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Severity-Standardized ALOS - Special Care

CBE ID
0332
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M 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