Functional Status Change for Patients with Neck Impairments

This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years and older with neck impairments. The change in FS is assessed using the Neck FS PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure (PM) at the patient, individual clinician, and clinic levels to assess quality.

The Neck FS PROM is an item-response theory-based computer adaptive test (CAT) for patients with impairments related to neck problems. Specific ICD-10-CM codes are described in the denominator section.

The Neck PRO-PM is publically available in the CAT version on the FOTO website at no charge. The Neck FS PROM is also available at no charge for public use as a 10-item short form (static/paper-pencil). CAT administration is preferred as it reduces patient response burden by administrating the minimum number of items needed to achieve the targeted measurement accuracy. Scores are reported on a 0 to 100 scale with higher scores indicating better functional status. The Neck FS PROM maps to the Mobility and Self-care constructs within the Activities and Participation domain of the International Classification of Functioning, Disability and Health.