Measure ID: REGCLR3 - 2023
Measure Title: Bunion Outcome - Adult and Adolescent
Percentage of patients with a who have a hallux valgus (bunion) deformity 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. (M20.11, M20.12, M20.21, M20.22, M20.5X2, M20.31, M20.32, Q74.2, Q66.6, Q66.3)
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 bunion 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)
Clinician documented that patient was not an eligible candidate for treatment of hallux deformity 182B
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): Patient who have a complete evaluation for treatment of Hallux Valgus and experience a decrease in Hallux Valgus Pain
Traditional vs Inverse measure: Traditional
Proportional, continuous variable, and/or ratio measure indicator: Proportional
Submission Pathway: Traditional MIPS