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. 2022 Feb 21:2021:352-361.
eCollection 2021.

Testing of a Risk-Standardized Complication Rate Electronic Clinical Quality Measure (eCQM) for Total Hip and/or Total Knee Arthroplasty

Mica Curtin-Bowen  1 , Troy Li  1 , Avery Pullman  1 , Alexandra Businger  1 , Stuart Lipsitz  1   2 , Ania Syrowatka  1 , Michael Sainlaire  1 , Tien Thai  1 , Jay Lieberman  3 , Aileen Davis  4 , Bonnie Blanchfield  1   5 , David W Bates  1   2 , Patricia C Dykes  1   2
Affiliations

Testing of a Risk-Standardized Complication Rate Electronic Clinical Quality Measure (eCQM) for Total Hip and/or Total Knee Arthroplasty

Mica Curtin-Bowen et al. AMIA Annu Symp Proc. .

Abstract

Supported by the Centers for Medicare & Medicaid Services (CMS), Brigham and Women's Hospital (BWH) has retooled the existing claims-based measures NQF1550 and NQF3493 into an electronic clinical quality measure (eCQM) to assess the risk-standardized complication rate (RSCR) following elective primary total hip (THA) and knee arthroplasty (TKA) at the clinician group level. This novel eCQM includes risk-adjustment for social determinants of health, includes all adult patients from all payers, leverages electronic health records (EHRs) rather than claims-based data, and includes both inpatient and outpatient procedures and complications which offers benefits compared to existing metrics. Following testing in two geographically different healthcare systems, the overall risk-standardized complication rate within 90 days following THA and TKA at the two sites was 3.60% (Site 1) and 3.70% (Site 2). This measure is designed for use in the Merit-Based Incentive Payment System (MIPS).

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