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Patient Understanding of Key Information Related to Recovery After a Facility-Based Outpatient Procedure or Surgery, Patient Reported Outcome-Based Performance Measure

CBE ID
4210
Endorsement Status
1.0 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2028
1.6 Measure Description

This measure assesses how well facilities provide clear, personalized discharge instructions to patients aged 18 years or older who had a surgery or procedure at an outpatient facility. It uses a 9-item survey to obtain patient’s feedback on 3 domains: applicability; medications; and daily activities. Facility scores are calculated by averaging the individual patient scores for each facility. Individual patient scores are calculated using a top-box approach, measuring the percentage of the total number items given the most favorable responses ("Yes" or "Very Clear") out of the total number of relevant items. 

Measure Specs
General Information
1.7 Composite Measure
No
1.3 Electronic Clinical Quality Measure (eCQM)
1.8 Level of Analysis
1.9 Care Setting
1.10 Measure Rationale

Not applicable. For the URL link below, since this is a new measure, a webpage does not exist. We had to use a placeholder to bypass this question on the form.
 

1.20 Types of Data Sources
1.25 Data Source Details

We developed a nonproprietary, novel, 9-item instrument and piloted it in both English and Spanish. During pilot testing in hospital outpatient departments (HOPDs), survey administration, collection, and submission were facilitated via a third-party vendor. The survey was piloted using a web-based mode, in which patients provided the facility with their phone number and email, as well as permission to contact them via text and/or email. Patients were sent a link to the survey using the contact method(s) they opted into. All patients that failed to respond to the survey within 7 days were sent a single reminder. Responses were recorded on the platform and could be downloaded as a CSV file.