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Respiratory: Respiratory

Pharmacotherapy Management of COPD Exacerbation (PCE)

  • This measure assesses the percentage of COPD exacerbations for members 40 years of age and older who had an acute inpatient discharge or ED encounter on or between January 1–November 30 of the measurement year and who were dispensed appropriate medications.

    Two rates are reported.
    1. Dispensed a systemic corticosteroid within 14 days of the event
    2. Dispensed a bronchodilator within 30 days of the event

    CBE ID
    0549

PICU Unplanned Readmission Rate

  • The total number of patients requiring unscheduled readmission to the ICU within 24 hours of discharge or transfer.

    CBE ID
    0335

Proportion of Patients with Pneumonia that have a Potentially Avoidable Complication (during the episode time window)

  • Brief Description of Measure: Percent of adult population aged 18+ years with Community Acquired Pneumonia who are followed for one-month, and have one or more potentially avoidable complication (PAC) during the episode time window. Please reference the attached document labeled NQF_PNE_all_codes_risk_adjustment_12_14_15.xls, in the tab labeled PACS I-9 & I-10 for a list of code definitions of PACs relevant to pneumonia.

    CBE ID
    0708