Percentage of surgical inpatients with complications of care whose status is death
Measure Specs
General Information
Numerator
Surgical inpatients with complications of care whose discharge status is death
Denominator
Major surgical discharges with complications of care: sepsis (ICD-9-CM codes 038, 790.7), pneumonia (ICD-9-CM codes 507.0, 997.3, 514, 482, 485, 486), GI bleeding (ICD-9-CM codes 531.00-531.31,531.9,532.00-532.31, 532.9, 533.00-533.31,533.9, 534.00-534.31, 534.9, 535.01, 535.4, 578.9, 530.82), shock/cardiac arrest (ICD-9-CM codes 427.5, 785.5, 785.50, 785.51, 785.59, 799.1, 93.93, 99.60, 99.63), DVT/PE (ICD-9-CM codes 451.81, 451.11, 451.19, 415.11, 415.1, 453.8)
Exclusions
Exclusions as noted for each complication of care :
Sepsis excluding sepsis as a primary diagnosis, AIDS and immunocompromised states, LOS 3 days, infection related admission
Pneumonia excluding any primary diagnosis of pneumonia, any secondary diagnosis of ICD-9-CM 480, 481, 483, 484, 487, MDC4 (respiratory system), AIDS and immunocompromised states
GI Bleeding excluding primary GI bleed as a primary diagnosis, MDC 6 (digestive tract), MDC 7 (hepatobiliary tract and pancreas), primary diagnosis of anemia due to blood loss, trauma, burn, alcoholism
Shock/cardiac arrest excluding shock as primary diagnosis, MDC 4 (respiratory), MDC 5 (cardiac), hemorrhage or trauma as a primary diagnosis
DVT/PE excluding DVT/PE as a primary diagnosis and pregnancy related PE
Public Comments