NQMC Update Service: March 3, 2014 ► RAND Corporation

NQMC Update Service: March 3, 2014

March 3, 2014

RAND Corporation

• Carpal tunnel syndrome (CTS): percentage of eligible patients for whom a provider who treats musculoskeletal disorders has not documented that carpal tunnel surgery is contraindicated because the patient has diabetes.

• Carpal tunnel syndrome (CTS): percentage of eligible patients for whom CTS was mentioned in the progress note from a follow-up visit with a provider who treats musculoskeletal disorders within 4 weeks of the visit at which the CTS symptoms were first described as work associated.

• Carpal tunnel syndrome (CTS): percentage of eligible patients for whom the presence or absence of at least one of the specified non-occupational exacerbating factors is documented in the medical record from the time of the initial evaluation of the CTS symptoms through the two subsequent CTS-related visits.

• Carpal tunnel syndrome (CTS): percentage of eligible patients for whom the presence or absence of at least one of the specified occupational exacerbating factors is documented from the time of the initial evaluation of the CTS symptoms through the two subsequent CTS-related visits.

• Carpal tunnel syndrome (CTS): percentage of eligible patients for whom there is documentation in the medical record of at least one of the specified pieces of history from the time of the initial evaluation of the CTS symptoms through the two subsequent CTS-related visits.

• Carpal tunnel syndrome (CTS): percentage of eligible patients having documentation in the medical record that activity modification was discussed with the patient at the visit at which the exposures to mechanical force, vibration, or frequent repetitive wrist movements were first documented.

• Carpal tunnel syndrome (CTS): percentage of eligible patients having documentation in the medical record that within the first four weeks after the diagnosis of CTS a provider who treats musculoskeletal disorders educated them about CTS.

• Carpal tunnel syndrome (CTS): percentage of eligible patients who are off work for four or more weeks for CTS-related symptoms for whom the visit note documented the presence or absence of one or more of the following: 1) alcohol or substance abuse, 2) depression or anxiety, or 3) other barriers to return to work.

• Carpal tunnel syndrome (CTS): percentage of eligible patients who had a follow-up visit to a provider who treats musculoskeletal disorders within four weeks of returning to work and for whom the provider's note for this visit documented the presence or absence of occupational functional limitations.

• Carpal tunnel syndrome (CTS): percentage of eligible patients who have documentation in the medical record by the second CTS-related visit after the diagnosis indicating a provider's opinion of the probability that the CTS is work associated and a rationale for that judgment.

• Carpal tunnel syndrome (CTS): percentage of eligible patients whose CTS symptoms worsened after the closed reduction of a wrist fracture or immobilization of the wrist and who underwent carpal tunnel surgery within 48 hours, or for whom refusal of surgery was documented within 48 hours, of the reduction or immobilization.

• Carpal tunnel syndrome (CTS): percentage of eligible patients with mild CTS who did not undergo carpal tunnel surgery during the study period (part I).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with mild CTS who did not undergo carpal tunnel surgery during the study period (part II).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with mild CTS who underwent carpal tunnel surgery, or were offered it and declined.

• Carpal tunnel syndrome (CTS): percentage of eligible patients with moderate CTS who did not undergo carpal tunnel surgery during the study period (part I).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with moderate CTS who did not undergo carpal tunnel surgery during the study period (part II).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with moderate CTS who did not undergo carpal tunnel surgery during the study period (part III).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with moderate CTS who did not undergo carpal tunnel surgery during the study period (part IV).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with moderate CTS who underwent carpal tunnel surgery, or were offered it and declined (part I).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with moderate CTS who underwent carpal tunnel surgery, or were offered it and declined (part II).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with severe CTS who underwent carpal tunnel surgery, or were offered it and declined (part I).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with severe CTS who underwent carpal tunnel surgery, or were offered it and declined (part II).

• Carpal tunnel syndrome (CTS): percentage of eligible patients with severe CTS who underwent carpal tunnel surgery, or were offered it and declined (part III).

• Carpal tunnel syndrome (CTS): percentage of eligible visits for which notes documented whether or not the patient was currently working.

• Carpal tunnel syndrome (CTS): percentage of eligible visits for which there is documentation in the medical record of the specific job duties or non-occupational activities that are associated with the CTS symptoms.

• Carpal tunnel syndrome (CTS): percentage of patients with CTS who were pregnant who did not undergo carpal tunnel surgery during the study period, or who met the specified criteria.