The board of directors at the National Quality Forum has endorsed 24 quality measures on surgical care performed in hospitals and in outpatient facilities.
The measures address a wide range of surgeries and surgical support processes, including coronary artery bypass grafts, carotid artery stenting, pediatric cardiology volume and mortality rates and cataract surgery. The 24 endorsed measures are as follows:
• 0134: Use of internal mammary artery (IMA) in coronary artery bypass graft (CABG) (STS)
• 0300: Cardiac surgery patients with controlled postoperative blood glucose (CMS)
• 0127: Preoperative beta blockade (STS)
• 0284: Surgery patients on beta blocker therapy prior to admission who received a beta blocker during the perioperative period (CMS)
• 0117: Beta blockade at discharge (STS)
• 0273: Perforated appendix admission rate (PQI 2) (AHRQ)
• 0265: Hospital transfer/admission (ASC Quality Collaboration)
• 1519: Statin therapy at discharge after lower extremity bypass (LEB) (SVS)
• 1540: Postoperative stroke or death in asymptomatic patients undergoing carotid endarterectomy (SVS)
• 1543: Postoperative stroke or death in asymptomatic patients undergoing carotid artery stenting (CAS) (SVS)
• 0339: RACHS-1 pediatric heart surgery mortality (AHRQ)
• 0340: Pediatric heart surgery volume (PDI 7) (AHRQ)
• 0352: Failure to rescue in-hospital mortality (risk adjusted) (CHOP)
• 0353: Failure to rescue 30-day mortality (risk adjusted) (CHOP)
• 0351: Death among surgical inpatients with serious, treatable complications (PSI 4) (AHRQ)
• 0515: Ambulatory surgery patients with appropriate method of hair removal (ASC Quality Collaboration)
• 1550: Hospital-level risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) (CMS)
• 1551: Hospital-level 30-day all-cause risk-standardized readmission rate (RSRR) following elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) (CMS)
• 1536: Cataracts: Improvement in patient’s visual function within 90 days following cataract surgery (AAO/Hoskins Center for Quality Eye Care)
• 0528: Prophylactic antibiotic selection for surgical patients (CMS)
• 0126: Selection of antibiotic prophylaxis for cardiac surgery patients (STS)
• 0264: Prophylactic intravenous (IV) antibiotic timing (ASC Quality Collaboration)
• 0527: Prophylactic antibiotic received within 1 hour prior to surgical incision (CMS)
• 0301: Surgery patients with appropriate hair removal (CMS) (reserve status)
The measures address a wide range of surgeries and surgical support processes, including coronary artery bypass grafts, carotid artery stenting, pediatric cardiology volume and mortality rates and cataract surgery. The 24 endorsed measures are as follows:
• 0134: Use of internal mammary artery (IMA) in coronary artery bypass graft (CABG) (STS)
• 0300: Cardiac surgery patients with controlled postoperative blood glucose (CMS)
• 0127: Preoperative beta blockade (STS)
• 0284: Surgery patients on beta blocker therapy prior to admission who received a beta blocker during the perioperative period (CMS)
• 0117: Beta blockade at discharge (STS)
• 0273: Perforated appendix admission rate (PQI 2) (AHRQ)
• 0265: Hospital transfer/admission (ASC Quality Collaboration)
• 1519: Statin therapy at discharge after lower extremity bypass (LEB) (SVS)
• 1540: Postoperative stroke or death in asymptomatic patients undergoing carotid endarterectomy (SVS)
• 1543: Postoperative stroke or death in asymptomatic patients undergoing carotid artery stenting (CAS) (SVS)
• 0339: RACHS-1 pediatric heart surgery mortality (AHRQ)
• 0340: Pediatric heart surgery volume (PDI 7) (AHRQ)
• 0352: Failure to rescue in-hospital mortality (risk adjusted) (CHOP)
• 0353: Failure to rescue 30-day mortality (risk adjusted) (CHOP)
• 0351: Death among surgical inpatients with serious, treatable complications (PSI 4) (AHRQ)
• 0515: Ambulatory surgery patients with appropriate method of hair removal (ASC Quality Collaboration)
• 1550: Hospital-level risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) (CMS)
• 1551: Hospital-level 30-day all-cause risk-standardized readmission rate (RSRR) following elective primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) (CMS)
• 1536: Cataracts: Improvement in patient’s visual function within 90 days following cataract surgery (AAO/Hoskins Center for Quality Eye Care)
• 0528: Prophylactic antibiotic selection for surgical patients (CMS)
• 0126: Selection of antibiotic prophylaxis for cardiac surgery patients (STS)
• 0264: Prophylactic intravenous (IV) antibiotic timing (ASC Quality Collaboration)
• 0527: Prophylactic antibiotic received within 1 hour prior to surgical incision (CMS)
• 0301: Surgery patients with appropriate hair removal (CMS) (reserve status)
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NQF Endorses Measures for Patient Safety, Cardiovascular and Other Aspects of Care