2023 MIPS QCDR ID FOTO 6: Functional Status Change in Dizziness Impact
Before getting started
- It is required that you read and ensure your understanding of the measure specification for this quality measure. To download the measure specification, visit the CMS Quality Payment Program website. Search under MIPS/Explore Measures and Activities and select the Clinical Quality Measure Specifications. CMS requires MIPS measure specifications to be housed on the CMS Quality Payment Program website.
- Hint: please make sure you understand how to calculate the Residual Score by reading the Definitions in the Numerator section of the measure specifications.
- Once you understand all details of the measure specifications, access the Public Access Survey below for your patients to take the survey at the time of Initial Evaluation, Progress Evaluations, and Discharge during the relevant episode of care.
Tips for Success
- Before administering the survey to your patients, take a “test” survey for yourself (the clinician) to gain familiarity with what your patients will experience and the location of the scoring results that will appear for your MIPS usage on the last page after each patient completes the patient-facing questions.
- Each time your patient completes the survey, be sure to record the date of survey completion, the Functional Status Score, and the Predicted FS Change This will allow you to calculate the Residual Score as described in the Numerator of the measure specification.
About the Public Access Survey
This Public Access Survey provides computer adaptive test (CAT) administration of the primary (FOTO) patient-reported outcome measure (PROM) and standardized patient questions toward risk adjustment as described in the measure specification. Scoring results and details you need for calculating the corresponding MIPS measure are provided on the last screen of the assessment.
Also provided is an option to administer an alternative (“legacy”) PROM to your patient instead of the primary FOTO PROM. Cross-score functionality allows FOTO to use the same questions and answers from the DHI as would be asked if using the FOTO CAT PROM to get the FOTO score.
The Public Access Survey is available free of charge for non-commercial uses in the context of individual clinical practice, i.e., patient-level measurement, for purposes of participation in the Centers for Medicare and Medicaid Services’ Merit-based Incentive Payment System (MIPS). For any commercial or other type uses, such as incorporation of the measure components into a product or service, Contact FOTO.
To access the Public Access Survey, you will need to read, understand, and agree to the FOTO Standards of Administration and the Terms and Conditions.
Public Access Survey to QCDR Measure FOTO6 (recommended)
For best user experience, select Public Access Survey to FOTO6 (recommended) here. This recommended option provides patients with a shorter survey experience, using the FOTO Dizziness Impact CAT (computer adaptive test), and reduced clinician/staff burden with automated score and risk adjusted predicted change score provided on the last page of the survey.
This recommended approach aligns with CMS initiatives toward innovation and leveraging modern science and technology to improve meaningfulness and reduce burden for providers and patients while strengthening data integrity for CMS.
Alternative PROM option
This option allows you to administer the Dizziness Handicap Inventory (DHI) to your patient instead of the FOTO Dizziness CAT. Using this survey option, the DHI may be used to fulfill the PROM component of this quality measure. Even though the DHI and FOTO Dizziness Impact are different PROMs with different scoring metrics, cross-scoring functionality allows clinicians the option to administer the DHI to their patients for use in routine clinical care while reporting this quality measure (FOTO6) for MIPS.
Analytic testing results confirmed the accuracy (reliability) and validity of the cross-scoring methods and no statistically significant differences in “measure achievement points” as defined by CMS and used in CMS benchmarking deciles for MIPS Quality Benchmarks.
Access the Public Access Survey to Support Quality FOTO6 with the DHI as the alternative PROM and with all cross-score functionality automated here.
