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Appendix I

Quality Measures: Complete List of RAND/UCLA Quality Measures for Carpal Tunnel Syndrome

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Appendix II

Quality Measures: Overview of Use

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Appendix III

Quality Measures: Identifying Relevant Patients Using Administrative (Claims) Data

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Appendix IV, Part A

Quality Measures: Materials for Scoring Main Set of Measures (Scoring Instructions)

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Appendix IV, Part B

Quality Measures: Materials for Scoring Main Set of Measures (Guidance Document)

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Appendix IV, Part C

Quality Measures: Materials for Scoring Main Set of Measures (Data Forms)

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Appendix V, Part A

Materials for Scoring Electrodiagnosis Quality Measures (Scoring Instructions)

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Appendix V, Part B

Materials for Scoring Electrodiagnosis Quality Measures (Guidance Document)

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Appendix V, Part C

Materials for Scoring Electrodiagnosis Quality Measures (Data Forms)

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Appendix VI, Part A

Materials for Scoring Intraoperative Measures (Scoring Instructions)

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Appendix VI, Part B

Materials for Scoring Intraoperative Measures (Guidance Document)

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Appendix VI, Part C

Materials for Scoring Intraoperative Measures (Data Forms)

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Appendix VII

Quality Measures: Instructions for Analyzing Data

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Appendix VIII

Algorithm: Determining the Appropriateness of Surgery for Carpal Tunnel Syndrome

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Abstract

Claims relating to carpal tunnel syndrome (CTS) are common in workers' compensation systems. Given that the human and economic costs related to CTS are considerable, healthcare organizations must be able to offer high-quality care to people affected by this condition. The study on which this report is based is a step toward improving care for CTS. It has produced two unique tools for institutions to use, one for assessing the quality of care received by a population of patients who have or may have CTS, and the other for identifying the appropriateness of surgery for individual patients. Tools that assist in measuring quality of care are fundamental to efforts to improve healthcare quality. Tools that assess the appropriateness of surgery ensure that people who need surgery receive it and, conversely, that people are not subjected to inappropriate operations. Applied in this way, these two tools are likely to improve clinical circumstances and economic outcomes for people with CTS. Together, they can be useful to provider organizations, medical groups, medical certification boards, and other associated decisionmakers attempting to assess, monitor, and provide appropriate care for people with CTS.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Methods

  • Chapter Three

    Results

  • Chapter Four

    Limitations

  • Chapter Five

    Conclusions and Recommendations

This research was jointly supported by the California Commission on Health and Safety and Workers' Compensation and by the Zenith Insurance Company, and was undertaken within the RAND Center for Health and Safety in the Workplace.

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