Clinical Performance Measures

Orthopaedic surgeons are the most qualified professionals to develop and evaluate quality of care measures for patients with musculoskeletal conditions. It is crucial that orthopaedic surgeons retain a leadership position in defining quality of orthopaedic care. Through the Performance Measures Committee, AAOS is leading the development of orthopaedic quality measures.

AAOS Measures

Management of Hip Fractures in The Elderly: Timing of Surgical Intervention

  • Encouraging hip fracture surgery in elderly patients within 48 hours of admission. 

To see measure specifications and methodology, view the full Hip Fracture Timing Measure Technical Report 

Measures Related to the Management of Carpal Tunnel Syndrome
  • Discouraging use of MRI for diagnosis of carpal tunnel syndrome
  • Discouraging the use of adjunctive surgical procedures during carpal tunnel release
  • Discouraging the routine use of occupational and/or physical therapy after carpal tunnel release

To see measure specifications and methodology, view the full carpal tunnel syndrome measure technical report and public comment report.

Measure #109 - Osteoarthritis Function and Pain

In 2014, the AAOS executed a measure transition agreement with the American Medical Association/Physician Consortium for Performance Improvement (AMA/PCPI) to assume the measure maintenance and stewardship responsibilities for the Osteoarthritis: Function & Pain Assessment (OAFP) measure. The AAOS Performance Measures Committee along with the OAFP work group was charged with reviewing, updating and validating the OAFP Measure. For the full report, see the 2017 Osteoarthritis: Function & Pain Assessment Measure Methodology Report. This report describes updates made to the OAFP measure during the measure evaluation process, specifically background information on the measure and its development, a description of the update, the impacts of the changes on the measure cohort and outcome, and overall measure results.

    To better understand Measure #109 please read the Measure #109 Specifications 

    Measurement Sets in Progress

    The Performance Measures Committee continues to work toward its primary objective to develop and implement high quality evidence based orthopaedic performance measures. The topics listed below indicate active measure development work groups. 

    1. Management of Hip Fractures in the Elderly
    2. Management of Anterior Cruciate Ligament Injuries
    3. Surgical Management of Osteoarthritis of the Knee (SMOAK) 

    OPS Logo.pngMeasures Applicable to Orthopaedics 

    The AAOS Performance Measures Committee (PMC) compiled the Orthopaedic Preferred Specialty Measure Set (OPS). The 2017 OPS provides a list of available MIPS-Quality measures most relevant to orthopaedic surgeons. This set is designed to be a guide to assist orthopaedic surgeons in choosing measures applicable to their practice. Measures listed on OPS are not required but are suggestions for orthopaedic surgeons. 

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    To learn more about MACRA, Delivery Reform and the Quality Payment Program (QPP) visit the AAOS MACRA Information Center for helpful resources and news by selecting the MACRA icon.