Age Appropriate Screening Colonoscopy
The percentage of patients greater than 85 years of age who received a screening colonoscopy from January 1 to December 31.
ACP does not support MIPS measure ID# 439: “Age Appropriate Screening Colonoscopy” because of uncertain validity. Developers do not cite any performance data to form the basis of the measure and therefore, we are unable to assess the opportunity for improvement. However, performance data demonstrates that the rates of clinicians who perform colonoscopies on patients who are over the age of 85 years old are incredibly low, so this is potentially a low impact measure. While this measure represents an important clinical concept and we do support the development of clinical recommendations that promote appropriate screening in average risk patients, the burden posed by the documentation requirements outweighs the rewards of reporting. The list of valid medical reasons for screening patients who are >85 years old is exorbitant and requires too much investigation by the reporting clinician.