Harmonized Final result Measure Set Created for Musculoskeletal Care

On the request of the Facilities for Medicare and Medicaid Providers (CMS), two software program firms within the rehab remedy area have come collectively to develop a single unified end result measure set for musculoskeletal (MSK) care.

WebPT, a rehab remedy platform for follow expertise administration, and Limber Well being, a digital well being resolution enabling the supply of hybrid musculoskeletal (MSK) care, developed the brand new MSK Measure Set.

WebPT administers legacy trade normal end result measures by means of its Certified Medical Knowledge Registry (QCDR), and Limber Well being administers Affected person-Reported Outcomes Measurement Info System (PROMIS) computer-adaptive end result measures by means of its QCDR. The businesses labored to harmonize high quality measure units in collaboration with Intermountain Well being, Upstream Rehabilitation, and ATI Bodily Remedy. 

WebPT and Limber Well being stated they’re empowering clinicians to decide on which end result measure instruments to report on within the Benefit-based Incentive Fee System (MIPS) high quality fee program, whereas sustaining constant parameters. This allows CMS to extra equitably examine clinician outcomes, no matter software used, they stated. As well as, whatever the platform utilized, equivalent to WebPT or Limber Well being, rehab therapists will be capable to benchmark their efficiency and outcomes devices the identical method. 

“As care has progressed throughout disciplines, there’s been a urgent have to persistently measure outcomes throughout all settings,” says Susan Lofton, vice chairman of outcomes & medical transformation at WebPT, in a press release. “The trade wanted to combine our rehab trade normal measures with newer measures, like PROMIS, which can be utilized in completely different specialty settings to permit for improved communication and collaboration throughout the continuum of care. We partnered with Limber Well being to supply this, and are thrilled to have taken steps collectively towards the long-term good of the trade.” 

The brand new MSK Measure Set is co-stewarded by WebPT’s MSK and Rehabilitative Care Outcomes QCDR and Limber Well being’s Advancing MSK Care and Rehabilitation QCDR. Equally to WebPT’s former measure set, the “IROMS High quality Measures,” the brand new MSK Measure set continues to leverage generally used Affected person-Reported Final result Measure (PROM) instruments just like the Numerical Ache Ranking Scale (NPRS) the Neck Incapacity Index (NDI), the Fast Incapacity of the Shoulder, Arm, and Hand (QDASH), the Modified Low Again Ache Incapacity Questionnaire (MDQ), the Decrease Extremity Useful Scale (LEFS), and the Knee Final result Survey (KOS), with which rehab therapists are acquainted. Moreover, this new MSK Measure set additionally consists of the PROMIS measures beforehand supported through Limber Well being’s former measure set, the LMBR High quality Measures. 

“Incorporating PROMIS surveys into our challenge was a monumental step in the direction of enhancing affected person care,” stated Julia Goodwin, director of end result technique at Limber Well being, in a press release. “PROMIS permits for whole-body well being measurement, which supplies a brand new solution to measure affected person progress, alongside conventional injury-specific outcomes. By difficult the established order and regularly searching for methods to enhance patient-reported end result collections, we try to exhibit the true worth of bodily remedy by means of complete and insightful information.”

The 2 firms stated that the MSK Measure Set, CMS-approved for 2024 use, units a brand new normal, fostering alternative for clinicians and guaranteeing equitable comparability for CMS, a transformative step towards trade illustration in value-based care.