Diabetic Foot Care and Patient/Caregiver Education Implemented During Short Term Episodes of Care (NQF 0519)

eMeasure Name Diabetic Foot Care and Patient/Caregiver Education Implemented During Short Term Episodes of Care eMeasure Id BDC90451-05DF-499C-B196-FDA768073368
Version number 1 eMeasure Set Id 5A5C25D6-6D8A-4F1D-AD62-5A3652552869
Available Date No information Measurement Period January 1, 20xx through December 31, 20xx
Measure Steward Acumen
Endorsed by National Quality Forum
Description Percentage of short term home health episodes of care during which diabetic foot care and education were included in the physician-ordered plan of care and implemented for patients with diabetes.
Copyright
Measure scoring Proportion
Measure type Process
Stratification
None
Risk Adjustment
None
Data Aggregation
Rationale
Persons with diabetes are at increased risk for foot ulcers and amputations. Annual, thorough foot examinations, patient education and management of risk factors can prevent or delay adverse outcomes.
Clinical Recommendation Statement
The American Diabetes Association (ADA) Clinical Practice Recommendations for 2009 recommend general foot self-care education and foot examination at initial assessment and every follow-up assessment visit. The American Association of Clinical Endocrinologists (AACE) Medical Guidelines for the Management of Diabetes Mellitus (2007) also recommend providing foot examination and foot-care education for all patients with diabetes.
Improvement notation
Higher score indicates better quality
Measurement duration
12 month(s)
Reference
ADA Clinical Practice Recommendations for 2009
http://care.diabetesjournals.org/content/32/Supplement_1/S6.full
Reference
American Association of Clinical Endocrinologists (AACE) Medical Guidelines
for the Management of Diabetes Mellitus
http://www.aace.com/pub/pdf/guidelines/DMGuidelines2007.pdf
Definition
Initial Patient Population(s): All home health patients with stays of <=60 days who have a diagnosis of diabetes or physician orders for diabetic foot care and education and who are discharged or transferred to an inpatient setting during the measurement period.
Definition
Denominator(s): Number of home health episodes of care for patients in the initial population, other than those covered by generic or measure-specific exclusions.
Definition
Denominator Exclusion(s): Patients are excluded if they are bilateral amputees or if the patient died during the home health episode of care
Definition
Numerator(s): Number home health episodes of care for patients in the initial population during which diabetic foot care and education was included in the physician-ordered plan of care and implemented.
Definition
Denominator Exception(s): N/A
Guidance
The measure is calculated at the end of a quality episode, which is the period of time from home health admission to transfer or discharge, and only for quality episodes that are 60 days or less (i.e., the quality episode does not include a follow-up assessment that would occur after 60 days). For the purposes of this measure, the assessment refers to the "Outcome and Assessment Information Set (OASIS)". In the e-measure logic, FIRST "Encounter: Home Health" and LAST "Encounter: Home Health" represent the start and end of a quality home health care episode. The number of actual visits between the FIRST and LAST home health encounter may vary but the interval between the FIRST and LAST home health encounter during the quality home health care episode must be 60 days or less. There may be more than one quality home health care episode during a calendar year for the same patient. The measure should calculate the care between the FIRST and LAST home health encounter during the same quality home health care episode.
Supplemental Data Elements
Report "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"; Report "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"; Report "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"; Report "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)".

Table of Contents


Population criteria

Data criteria (QDM Data Elements)

Supplemental Data Elements




Measure set CLINICAL QUALITY MEASURE SET 2011-2012