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Hospital-level risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA)

CBE ID
1550
1.4 Project
Surgery
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
E&M Cycle
Fall 2020
Is Under Review
No
Next Planned Maintenance Review
Surgery Fall 2024
1.3 Measure Description

The measure estimates a hospital-level risk-standardized complication rate (RSCR) associated with elective primary THA and TKA in Medicare Fee-For-Service beneficiaries who are age 65 and older. The outcome (complication) is defined as any one of the specified complications occurring from the date of index admission to 90 days post date of the index admission (the admission included in the measure cohort).

    • 1.14 Numerator

      The outcome for this measure is any complication occurring during the index admission (not coded present on arrival) to 90 days post-date of the index admission. Complications are counted in the measure only if they occur during the index hospital admission or during a readmission. The complication outcome is a dichotomous (yes/no) outcome. If a patient experiences one or more of these complications in the applicable time period, the complication outcome for that patient is counted in the measure as a “yes”.

    • 1.15 Denominator

      The target population for the publicly reported measure includes admissions for Medicare FFS beneficiaries who are at least 65 years of age undergoing elective primary THA and/or TKA procedures.

      Additional details are provided in S.7 Denominator Details.

    • Exclusions

      This measure excludes index admissions for patients:

      1. Without at least 90 days post-discharge enrollment in FFS Medicare;
      2. Who were discharged against medical advice (AMA); or,
      3. Who had more than two THA/TKA procedure codes during the index hospitalization.

      After applying these exclusion criteria, we randomly select one index admission for patients with multiple index admissions in a calendar year. We therefore exclude the other eligible index admissions in that year.

    • Most Recent Endorsement Activity
      Endorsed Surgery Fall Cycle 2020
      Initial Endorsement
      Last Updated