Developer	Indicator Set	Quality Indicator Numerator	Description	Tools and Instruments	Information on Usability and Feasibility and Other Similar Measures
Screening or assessment
CMS	EHR Incentive Program	Functional status assessment for complex chronic conditions	Percentage of patients aged ≥65 with heart failure and two or more high-impact conditions who completed initial and follow-up (self-reported) functional status assessments		Proposed as a core measure for CMS EHR Incentive Program
RAND	ACOVE	ALL vulnerable elders new to a primary care practice should receive the elements of a Comprehensive Geriatric Assessment within 3 months	Includes assessment of medications, cognitive status, functional status, and others
PCPI/PQRS	Dementia	Patients for whom an assessment of functional status is performed and the results reviewed at least once within a 12-month period	Direct examination of the individual or knowledgeable informant; at a minimum, evaluation of individual’s ability to perform IADLs and ADLs	Examples include, but are not limited to Lawton IADL Scale, Barthel ADL Index, Katz Index of Independence in ADL	Proposed as part of optional measures for CMS EHR incentive program
PCPI	Osteoarthritis	Assessment for level of function and pain documented	No details given	May include the use of a standardized scale or the completion of an assessment questionnaire, such as Medical Outcomes Study 36-item Health Survey, American Academy of Orthopedic Surgeons Hip and Knee Questionnaire	Arthritis Foundation has a similar measure; does not specify any tools; some measures for knee and hip replacement also
PCPI/PQRS	Rheumatoid arthritis	Patients for whom a functional status assessment was performed at least once within 12 months	Using a standardized descriptive or numeric scale, standardized questionnaire, or notation of assessment of the effect of rheumatoid arthritis on patient activities of daily living	Examples of tools include: HAQ, Modified HAQ, HAQ-2; American College of Rheumatology’s Classification of Functional Status in Rheumatoid Arthritis; list of potential ADLs to assess	Arthritis Foundation includes functional status in a similar measure; does not specify any tools; proposed as part of optional measures for CMS EHR incentive program
Follow-up or outcome
CareConnections Outcomes System		Average percentage change in functional status from initial to discharge visit among patients receiving outpatient rehabilitation services	Quality improvement tool for therapists	Measured using the CareConnections Outcomes System Functional Index	Information on psychometrics of the instrument but not the indicator; similar indicator from American Physical Therapy Association uses Outpatient Physical Therapy Improvement in Movement Assessment Log Home care measures (OASIS) with similar construct (e.g., stabilization in transferring – percentage of individuals whose function did not worsen, measured using OASIS tool); variety of other indicators for stabilization or improvement in other ADLs (e.g., dressing) (pay-for-performance for home care) Similar indicator in Australia

NQF = National Quality Forum; CMS = Centers for Medicare and Medicaid Services; EHR = Electronic Health Record;

PCPI = Physician Consortium for Performance Improvement; PQRS = Physician Quality Reporting System;

IADL = Instrumental Activity of Daily Living; ADL = Activity of Daily Living; HAQ = Health Assessment Questionnaire;

OASIS = Outcome Assessment and Information Set; ACOVE = Assessing Care of Vulnerable Elders.