MIPS Quality ID #222: Functional Status Change for Patients with Elbow, Wrist, Hand Impairments

1. 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: https://qpp.cms.gov/mips/explore-measures/quality-measures. Search under the Clinical Quality Measure Specifications. CMS requires MIPS measure specifications to be housed on the CMS Quality Payment Program website.
2. Hint: make sure you understand how to calculate the Risk-Adjusted Functional Status Change Residual Score by following the steps described under Numerator/Definitions.
3. 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.
4. Each time your patient completes the survey, be sure to record the date of survey completion, the Current Functional Status score, and the Predicted Improvement (Change) Score. This will allow you to calculate the Risk-Adjusted Functional Status Change 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 patient-reported outcome measure and standardized patient questions toward risk adjustment specified in the measure specification. Scoring results are provided on the last screen of the assessment.

The questions in the measure are to be answered independently by the patient, without coaching or other influence by the provider. Users are expected to be familiar with and adhere to the FOTO Standards of Administration provided HERE.

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, including but not limited to the purposes of participation in CMS Quality Payment Programs such as MIPS. For any commercial or other type uses, such as incorporation of the measure components into a product or service, Contact FOTO to determine whether a license agreement may be required.