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Surgery patients with appropriate hair removal

CBE ID
0301
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

Percentage of surgery patients with surgical hair site removal with clippers or depilatory or no surgical site hair removal.

        • 1.14 Numerator

          Surgery patients with surgical hair site removal with clippers or depilatory or no surgical site hair removal

        • 1.15 Denominator

          All selected surgery patients

          Include patients with an ICD-9-CM Principal Procedure Codes of selected surgeries.

        • Exclusions

          Excluded Populations:
          Patients less than 18 years of age
          Patients who have a length of Stay greater than 120 days
          Patients whose ICD-9-CM principal procedure was performed entirely by laparoscope.
          Patients enrolled in clinical trials
          Patients whose ICD-9-CM principal procedure occurred prior to the date of admission
          Patients who performed their own hair removal

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Patient Safety Project 2015-2017, Phase 3
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward Organization Email
          Steward Organization Copyright

          Trend Report (BM= Benchmark, rate = national score)
          Q209
          BM: 100 Rate: 99.1
          Q309
          BM: 100 Rate 99.3
          Q409
          BM: 100 Rate 99.4
          Q110
          BM: 100 Rate 99.5
          Q210
          BM: 100 Rate 99.6