Skip to main content

Severity-Standardized ALOS - Special Care

CBE ID
0332
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Standardized ALOS for special inpatient care (i.e., care provided in intensive care units).

        • 1.14 Numerator

          Number of accommodation days in Special Care hospital units (e.g., ICUs) for discharges in the denominator

        • 1.15 Denominator

          Number of inpatient hospital discharges (for respective condition)
          Inclusions:
          1. Global time period = Cases with discharge dates falling within six-month measurement time period
          2. Cases meeting global Clinical Criteria for AMI, CABG, PCI, or Pneumonia, respectively
          3. Patients aged 18-64 years at admission
          4. Primary source of payment = private/commercial health insurance plan
          5. Cases with Special Care accommodation Days 0 or more, whole number values, defined by UB-92 revenue codes

        • Exclusions

          Exclusions:
          1. Patient birthdate missing or invalid
          2. Cases where accommodation revenue codes are missing or all-inclusive reimbursement rate applies to the case
          3. Cases where Routine plus Special accommodation Days exceed overall LOS

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Pulmonary Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Leapfrog Group
          Steward Organization POC Email