Osteoporosis Management in Women Who Had a Fracture (OMW)

HEDIS Measure

Osteoporosis Management in Women Who Had a Fracture (OMW)

Line of business: Medicare

Data Collection Method: Administrative (Claims)

Bone Mineral Density (BMD) Test Only

Supplemental Data Submission

• Standard – Electronic Clinical Data System (ECDS) Layout

Measure Description

The percentage of women 67–85 years of age who suffered a fracture and who had either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the six months after the fracture.

Numerator Compliance

Appropriate testing or treatment for osteoporosis after the fracture defined by any of the following criteria:

• A BMD test in any setting, on the IESD or in the 180-day (6-month) period after the IESD.
• If the IESD was an inpatient stay, a BMD test during the inpatient stay.
• Osteoporosis therapy on the IESD or in the 180-day (6- month) period after the IESD.
• If the IESD was an inpatient stay, long-acting osteoporosis therapy during the inpatient stay.
• A dispensed prescription to treat osteoporosis on the IESD or in the 180-day (6-month) period after the IESD.

Intake Period - A 12-month (1 year) window that begins on July 1 of the year prior to the measurement year and ends on June 30 of the measurement year. The intake period is used to capture the first fracture.

Episode Date - The date of service for an eligible encounter during the intake period with a diagnosis of fracture.

For an outpatient, observation or ED visit, the episode date is the date ofservice.

• For an inpatient stay, the episode date is the date of discharge.
• For direct transfers, the episode date is the discharge date from the lastadmission.

IESD - Index Episode Start Date. The earliest episode date during the intake period that meets all eligible population criteria.

Best Practices

• Reference The American College of Obstetricians and Gynecologists' Osteoporosis FAQ: www.acog.org/en/Patient%20Resources/FAQs Women's Health/Osteoporosis
• Reference Healthy People gov's Osteoporosis to Prevent Fracture: Screening https://www.healthypeople.gov/2020/tools- resources/evidence-basedresource/osteoporosis-to-prevent- fractures-screening

OSTEOPOROSIS MEDICATIONS

Quality Value Set Directory Coding Tips

Bone Mineral Density Tests

Osteoporosis Medication Therapy