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.
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)
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
Have not been classified as a “palliative” case by their provider
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.
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.
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.
Patient has documented noncompliance with the treatment plan
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