| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Claims, Registry | Process | Yes | Person and Caregiver-Centered Experience and Outcomes | Internal Medicine, Obstetrics/Gynecology, Urology, General Practice/Family Medicine |
Measure Description
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
Instruction
This measure is to be reported a minimum of once per performance period for patients seen during the performance period. This measure is appropriate for use in the ambulatory setting only. It is anticipated that eligible clinicians who provide services for patients with the diagnosis of urinary incontinence will submit this measure.
Denominator
All female patients aged 65 years and older with a diagnosis of urinary incontinence
Denominator Criteria (Eligible Cases):
All female patients aged ≥ 65 years on date of encounter
AND
Diagnosis for urinary incontinence (ICD-10-CM): F98.0, N39.3, N39.41, N39.42, N39.43, N39.44, N39.45, N39.46, N39.490, N39.491, N39.492, N39.498, R32
AND
Patient encounter during the performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, G0402
AND NOT
DENOMINATOR EXCLUSION:
Hospice services utilized by patient any time during the measurement period: G9694
Numerator
Patients with a documented plan of care for urinary incontinence at least once within 12 months
Definition:
Plan of Care – May include behavioral interventions (e.g., bladder training, pelvic floor muscle training, prompted voiding), referral to specialist, surgical treatment, reassess at follow-up visit, lifestyle interventions, addressing co-morbid factors, modification or discontinuation of medications contributing to urinary incontinence, or pharmacologic therapy.
Numerator Options:
Performance Met: Urinary incontinence plan of care documented (0509F)
OR
Performance Not Met
Urinary incontinence plan of care not documented, reason not otherwise specified (0509F with 8P)