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Elderly

Care for Older Adults (COA) – Medication Review

  • Percentage of adults 65 years and older who had a medication review during the measurement year. A medication review is a review of all a patient’s medications, including prescription medications, over-the-counter (OTC) medications and herbal or supplemental therapies by a prescribing practitioner or clinical pharmacist.

    CBE ID
    0553

CARE: Improvement in Mobility

  • The measure calculates a skilled nursing facility’s (SNFs) average change in mobility for patients admitted from a hospital who are receiving therapy. The measure calculates the average change in mobility score between admission and discharge for all residents admitted to a SNF from a hospital or another post-acute care setting for therapy (i.e., PT or OT) regardless of payor status. This is a risk adjusted outcome measure, based on the mobility subscale of the Continuity Assessment and Record Evaluation (CARE) Tool and information from the admission MDS 3.0 assessment.

    CBE ID
    2612

CARE: Improvement in Self Care

  • The measure calculates a skilled nursing facility’s (SNFs) average change in self care for patients admitted from a hospital who are receiving therapy. The measure calculates the average change in self care score between admission and discharge for all residents admitted to a SNF from a hospital or another post-acute care setting for therapy (i.e., PT or OT) regardless of payor status. This is a risk adjusted outcome measure, based on the self care subscale of the Continuity Assessment and Record Evaluation (CARE) Tool and information from the admission MDS 3.0 assessment.

    CBE ID
    2613

Casemix-Adjusted Inpatient Hospital Average Length of Stay

  • This measure calculates a casemix-adjusted inpatient average length of stay (ALOS) for medical and surgical admissions for Commercial and Medicare populations. The measure can be reported at the hospital level or the service category level (medical vs. surgical).

    CBE ID
    0328

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

  • Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery

    CBE ID
    0565

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

  • Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved within 90 days following the cataract surgery

    CBE ID
    0565e

Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

  • Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence

    CBE ID
    0564

Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

  • Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence

    CBE ID
    0564e

Central Line Bundle Compliance

  • Percentage of intensive care patients with central lines for whom all
    elements of the central line bundle are documented and in place.
    The central line bundle elements include:
    •Hand hygiene
    •Maximal barrier precautions upon insertion
    •Chlorhexidine skin antisepsis
    •Optimal catheter site selection, with avoidance of the femoral vein for central venous access in patients 18 years and older
    •Daily review of line necessity with prompt removal of unnecessary lines

    CBE ID
    0298