Functional Status Assessment for Total Hip Replacement

Percentage of patients 18 years of age and older with primary total hip arthroplasty (THA) who completed baseline and follow-up patient-reported functional status assessments

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Measuring functional status for patients undergoing total hip replacement permits longitudinal assessment - from the patient's perspective - of the impact of surgical intervention on pain, physical function, as well as health-related quality of life (Rothrock 2010)

The American Association of Hip and Knee Surgeons (AAHKS) states that it is important to ensure that the general/mental health survey be completed prior to surgery during the preoperative visit, as well as the post-operative visit. AAHKS recommends using a general health instrument, such as the VR-12 or PROMIS Global 10 in addition to condition-specific tools.

A higher score indicates better quality

The American Association of Hip and Knee Surgeons (2015). Patient Reported Outcomes Summit for Total Joint Arthroplasty Report. Retrieved from the American Association of Hip and Knee Surgeons Website: http://www.aahks.org/wp-content/uploads/2015/09/pro-summit-report-2015.pdf

Rothrock NE, Hays RD, Spritzer K, Yount SE, Riley W, Cella D. Relative to the general US population, chronic diseases are associated with poorer health-related quality of life as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS). J Clin Epidemiol 2010; 63(11):1195-204.

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A Functional Status Assessment (FSA) is based on administration of a validated instrument to eligible patients that asks patients to answer questions related to various domains including: pain, physical function, emotional well-being, health-related quality of life, symptom acuity

TBD

Patients 18 years of age and older who had a primary total hip arthroplasty (THA) within the 12 month period that begins 180 days before the start of the measurement period and ends 185 days after the start of the measurement period and who had an outpatient encounter not more than 180 days prior to procedure, and at least 60 days and not more than 180 days after THA procedure

Equals Initial Population

Patients with multiple fractures indicating trauma at the time of the total hip arthroplasty or patients with severe cognitive impairment

Patients with patient-reported functional status assessment results (eg, VR-12, VR-36,PROMIS-10-Global Health, PROMIS-29, HOOS) not more than 180 days prior to the primary THA procedure, and at least 60 days and not more than 180 days after THA procedure

Not Applicable

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For every patient evaluated by this measure also identify payer, race, ethnicity, and sex

Not Applicable