MRI Monitoring for Patients with MS

Measure Purpose: To consider modifying management decisions based on imaging results.

The numerator: Patients who had a brain MRI scan in the last 24 months and care management decisions updated.

is divided by

the denominator: all patients with a diagnosis of MS.

Exclusions are removed from the denominator:

• Patient unable to have an MRI and this reason documented during measurement period
• Patient declines referral to MRI in the last 24 months
• MRI not clinically indicated given patient circumstances on date of encounter
• Active diagnosis of Radiologically Isolated Syndrome (RIS) or Clinically Isolated Syndrome (CIS) on date of encounter

Key Phrases

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

• Treatment plan remains appropriate
• Adjusted DMT
• Pharmacological updates made

Measure Calculation Example

Dr. Agrawal sees 100 patients diagnosed with MS between January 1, 2016, and December 31, 2018. This is the denominator.

Of the 100 patients, 11 patients had an MRI contraindication, and six declined MRI referral. These 17 (11+6) patients are removed from the denominator as exclusions.

Of the remaining 83 patients, 24 had documentation that they had an MRI scan in the last 24 months and care management decisions updated.

Quality of patient care = 24/83(100-17). Dr. Agrawal's has a score of 28.9% for this measure.