This is a hospital based, risk adjusted, case mix adjusted elderly surgery aggregate clinical outcomes measure of adults 65 years of age and older.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting
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1.14 Numerator
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.
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1.15 Denominator
Patients 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)
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Exclusions
Cases must first have ACS NSQIP eligible CPT codes on the submitted list of
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Surgery Project 2015-2017Initial EndorsementLast UpdatedRemoval Date
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StewardSteward Organization Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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