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Surgery Patients with Perioperative Temperature Management

CBE ID
0452
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Surgery patients for whom either active warming was used intraoperatively for the purpose of maintaining normothermia or who had at least one body temperature equal to or greater than 96.8° F/36° C recorded within the 30 minutes immediately prior to or the 15 minutes immediately after Anesthesia End Time.

        • 1.14 Numerator

          Surgery patients for whom either active warming was used intraoperatively for the purpose of maintaining normothermia or who had at least one body temperature equal to or greater than 96.8° F/36° C recorded within the 30 minutes immediately prior to or the fifteen minutes immediately after Anesthesia End Time.

        • 1.15 Denominator

          All patients, regardless of age, undergoing surgical procedures under general or neuraxial anesthesia of 60 minutes duration

        • Exclusions

          • Patients who have a length of stay >120 days (all CMS quality measures have this exclusion- has to do with quarterly reporting)
          • Patients whose ICD-9-CM principal procedure occurred prior to the date of admission
          • Patients whose length of anesthesia was less than 60 minutes
          • Patients who did not have general or neuraxial anesthesia
          • Patients with physician/APN/PA documentation of intentional hypothermia for the procedure performed.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Surgery Endorsement Project 2013-2015
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email