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REGCLR6: Use of Digital Imaging to Monitor and Improve Treatment Outcomes in Chronic Wound Healing

Measure Description:

This measure is specifically for CHRONIC wounds. Those are wounds that have been present for an extended period of time and have not demonstrated healing.
Percentage of patients presenting with a non-healing (chronic) wound (present for 6 weeks with no or limited response to treatment) who are currently visiting a provider responsible for their wound care, whose provider is using a software-based wound surface area measurement tool, and whose wound healing rate has accelerated since their provider’s adoption of said tool.

Denominator:

All patients with a chronic wound whose provider(s) are using a software-based wound surface area assessment tool to measure wound surface area and have not been classified as a “palliative” patient i.e. a patient without the capacity to heal. A wound surface area assessment tool is one that uses machine vision to derive accurate wound measurements from a digital image. This software can be a commercially available software or free software that is downloadable from the NIH (Image J)
Denominator Criteria
Patients with the diagnosis of a chronic wound (ICD-10):
L97.401, L97.402, L97.403, L97.404, L97.406, L97.408, L97.409, L97.411, L97.412, L97.413, L97.414, L97.416, L97.418, L97.419, L97.421, L97.422, L97.423, L97.424, L97.426, L97.428, L97.429, L97.501, L97.502, L97.503, L97.504, L97.606, L97.508, L97.509, L97.511, L97.512, L97.513, L97.514, , L97.516, L97.518, L97.519, L97.521, L97.522, L97.523, L97.524, L97.526, L97.528 L97.529
AND
Have not been classified as a “palliative” case by their provider
AND
Visit, or are visited by, a provider that uses an automated software-based wound surface area assessment tool. A wound surface area assessment tool is one that uses machine vision to derive accurate wound measurements from a digital image.
AND
Have had an interval of time in which they visited, or were visited by, their provider and said provider did not use the aforementioned software-based wound surface area assessment tool.

Numerator:

All patients whose rate of wound healing, as measured by weekly surface area changes, improved after the use wound surface area assessment tool.
Performance Met: Patient’s wound healing rate, as measured by changes in surface area over time, improves by at least 25% within 4 weeks after the use of the surface area measurement.
Performance Not Met: Patient’s wound healing rate, as measured by changes in surface area over time, stagnates or worsens within 4 weeks after the use of the surface area measurement tool.

Denominator Exclusions:

Patient has documented noncompliance with the treatment plan
OR
Patient fails to follow up for regular visits at 4 weeks after beginning measurement with digital device

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: Closing of Ulcer aligns with patient goals

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 whose rate of wound healing, as measured by weekly surface area changes, improved after the use wound surface area assessment tool.

Overall Performance Rate: 1st Performance Rate

Care Setting: Ambulatory Care: Clinician Office/Clinic

Includes Telehealth?: No