The Risk Adjusted Post-Ambulance Provider Triage Emergency Department (ED) Visit Rate Measure (shorthand: Post-Triage ED Visit Rate Measure) assesses the quality of the triage and decision making by ambulance providers who transport low acuity patients to an alternative destination (non-ED location), or facilitate Treatment In Place (TIP), by identifying whether patients have a subsequent ED visit or death within three days.
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1.5 Measure Type1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
The outcome for this measure is an ED visit or death within three days for patients who have been triaged by an ambulance provider to an alternative non-ED destination or treated in place (TAD/TIP).
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1.15 Denominator
The cohort, or denominator, includes patients age 18 or older who have an encounter with an ambulance provider whose triage decision is to either transport them to an alternative non-ED destination (i.e., TAD) or to initiate and facilitate TIP.
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Exclusions
The measure has no denominator exclusions.
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OLD 1.12 MAT output not attachedAttached
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Most Recent Endorsement ActivityPrevention and Population Health Spring 2023Initial Endorsement
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StewardYale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE)Steward Organization POC Email
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
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Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Spring 2023 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Spring 2023 “Intent to Submit.” Battelle took over the E&M work for the Spring 2023 cycle when developers and/or stewards submitted their full measure information, which for CBE #3751, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2023-06/3751_-_et3_post_triage_ed_visit_rate.zip
To close out this E&M cycle, Battelle published the Spring 2023 measures for pre-evaluation public commenting, convened the E&M standing committees for their measure evaluation meetings, launched the Spring 2023 post-comment period, convened the E&M committees for the post-comment meeting, convened the CSAC to render a final endorsement decision, and executed the appeals period.