Functional Status Change for Patients With Shoulder 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

A self-report outcome measure of change in functional status for patients 14 years+ with shoulder impairments. The change in functional status assess using FOTO's (shoulder) PROM is adjusted to patient characteristics known to be associated with functional status outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality.

Numerator

Patient Level: The residual functional status score for the individual patient (residual scores are the actual change scores - predicted change after risk adjustment. Individual Clinician Level: The average of residuals in functional status scores in patients who were treated by a clinician in a 12 month time period for shoulder impairment. Clinic Level: The average of residuals in functional status scores in patients who were treated by a clinic in a 12 month time period for shoulder impairment.

Denominator

All patients 14 years and older with shoulder impairments who have initiated rehabilitation treatment and completed the FOTO shoulder FS outcome instrument at admission and discharge.

Exclusions

Patients who are not being treated for a Shoulder impairment.

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