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Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery

CBE ID
0218
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percentage of surgery patients who received appropriate Venous Thromboembolism (VTE) Prophylaxis within 24 hours prior to Anesthesia Start Time to 24 hours after Anesthesia End Time.

        • 1.14 Numerator

          Surgery patients who received appropriate Venous Thromboembolism (VTE) prophylaxis within 24 hours prior to Anesthesia Start Time to 24 hours after Anesthesia End Time.
          Appropriate prophylaxis according to Surgery Type:
          Intracranial Neurosurgery
          Any of the following:
          • Intermittent pneumatic compression devices (IPC) with or without graduated compression stockings (GCS)
          • Low-dose unfractionated heparin (LDUH)
          Low molecular weight heparin (LMWH)2
          • LDUH or LMWH2 combined with IPC or GCS
          General Surgery
          Any of the following:
          • Low-dose unfractionated heparin (LDUH)
          • Low molecular weight heparin (LMWH)
          • Factor Xa Inhibitor (Fondaparinux)
          • LDUH or LMWH or Factor Xa Inhibitor (fondaparinux) combined with IPC or GCS
          General Surgery with a reason for not administering pharmacological prophylaxis
          Any of the following:
          • Graduated Compression stockings (GCS)
          • Intermittent pneumatic compression devices (IPC)
          Gynecologic Surgery
          Any of the following:
          • Low-dose unfractionated heparin (LDUH)
          • Low molecular weight heparin (LMWH)
          • Factor Xa Inhibitor (fondaparinux)
          • Intermittent pneumatic compression devices (IPC)
          • LDUH or LMWH or Factor Xa Inhibitor (fondaparinux) combined with IPC or GCS
          Urologic Surgery
          Any of the following:
          • Low-dose unfractionated heparin (LDUH)
          • Low molecular weight heparin (LMWH)
          • Factor Xa Inhibitor (fondaparinux)
          • Intermittent pneumatic compression devices (IPC)
          • Graduated compression stockings (GCS)
          • LDUH or LMWH or Factor Xa Inhibitor (fondaparinux) combined with IPC or GCS
          Elective Total Hip Replacement
          Any of the following started within 24 hours of surgery:
          • Low molecular weight heparin (LMWH)
          • Factor Xa Inhibitor (Fondaparinux)

          • Warfarin
          -Oral Factor Xa Inhibitor
          Elective Total Knee Replacement
          Any of the following:
          • Low molecular weight heparin (LMWH)
          • Factor Xa Inhibitor (Fondaparinux)
          • Warfarin
          • Intermittent pneumatic compression devices (IPC)
          • Venous foot pump (VFP)
          -Oral Factor Xa Inhibitor3
          Hip Fracture Surgery
          Any of the following:
          • Low-dose unfractionated heparin (LDUH)
          • Low molecular weight heparin (LMWH)
          • Factor Xa Inhibitor (Fondaparinux)
          • Warfarin
          Elective Total Hip Replacement with a reason for not administering pharmacological prophylaxis
          Any of the following:
          • Intermittent pneumatic compression devices (IPC)
          • Venous foot pump (VFP)
          Hip Fracture Surgery with a reason for not administering pharmacological prophylaxis
          Any of the following:
          • Graduated Compression Stockings (GCS)
          • Intermittent pneumatic compression devices (IPC)
          • Venous foot pump (VFP)

        • 1.15 Denominator

          Denominator Statement: All selected surgery patients

        • Exclusions

          Data Elements:
          • Admission Date
          • Anesthesia End Date
          • Anesthesia End Time
          • Anesthesia Start Date
          • Anesthesia Start Time
          • Birthdate
          • Clinical Trial
          • Discharge Date
          • ICD-9-CM Principal Diagnosis Code
          • ICD-9-CM Principal Procedure Code
          • Perioperative Death
          • Preadmission Oral Anticoagulation Therapy
          • Reason for Not Administering VTE Prophylaxis

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Surgery Project 2015-2017
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email