This is a hospital based, risk adjusted, case mix adjusted elderly surgery aggregate clinical outcomes measure of adults 65 years of age and older.
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingNumerator
The outcome of interest is hospital-specific risk-adjusted mortality, a return to the operating room, or any of the following morbidities as defined by American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP): Cardiac Arrest requiring CPR, Myocardial Infarction, Sepsis, Septic Shock, Deep Incisional Surgical Site Infection (SSI), Organ/Space SSI, Wound Disruption, Unplanned Reintubation without prior ventilator dependence, Pneumonia without pre-operative pneumonia, progressive Renal Insufficiency or Acute Renal Failure without pre-operative renal failure or dialysis, or urinary tract infection (UTI) within 30 days of any ACS NSQIP listed (CPT) surgical procedure. The original endorsed measure included venous thromboembolism (VTE) as eligible morbidity events, including deep venous thrombosis requiring therapy and pulmonary embolism.
DenominatorPatients undergoing any ACS NSQIP listed (CPT) surgical procedure who are 65 years of age or older. (See appendix of roughly 2900 ACS NSQIP eligible CPT codes)
ExclusionsCases must first have ACS NSQIP eligible CPT codes on the submitted list of
- Measure StructureClinical Condition Topic AreaTarget PopulationMeasure Selection AttributesNational Quality Strategy PrioritiesPatient Safety
- Risk Adjustment
- Current or planned use(s)
- Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Surgery Project 2015-2017Initial EndorsementEndorsement StatusLast UpdatedRemoval Date
- StewardSteward Organization Email