2023 # MBHR09 Outcome monitoring of ADHD functional impairment in children and youth

Measure Title: Outcome monitoring of ADHD functional impairment in children and youth

Description: Percentage of children aged 4 through 18 years, with a diagnosis of attention deficit/hyperactivity disorder (ADHD), who demonstrate a change score of 0.25 or greater on the Weiss Functional Impairment Rating Scale – Parent Report (WFIRS-P) within 2 to 10 months after an initial positive finding of functional impairment.

This measure relies on the Weiss Functional Impairment Rating Scale—Parent Report (WFIRS-P) assessment tool, which can be foundhere.

Denominator: 

All patients aged 4 to 18 years of age who have a diagnosis of ADHD and receive a psychiatric or behavioral intake visit with a WFIRS-P total mean score of 0.65 or greater during the measurement period.
 
Denominator Criteria (Eligible cases):
Patients aged 4 to 18 years
AND
Diagnosis for ADHD (ICD-10-CM): all ADHD diagnostic codes:
• F90 Attention-deficit hyperactivity disorders
• F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type
• F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type
• F90.2 Attention-deficit hyperactivity disorder, combined type
• F90.8 Attention-deficit hyperactivity disorder, other type
• F90.9 Attention-deficit hyperactivity disorder, unspecified type
AND
Patient encounter during the performance period (CPT): 0362T, 0373T, 90785, 90791, 90792, 90832,90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875, 90876, 96110, 96112, 96113, 96116, 96121, 96127, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96170, 96171, 96178, 97129, 97130, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 98966, 98967, 98968, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215,99354,  99355, 99406, 99407, 99408, 99409, 99446, 99447, 99448, 99449, 99484, 99492, 99493, 99494, G2011, G2061, G2062, G2063, G0396, G0397, G0402, G0438, G0439                                                             

AND
Weiss Functional Impairment Rating Scale – Parent Report (WFIRS-P) (total mean score of 0.65 or greater) at index

AND

WFIRS-P follow-up score during the measurement period

Numerator: Patients who demonstrated a positive improvement of 0.25 or more points on the total mean score of the WFIRS-P assessment taken 2 to 10 months later.

Definitions:  

Response to Treatment – A WFIRS-P score reduction of 0.25 points or greater within 2-10 months after the index visit.  

2 to 10 Months  – The point in time from 2 to 10 months from the index event date. The most advantageous WFIRS-P score during this eight month period is deemed a response to treatment, values obtained prior to or after this period are not counted as numerator compliant.

Denominator Exclusions: Death

Denominator Exceptions: Patient refuses to participate or is unable to complete the questionnaire

National Quality Forum (NQF) number, if applicable
N/A

Care setting(s) 
Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Home Care; Hospital; Hospital Inpatient; Hospital Outpatient; Long Term Care; Nursing Home; Outpatient Services; Rehabilitation Facility; Rehabilitation Facility: Inpatient

Telehealth, if applicable
Yes

Number of performance rates required for measures
1

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway 
Traditional MIPS