Surgical treatment for patients with ET

Measure purpose: Ensure surgical treatment options are routinely discussed.

The numerator: Patients for whom available guideline-appropriate surgical treatment options were discussed* at least once in the 12-month measurement period.

is divided by

The denominator: patients aged 18 years or older diagnosed with medically refractory* ET.

*See measure specifications for complete definitions.

Exclusions are removed from the denominator:

• Patient has already undergone surgical treatment intervention.
• Patient declines discussion on surgical treatment options.
• Patient is not a surgical candidate.
• Patient is already receiving care at a movement disorder center.
• Patient has been evaluated at a movement disorder center within the past 2 years.

Key Phrases

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

• Discussed surgical options
• Pt declines information on surgical treatment options
• Pt seen at movement disorder center

Measure Calculation Example

Dr. Silva sees 100 patients between January 1 and December 31 aged 18 years and older diagnosed with medically refractory ET. This is the denominator. 

Three patients declined to discuss surgical treatment options, six patients were currently receiving care at a movement disorder center, and five patients previously received surgical treatment for ET. These 14 (3+6+5) patients are removed from the denominator as they meet exclusion criteria. 

Of the 86 patients that qualify for this measure, 27 had documentation of a discussion about surgical treatment option in the year. This is the numerator.

Quality of patient care = 27/(100-14). Dr. Silva has a score of 31.4% for this measure.