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Medication Reconciliation on Admission

  • Percentage of patients for whom a designated PTA medication list was generated by referencing one or more external sources of PTA medications and for which all PTA medications have a documented reconciliation action by the end of Day 2 of the hospitalization.

    CBE ID
    3317

Continuity of Care After Medically Managed Withdrawal from Alcohol and/or Drugs

  • Percentage of discharges from a medically managed withdrawal episode for adult Medicaid beneficiaries, ages 18–64, that were followed by a treatment service for substance use disorder (including the prescription or receipt of a medication to treat a substance use disorder [pharmacotherapy]) within 7 or 14 days after discharge.

    CBE ID
    3312

STS Lobectomy for Lung Cancer Composite Score

  • The STS Lobectomy Composite Score comprises two domains:

    1. Operative Mortality (death during the same hospitalization as surgery or within 30 days of the procedure)
    2. Presence of at least one of these major complications: pneumonia, acute respiratory distress syndrome, bronchopleural fistula, pulmonary embolus, initial ventilator support greater than 48 hours, reintubation/respiratory failure, tracheostomy, myocardial infarction, or unexpected return to the operating room.

    CBE ID
    3294

Hospice and Palliative Care Composite Process Measure—Comprehensive Assessment at Admission

  • The Hospice Comprehensive Assessment Measure assesses the percentage of hospice stays in which patients who received a comprehensive patient assessment at hospice admission. The measure focuses on hospice patients age 18 years and older. A total of seven individual NQF endorsed component quality will provide the source data for this comprehensive assessment measure, including NQF #1634, NQF #1637, NQF #1639, NQF #1638, NQF #1617, NQF #1641, and NQF #1647. These seven measures are currently implemented in the CMS HQRP.

    CBE ID
    3235

CollaboRATE Shared Decision Making Score

  • CollaboRATE is a patient-reported measure of shared decision making which contains three brief questions that patients, their parents, or their representatives complete following a clinical encounter. The CollaboRATE measure provides a performance score representing the percentage of adults 18 and older who experience a high level of shared decision making.

    CBE ID
    3227

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

  • Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

    Three rates are reported:
    a. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months
    b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention

    CBE ID
    0028

Adult Inpatient Risk Adjusted Sepsis Mortality

  • Annual risk adjusted inpatient mortality rate for adult patients (aged 18 and over) admitted to acute care hospitals with diagnosis of severe sepsis or septic shock. The measure includes patients in acute care hospital settings over one year timeframe who had, either on admission, or during their hospital stay, a clinical diagnosis of severe sepsis (now referred to as ´sepsis´) or septic shock using criteria described in the International Sepsis Definitions (Sepsis-2)

    CBE ID
    3215