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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 2|Page 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 3|Page 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/). 4|Page