective Clinical Care

High Priority: Yes

Measure Type: Outcome

Meaningful Measure Area: Functional Outcomes

Meaningful Measure Area Rationale: A Decrease in Pain results in improved Functionality for the Patient

Inverse Measure: No

Proportional Measure: Yes

Continuous Variable Measure: No

Ratio Measure: No

If Continuous Variable and/or Ratio is chosen, what would be the range of the score(s)?: N/A

Number of performance rates to be submitted: 1

Performance Rate Description(s): Percentage of patients aged 18 years and older who report pain greater than 3 on a scale of 1 to 10 on date of initial encounter for treatment of conditions in the diagnosis

Overall Performance Rate: 1st Performance Rate

Care Setting: Ambulatory Care: Clinician Office/Clinic

Includes Telehealth?: Yes