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Maintenance

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

Lower-Extremity Amputation among Patients with Diabetes Rate (PQI 16)

  • Admissions for any-listed diagnosis of diabetes and any-listed procedure of lower-extremity amputation (except toe amputations) per 100,000 population, ages 18 years and older. Excludes any-listed diagnosis of traumatic lower-extremity amputation admissions, obstetric admissions, and transfers from other institutions.

    [NOTE: The software provides the rate per population. However, common practice reports the measure as per 100,000 population. The user must multiply the rate obtained from the software by 100,000 to report admissions per 100,000 population.]

    CBE ID
    0285

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

Management of Urinary Incontinence in Older Adults (MUI)

  • The following components of this measure assess the management of urinary incontinence in older adults.

    - Discussing Urinary Incontinence. The percentage of Medicare members 65 years of age and older who reported having urine leakage in the past six months and who discussed their urinary leakage problem with a health care provider.

    - Treatment of Urinary Incontinence. The percentage of Medicare members 65 years of age and older who reported having urine leakage in the past six months and who treatment options for their current urine leakage problem.

    CBE ID
    0030

Management plan for people with asthma

  • Percentage of patients for whom there is documentation that a written asthma management plan was provided either to the patient or the patient’s caregiver OR, at a minimum, specific written instructions on under what conditions the patient’s doctor should be contacted or the patient should go to the emergency room

    CBE ID
    0025

Maternal Depression Screening

  • The percentage of children 6 months of age who had documentation of a maternal depression screening for the mother.

    CBE ID
    1401