Merge pull request #569 from CMSgov/ckawell-qppa-6634-foto6-not-inverse

QPPA-6634: QCDR FOTO6 to not inverse PY2022

measures/2022/measures-data.json

@@ -15354,7 +15354,7 @@
     "nationalQualityStrategyDomain": "Person and Caregiver Centered Experience and Outcomes",
     "measureType": "patientReportedOutcome",
     "isHighPriority": true,
-    "isInverse": true,
+    "isInverse": false,
     "isRiskAdjusted": true,
     "primarySteward": "FOTO QCDR",
     "firstPerformanceYear": 2022,

util/measures/2022/qcdr-measures.csv

@@ -281,7 +281,7 @@ Rate 4) The average of the three risk stratified buckets which will be the perfo
 6169123; 6775913; 6394618,"Anesthesia Quality Institute (AQI) National Anesthesia Clinical Outcomes Registry (NACOR); Anesthesia Quality Registry (AQR QCDR); MSN Healthcare Solutions, LLC",EPREOP31,Active,Intraoperative Hypotension among Non-Emergent Noncardiac Surgical Cases,Percentage of general anesthesia cases in which mean arterial pressure (MAP) fell below 65 mmHg for cumulative total of 15 minutes or more,N/A,Patient Safety,Yes,Intermediate Outcome,Yes,No,No,Yes,1,N/A,1st Performance Rate,Yes,Anesthesia Quality Registry (AQR QCDR),2020,Traditional MIPS,
 8311170,FOTO QCDR,FOTO4,Active,Functional Status Changes for Patients with Upper or Lower Quadrant Edema,"This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years+ with lymphedema or other causes of edema. For patients with such conditions affecting the leg, foot, groin, or lower trunk regions, the change in FS is assessed using the FOTO Lower Quadrant Edema (LQE) FS PROM. For patients with such conditions affecting the arm, hand, chest, or breast body regions, the change in FS is assessed using the FOTO Upper Quadrant Edema (UQE) FS PROM. PROM scores were scaled to the 0-100 metric, with higher scores representing higher perceived functional status. In order to fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure (PM) at the patient and provider levels to assess quality.",N/A,Person and Caregiver Centered Experience and Outcomes,Yes,Patient-Reported Outcome-based Performance Measure (PRO-PM),No,Yes,No,No,1,Proportion of patient episodes that Met or Exceeded the Risk Adjusted Residual Change Score,1st Performance Rate,Yes,FOTO QCDR,2020,Traditional MIPS,
 8311170,FOTO QCDR,FOTO5,New,Functional Status Change in Balance Confidence,"This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted functional status (FS) change in balance confidence for patients aged 14+ with balance impairment. The change in FS is assessed using an item-response theory-based metric derived from the 16-item Activities-specific Balance Confidence (ABC) Scale, scored using the T-score metric (mean=50, SD=10), with higher scores representing higher balance confidence. In order to fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure (PM) at the patient and provider levels to assess quality.",N/A,Person and Caregiver Centered Experience and Outcomes,Yes,Patient-Reported Outcome-based Performance Measure (PRO-PM),No,Yes,No,No,1,Proportion of patient episodes that met or exceeded the risk-adjusted predicted change score,1st Performance Rate,Yes,FOTO QCDR,2022,Traditional MIPS,
-8311170,FOTO QCDR,FOTO6,New,Functional Status Change in Dizziness Impact,"This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted functional status (FS) change in dizziness impact from intake to discharge, for patients aged 14 years and older with vestibular impairments. The change in FS is assessed using the FOTO Dizziness Impact Positional (DIP) or Functional (DIF) PROM; these are item-response theory-based measures developed using items from the Dizziness Handicap Inventory, scored using the T-score metric (mean=50, SD=10), with higher scores representing higher dizziness impact (worse functional status). Modern measurement methods, using IRT, did not support use of one overall score for all 25 items from the Dizziness Handicap Inventory (DHI) due to not meeting the assumption of unidimensionality, which is an important psychometric limitation. IRT testing supported a positional domain as a separate and distinct construct for positional impacts of dizziness pertaining to changes in head position such as turning over in bed, looking up, or quick movements of the head whereas functional activities loaded on a separate domain. The DIP will be administered for patients with a DIP T-score of 45 or higher whereas the DIF will be administered for patients with a DIP T-score of less than 45 at initial evaluation. In order to fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure (PM) at the patient level and provider levels to assess quality.",N/A,Person and Caregiver Centered Experience and Outcomes,Yes,Patient-Reported Outcome-based Performance Measure (PRO-PM),Yes,Yes,No,No,1,Proportion of patient episodes that met or exceeded (in the negative score direction) the risk-adjusted predicted change score,1st Performance Rate,Yes,FOTO QCDR,2022,Traditional MIPS,
+8311170,FOTO QCDR,FOTO6,New,Functional Status Change in Dizziness Impact,"This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted functional status (FS) change in dizziness impact from intake to discharge, for patients aged 14 years and older with vestibular impairments. The change in FS is assessed using the FOTO Dizziness Impact Positional (DIP) or Functional (DIF) PROM; these are item-response theory-based measures developed using items from the Dizziness Handicap Inventory, scored using the T-score metric (mean=50, SD=10), with higher scores representing higher dizziness impact (worse functional status). Modern measurement methods, using IRT, did not support use of one overall score for all 25 items from the Dizziness Handicap Inventory (DHI) due to not meeting the assumption of unidimensionality, which is an important psychometric limitation. IRT testing supported a positional domain as a separate and distinct construct for positional impacts of dizziness pertaining to changes in head position such as turning over in bed, looking up, or quick movements of the head whereas functional activities loaded on a separate domain. The DIP will be administered for patients with a DIP T-score of 45 or higher whereas the DIF will be administered for patients with a DIP T-score of less than 45 at initial evaluation. In order to fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure (PM) at the patient level and provider levels to assess quality.",N/A,Person and Caregiver Centered Experience and Outcomes,Yes,Patient-Reported Outcome-based Performance Measure (PRO-PM),No,Yes,No,No,1,Proportion of patient episodes that met or exceeded (in the negative score direction) the risk-adjusted predicted change score,1st Performance Rate,Yes,FOTO QCDR,2022,Traditional MIPS,
 8311170,FOTO QCDR,FOTO7,New,Functional Status Change for Patients Post Stroke,"This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years and older who have experienced a stroke with sequelae impacting physical functional abilities. For patients with such conditions affecting use of the hand, arm, and upper trunk, the change in FS is assessed using the FOTO Stroke Upper Extremity (SUE) FS PROM. For patients with such conditions affecting the foot, leg, and lower trunk, the change in FS is assessed using the FOTO Stroke Lower Extremity (SLE) FS PROM. PROM cores were scaled to the 0-100 metric, with higher scores representing higher perceived functional status. In order to fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure (PM) at the patient and provider levels to assess quality.",N/A,Person and Caregiver Centered Experience and Outcomes,Yes,Patient-Reported Outcome-based Performance Measure (PRO-PM),No,Yes,No,No,1,Proportion of patient episodes that met or exceeded the risk-adjusted predicted change score,1st Performance Rate,Yes,FOTO QCDR,2022,Traditional MIPS,
 5846856,GIQuIC,GIQIC10,Active,Appropriate management of anticoagulation in the peri-procedural period rate – EGD,Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulant who leave the endoscopy unit with instructions for management of this medication,N/A,Communication and Care Coordination,Yes,Process,No,Yes,No,No,1,N/A,1st Performance Rate,No,GIQuIC,2014,Traditional MIPS,
 5846856; 6981170,GIQuIC; New Hampshire Colonoscopy Registry (NHCR),GIQIC23,Active,Appropriate follow-up interval based on pathology findings in screening colonoscopy,Percentage of procedures among average-risk patients aged 50 to 75 years receiving a screening colonoscopy with biopsy or polypectomy and pathology findings who had a follow-up interval consistent with US Multi-Society Task Force (USMSTF) recommendations for repeat colonoscopy documented in their colonoscopy report,N/A,Communication and Care Coordination,Yes,Process,No,Yes,No,No,7,"This measure will be calculated with 7 performance rates: