High Priority Status: No; N/A
NQF Number: N/A
Percentage of patients with Benign Positional Paroxysmal Vertigo (BPPV) who had a Dix-Hallpike maneuver performed AND who had therapeutic canalith repositioning procedure (CRP) performed or who were referred for physical therapy or to a provider who can perform CRP if identified with posterior canal BPPV.
- Patients diagnosed with BPPV.
- Patients diagnosed with posterior canal BPPV.
For Denominator 1: None.
For Denominator 2 Only:
- Patients diagnosed with anterior or lateral BPPV.
- Patients with unspecified canal BPPV.
- Patient has a history of BPPV, but is not currently experiencing positional dizziness/vertigo consistent with active BPPV.
- Patient has refused or declined Dix-Hallpike maneuver. (To be captured via search terms, this exclusion should be written as “patient refuses (or declines) Dix-Hallpike.”
- Patient has refused or declined CRP. (To be captured via search terms, this exclusion should be written as “patient refuses (or declines) CRP.”
- Patient has cervical spinal disease (i.e., cervical stenosis, severe kyphoscoliosis, limited cervical range of motion, Down’s syndrome, severe rheumatoid arthritis, cervical radiculopathies, Paget’s disease, ankylosing spondylitis, low back dysfunction, spinal cord injuries, spinal fractures)
- Patient unable to lay flat (i.e., severe heart disease)
- Patient has severe atherosclerotic disease or recent dissection involving the anterior or posterior cerebral circulation.
- Unable to be seated in exam chair (i.e., morbidly obese), or maneuver cannot be safely performed given morbid obesity.
- Patients who had a Dix-Hallpike maneuver performed.
- Patients who had therapeutic CRP performed or were referred to a provider who can perform CRP, or were prescribed or referred for physical therapy.
- Measure Type: Process
- National Quality Strategy (NQS) domain: Effective Clinical Care
- Meaningful Measures Area: Appropriate use of Healthcare
- Care Setting(s): Ambulatory Care: Clinician Office/Clinic
- Includes Telehealth: Yes
- Number of Performance Rates: 1
- Inverse measure: No
- Continuous measure: No
- Proportional measure: Yes
- Ratio measure: No
- Risk-adjusted measure: No
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