For physicians
Measura for physicians
You are already managing the consequences of vascular, autonomic and metabolic dysfunction. Measura measures it, so the management stops being inferential.
The argument for adding this testing to a practice is a clinical one. It finds disease earlier in patients you already see, it pairs cognitive screening with objective fall-risk assessment in the population most likely to fall, and the data it produces maps onto the quality measures you are already reporting.
The case, in four parts
Earlier detection
Small-fiber and autonomic changes precede the diagnoses they belong to. Clinical rationale
Better outcomes
What changes in management when the measurement exists. Patient outcomes
Cognition and falls, together
Structured cognitive screening paired with vestibular and balance testing. Cognitive assessment and fall prevention
Quality reporting
How the data lands in MIPS and HEDIS reporting. MIPS and quality reporting
Running it in your practice
Who to test
The clinical criteria, and how they are applied at intake. Selection criteria
Standing orders
The screening order set that makes selection reproducible rather than ad hoc. Standing orders
Staffing and workflow
Who performs the studies, what training is required, and where it sits in a clinic day. Staffing and workflow
EMR integration
How results reach the chart. EMR integration
Annual wellness visits
Where the assessments fit an existing wellness visit. Annual wellness visit integration
Onboarding
What the first ninety days look like. Onboarding the protocol
What the population looks like
In the general adult population, 12.2% of American adults met a full definition of optimal metabolic health in the National Health and Nutrition Examination Survey for 2009 to 2016 — so roughly 88% of US adults did not (National Health and Nutrition Examination Survey 2009–2016). In the Padda Institute patient population the picture is starker still: fewer than 3% of patients overall, and fewer than 1% of chronic pain patients, meet the same definition of metabolic health. Those are practice-reported figures from our own population, not trial outcomes, and individual results vary. A screening protocol built on the assumption that abnormality is the exception will under-detect in almost any adult panel.
How the argument differs by specialty — pain management, orthopedics, primary care, psychiatry and cardiology each have a distinct reason to measure.
Talk to someone about testing
Tell us what you are trying to find out and we will explain which Measura assessments answer that question, what each one involves, and how the results are reviewed with a clinician.
4477 Woodson Rd, Suite 201, St. Louis, MO 63134. Monday to Friday, 9:00 a.m. to 5:00 p.m. Please do not send symptoms, diagnoses or images through a web form — a website form is not a secure medical channel. Call us with clinical detail.
Common questions
Does a physician have to be present during testing?
Supervision requirements depend on the study and the setting, and are addressed directly in supervision and staffing for in-office testing.
How do results get into our EMR?
Reports are delivered as structured documents that can be filed to the chart. Getting results into the chart.
What training does the person performing the studies need?
Consistency of technique matters more than credentials for most of these studies. What makes a good tester.
How does this affect quality scores?
Several of the measures are things you are already required to document. Quality measures this testing supports.
References
- Araújo J, Cai J, Stevens J. Prevalence of Optimal Metabolic Health in American Adults: National Health and Nutrition Examination Survey 2009–2016. Metabolic Syndrome and Related Disorders. 2019;17(1):46–52. doi:10.1089/met.2018.0105
Medically reviewed by Dr. Gurpreet Singh Padda, MD, MBA, MHP, medical director of Measura. Last reviewed .