Keet Outcomes is a CMS-approved Qualified Clinical Data Registry (QCDR).
Keet takes the pain out of collecting patient reported outcomes.
KNEE INJURY FUNCTIONAL IMPROVEMENT
Measure ID
IROMS11
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in knee rehabilitation of patients with knee injury measured via their validated Knee Outcome Survey (KOS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of all patients with knee injury evaluated and treated by a PT or OT, or PT or OT Group, during the observation window.
Numerator Description
The total number of patients with knee injuries to not achieve an MCID in their KOS change score (MCID >10) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
KNEE INJURY FUNCTIONAL NPRS
Measure ID
IROMS12
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with knee injury pain.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of all patients with knee injury evaluated and treated by a PT or OT, or PT or OT Group, during the observation window.
Numerator Description
The total number of patients with knee injuries to not achieve an MCID in their NPRS change score (MCID >2) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
HIP, LEG OR ANKLE INJURY FUNCTIONAL IMPROVEMENT
Measure ID
IROMS13
Measure Title
Failure to Progress (FTP): Proportion of patients not achieving a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with hip, leg or ankle injuries using the validated Lower Extremity Function Scale (LEFS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with hip, leg, or ankle injury evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group.
Numerator Description
The total number of patients with hip, leg, or ankle injuries to not achieve an MCID in their LEFS change score (MCID ≥ 9) from their initial visit to their final visit in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
HIP, LEG OR ANKLE INJURY NPRS
Measure ID
IROMS14
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with hip, leg or ankle (lower extremity except knee) injury.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with hip, leg, or ankle injury evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group.
Numerator Description
The total number of patients with hip, leg, or ankle injuries hip, leg, or ankle (lower extremity except knee), to not achieve an MCID in their NPRS change score (MCID >2) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
NECK PAIN/INJURY FUNCTIONAL IMPROVEMENT
Measure ID
IROMS15
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with neck pain/injury measured via the validated Neck Disability Index (NDI).
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of neck pain/injury patients evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group, during the observation window.
Numerator Description
The total number of patients with neck pain/injury to not achieve an MCID in their NDI change score (MCID >10) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
NECK PAIN/INJURY FUNCTIONAL NPRS
Measure ID
IROMS16
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with neck pain/injury.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with neck pain/injury evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group.
Numerator Description
The total number of patients with neck pain/injury to not achieve an MCID in their NPRS change score (MCID >2) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
LOW BACK PAIN FUNCTIONAL IMPROVEMENT
Measure ID
IROMS17
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation patients with low back pain measured via the validated Modified Low Back Pain Disability Questionnaire (MDQ) score.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with low back pain evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group, during the observation window.
Numerator Description
The total number of patients with low back pain to not achieve an MCID in their MDQ change score (MCID >6) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
LOW BACK PAIN NPRS
Measure ID
IROMS18
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with low back pain.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with low back pain evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group.
Numerator Description
The total number of patients with low back pain to not achieve an MCID in their NPRS change score (MCID >2) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
ARM, SHOULDER, AND HAND INJURY FUNCTIONAL IMPROVEMENT
Measure ID
IROMS19
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with arm, shoulder, and hand injury measured via the validated Disability of Arm Shoulder and Hand (DASH) score, Quick Disability of Arm Shoulder and Hand (QDASH) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with arm, shoulder, or hand injury evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group, during the observation window.
Numerator Description
The total number of patients with arm, shoulder, or hand injuries to not achieve an MCID in their DASH change score (MCID >10 for DASH, MCID>8 for QDASH) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
ARM, SHOULDER, AND HAND INJURY NPRS
Measure ID
IROMS20
Measure Title
Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) in in improvement in pain score, measured via the Numeric Pain Rating Scale (NPRS), in rehabilitation patients with arm, shoulder, or hand injury.
NQS Domain
Effective Clinical Care
Measure Type
Patient Reported Outcome
Meaningful Measure Area
Functional Outcomes
NQF Number
N/A
Denominator Description
The total number of patients with arm, shoulder, or hand injury evaluated and treated by a physical therapist (PT) or Occupational Therapist (OT), or PT or OT Group.
Numerator Description
The total number of patients with arm, shoulder, and hand injuries to not achieve an MCID in their NPRS change score (MCID >2) from their initial visits to their final visits in PT/OT practice or PT/OT group during the observation window.
Denominator Exclusions
Patients who are < 18 years old. Patients who did not complete 2 or more surveys. Patients that are non-English speaking and translation services are unavailable. Patients that are unable to Read. Patients that have a mental or cognitive impairment that compromises their ability accurately complete the MIPS PRO. Patients meeting Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15.
Denominator Exceptions
PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress.
Numerator Exclusions
None
Measure Risk-Adjusted?
Yes
Number of performance rates to be submitted
6
High Priority
Yes
High Priority Type
Outcome
Inverse Measure
Yes
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Care Setting(s)
Outpatient and Telehealth
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Updated on 1/4/2021