FOTO Quality Measures are:
- Patient-reported outcome performance measures (PRO-PMs)and meet rigorous scientific standards for reliability and validity. Development and maintenance for FOTO PRO-PMs follow National Quality Forum (NQF) guidelines, which are the gold standard for quality measurement in US healthcare.
- Based on reliable and validpatient-reported outcome measures that were developed using contemporary scientific methods known as item response theory (IRT). Use of IRT results in improvements over traditional or legacy measures such as improved scoring accuracy and validity, absence of floor and ceiling effects, and reduced patient response burden. IRT-based measures may be administered by computer adaptive testing or static short form.
- Risk adjustedso that providers’ performance may be compared fairly. Providers seeing sicker or more complex patients are placed on a level playing field with other providers. Predictive modeling allows for patient-level predictions to help guide treatment decision making and expectations for recovery.
- Compared separately by patient conditionand then risk adjusted using advanced methods which account for individual variables within the following categories of patient characteristics: age, gender, acuity, severity level, medical complexity, payer type, surgical history, post-surgical status/type, exercise history, medication use, and history of previous treatment.
- Have extensive reliability and validity analyses established on both the patient-level and the provider-level.
- Approved by CMS for quality outcomes reporting in the Merit-based Incentive Payment System (MIPS). For more information visit https://qpp.cms.gov/.
*For more information about FOTO patient-reported outcome measures and risk adjustment, please visit fotoinc.com/peer-reviewed-articles/ to view 150 peer-reviewed publications (and growing).
Public access to FOTO measures is provided here for clinicians participating in MIPS:
MIPS Quality ID #217: Functional Status Change for Patients with Knee Impairments
MIPS Quality ID #218: Functional Status Change for Patients with Hip Impairments
MIPS Quality ID #219: Functional Status Change for Patients with Foot and Ankle Impairments
MIPS Quality ID #220: Functional Status Change for Patients with Low Back Impairments
MIPS Quality ID #221: Functional Status Change for Patients with Shoulder Impairments
MIPS Quality ID #222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
MIPS Quality ID #478 (NQF 3461): Functional Status Change for Patients with Neck Impairments
MIPS QCDR ID FOTO4: Functional Status Change for Patients with Upper or Lower Quadrant Edema
MIPS QCDR ID FOTO 5: Functional Status Change in Balance Confidence
MIPS QCDR ID FOTO 6: Functional Status Change in Dizziness Impact
MIPS QCDR ID FOTO7: Functional Status Change for Patients Post Stroke
CMS requires MIPS measure specifications to be housed on the CMS Quality Payment Program website, and they may be accessed here under Clinical Quality Measure Specifications.
