Claims Data

Percentage of radical prostatectomy pathology reports that include the pT category, the pN category, the Gleason score and a statement about margin status.

Percentage of SUI surgeries for which cystoscopy was used during the surgical procedure to reduce complications

Percentage of home health stays in which patients who had an acute inpatient hospitalization in the 5 days before the start of their home health stay were admitted to an acute care hospital during the 30 days following the start of the home health stay.

The risk-adjusted relative resource use by health plan members with asthma during the measurement year.

The risk-adjusted relative resource use by health plan members with specific cardiovascular conditions during the measurement year.

The risk-adjusted relative resource use by health plan members with COPD during the measurement year.

The risk-adjusted relative resource use by health plan members with diabetes (type 1 and type 2) during the measurement year.

The number of hospital discharges with a retained surgical item or unretrieved device fragment (secondary diagnosis) among surgical and medical patients ages 17 years and younger. Excludes normal newborns, newborns with birth weight less than 500 grams, cases with principal diagnosis of retained surgical item or unretrieved device fragment, cases with a secondary diagnosis of retained surgical item or unretrieved device fragment present on admission, and obstetric cases.

The number of hospital discharges with a retained surgical item or unretrieved device fragment (secondary diagnosis) among surgical and medical patients ages 18 years and older or obstetric patients. Excludes cases with principal diagnosis of retained surgical item or unretrieved device fragment and cases with a secondary diagnosis of retained surgical item or unretrieved device fragment present on admission.

Percent of Rh negative pregnant women at risk of fetal blood exposure who receive Rhogam the ED.