DHI Clinical Performance
Dizziness Handicap Inventory Measure
Unlike the other measures in the Keet Outcomes Dashboard (KOD), Dizziness Handicap Inventory (DHI), displays the percentage of patients who have progressed rather than those that have failed to progress.
Use this report to understand how your organization, clinics, and individual providers are performing on the DHI quality measure based on the average risk-adjusted progression rates. On each of the KPIs below, the risk-adjusted progression rate is represented by the large number in the middle of the tile. Blue scores with a ✔ reflect a score that is equal to or higher (good) than the Keet QCDR Avg. Orange scores with an X reflect a score that is lower (bad) than the Keet QCDR Avg.
Performance Rate Report By Organization
When looking at the DHI dashboard, there are two new columns, “Failed to Meet Prediction” and “Avg Risk Adjustment”.
Failed to Meet Prediction
This is the number of patients who did not meet the predicted score change
Avg Risk Adjustment
The percentage of the measure population that was equal to or exceeded the predicted score change.
Using an example from the above screenshot:
- Measure Population = 187
- Progressed Population = 34
- Failed to meet Predicted Score Change = 153
Using these numbers, we get 34/187 = 18.18%. So 18.18% of the measure population was equal to or exceeded the predicted score change.
Performance Rate Report by Practitioner
Same as above.
Observed DHI
DHI Score Change vs Predicted Score Change
DHI Score Change vs Predicted score change shows us, by patient, what their predicted score change was compared to their actual score change
DHI Score vs. Predicted Score
DHI Score Change vs Predicted Score Change shows us the actual change in score compared to the predicted change in score.
In the Patient 1 row above, it was predicted that they would have a score change of 28.58. Because their actual score change was 6, they would fail to meet the prediction by just over 22.
In the Patient 2 row above, it was predicted that they would have a score change of 18.15. Because their actual score change was 22, they met the prediction by 4.
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As a reminder the DHI (HM7) measure specifications:
Eligibility criteria include:
- Patient aged ≥14 years of age at any time during the episode of care
- Two face-to-face patient encounters during the episode of care.
- The patient has a diagnosis indicated by one of the ICD-10 codes specified in the measure specifications.
- A Physical Therapy or Occupational Therapy evaluation CPT code is billed during the episode of care.
Denominator Exclusions:
- Hospice services received by a patient at any time during the performance period
- Patient unable to complete a DHI or equivalent instrument at admission and discharge due to blindness, illiteracy, severe mental incapacity, or language incompatibility without the availability of an adequate proxy available.
**The DHI does not have the denominator exclusion of “Patients who did not complete 2 or more surveys”, therefore patients with only one completed PRO will be included in your reporting population and may negatively impact your progression rate**
Denominator Exceptions:
N/A
Please contact Keet Support with questions at keetsupport@webpt.com.
The DHI dashboard will be published for viewing on 8/4/2022. Your Keet Outcomes Dashboard is available 24/7.