Performing vaginal apical suspension at the time of hysterectomy to address pelvic organ prolapse

CBE ID

2038

1.5 Project

Surgery Endorsement Maintenance

Endorsement Status

Endorsement Removed

1.0 New or Maintenance

Maintenance

1.1 Measure Structure

Single Measure

Previous Endorsement Cycle

Full Year 2014

Is Under Review

1.6 Measure Description

Percentage of patients undergoing hysterectomy for the indication of pelvic organ prolapse in which a concomitant vaginal apical suspension (i.e. uterosacral, iliococygeus, sacrospinous or sacral colpopexy, or enterocele repair) is performed.

Measure Specs

General Information

1.7 Measure Type

Process

1.3 Electronic Clinical Quality Measure (eCQM)

1.8 Level of Analysis

Clinician: Group/Practice

Clinician: Individual

1.9 Care Setting

Inpatient/Hospital

1.20 Types of Data Sources

Claims Data

Other

Numerator

1.14 Numerator

The number of patients who have a concomitant vaginal apical suspension (i.e.enterocele repair, uterosacral-, iliococygeus-, sacrospinous- or sacral- colpopexy) at the time of hysterectomy for pelvic organ prolapse.

Denominator

1.15 Denominator

Hysterectomy performed for the indication of pelvic organ prolapse

Exclusions

• Patients with a gynecologic or other pelvic malignancy noted at the time of hysterectomy
• Patients undergoing a concurrent obliterative procedure (colpocleisis)

Measure Record

Most Recent Endorsement Activity

Measure Retired and Endorsement Removed Surgery Endorsement Maintenance Project 2014

Initial Endorsement

2015-09