ALS multidisciplinary care plan developed or updated

Measure purpose: Ensure patients have a multidisciplinary plan developed and updated annually.

The numerator: visits during the calendar year during which a multidisciplinary care plan was either developed (if not done previously) or reviewed and/or updated

is divided by

The denominator: all outpatient and telehealth visits for patients with a primary diagnosis of ALS phenotypes characterized by appropriate ICD codes

Exceptions are removed from the denominator:

• Patient/caregiver declines multidisciplinary care plan.
• Patients identified as not in current need of multidisciplinary care planning with an early, nondebilitating form of ALS (e.g., King’s Staging System, Stage 1)

Key Phrases

Examples of key phrases you could use to meet the measure include:

• Patient declines multidisciplinary care referral.
• Patient does not have insurance coverage for multidisciplinary care services
• Patient multidisciplinary care plan developed

Measure Calculation Example

Between January 1 and December 31, Dr. Koothrappali sees, through either outpatient or telehealth visits, 123 patients with a primary diagnosis of ALS phenotypes characterized by appropriate ICD codes. This is the denominator.

Two patients decline a multidisciplinary care plan and 1 patient is identified as not in current need of multidisciplinary care planning. These exceptions are removed from the denominator (123-3=120).

Dr. Koothrappali develops or updates multidisciplinary care plans for 79 of these patients within the year. This is the numerator.

Quality of patient care = 79/123-3. Dr. Koothrappali has a score of 65.8% for this measure.