Table A1.

Physician Quality Measures Developed by the AMA-Convened Physician Consortium for Performance Improvement (PCPI)

NUMBER AND TITLE	MEASURE DESCRIPTION	NUMERATOR STATEMENT	DENOMINATOR STATEMENT
Measure #47 (NQF 0326): Advanced Care Plan	Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan	Patients who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan	All patients aged 65 years and older
Measure #48: Urinary Incontinence Assessment	Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months	Patients who were assessed for the presence or absence of urinary incontinence within 12 months	Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
Measure #49: Urinary Incontinence Characterization	Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence whose urinary incontinence was characterized at least once within 12 months	Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence whose urinary incontinence was characterized at least once within 12 months	Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
Measure #191 (NQF 0565): 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery	Patients who had best- corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following cataract surgery	Clinicians who indicate modifier 55, postoperative management only OR modifier 56, preoperative management only, will not qualify for this measure.
Measure #280: Staging of Dementia	Percentage of patients, regardless of age, with a diagnosis of dementia whose severity of dementia was classified as mild, moderate or severe at least once within a 12 month period	Patients whose severity of dementia was classified* as mild, moderate or severe** at least once within a 12 month period	Patient sample criteria for the Dementia Measures Group are all patients regardless of age, with a specific diagnosis of dementia accompanied by a specific patient encounter:
Measure #286: Counseling Regarding Safety Concern	Percentage of patients, regardless of age, with a diagnosis of dementia or their caregiver(s) who were counseled or referred for counseling regarding safety concerns within a 12 month period	Patients or their caregiver(s) who were counseled or referred for counseling regarding safety concerns within a 12 month period	Patient sample criteria for the Dementia Measures Group are all patients regardless of age, with a specific diagnosis of dementia accompanied by a specific patient encounter:
Measure #287: Counseling Regarding Risks of Driving	Percentage of patients, regardless of age, with a diagnosis of dementia or their caregiver(s) who were counseled regarding the risks of driving and the alternatives to driving at least once within a 12 month period	Patients or their caregiver(s) who were counseled regarding the risks of driving and the alternatives to driving at least once within a 12 month period	Patient sample criteria for the Dementia Measures Group are all patients regardless of age, with a specific diagnosis of dementia accompanied by a specific patient encounter:
Retired Measure (Jan 1, 2015): Screening for Dysphagia	Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or intracranial hemorrhage who receive any food, fluids or medication by mouth (PO) for whom a dysphagia screening was performed prior to PO intake in accordance with a dysphagia screening tool approved by the institution in which the patient is receiving care	Patients for whom a dysphagia screening was perform ed prior to PO intake in accordance with a dysphagia screening tool approved by the institution in which the patient is receiving care	All patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who receive any food, fluids or medication by mouth
Proposed Measure: Potentially Avoidable Harmful Events – Urinary Tract Infection	Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke who were hospitalized for seven days or greater, who acquired a Urinary Tract Infection	Patients who acquired a Urinary Tract Infection	All patients aged 18 years and older with a diagnosis of ischemic stroke, who were hospitalized for seven days or greater
Proposed Measure: Potentially Avoidable Harmful Events – Stage III or Greater Decubiti	Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke who were hospitalized for seven days or greater, who developed Stage III or Greater Decubiti	Patients who developed Stage III or Greater Decubiti	All patients aged 18 years and older with a diagnosis of ischemic stroke, who were hospitalized for seven days or greater