Measure TitleSleep Quality Response at 3-months
Measure DescriptionPercentage of patients 18 years and older who reported sleep quality concerns (e.g., insomnia) with documentation of a standardized tool AND demonstrated a response to treatment at three months (+/- 60 days) after index visit.
Denominator
DENOMINATOR:
Patients aged >= 18 years of age
ANDPatient Encounter CPT codes:0362T, 0373T, 90785, 90791, 90792, 90832,90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875, 90876, 96110, 96112, 96113, 96116, 96121, 96127, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96170, 96171, 96178, 97129, 97130, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 98966, 98967, 98968, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215,99354, 99355, 99406, 99407, 99408, 99409, 99446, 99447, 99448, 99449, 99484, 99492, 99493, 99494, G2011, G2061, G2062, G2063, G0396, G0397, G0402, G0438, G0439
ANDIndex Event Date: Initial (Index) Insomnia Severity Index (ISI) score of 15 or higherANDFollow Up Event Date: A Follow Up Insomnia Severity Index (ISI) score
Numerator
Patients 18 years and older who reported sleep quality concerns (e.g., insomnia) and an initial (index) Insomnia Severity Index (ISI) score of 15 or higher and reduction of 5 points or greater from the index score, three months (+/- 60 days) after index date.
Denominator Exclusions• Patients who die OR• Are enrolled in hospice in the measurement year (PRO2014.1Y1 ) OR• Are unable to complete the Insomnia Severity Index (ISI) at follow-up due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, AND a suitable recorder (e.g., advocate) is not available (PRO2014.1Y2)
Denominator Exceptions (PRO2014.8Y )• Patient refused to complete the Insomnia Severity Index (ISI) at follow-up OR• Ongoing care not indicated (e.g., referred to another provider or facility, consultation only) OR• Patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown) OR• Medical reasons (e.g., scheduled for surgery or hospitalized)
NQS Domain
Effective Clinical Care
NQF Number
N/A
High Priority
Yes
High Priority Type
Outcome
Measure Type
Patient Reported Outcome (PRO)
Meaningful Measure Area
Functional Outcomes
Inverse Measure
No
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Number of performance rates to be submitted
1
Overall Performance Rate
1st performance rate
Measure Risk-Adjusted?
No
Care Setting
Ambulatory Care: Clinician Office/Clinic, Ambulatory Care: Hospital, Home Care, Hospital, Hospital Inpatient, Hospital Outpatient, Long Term Care, Nursing Home, Outpatient Services, Rehabilitation Facility, Rehabilitation Facility: Inpatient
Includes Telehealth?
Yes