AAOE Quality Measure Database

Use this table of AAOE supported measures to identify quality measures your practice will utilize for the Merit-based Incentive Payment System. The table is searchable for keywords and measure IDs. Check a measure to indicate that you will use it and print a copy off for your records.

For measure specification sheets for measures not listed email data@aaoe.net.

*Indicates that the measure tool is proprietary but a paper version of the survey may be found in the AAOE Data Warehouse.


ID Measure Name NQS Domain Measure Type High Priority? Measure Specification Sheet Reporting in 2019? Survey Instrument in Data Warehouse
1 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) Effective Clinical Care Intermediate Outcome Yes Here
 
N/A
21 Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin Patient Safety Process No Here
 
N/A
23 Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) Patient Safety Process Yes Here
 
N/A
24 Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older Communication and Care Coordination Process Yes Here
 
N/A
39 Screening for Osteoporosis for Women Aged 65-85 Years of Age Effective Clinical Care Process No Here
 
N/A
46 Medication Reconciliation Post-Discharge Communication and Care Coordination Process Yes Here
 
N/A
47 Care Plan Communication and Care Coordination Process Yes Here
 
N/A
109 Osteoarthritis (OA): Function and Pain Assessment Person and Caregiver-Centered Experience and Outcomes Process Yes Here
 
PROMIS-10, Visual Analog Scale, FAAM, FADI, IKDC, KOOS Jr, HOOS Jr, ASES, Quick DASH, DASH
110 Preventive Care and Screening: Influenza Immunization Community/Population Health Process No Here
 
N/A
111 Pneumococcal Vaccination Status for Older Adults Community/Population Health Process No Here
 
112 Breast Cancer Screening Effective Clinical Care Process No Here
 
N/A
117 Diabetes: Eye Exam Effective Clinical Care Process No Here
 
N/A
126 Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation Effective Clinical Care Process No Here
 
N/A
127 Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear Effective Clinical Care Process No Here
 
N/A
128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan Community/Population Health Process No Here
 
N/A
130 Documentation of Current Medications in the Medical Record Patient Safety Process Yes Here
 
N/A
131 Pain Assessment and Follow-Up Communication and Care Coordination Process Yes Here
 
PROMIS-10, Visual Analog Scale
134 Preventive Care and Screening: Screening for Depression and Follow-Up Plan Community/Population Health Process No Here
 
PHQ-9
154 Falls: Risk Assessment Patient Safety Process Yes Here
 
Morse Fall Scale
155 Falls: Plan of Care Communication and Care Coordination Process Yes Here
 
N/A
176 Rheumatoid Arthritis (RA): Tuberculosis Screening Effective Clinical Care Process No Here
 
N/A
177 Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity Effective Clinical Care Process No Here
 
N/A
178 Rheumatoid Arthritis (RA): Functional Status Assessment Effective Clinical Care Process No Here
 
HAQ-II
179 Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis Effective Clinical Care Process No Here
 
N/A
180 Rheumatoid Arthritis (RA): Glucocorticoid Management Effective Clinical Care Process No Here
 
N/A
182 Functional Outcome Assessment Communication and Care Coordination Patient Reported Outcome Yes Here
 
DASH
217 Functional Status Change for Patients with Knee Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
218 Functional Status Change for Patients with Hip Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
219 Functional Status Change for Patients with Foot or Ankle Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
220 Functional Status Change for Patients with Lumbar Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
221 Functional Status Change for Patients with Shoulder Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
222 Functional Status Change for Patients with Elbow, Wrist or Hand Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
223 Functional Status Change for Patients with General Orthopaedic Impairments Communication and Care Coordination Patient Reported Outcome Yes Here
 
FOTO*
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Community/Population Health Process No Here
 
236 Controlling High Blood Pressure Effective Clinical Care Intermediate Outcome Yes Here
 
N/A
238 Use of High-Risk Medications in the Elderly Patient Safety Process Yes Here
 
N/A
317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Community/Population Health Process No Here
 
N/A
350 Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy Communication and Care Coordination Process Yes Here
 
N/A
351 Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation Patient Safety Process Yes Here
 
N/A
352 Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet Patient Safety Process Yes Here
 
N/A
353 Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report Patient Safety Process Yes Here
 
N/A
355 Unplanned Reoperation within the 30 Day Postoperative Period Patient Safety Outcome Yes Here
 
N/A
356 Unplanned Hospital Readmission within 30 Days of Principal Procedure Effective Clinical Care Outcome Yes Here
 
N/A
357 Surgical Site Infection (SSI) Effective Clinical Care Outcome Yes Here
 
N/A
358 Patient-Centered Surgical Risk Assessment and Communication Person and Caregiver-Centered Experience and Outcomes Process Yes Here
 
N/A
374 Closing the Referral Loop: Receipt of Specialist Report Communication and Care Coordination Process Yes Here
 
N/A
402 Tobacco Use and Help with Quitting Among Adolescents Community/Population Health Process No Here
 
N/A
408 Opioid Therapy Follow-up Evaluation Effective Clinical Care Process Yes Here
 
N/A
412 Documentation of Signed Opioid Treatment Agreement Effective Clinical Care Process Yes Here
 
N/A
414 Evaluation or Interview for Risk of Opioid Misuse Effective Clinical Care Process True Here
 
Opioid Risk Tool
418 Osteoporosis Management in Women Who Had a Fracture Effective Clinical Care Process No Here
 
N/A
459 Average Change in Back Pain following Lumbar Discectomy/Laminotomy Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
Visual Analog Scale
460 Average Change in Back Pain following Lumbar Fusion Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
Visual Analog Scale
461 Average Change in Leg Pain following Lumbar Discectomy and/or Laminotomy Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
Visual Analog Scale
469 Average Change in Functional Status Following Lumbar Spine Fusion Surger Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
N/A
470 Average Change in Functional Status Following Total Knee Replacement Surgery Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
N/A
471 Average Change in Functional Status Following Lumbar Discectomy Laminotomy Surgery Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
N/A
473 Average Change in Leg Pain Following Lumbar Spine Fusion Surgery Person and Caregiver-Centered Experience and Outcomes Patient Reported Outcome Yes Here
 
Visual Analog Scale
474 Zoster (Shingles) Vaccination Community/Population Health Process No Here
 
N/A