NQF 0389 (Additional): Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

Measure: NQF 0389 (Additional Measurement)

Measure Title: Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

Measure Description:  Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy whom did not have a bone scan performed at any time since diagnosis of prostate cancer.

Quality Measure Documentation Workflow

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 have at least one face-to-face encounter with the provider during the reporting period.

2.  Documentation to indicate that the patient with prostate cancer did not have a bone scan performed at any time since diagnosis of prostate cancer. Inserting the shortcut code "PQRIproBon" in the encounter Plan field will allow the user to select from a group of specific SMARText codes that can be used to document for this measure. The encounter Plan field must include the following code: 3270F.

3.  Documentation of a diagnosis of prostate cancer at low risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy.  Inserting the shortcut code "PQRIproBon" in the encounter Plan field will allow the user to select from a group of specific SMARText codes that can be used to document for this measure. The encounter Plan field must include the following code: 3271F.

Measurement Calculation Details

Numerator Calculation:

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

  1. The number of patients in the denominator who did not have a bone scan performed at any time since diagnosis of prostate cancer.  This should be documented by entering the following code in the Plan field: 3270F: Prostate cancer and no bone scan performed.

Denominator Calculation:

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

  1. The number of patients who have at least one face-to-face encounter with the provider during the reporting period;
  2. And have a documentation of a diagnosis of prostate cancer at low risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy.  This should be documented by entering the following code in the Plan field: 3271F: Low risk of recurrence, prostate cancer.

Report Clinical Quality Measures to CMS/Status

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.