The patient's Classification or region of injury will determine which patient-reported outcome (PRO) form to assign. Based upon the CMS-approved patient-reported outcomes Keet has included in the QCDR, the corresponding classification areas and patient-reported outcome measures for both surgical and non-surgical patients include:
- Hip -Lower Extremity Functional Scale (LEFS)
- Foot/Ankle - Lower Extremity Functional Scale (LEFS)
- Knee - Knee Outcome Survey (KOS)
- Lumbar - Modified Oswestry Low Back Pain Disability Questionnaire (ODI / MDQ)
- Elbow -Disabilities of the Arm Shoulder and Hand (Quick Dash)
- Hand - Disabilities of the Arm Shoulder and Hand (Quick Dash)
- Wrist - Disabilities of the Arm Shoulder and Hand (Quick Dash)
- Cervical -Neck Pain Disability Index (NDI)
- Thoracic - Modified Oswestry Low Back Pain Disability Questionnaire (ODI / MDQ)
- Shoulder -Disabilities of the Arm Shoulder and Hand (Quick Dash)
- Neuro - Dizziness Handicap Inventory (DHI)
- Other - Non-Eligible (automatic exclusion from MIPS registry)
If a patient is being treated for multiple cases that align with multiple patient-reported outcome measures, the practitioner can assign multiple measures to one patient. However, a common practice is to define what area is the biggest issue or concern for that patient and to assign that Classification as Primary in the Episode of Care.
Additionally, if the multiple cases could confound a patient’s progress, the practitioner can use their clinical judgment to exclude (disqualify) patients who are extremely medically complex, and who, in their experience, are likely to make poor clinical progress. In this scenario, the patient would be excluded from that denominator. Find additional information on manually disqualifying a patient here.
The Patient-Reported Outcomes forms are available in both English and Spanish.
These can be accessed in the Keet Health App as well as in print.