MIPS Reporting for Orthopaedics and Physical Therapy

Measure Title: Patient-Reported Pain and/or Function Improvement after Total Shoulder Arthroplasty
Measure ID:CCOME8
High Priority Measure
Measure Type: Patient Reported Outcome
NQS Domain: Person and Caregiver Centered Experience and Outcome
Meaningful Measure: Functional Outcomes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable: No
Ratio Measure: No
Performance Rate Calculated: 1, 1st Performance Rate
Risk Adjusted: No
Care Setting: Hospital, Outpatient Services
Brief description of the measure: Percentage of patients 18 years of age and older who obtained an improvement of at least 1 minimal clinically important difference (MCIDO) in shoulder pain and/or function as measured by validated patient-reported outcome measures (PROMs) completed up to 90 days prior to and 9 to 15 months after undergoing primary total shoulder arthroplasty (TSA) surgery. PROMs include any validated measures of shoulder-related pain and/or function with MCID thresholds supported by literature, including PSS (11.4 points) and ASES (13.6 points).

DENOMINATOR: All patients 18 years of age and older undergoing elective primary TSA surgery who completed shoulder-related PROMs (e.g., PSS, ASES) to measure shoulder pain and/or function up to 90 days prior to and 9-15 months after the surgery.

NUMERATOR: Patients whose shoulder pain and/or function scores at 9-15 months post-op improved by at least 1 MCID from baseline.

DENOMINATOR EXCLUSIONS: Patients under 18 years of age; emergent (non-elective) TSA; revision TSA surgery; shoulder pain and/or function PROMs not completed up to 90 days prior to and 9-15 months after surgery.