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 |
Foot Bone Infection Diagnosis Without MRI
Modified on: Mon, 28 Jan, 2019 at 1:05 PM
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