Functional Status Change for Patients With Foot and Ankle Impairments

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Physician Quality Reporting System (PQRS), Centers for Medicare & Medicaid Services (CMS): Physician Feedback/Quality and Resource Use Reports (QRUR), Centers for Medicare & Medicaid Services (CMS): Physician Value-Based Payment Modifier (VBM)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Function and ADLs

Defining Attributes

Definition

This is a patient-reported outcome performance measure (PRO-PM) consisting of an item response theory-based patient-reported outcome measure (PROM) of change in functional status (FS) for patients aged 14 years and older with foot and ankle impairments.

Numerator

Patient Level: The residual functional status score for the individual patient. Individual Clinician Level: The average of residuals in functional status scores in patients who were treated by a clinician during the measurement period. Clinic Level: The average of residuals in patients who were treated by a clinic during the measurement period.

Denominator

The target population is all patients 14 years and older with foot or ankle impairments who have initiated an episode of care and completed the LEPF PROM.

Exclusions

Documentation stating patient has a diagnosis of a degenerative neurological condition such as ALS, MS, or Parkinson's diagnosed at any time before or during the episode of care OR Patient unable to complete the LEPF PROM at Initial Evaluation and/or Discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available.

Use of Risk Adjustment
Yes
Risk Adjustments
Stratifications

At the patient, clinician and clinic level.

Collection and Reporting Attributes

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

Reporting is specific to sub-program

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source
Technical Specifications
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
02 December 2025