Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
Percentage of adults 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. This measure is reported by the physician who treats the fracture and who therefore is held accountable for the communication.
ACP does not support MIPS measure ID# 024 (NQF ID# 0045 [no longer endorsed]): “Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older.” While this measure represents an important clinical concept, it is unclear whether the act of documenting communication with the clinician who is managing on-going care will lead to measureable and meaningful improvements in clinical outcomes. Furthermore, performance scores are likely to be entirely dependent on the socio-economic and environmental factors of the patient populations for whom clinicians serve and the clinician’s ability to access health information. For example, implementation could penalize clinicians who practice in rural or underserved areas, while clinicians who practice in large health systems with access to shared electronic health information are likely to score high on this measure. A more meaningful measure for improving care post-fracture for men and women could be “confirmation that that post-fracture care actually occurred.”