Download Hospital OQR Existing and Proposed Measures

Hospital OQR Existing and Proposed Measures CY 2012 to CY 2015
Hospital OQR Existing and Proposed Measures
CY 2012 to CY 2015 Payment Determination
No.
OP-1
OP-2
OP-3
OP-4
OP-5
OP-6
OP-7
OP-8
OP-9
OP-10
OP-11
OP-12
OP-13
OP-14
OP-15
No.
OP-16
OP-17
Measures for CY 2012 Payment
Determination
Median Time to Fibrinolysis
Fibrinolytic Therapy Received Within 30
Minutes
Median Time to Transfer to Another
Facility for Acute Coronary Intervention
Aspirin at Arrival
Median Time to ECG
Timing of Antibiotic Prophylaxis
Prophylactic Antibiotic Selection for
Surgical Patients
MRI Lumbar Spine for Low Back Pain
Mammography Follow-up Rates
Abdomen CT — Use of Contrast Material
Thorax CT — Use of Contrast Material
The Ability for Providers with HIT to
Receive Laboratory Data Electronically
Directly into their Qualified/Certified EHR
System as Discrete Searchable Data
Cardiac Imaging for Preoperative Risk
Assessment for Non Cardiac Low Risk
Surgery
Simultaneous Use of Brain Computed
Tomography (CT) and Sinus Computed
Tomography (CT)
Use of Brain Computed Tomography (CT)
in the Emergency Department for
Atraumatic Headache
Implementation
Type
2008
2008
Abstraction
Abstraction
1st Due
Date*
2008
2008
2008
Abstraction
2008
2008
2008
2008
2008
Abstraction
Abstraction
Abstraction
Abstraction
2008
2008
2008
2008
2009
2009
2009
2009
2011
Claims
Claims
Claims
Claims
Structural
2008
2008
2008
2008
7/1/2011 8/15/2011
2011
Claims
2011
2011
Claims
2011
2011
Claims
2011
Proposed Measures for CY 2013 Payment Determination
Proposed Measures for CY 2013
Implementation
Type
Payment Determination
Troponin Results for Emergency
1/1/2012
Abstraction
Department acute myocardial infarction
(AMI) patients or chest pain patients (with
Probable Cardiac Chest Pain) Within 60
minutes of Arrival
Tracking Clinical Results between Visits
1/1/2012
Structural
1st Due
Date*
8/1/2012
Voluntary
for 2011
No.
OP-18
OP-19
OP-20
OP-21
OP-22
OP-23
No.
OP-24
OP-25
OP-26
OP-27
OP-28
OP-29
OP-30
OP-31
OP-32
Proposed Measures for CY 2013
Payment Determination
Median Time from ED Arrival to ED
Departure for Discharged ED Patients
Transition Record with Specified Elements
Received by Discharged Patients
Door to Diagnostic Evaluation by a
Qualified Medical Professional
ED- Median Time to Pain Management for
Long Bone Fracture
ED- Patient Left Without Being Seen
(Numerator/denominator one time per year
for the previous year)
ED- Head CT Scan Results for Acute
Ischemic Stroke or Hemorrhagic Stroke
who Received Head CT Scan Interpretation
Within 45 Minutes of Arrival
Implementation
Type
1/1/2012
Abstraction
1st Due
Date*
7/1/2012 8/15/2012
8/1/2012
1/1/2012
Abstraction
8/1/2012
1/1/2012
Abstraction
8/1/2012
1/1/2012
Abstraction
8/1/2012
1/1/2012
Abstraction
7/1/2012 8/15/2012
1/1/2012
Abstraction
8/1/2012
Proposed Measures for CY 2014 Payment Determination
Proposed Measures for CY 2014
Implementation
Type
Payment Determination
Surgical Site Infection
1/1/2013
Registry
Diabetes: Hemoglobin A1c Management
1/1/2013
Abstraction
Diabetes Measure Pair: A Lipid
1/1/2013
Abstraction
management: low density lipoprotein
cholesterol (LDL-C) <130, B Lipid
management: LDL-C <100
Diabetes: Blood Pressure Management
1/1/2013
Abstraction
Diabetes: Eye Exam
1/1/2013
Abstraction
Diabetes: Urine Protein Screening
1/1/2013
Abstraction
Cardiac Rehabilitation Patient Referral
1/1/2013
Abstraction
From an Outpatient Setting
Safe Surgery Checklist Use
1/1/2013
Structural
Hospital Outpatient Volume Data on
1/1/2013
Claims
Selected Outpatient Surgical Procedures
1st Due
Date*
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
8/1/2013
Measures and Measure Topics Under Consideration for Future Development
Beginning with CY 2015
Measures Under Consideration for CY
1st Due
No.
Implementation
Type
2015 Payment Determination
Date*
TBA
Procedure Specific Measures
Colonoscopy and other Endoscopy measures
TBA
Cataract Surgery measures
TBA
TBA
Cancer Care
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No.
Measures Under Consideration for CY
2015 Payment Determination
Adjuvant Chemotherapy is Considered or
Administered within 4 Months of Surgery to
Patients Under Age 80 with AJCC III Colon
Cancer
Adjuvant Hormonal Therapy for Patients
with Breast Cancer
Needle Biopsy to Establish Diagnosis of
Cancer Precedes Surgical Excision/Resection
Heart Failure
Heart Failure: Angiotensin-Converting
Enzyme (ACE) Inhibitor or Angiotensin
Receptor Blocker (ARB) Therapy for Left
Ventricular Systolic Dysfunction (LVSD)
Heart Failure: Left Ventricular Ejection
Fraction Assessment
Combination Medical Therapy for Left
Ventricular Systolic Dysfunction
Heart Failure: Beta-Blocker Therapy for
Left Ventricular Systolic Dysfunction
Heart Failure: Counseling regarding
Implantable Cardioverter-Defibrillator (ICD)
Implantation for Patients with Left
Ventricular Systolic Dysfunction on
Combination Medical Therapy
Heart Failure: Patients with Left Ventricular
Systolic Dysfunction on Combination
Medical Therapy
Heart Failure: Symptom Management
Heart Failure: Symptom and Activity
Assessment
Heart Failure: Patient Education
Heart Failure: Overuse of Echocardiography
Heart Failure: Post-Discharge Appointment
for Heart Failure Patients
Surgical Safety
Patient Fall
Patient Burn
Wrong Site, Wrong Side, Wrong Patient,
Wrong Procedure, Wrong Implant
Hospital Transfer/Admission
Patient Experience-of-Care
Consumer Assessment of Healthcare
Providers and Systems (CAHPS) surveys for
clinicians/groups
CAHPS Surgical Care Survey
Anesthesia Related Complications
Implementation
Type
1st Due
Date*
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
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No.
Measures Under Consideration for CY
2015 Payment Determination
Death
Cardiac Arrest
Perioperative Myocardial Infarction
Anaphylaxis
Hyperthermia
Transfusion Reaction
Stroke, Cerebral Vascular Accident, or Coma
following anesthesia
Visual Loss
Medication Error
Unplanned ICU admission
Patient intraoperative awareness
Unrecognized difficult airway
Reintubation
Dental Trauma
Perioperative aspiration
Vascular access complication, including
vascular injury or pneumothorax
Pneumothorax following attempted vascular
access or regional anesthesia
Infection following epidural or spinal
anesthesia
Epidural hematoma following spinal or
epidural anesthesia
High Spinal
Postdural puncture headache
Major systemic local anesthetic toxicity
Peripheral neurologic deficit following
regional anesthesia
Infection following peripheral nerve block
Additional Measurement Topics
NQF Serious Reportable Events in
Healthcare
Medication Reconciliation
Chemotherapy
Post-discharge follow up
Post-discharge ED visit within 72 hours
Breast cancer detection rate
Implementation
Type
1st Due
Date*
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
*Dates and deadlines are subject to change—please verify dates and deadlines on the
QualityNet website (http://www.qualitynet.org/).
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