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Claims Data

Valid for Measure Submission

Standardized Ratio of Emergency Department Encounters Occurring Within 30 Days of Hospital Discharge (ED30) for Dialysis Facilities

  • The Standardized Ratio of Emergency Department Encounters Occurring Within 30 Days of Hospital Discharge for Dialysis Facilities (ED30) is defined to be the ratio of observed over expected events. The numerator is the observed number of index discharges from acute care hospitals that are followed by an outpatient emergency department encounter within 4-30 days after discharge for eligible adult Medicare dialysis patients treated at a particular dialysis facility.

    CBE ID
    3566

Standardized Readmission Ratio (SRR) for dialysis facilities

  • The Standardized Readmission Ratio (SRR) for a dialysis facility is the ratio of the number of observed index discharges from acute care hospitals to that facility that resulted in an unplanned readmission to an acute care hospital within 4-30 days of discharge to the expected number of readmissions given the discharging hospitals and the characteristics of the patients and based on a national norm. Note that the measure is based on Medicare-covered dialysis patients.

    CBE ID
    2496

Standardized Transfusion Ratio for Dialysis Facilities

  • The risk adjusted facility level transfusion ratio “STrR” is specified for all adult dialysis patients. It is a ratio of the number of eligible red blood cell transfusion events observed in patients dialyzing at a facility, to the number of eligible transfusion events that would be expected under a national norm, after accounting for the patient characteristics within each facility. Eligible transfusions are those that do not have any claims pertaining to the comorbidities identified for exclusion, in the one year look back period prior to each observation window.

    CBE ID
    2979

Statin Prescribed at Discharge

  • Percent of acute myocardial infarction (AMI) patients who are prescribed a statin at hospital discharge.

    CBE ID
    0639

Statin Use in Persons with Diabetes

  • The percentage of patients ages 40 to 75 years who were dispensed a medication for diabetes that receive a statin medication.

    CBE ID
    2712

Stent drug-eluting clopidogrel

  • This measure identifies patients undergoing percutaneous coronary intervention (PCI) with placement of a drug-eluting intracoronary stent during the first 9 months of the measurement year, who filled a prescription for clopidogrel in the 3 months following stent placement.

    CBE ID
    0588

Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered

  • Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or intracranial hemorrhage for whom occupational, physical, or speech rehabilitation services were ordered at or prior to inpatient discharge OR documentation that no rehabilitation services are indicated at or prior to inpatient discharge

    CBE ID
    0244