2021 HM7: Functional Status Change for Patients with Vestibular Dysfunction 

Measure Description

Percentage of patients aged 14 years and older diagnosed with vestibular dysfunction who achieve a Minimal Clinically Important Difference (MCID) as measured via the validated Dizziness Handicap Inventory or equivalent instrument to indicate functional, emotional, and physical improvement

  • Submission Age Criteria 1: Patients aged 14-17 years of age
  • Submission Age Criteria 2: Patients aged 18-64 years of age
  • Submission Age Criteria 3: Patients aged 65 years and older
  • Submission Criteria 4: Overall total rate of patients aged 14 years and older

The measure is adjusted to patient characteristics known to be associated with functional status and quality of life outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality.

Denominator

Denominator Criteria (Eligible Cases):

SUBMISSION CRITERIA 1: Patients aged 14-17 years of age on date of encounter
SUBMISSION CRITERIA 2: Patients aged 18-64 years and older on date of encounter
SUBMISSION CRITERIA 3: Patients aged 65 years of age and older on date of encounter
SUBMISSION CRITERIA 4: Patients aged 14 years of age and older on date of encounter
AND

A diagnosis of vestibular dysfunction diagnosis (ICD-10-CM): BPPV: H81.10, H81.11, H81.12, H81.
OR
Dizziness: R42, H81.10, H81.11, H81.12, H81.13,
OR
Disorders of vestibular function: H81*
OR
Vertiginous syndromes: H82*
OR
Other diseases of inner ear: H83*
OR
Abnormalities of gait and mobility: R26*
OR
Other lack of coordination: R27*
OR
Repeated falls: R29.6
OR
Concussion: S06.0*, F07.81
OR
History of falling: Z91.81
OR
Epidemic vertigo: A88.1
OR
Benign neoplasm of cranial nerves: D33.3
OR
Migraine: B43.109, G43.819

AND

An Index Patient Visit Indicator:
Physical Therapy CPT: 97161, 97162, 97163
OR
Occupational Therapy CPT: 97165, 97166, 97167

AND

Two face to face patient encounters for a treatment episode that began or ended during the performance period

Numerator

Patients who achieved a MCID in vestibular dysfunction, as measured via the validated Dizziness Handicap Inventory or equivalent instrument, to indicate functional improvement greater than zero and a Risk Adjusted Functional Status Change Residual Score for the dizziness handicap successfully calculated with an MCID score that is greater than zero from their initial visits and just prior to or at their discharge visits from the PT/OT practice

Denominator Exclusions

Hospice services received by patient at any time during the performance period
OR
Patient unable to complete a DHI or equivalent instrument at admission and discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility without the availability of an adequate proxy available

Denominator Exceptions

N/A

Numerator Exclusions

N/A

NQF ID Number

N/A

NQS Domain

Effective Clinical Care

High Priority Measure

Yes

Includes Telehealth?

Yes

Inverse Measure

No

Proportional Measure

Yes

Continuous Variable Measure

No

Ratio Measure

No

Number of performance rates to be calculated and submitted

4

Risk-Adjusted Status?

No

Meaningful Measure

Functional Outcomes

Measure Type

Outcome

Care Settings

Ambulatory Care: Clinician Office/Clinic


Tags

QCDR-Quality-2021