91黑料网

Sleep Apnea: Severity Assessment at Initial Diagnosis

Percentage of patients aged 18 years and older with a diagnosis of obstructive sleep apnea who had an apnea hypopnea index (AHI) or a respiratory disturbance index (RDI) measured at the time of initial diagnosis.

Date Reviewed: November 4, 2018
Do Not Support
    Group/Practice Individual Clinician

Measure Info

MIPS 277 CMS 277
Measure Type
Process
Measure Steward
American Academy of Sleep Medicine
Clinical Topic Area
Obstructive Sleep Apnea
Care Setting
Outpatient
Data Source
Registry

91黑料网 does not support MIPS measure ID# 277: 鈥淪leep Apnea: Severity Assessment at Initial Diagnosis鈥 because implementation poses significant burden with very little yield. Developers do describe the opportunity for improvement in the measure background materials. The apnea hypopnea index (AHI) and the respiratory disturbance index (RDI) are standard tests routinely reported during sleep studies. Furthermore, without a threshold level of abnormality for AHI and RDI, the measure lacks the specification to lead to measureable and meaningful improvements in clinical outcomes. Developers do cite evidence to describe the correlation of an AHI >15 with a higher risk of cardiovascular events, but they fail to note that the best trials of CPAP showed no reduction in cardiovascular event. While this measure represents a good clinical concept, it is purely a reporting measure with limited opportunity for improving clinical outcomes. A more meaningful quality improvement effort may work through other avenues to standardize sleep study conduct and reporting by certifying sleep labs rather than including this concept in payment-level reporting.