Measure Name:
Foot Bone Infection Diagnosis Without MRI
QCDR Measure ID:
CLLC4
QCDR Measure Type:
Existing Approved QCDR Measure With No Changes
NQF ID Number (if applicable)
N/A
High Priority Type:
Appropriate Use
Measure Type:
Process
NQS Domain:
Efficiency and Cost Reduction
Inverse Measure?
Yes
Proportional Measure?
Yes
Continuous Variable Measure?
No
Ratio Measure?
No
Number of performance rates to be calculated and submitted in the XML
1
Risk-Adjusted?
No
If risk-adjusted, indicate which score is risk-adjusted
N/A
Measure Description:
Percentage of patients with a diagnosis of bone infection (osteomyelitis) in the foot who had an MRI of the foot.
What one meaningful measure area applies to this measure?
Appropriate use of Healthcare
Rational:
When the diagnosis of osteomyelitis can be reliably established by clinical means and/or serial plain film radiographs, MRI is generally unnecessary. Furthermore, MRI is particularly poor at differentiating osteomyelitis from benign postoperative marrow edema and from marrow edema due to Charcot arthropathy. Use of MRI in these instances can lead to a false positive interpretation and potentially harmful overtreatment.
Denominator:
Patients with a diagnosis of osteomyelitis in the foot
Denominator Exclusions:
None
Numerator:
Patients who had an MRI of the foot during the 30 days prior to or 30 days post the diagnosis of osteomyelitis
Numerator Exclusions:
None
Denominator Exceptions:
Medical reason if an MRI is indicated; System reason for not reporting the measure