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Cross-Setting Discharge Function Score – for Home Health Agencies

  • This outcome measure estimates the percentage of Home Health (HH) Medicare patients (18+) who meet or exceed an expected discharge function score over a 12-month period.

    The expected discharge function score is a risk-adjusted estimate that accounts for patient characteristics.

    CBE ID
    4645

CVD Risk Assessment Measure – Proportion of Pregnant/Postpartum Patients That Receive CVD Risk Assessment with a Standardized Tool

  • The University of California, Irvine (UCI) implemented and tested a CVD risk assessment algorithm that can be integrated into the electronic health record (EHR) system that immediately identifies patients who are at increased risk for CVD. The unit of measurement is individual patients, and the population will include any patient who has a prenatal or postpartum visit in the hospital system. This includes pregnant and postpartum emancipated minors.
    CBE ID
    3716

CVD Risk Follow-up Measure - Proportion of patients with a positive CVD risk assessment who receive follow-up care

  • All pregnant and postpartum patients need to be systematically assessed for cardiovascular disease (CVD). Once identified as being at risk for CVD follow-up cardiac tests and consultations are scheduled. UCI implemented and tested a standardized CVD risk assessment algorithm that can be integrated into the EHR system and provides an immediate triage of patients as low and high risk for CVD.
    CBE ID
    3735

Days at Home for Patients with Complex, Chronic Conditions

  • This is an ACO-level measure of days at home or in community settings (that is, not in acute care such as inpatient hospital or emergent care settings or post-acute skilled nursing) among adult Medicare Fee-for-Service (FFS) beneficiaries with complex, chronic conditions who are attributed to ACOs participating in the ACO REACH model. The measure includes risk adjustment for differences in patient mix across ACOs, with an additional adjustment based on patients’ risk of death.

    CBE ID
    4555

Diagnostic Delay of Venous Thromboembolism (DOVE) in Primary Care

  • This eCQM assesses the rate of delayed diagnosis of VTE in adults aged 18 years and older in the primary care setting. Delayed diagnosis is defined as diagnosis of VTE that occurs >24 hours following the index primary care visit where symptoms for the VTE were first present (within 30 days).

    CBE ID
    3749e

Emergency Care Capacity and Quality

  • This intermediate outcome eCQM captures the proportion of visits for patients of all ages that experience emergency care access barriers during a one-year performance period.

    CBE ID
    4625e

ePC-07 Severe Obstetric Complications

  • Hospital-level measure scores are calculated as a risk-adjusted proportion of the number of delivery hospitalizations for women who experience a severe obstetric complication, as defined by the numerator, by the total number of delivery hospitalizations in the denominator during the measurement period.

    CBE ID
    3687e