Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
"Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient’s on-going care, that a fracture occurred and that the patient was or should be considered for osteoporosis treatment or testing. Note: This measure is submitted by the physician who treats the fracture and who therefore is held accountable for the communication."
The clinical performance measure concept is pragmatic; however, it is very difficult to reliably measure modes of communication between the primary care physician (PCP) and other physicians. Methods of communication depend on how large the physician’s health system is and if physicians treating the fracture would be included within the same system. If not, feasibility would be a concern especially for smaller practices that may not currently use electronic health records (EHRs). It is also unclear who this performance measure is attributed to, whether it is the emergency physician, the hospitalist, urgent care, etc. The identified PCP in the abstracted chart may not be the attributed party. The PMC strongly advises the developer to replace this process performance measure with an outcome performance measure that evaluates the on-going care post-fracture rather than communication.