Measures for the Physician Quality Reporting Initiative
The following 10 measures are most applicable to rheumatologists:
4. Screening for Future Fall Risk
Percentage of patients aged 65 years and older who were screened for future fall risk (patients are considered at risk for future falls if they have had 2 or more falls in the past year or any fall with injury in the past year) at least once within 12 months
24. Osteoporosis: Communication with the Physician Managing Ongoing Care Post Fracture
Percentage of patients aged 50 years and older treated for a hip, spine or distal radial fracture with documentation of communication with the physician managing the patient’s ongoing care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis
39. Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who have a central dual-energy x-ray absorptiometry (DXA) measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months
40. Osteoporosis: Management Following Fracture
Percentage of patients aged 50 years and older with fracture of the hip, spine or distal radius who had a central dual-energy x-ray absorptiometry (DXA) measurement ordered or performed or pharmacologic therapy prescribed
41. Osteoporosis: Pharmacologic Therapy
Percentage of patients aged 50 years and older with a diagnosis of osteoporosis who were prescribed pharmacologic therapy within 12 months
108. Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Percentage of patients aged 18 years and older who were diagnosed with rheumatoid arthritis and were prescribed, dispensed, or administered at least one ambulatory prescription for a disease modifying anti-rheumatic drug (DMARD)
109. Patients with Osteoarthritis who have an Assessment of Their Pain and Function
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
124. HIT – Adoption/Use of Health Information Technology (Electronic Health Records)
Documents whether provider has adopted and is using health information technology. To qualify, the provider must have adopted a qualified electronic medical record (EMR). For the purpose of this measure, a qualified EMR can either be a Certification Commission for Healthcare Information Technology (CCHIT) certified EMR or, if not CCHIT certified, the system must be capable of all of the following:
- Generating a medication list
- Generating a problem list
- Entering laboratory tests as discrete searchable data elements
125. HIT – Adoption/Use of e-Prescribing
Documents whether provider has adopted a qualified e-Prescribing system and the extent of use in the ambulatory setting. To qualify this system must be capable of ALL of the following:
- Generating a complete active medication list incorporating electronic data received from applicable pharmacy drug plan(s) if available
- Selecting medications, printing prescriptions, electronically transmitting prescriptions, and conducting all safety checks (defined below)
- Providing information related to the availability of lower cost, therapeutically appropriate alternatives (if any)
- Providing information on formulary or tiered formulary medications, patient eligibility, and authorization requirements received electronically from the patient’s drug plan
131. Pain Assessment Prior to Initiation of Patient Treatment
Percentage of patients aged 18 years and older with documentation of a pain assessment (if pain is present, including location, intensity and description) through discussion with the patient or through use of a standardized tool on each initial evaluation prior to initiation of therapy
