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Death among surgical inpatients with treatable serious complications (failure to rescue)

CBE ID
0200
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of surgical inpatients with complications of care whose status is death

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Care Setting
    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

  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Surgical Consensus Standards Endorsement Maintenance
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date