Diabetic Foot Care and Patient/Caregiver Education Implemented During Short Term Episodes of Care (NQF 0519)
-
Initial Patient Population =
- AND: MOST RECENT: "Encounter: Home Health" <= 60 day(s) ends after start of (FIRST :"Encounter: Home Health" during "Measurement
period")
- AND:
- OR: "Diagnosis, Active: Diabetes" starts before or during FIRST :"Encounter: Home Health"
- OR:
- AND: "Diagnosis, Active: Diabetes" starts after start of FIRST :"Encounter: Home Health"
- AND: MOST RECENT:"Encounter: Home Health" ends after start of "Diagnosis, Active: Diabetes"
- OR:
- AND:
- AND: "Procedure, Order: Diabetic Foot Care"
- AND: "Intervention, Order: Diabetic Foot Care Education"
- starts after start of FIRST:"Encounter: Home Health"
- AND:
- AND: "Procedure, Order: Diabetic Foot Care"
- AND: "Intervention, Order: Diabetic Foot Care Education"
- ends before or during MOST RECENT:"Encounter: Home Health"
- AND:
- OR: MOST RECENT:"Encounter: Home Health" during "Measurement period"
- OR: "Encounter: Hospital Stay (length of stay > 24 hour(s))" starts after end of (MOST RECENT :"Encounter: Home Health" during
"Measurement period")
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Diagnosis, Active: Bilateral Amputee" starts before start of FIRST :"Encounter: Home Health"
- OR:
- AND:
- OR: "Diagnosis, Active: Left Foot Amputee" starts before start of FIRST :"Encounter: Home Health"
- OR: "Diagnosis, Active: Left Lower Limb Amputee" starts before start of FIRST :"Encounter: Home Health"
- AND:
- OR: "Diagnosis, Active: Right Foot Amputee" starts before start of FIRST :"Encounter: Home Health"
- OR: "Diagnosis, Active: Right Lower Limb Amputee" starts before start of FIRST :"Encounter: Home Health"
- OR:
- AND: "Diagnosis, Active: Lower Limb Amputee (laterality: 'right')" starts before start of FIRST :"Encounter: Home Health"
- AND: "Diagnosis, Active: Lower Limb Amputee (laterality: 'left')" starts before start of FIRST :"Encounter: Home Health"
- OR:
- AND: "Patient Characteristic: Deceased" starts after start of FIRST :"Encounter: Home Health"
- AND: "Patient Characteristic: Deceased" starts before or during MOST RECENT :"Encounter: Home Health"
-
Numerator =
- AND:
- AND: "Procedure, Performed: Diabetic Foot Care"
- AND: "Intervention, Order: Diabetic Foot Care Education"
- AND: "Intervention, Performed: Diabetic Foot Care Education"
- starts after start of FIRST:"Encounter: Home Health"
- AND:
- AND: "Procedure, Performed: Diabetic Foot Care"
- AND: "Intervention, Order: Diabetic Foot Care Education"
- AND: "Intervention, Performed: Diabetic Foot Care Education"
- ends before or during MOST RECENT:"Encounter: Home Health"
-
Denominator Exceptions =
-
"Diagnosis, Active: Bilateral Amputee" using "Bilateral Amputee Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.140)"
-
"Diagnosis, Active: Diabetes" using "Diabetes Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.4)"
-
"Diagnosis, Active: Left Foot Amputee" using "Left Foot Amputee ICD-10-CM Value Set (2.16.840.1.113883.3.67.1.101.1.144)"
-
"Diagnosis, Active: Left Lower Limb Amputee" using "Left Lower Limb Amputee Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.146)"
-
"Diagnosis, Active: Lower Limb Amputee" using "Lower Limb Amputee SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.152)"
-
"Diagnosis, Active: Right Foot Amputee" using "Right Foot Amputee ICD-10-CM Value Set (2.16.840.1.113883.3.67.1.101.1.145)"
-
"Diagnosis, Active: Right Lower Limb Amputee" using "Right Lower Limb Amputee Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.149)"
-
"Encounter: Home Health" using "Home Health SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.265)"
-
"Encounter: Hospital Stay" using "Hospital Stay SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.122)"
-
"Intervention, Order: Diabetic Foot Care Education" using "Diabetic Foot Care Education SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.267)"
-
"Intervention, Performed: Diabetic Foot Care Education" using "Diabetic Foot Care Education SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.267)"
-
"Patient Characteristic: Deceased" using "Deceased SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.262)"
-
"Procedure, Order: Diabetic Foot Care" using "Diabetic Foot Care SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.266)"
-
"Procedure, Performed: Diabetic Foot Care" using "Diabetic Foot Care SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.266)"
-
Attribute: "Status: Discharged" using "Discharged SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.268)"
-
Attribute: "Laterality: Left" using "Left SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.8901)"
-
Attribute: "Laterality: Right" using "Right SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.8902)"
- "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"
- "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)"