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Fall 2022

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

Hospital 30-day, all-cause, risk-standardized mortality rate (RSMR) following coronary artery bypass graft (CABG) surgery

  • The measure estimates a hospital-level RSMR for patients 18 years and older discharged from the hospital following a qualifying isolated CABG procedure. Mortality is defined as death from any cause within 30 days of the procedure date of an index CABG admission. An index CABG admission is the hospitalization for a qualifying isolated CABG procedure considered for the mortality outcome. The measure was developed using Medicare Fee-for-Service (FFS) patients 65 years and older and was tested in all-payer patients 18 years and older.

    CBE ID
    2558

Hospital Harm Pressure Injury

  • This electronic clinical quality measure (eCQM) assesses the proportion of inpatient hospitalizations for patients ages 18 years and older at the start of the encounter who suffer the harm of developing a new stage 2, stage 3, stage 4, deep tissue, or unstageable pressure injury.
    CBE ID
    3498e

Hospital Harm-Acute Kidney Injury

  • This electronic clinical quality measure (eCQM) assesses the proportion of inpatient hospitalizations for patients 18 years of age or older who have an acute kidney injury (stage 2 or greater) that occurred during the encounter. Acute kidney injury (AKI) stage 2 or greater is defined as a substantial increase in serum creatinine value, or by the initiation of kidney dialysis (continuous renal replacement therapy (CRRT), hemodialysis or peritoneal dialysis).
    CBE ID
    3713e

Immunizations for Adolescents

  • Percentage of adolescents 13 years of age who had one dose of meningococcal conjugate vaccine, one tetanus, diphtheria toxoids and acellular pertussis (Tdap) vaccine, and have completed the human papillomavirus (HPV) vaccine series by their 13th birthday.

    CBE ID
    1407

Informed, Patient Centered (IPC) Hip and Knee Replacement Surgery

  • The measure is derived from patient responses to the Hip or Knee Decision Quality Instruments. Participants who have a passing knowledge score (60% or higher) and a clear preference for surgery are considered to have met the criteria for an informed, patient-centered decision.
    The target population is adult patients who had a primary hip or knee replacement surgery for treatment of hip or knee osteoarthritis.

    CBE ID
    2958

Overall Defect Free Care for AMI

  • The proportion of acute MI patients >= 18 years of age that receive "perfect care" based upon their eligibility for each performance measures

    CBE ID
    2377

Patient Reported Fatigue Following Chemotherapy among Adults with Breast Cancer

  • The PRO-PM assesses fatigue among adult women with breast cancer entering survivorship after completion of chemotherapy administered with curative intent. Fatigue is assessed using the PROMIS Fatigue 4a scale administered at baseline (prior to chemotherapy) and at follow-up (about three months following completion of chemotherapy). The measure is risk-adjusted.
    CBE ID
    3720

Patient Reported Pain Interference Following Chemotherapy among Adults with Breast Cancer

  • The PRO-PM assesses pain interference among adult women with breast cancer entering survivorship after completion of chemotherapy administered with curative intent. Pain interference is assessed using the PROMIS Pain Interference 4a scale administered at baseline (prior to chemotherapy) and at follow-up (about three months following completion of chemotherapy). The measure is risk-adjusted.
    CBE ID
    3718