Percentage of patients, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy who did not have a bone scan performed at any time since diagnosis of prostate cancer
Numerator
Patients who did not have a bone scan performed after diagnosis of prostate cancer and before the end of the measurement period.
Denominator
All patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy
To add a patient in the denominator, the patient needs to have 2 encounters:
- On the first encounter:
- The patient must have a diagnosis of Prostate Cancer in their problem list
- One of the following staging added to the Assessment or Plan of the encounter:
- Most Recent Prostate Cancer Staging Tumor Size: T1a
- Most Recent Prostate Cancer Staging Tumor Size: T1b
- Most Recent Prostate Cancer Staging Tumor Size: T1c
- Most Recent Prostate Cancer Staging Tumor Size: T2a
- In Tracked Data, Add the PSA and the Gleason scores.
- From the patient’s chart, select “Summary Sheet” tab at the top of the chart
- The “Tracked Data” section will be on the right of the page. Click “Add/Edit”
- Enter “PSA” into the Item
- Enter the Value (Note: PSA score must be under 10)
- Enter the date collected
- Select “Move Data To Grid” and then click “Ok”
THEN
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- Enter “Gleason” into the Item
- Enter the Value (Note: Gleason score must be 6 or under)
- Enter the date collected
- Select “Move Data To Grid” and then click “Ok”
- Select “Save and Close”
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NOTE: PSA must be dated before the tumor size and Gleason scores must be dated before the first prostate cancer treatment
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- PSA/Gleason score electronically imported from a lab interface.
- On the following encounter:
- In the Plan or Assessment field, the following phrase is added:
- First prostate cancer treatment
- In the Plan or Assessment field, the following phrase is added:
Exclusions:
Documentation of reason(s) for performing a bone scan (including documented pain, salvage therapy, other medical reasons:
- Diagnosis of pain related to cancer added to the patient’s problem list
- In the Plan or Assessment fields, add the following phrases:
- Bone scan ordered for other reasons
- Bone Scan ordered for medical reasons
- Salvage cystoprostatectomy
- CPT code of salvage therapy (51597, 55860, 55862, 55865) included on super bill in Amazing Charts