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QCDR measure AAD 8


Chronic Skin Conditions: Patient Reported Quality-of-Life

DESCRIPTION:
The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period.

MEASURE ID:AAD8
Type: Process
CMS Derm Specialty Set:
N/A
High priority:Yes
Topped out: No
Telehealth Eligible:Yes
Reporting methods: Registry/QCDR
Maximum points: 3

MEASURE PURPOSE:
This measure encourages measurement of patient’s quality-of-life to get their perspective on how their skin disease affects their health and well-being and can help provide targeted treatments and discussions that address patient’s concerns.


AAD8 FAQs

Q. Is this measure reportable via claims?

A. No. This measure can only be reported via DataDerm.

Q. Are patient encounters conducted via telehealth allowable?

A. Yes. Encounters coded with GQ, GT, 95, or POS 02 modifiers are allowable.

Q. What is the numerator?

A. The numerator are patients who have a patient-reported quality-of-life assessment completed AND recorded in the medical record with a care plan at least once within the 12-month measurement period.

Q. What is the denominator?

A. The denominator are patients aged 18 years and older, seen for a current diagnosis of one of the applicable skin conditions below.

  • Psoriasis

  • Dermatitis

  • Acne

  • Rosacea

  • Urticaria

  • Hidradenitis Suppurativa

  • Alopecia

  • Vitiligo

  • Keloids

  • Actinic Keratosis

Q. Are there any exceptions for this measure?

A. Exceptions include patient declines to complete the tool and patient is diagnosed with a skin condition that is denominator eligible, but the patient has identified a skin condition that is not included in the denominator as the main condition on their assessment.

Q. What quality-of-life tool should be used?

A. This measure includes a 3-item scale that allows patients to rate their Quality of Life on a 7-point scale.

Calculation

The numerator: Patients who have a patient-reported quality-of-life assessment completed AND recorded in the medical record with a care plan at least once within the 12-month measurement period

÷

The denominator: All patients, aged 18 years and older, seen for a current diagnosis of one of the applicable skin conditions (psoriasis, dermatitis, acne, rosacea, urticaria, hidradenitis suppurativa, alopecia, vitiligo, keloids, and actinic keratosis).

Measure calculation example

Dr. Maddy saw 100 patients who were diagnosed with chronic skin conditions during the reporting period. This is the denominator.

A total of 60 patients completed the patient-reported quality-of-life assessment and results were recorded in the medical record with a care plan. This is the numerator.

Quality of patient care = 60/100. Dr. Maddy has a score of 60.8% for this measure. This translates to 3 points.

Important note

CMS has not set benchmarks for this measure. As a result, only 3 points can be achieved in reporting this measure. This is applicable only to small practices with 15 providers or fewer.

Important note for DataDerm users:

For Manual/Web Entry Users:For SI/EHR users:
If you are planning on using this measure in your practice, you may download the Quality of Life Template (to the right, under the Important Measure Information section), and ensure that it is properly completed by the patient or medical staff. This template must be accurate, complete, and filed within the appropriate location in the patient chart. You may input this measure within DataDerm for MIPS reporting credit for 2025.
If you have a template based EHR system, please copy and paste the suggested questions for this measure using the Quality of Life Template (to the right, under the Important Measure Information section) into a new template within your EHR. Please be sure all answers are included in this template to ensure data is extracted appropriately. 

If you do not have a template based EHR where you can create your own template, we recommend documenting the template questions in a “free text” or “notes” field of your EHR. 

Please do not have patients complete the answers to these questions and then scan the forms into your EHR. Scanned images/PDFs are NOT able to be read, so these questions will need to be documented in your EHR as defined above.








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