Public Comment Form

Telehealth Measures

Please note that this comment form is for the purpose of submitting a comment to URAC on Telehealth Measures.

Commenter Contact Information

All fields are optional unless otherwise indicated.

Submitted by:

To make a comment, use the text area below. To make a comment on a specific section use the [Next] and [Previous] buttons. The last page will give you an opportunity to upload a document, make any general comments and submit your feedback.

Keyboard

Hypertension: Blood Pressure Control
 
Measure IDTH2017-01

Measure StewardPhysician Consortium for Performance Improvement

URAC DomainPrevention & Treatment

Description:
Percentage of patients aged 18 years and older with a diagnosis of hypertension with a blood pressure <140/90 mm Hg OR patients with a blood pressure >= 140/90 mm Hg and prescribed 2 or more anti-hypertensive medications during the most recent office visit within a 12 month period.

Numerator:
Patients with a blood pressure <140/90 mm Hg OR Patients with a blood pressure >= 140/90 mm Hg and prescribed 2 or more anti-hypertensive medications during the most recent office visit within a 12-month period.

Denominator:
All visits for patients aged 18 years and older with a diagnosis of hypertension.

Data Source:
Claims, Electronic Health Record, Other, Paper Records, Registry

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Coronary Artery Disease (CAD): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)
 
Measure IDTH2017-02

Measure StewardAmerican Heart Association

URAC DomainEffective Clinical Care

Measure Description:
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have diabetes OR a current or prior Left Ventricular Ejection Fraction (LVEF) < 40% who were prescribed ACE inhibitor or ARB therapy.

Data SourceRegistry

M/EExploratory

Measure TypeProcess

LinkView Measure

Keyboard

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
 
Measure IDTH2017-03

Measure StewardPhysician Consortium for Performance Improvement

URAC DomainCommunication and Care Coordination

DescriptionPercentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months.

Data SourceClaims, EHR, Registry

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
 
Measure IDTH2017-04

Measure StewardAmerican Thoracic Society

URAC DomainEffective Clinical Care

Description:
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented.

Data SourceClaims, Regstry

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
 
Measure IDTH2017-05

Measure StewardAmerican Thoracic Society

URAC DomainEffective Clinical Care

Description:
Percentage of patients aged 18 years and older with a diagnosis of COPD (FEV1/FVC < 70%) and who have an FEV1 less than 60% predicted and have symptoms who were prescribed a long- acting inhaled bronchodilator

Data Source:
Claims, Registry

M/EExploratory

Measure TypeProcess

LinkView Measure

Keyboard

Evaluation or Interview for Risk of Opioid Misuse
 
Measure IDTH2017-06

Measure StewardAmerican Academy of Neurology

URAC DomainEffective Clinical Care

Description:
All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g., Opioid Risk Tool, SOAAP-R) or patient interview documented at least once during Opioid Therapy in the medical record.

Numerator:
Patients evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., Opioid Risk Tool, SOAAP-R) or patient interview at least once during opioid therapy.

Denominator:
All patients 18 and older prescribed opiates for longer than six weeks duration.

Data Source:
Registry

M/EMandatory

Measure TypeStructure

LinkView Measure

Keyboard

Functional Status Change for Patients with General Orthopaedic Impairments
 
Measure IDTH2017-07

Measure StewardFocus on Therapeutic Outcomes, Inc.

URAC DomainCommunication and Care Coordination

Description:
A self-report outcome measure of functional status (FS) for patients 14 years+ with general orthopaedic impairments (neck, cranium, mandible, thoracic spine, ribs or other general orthopaedic impairment). The change in FS assessed using FOTO (general orthopaedic) PROM (patient reported outcomes measure) is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level by to assess quality.

Data Source:
Registry

M/EExploratory

Measure TypeOutcome

LinkView Measure

Keyboard

Melanoma: Continuity of Care - Recall System
 
Measure IDTH2017-08

Measure StewardAmerican Academy of Dermatology

URAC DomainCommunication and Care Coordination

Description:
Percentage of patients, regardless of age, with a current diagnosis of melanoma or a history of melanoma whose information was entered, at least once within a 12 month period, into a recall system that includes: A target date for the next complete physical skin exam, AND A process to follow up with patients who either did not make an appointment within the specified timeframe or who missed a scheduled appointment

Data Source:
Registry

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Child and Adolescent Major Depresive Disorder (MDD); Suicide Risk Assessment
 
Measure IDTH2017-09

Measure StewardPhysician Consortium for Performance Improvement

URAC DomainPrevention & Treatment

Description:
Percentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with an assessment for suicide risk.

Numerator:
Patient visits with an assessment for suicide risk.

Denominator:
All patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder.

Data Source:
Electronic Health Record (EHR)

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Unhealthy Alcohol Use: Screening and Brief Counseling
 
Measure IDTH2017-10

Measure StewardAmerican Medical Association/ Physician Consortium for Performance Improvement

URAC DomainPrevention & Treatment

Description:
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user.

Numerator:
Participants who were screened at least once during the measurement period for unhealthy alcohol use via a systematic screening method AND who received brief counseling, if identified as an unhealthy alcohol user.

Denominator:
Patients aged 18 years or older who were seen twice for any visits OR who had a least one preventive care visit during the measurement period.

Data Source:
Electronic Health Record (EHR), Registry

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Functional Outcome Assessment
 
Measure IDTH2017-11

Measure StewardCenters for Medicare & Medicaid Services

URAC DomainCommunication and Care Coordination

Description:
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified functional outcome deficiencies on the date of the identified deficiencies.

Data Source:
Claims, Registry

M/EMandatory

Measure TypeOutcome

LinkView Measure

Keyboard

Thirty-day all-cause unplanned readmission following psychiatric hospitalization in an inpatient psychiatric facility (IPF)
 
Measure IDTH2017-12

Measure StewardCenters for Medicare & Medicaid Services

URAC DomainCare Coordination

Description:
This facility-level measure estimates an all-cause, unplanned, 30-day, risk-standardized readmission rate for adult Medicare fee-for-service (FFS) patients with a principal discharge diagnosis of a psychiatric disorder or dementia/Alzheimer’s disease. The performance period for the measure is 24 months.

Numerator:
The measure estimates the incidence of unplanned, all-cause readmissions to IPFs or short-stay acute care hospitals following discharge from an eligible IPF index admission. We defined readmission as any admission that occurs on or between Days 3 and 30 post-discharge, except those considered planned.

Denominator:
The target population for this measure is Medicare FFS beneficiaries aged 18 years and older discharged from an inpatient psychiatric facility with a principal diagnosis of a psychiatric disorder. Eligible index admissions require enrollment in Medicare Parts A and B for 12 months prior to the index admission, the month of admission, and at least 30 days post discharge. Patients must be discharged alive to a non-acute setting (not transferred). A readmission within 30 days is eligible as an index admission, if it meets all other eligibility criteria.

Data Source:
Claims (only)

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
 
Measure IDTH2017-13

Measure StewardCenters for Medicare & Medicaid Services

URAC DomainPrevention & Treatment

Description:
Percentage of patients aged 12 years and older screened for clinical depression using an age appropriate standardized tool AND follow-up plan documented.

Numerator:
Patient's screening for clinical depression using an age appropriate standardized tool AND follow up plan is documented.

Denominator:
All patients aged 12 years and older.

Data Source:
Claims, EHR, Registry, Paper Records

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
 
Measure IDTH2017-14

Measure StewardPhysician Consortium for Performance Improvement

URAC DomainCommunity/Population Health

Description:
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user.

Data Source:
Claims, CMS Web Interface, EHR, Registry

M/EMandatory

Measure TypeProcess

LinkView Measure

Keyboard

 
General
If you have any general comments, please enter them below.



Thank you for subscribing to the Telehealth Measures mailing list.