Biopsy Follow-Up

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System Program
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Communication

Defining Attributes

Definition

Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient.

Numerator

Patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and the patient by the provider and/or office and medical team. There must also be acknowledgement and/or documentation of the communication in a biopsy tracking log and document in the patient's medical record.

Denominator

All new patients undergoing a biopsy.

Exclusions

Clinician documented reason that patient's biopsy results were not reviewed, [e.g., patient asks that biopsy results not be communicated to the primary care/referring physician, patient does not have a primary care/referring physician or is a self-referred patient]

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Paper Medical Records Registries.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Merit-Based Incentive Payment System Program (CMS and Providers) CMS Provider Compare - Doctors & Clinicians (Publicly reported) - data.cms.gov/provider-data/dataset/7d6a-e7a6.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025