Percentage of surgical inpatients with complications of care whose status is death
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Surgical inpatients with complications of care whose discharge status is death
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1.15 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)
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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
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Surgical Consensus Standards Endorsement MaintenanceInitial EndorsementLast UpdatedRemoval Date
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Steward Organization Email
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Risk Adjustment
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