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Valid for Measure Submission
Valid for Initial Endorsement
Valid for Maintenance

Perioperative Temperature Management

  • Percentage of patients, regardless of age, who undergo surgical or therapeutic procedures under general or neuraxial anesthesia of 60 minutes duration or longer for whom at least one body temperature greater than or equal to 35.5 degrees Celsius (or 95.9 degrees Fahrenheit) was achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time

    CBE ID
    2681

Person-Centered Primary Care Measure PRO-PM

  • The Person-Centered Primary Care Measure instrument is an 11-item patient reported assessment of primary care. Patients complete the PCPCM instrument once a year. These instruments are used to calculate a performance score for the participating entity. That entity could be an individual clinician or a practice. The 11 items of the PCPCM assess primary care aspects rarely captured yet thought responsible for primary care effects on population health, equity, quality, and sustainable expenditures.

    CBE ID
    3568

Physical Activity in Older Adults (PAO)

  • This measure has two rates that assess the promotion of physical activity in older adults:

    Discussing Physical Activity: Percentage patients 65 years of age and older who reported discussing their level of exercise or physical activity with a doctor or other health provider in the last 12 months

    Advising Physical Activity: Percentage patients 65 years of age and older who reported receiving advice to start, increase, or maintain their level of exercise or physical activity from a doctor or other health provider in the last 12 months

    CBE ID
    0029

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

Plan All-Cause Readmissions (PCR)

  • For patients 18 years of age and older, the number of acute inpatient stays during the measurement year that were followed by an unplanned acute readmission for any diagnosis within 30 days and the predicted probability of an acute readmission. Data are reported in the following categories:

    1. Count of Index Hospital Stays* (denominator)
    2. Count of 30-Day Readmissions (numerator)
    3. Average Adjusted Probability of Readmission

    *An acute inpatient stay with a discharge during the first 11 months of the measurement year (e.g., on or between January 1 and December 1).

    CBE ID
    1768

Pneumococcal Immunization

  • Inpatients age 65 years and older and 5-64 years of age who have a high risk condition who are screened for Pneumococcal Vaccine status and vaccinated prior to discharge if indicated.

    CBE ID
    1653

PointRight ® Pro 30™

  • PointRight OnPoint-30 is an all-cause, risk adjusted rehospitalization measure. It provides the rate at which all patients (regardless of payer status or diagnosis) who enter skilled nursing facilities (SNFs) from acute hospitals and are subsequently rehospitalized during their SNF stay, within 30 days from their admission to the SNF.

    CBE ID
    2375