Download Measure Information Measure Topic: OB Harm – Preeclampsia

Measure Information
Measure Topic: OB Harm – Preeclampsia Management and Treatment to Prevent Morbidity and
Mortality
Measure ID: EOM-OB-120
Measure Name: ICU Days Among Pre-eclamptic Women
Description: Number of ICU days among pregnant women with pre-eclampsia during their birth
hospitalization
Rationale: Hypertensive disorders of pregnancy are a leading cause of maternal mortality occurringin
12-22% of pregnancies. These disorders are responsible for approximately 17% ofmaternal mortality in
the United States.
Type of Measure: Outcome
Improvement Noted As: Decrease in rate
Numerator Statement: The number of ICU days among pregnant women with pre-eclampsia during
their birth hospitalization
Included populations:
Table 1: ICD-9 Codes for Hypertensive Diseases in Pregnancy and Postpartum*
ICD-9
Code
642.0
Description
Benign essential hypertension complicating pregnancy, childbirth, and the
puerperium
642.1
Hypertension secondary to renal disease, complicating pregnancy, childbirth,
and the puerperium
642.2
Other pre-existing hypertension complicating pregnancy, childbirth, and puerperium
642.3
642.4
Transient hypertension of pregnancy (gestational hypertension)
Mild or unspecified preeclampsia
642.5
Severe preeclampsia
642.6
Eclampsia
642.7
Preeclampsia or eclampsia superimposed on preexisting hypertension
th
*5 digits are used to denote the current episode of care (e.g. delivered, antepartum,
postpartum)
Table 2: ICD-10 Codes for Hypertensive Diseases in Pregnancy and Postpartum**
ICD-10
Code
Description
010.01
010.02
Preexisting essential hypertension complicating pregnancy
Preexisting essential hypertension complicating childbirth
010.03
011
013
Preexisting essential hypertension complicating the puerperium
Preexisting hypertension with preeclampsia
Gestational hypertension without significant proteinuria
014
Preeclampsia [excludes preexisting hypertension with preeclampsia
(011)]: see specific codes below:
014.0
014.1
014.2
014.9
Mild to moderate preeclampsia
Severe preeclampsia [excludes HELLP syndrome (014.2)]
HELLP syndrome (HELLP)
Unspecified preeclampsia
015.0
015.1
015.2
Eclampsia in pregnancy
Eclampsia in labor
Eclampsia in the puerperium
015.9
Eclampsia, unspecified as to time period
**Additional digits are used to denote the trimester (1, 2, 3, and 0=unspecified)
Excluded Populations: Patients being treated for pre-eclampsia during non-birth hospitalization
Data Elements: ICU days
Denominator Statement: All women giving birth equal to or greater than 20 weeks gestation
completed
Included populations: Not applicable
Excluded Populations: Not applicable
Data Elements: Deliveries ≥ 20 weeks gestation
Risk Adjustment: No
Sampling: No
Data Reported as: Rate: ICU days/Deliveries ≥ 20 Weeks gestation
Selected References: California Maternal Quality Care Collaborative:
CMQCC Preeclampsia Toolkit