This is a patient-reported outcome performance measure (PRO-PM) consisting of an item response theory-based patient-reported outcome measure (PROM) of change in functional status (FS) for patients aged 14 years and older with foot and ankle impairments. The change in FS is assessed using the FOTO Lower Extremity Physical Function (LEPF) PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality. Scores are reported on a 0 to 100 continuous scale with higher scores indicating better FS. The LEPF items relate directly to the Mobility and Self-care constructs within the Activities and Participation domain of the International Classification of Functioning, Disability and Health.
Additional information on the different development phases of the LEPF PROM are described in the testing attachment (section 1.5).
- Electronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingNumerator
The numerator is based on residual scores (actual change scores minus predicted change after risk adjustment) of patients receiving care for ankle or foot impairments and who completed the LEPF PROM. The numerator, as it applies to the 3 levels, is defined as follows:
Patient Level: The residual functional status score for the individual patient.
Individual Clinician Level: The average of residuals in functional status scores in patients who were treated by a clinician during the measurement period
Clinic Level: The average of residuals in patients who were treated by a clinic during the measurement period.DenominatorThe target population is all patients 14 years and older with foot or ankle impairments who have initiated an episode of care and completed the LEPF PROM.
ExclusionsDocumentation stating patient has a diagnosis of a degenerative neurological condition such as ALS, MS, or Parkinson’s diagnosed at any time before or during the episode of care
OR
Patient unable to complete the LEPF PROM at Initial Evaluation and/or Discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not availableTesting Data Sources
- Measure StructureClinical Condition Topic AreaNon Condition SpecificTarget PopulationMeasure Selection AttributesNational Quality Strategy PrioritiesEffective Communication and Care Coordination
- Risk Adjustment
- Current or planned use(s)Planned Use
- Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Patient Experience and Function Spring Cycle 2021Initial EndorsementEndorsement StatusLast UpdatedRemoval Date
- StewardSteward Organization EmailSteward Organization Copyright
See NQF document