Public Access Survey for 2023 MIPS Quality ID #478 (NQF 3461): Functional Status Change for Patients with Neck Impairments
Before you get 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: 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.
- 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. Crosswalk functionality, as described in the measure specification, is included. Further details about crosswalk functionality in Clinical Quality Measures 217-222 and 478 are 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, 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.