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30-Day Risk Standardized All-Cause Emergency Department Visit Following an Inpatient Psychiatric Facility Discharge

  • The 30-Day Risk Standardized All-Cause Emergency Department Visit Following an Inpatient Psychiatric Facility (IPF) Discharge (IPF ED Visit) measure assesses the proportion of patients ages 18 and older with an emergency department (ED) visit, including observation stays, for any cause, within 30 days of discharge from an IPF, without subsequent admission. The IPF ED Visit measure is an outcome-based measure. 

    CBE ID
    4190

Breast Cancer Screening Recall Rates

  • The Breast Cancer Screening Recall Rates measure calculates the percentage of beneficiaries with mammography or digital breast tomosynthesis (DBT) screening studies that are followed by a diagnostic mammography, DBT, ultrasound, or magnetic resonance imaging (MRI) of the breast in an outpatient or office setting within 45 days.

    CBE ID
    4220

CVD Risk Assessment Measure – Proportion of Pregnant/Postpartum Patients That Receive CVD Risk Assessment with a Standardized Tool

  • The University of California, Irvine (UCI) implemented and tested a CVD risk assessment algorithm that can be integrated into the electronic health record (EHR) system that immediately identifies patients who are at increased risk for CVD. The unit of measurement is individual patients, and the population will include any patient who has a prenatal or postpartum visit in the hospital system. This includes pregnant and postpartum emancipated minors.
    CBE ID
    3716

CVD Risk Follow-up Measure - Proportion of patients with a positive CVD risk assessment who receive follow-up care

  • All pregnant and postpartum patients need to be systematically assessed for cardiovascular disease (CVD). Once identified as being at risk for CVD follow-up cardiac tests and consultations are scheduled. UCI implemented and tested a standardized CVD risk assessment algorithm that can be integrated into the EHR system and provides an immediate triage of patients as low and high risk for CVD.
    CBE ID
    3735

ESRD Dialysis Patient Life Goals Survey (PaLS)

  • The PaLS is used to generate a patient-level t-score that reflects patient-reported satisfaction with how well his/her/their facility is doing in discussing life goals with the patient as part of the treatment planning process.

    CBE ID
    3742

Home Dialysis Rate

  • Percent of all dialysis patient-months in the measurement year in which the patient was dialyzing via a home dialysis modality.
    CBE ID
    3722

Home Dialysis Retention

  • Percent of all new home dialysis patients in the measurement year for whom >=90 consecutive days of home dialysis was achieved.
    CBE ID
    3725

Prevent Standardized Waitlist Ratio (PSWR)

  • The PSWR measure tracks the number of prevalent dialysis patients in a practitioner (inclusive of physicians and advanced practice providers) group who are under the age of 75 and were listed on the kidney or kidney-pancreas transplant waitlist or received a living donor transplant. For each practitioner group, the Prevalent Standardized Waitlist Ratio (PSWR) is calculated to compare the observed number of waitlist events in a practitioner group to its expected number of waitlist events.
    CBE ID
    3719