NQF 0056 (Additional) Diabetes: Foot Exam

Measure:  NQF 0056 (Additional Measure)

Measure Title:  Diabetes: Foot Exam

Measure Description:  The percentage of patients aged 18 - 75 years with diabetes (Type 1 or Type 2) whom had a foot exam (visual inspection, sensory exam with mono filament, or pulse exam).

*REQUIRED FOR MEANINGFUL USE (MU) ADDITIONAL MEASURE: Click here to view the Meaningful Use Criteria.

Quality Measure Documentation Workflow

In order for the Clinical Quality Measure report to generate, the following must be documented in the relevant patient's chart:

1.  The patient must be between the ages of 18 and 75 at the start of the reporting period and have at least one face-to-face SOAPnote with the provider during the reporting period.

2.  A diagnosis of Diabetes Type 1 or Type 2. This can be recorded by using any of the ICD9 codes listed below in the patient's Summary Active Problems field or SOAPnote Assessment field.

250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73, 250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92, 250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04

3.  In addition, there should be documentation to record if the patient has had a foot exam (visual inspection, sensory exam with mono filament, or pulse exam).  Inserting the shortcut code "PQRIdmFoo" into the encounter Plan field will allow the user to select from a group of specific SMARText CPT codes that can be used to document for this measure: 2028F.

Measurement Calculation Details

Numerator Calculation:

The numerator for this measurement is calculated based on the following:

1.  The number of patients in the denominator that have had a foot exam (visual inspection, sensory exam with mono filament, or pulse exam).  This should be documented by entering the following CPT code in the encounter Plan field using "PQRIdmFoo": 2028F.

Denominator Calculation:

The denominator for this measurement is calculated based on the following:

1. The number of patients that were between 18 and 75 years of age by the start of the reporting period and have had at least one face-to-face encounter with the provider during the reporting period.

2. And have a diagnosis of Diabetes Type 1 or 2 (recorded by using one of the ICD9 codes listed below) must be recorded in the patients Summary Active Problems field or encounter Assessment field:

250, 250.0, 250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.4, 250.40, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.7, 250.70, 250.71, 250.72, 250.73, 250.8, 250.80, 250.81, 250.82, 250.83, 250.9, 250.90, 250.91, 250.92, 250.93, 357.2, 362.0, 362.01, 362.02, 362.03, 362.04, 362.05, 362.06, 362.07, 366.41, 648.0, 648.00, 648.01, 648.02, 648.03, 648.04

Report Clinical Quality Measures to CMS/States

All of the items listed in the above steps need to be documented as structured data (as detailed above) in order to allow the user to capture the numerator, denominator and percentage for this quality measure.

For information on how to export the numerator, denominator and percentage for each Clinical Quality Measure, Click here.

For more information on reporting clinical quality measures, Click here.