#350: Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy

Quality ID

350

High Priority Measure

Yes

Specifications

Registry

Measure Type

Process

Specialty

Orthopedic Surgery

Measure description

Percentage of patients regardless of age undergoing a total knee replacement with documented shared decisionmaking with discussion of conservative (non-surgical) therapy (e.g., non-steroidal anti-inflammatory drug (NSAIDs), analgesics, weight loss, exercise, injections) prior to the procedure

 

Instructions

This measure is to be submitted each time a procedure for total knee replacement is performed during the performance period. There is no diagnosis associated with this measure. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.

 

Denominator

All patients regardless of age undergoing a total knee replacement

Denominator Criteria (Eligible Cases):

All patients regardless of age

AND

Patient procedure during the performance period (CPT): 27438, 27442, 27445, 27446, 27447

 

Numerator

Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g. NSAIDs, analgesics, weight loss, exercise, injections) prior to the procedure

Numerator Options:

Performance Met: Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., NSAIDs, analgesics, weight loss, exercise, injections) prior to the procedure (G9296)

OR

Performance Not Met: Shared decision-making including discussion of conservative (non-surgical) therapy (e.g. NSAIDs, analgesics, weight loss, exercise, injections) prior to the procedure not documented, reason not given (G9297)

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