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Inpatient/Hospital

Late sepsis or meningitis in neonates (risk-adjusted)

  • Standardized rate and standardized morbidity ratio for nosocomial bacterial infection after day 3 of life for very low birth weight infants, other infants who are admitted to a neonatal intensive care unit within 28 days of birth and other infants who die in a hospital within 28 days of birth.

    CBE ID
    0303

Low Birth Weight Rate (PQI 9)

  • Low birth weight (< 2,500 grams) infants per 1,000 newborns. Excludes transfers from other institutions.

    [NOTE: The software provides the rate per newborn. However, common practice reports the measure as per 1,000 newborns. The user must multiply the rate obtained from the software by 1,000 to report admissions per 1,000 newborns.]

    [NOTE: This indicator can be calculated in SAS QI Software Version 4.5 using either the PDI Module or the PQI #9 Standalone Module.]

    CBE ID
    0278

Lumbar Spine Fusion for Degenerative Disease, 1-3 Levels Measure

  • The Lumbar Spine Fusion for Degenerative Disease, 1-3 Levels episode-based cost measure evaluates a clinician’s risk-adjusted cost to Medicare for patients who undergo surgery for lumbar spine fusion during the performance period. The measure score is the clinician’s risk-adjusted cost for the episode group averaged across all episodes attributed to the clinician.

    CBE ID
    3626

Median Time to ECG

  • Median time from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with
    Probable Cardiac Chest Pain).

    CBE ID
    0289

Median Time to Pain Management for Long Bone Fracture

  • Median time from emergency department arrival to time of initial oral, intranasal or parenteral pain medication administration for emergency department patients with a principal diagnosis of long bone fracture (LBF).

    CBE ID
    0662

Medicare Spending Per Beneficiary (MSPB) - Hospital

  • The MSPB Hospital measure evaluates hospitals’ risk-adjusted episode costs relative to the risk-adjusted episode costs of the national median hospital. Specifically, the MSPB Hospital measure assesses the cost to Medicare for Part A and Part B services performed by hospitals and other healthcare providers during an MSPB Hospital episode, which is comprised of the periods 3-days prior to, during, and 30-days following a patient’s hospital stay. The MSPB Hospital measure is not condition specific and uses standardized prices when measuring costs.

    CBE ID
    2158