The National Quality Forum Board of Directors has recently approved endorsement for 21 quality measures concerning surgical care.
The measures — part of the Surgery Endorsement Maintenance 2010, Phase 1 and the National Voluntary Consensus Standards for Pediatric Cardiac Surgery projects — address a wide range of surgical procedures and considerations in caring for surgical patients. The 21 surgical care measures are as follows:
Cardiac-CABG
• 0114: Risk-adjusted post-operative renal failure (STS)
• 0115: Risk-adjusted surgical re-exploration (STS)
• 0129: Risk-adjusted prolonged intubation (ventilation) (STS)
• 0131: Risk-adjusted stroke/cerebrovascular accident (STS)
• 0119: Risk-adjusted operative mortality for CABG (STS)
• 0113: Participation in a database for cardiac surgery (STS) (reserve status)
Cardiac-CABG: Valve Replacement/Repair
• 0120: Risk-adjusted operative mortality for aortic valve replacement (AVR) (STS)
• 0121: Risk-adjusted operative mortality for mitral valve (MV) replacement (STS)
• 0122: Risk-adjusted operative mortality MV replacement + CABG surgery (STS)
• 0123: Risk-adjusted operative mortality for aortic valve replacement (AVR) + CABG surgery (STS)
• 1501: Risk-adjusted operative mortality for mitral valve (MV) repair (STS)
• 1502: Risk-adjusted operative mortality for MV repair + CABG surgery (STS)
Esophageal Resection and Transfusion
• 0360: Esophageal resection mortality rate (IQI 8) (AHRQ)
• 0361: Esophageal resection volume (IQI 1) (AHRQ)
Cardiac-CABG
• 0116: Anti-platelet medication at discharge (STS)
• 0118: Anti-lipid treatment discharge (STS)
• 0130: Risk-adjusted deep sternal wound infection rate (STS)
Venous Thromboembolism (VTE)
• 0218: Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to surgery to 24 hours after surgery end time (CMS)
Pediatric Cardiac Surgery Quality Measures:
• 0733: Pre-Operative Mortality Stratified by the Five STS-EACTS Mortality Categories (STS)
• 0732: Surgical Volume for Pediatric and Congenital Heart Surgery: Total Programmatic Volume and Programmatic Volume Stratified by the Five STS-EACTS Mortality Levels (STS)
• 0734: Participation in a national database for pediatric and congenital health surgery (STS)
National Quality Forum Endorses Measures for Child Health, Patient Safety
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The measures — part of the Surgery Endorsement Maintenance 2010, Phase 1 and the National Voluntary Consensus Standards for Pediatric Cardiac Surgery projects — address a wide range of surgical procedures and considerations in caring for surgical patients. The 21 surgical care measures are as follows:
Cardiac-CABG
• 0114: Risk-adjusted post-operative renal failure (STS)
• 0115: Risk-adjusted surgical re-exploration (STS)
• 0129: Risk-adjusted prolonged intubation (ventilation) (STS)
• 0131: Risk-adjusted stroke/cerebrovascular accident (STS)
• 0119: Risk-adjusted operative mortality for CABG (STS)
• 0113: Participation in a database for cardiac surgery (STS) (reserve status)
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Cardiac-CABG: Valve Replacement/Repair
• 0120: Risk-adjusted operative mortality for aortic valve replacement (AVR) (STS)
• 0121: Risk-adjusted operative mortality for mitral valve (MV) replacement (STS)
• 0122: Risk-adjusted operative mortality MV replacement + CABG surgery (STS)
• 0123: Risk-adjusted operative mortality for aortic valve replacement (AVR) + CABG surgery (STS)
• 1501: Risk-adjusted operative mortality for mitral valve (MV) repair (STS)
• 1502: Risk-adjusted operative mortality for MV repair + CABG surgery (STS)
Esophageal Resection and Transfusion
• 0360: Esophageal resection mortality rate (IQI 8) (AHRQ)
• 0361: Esophageal resection volume (IQI 1) (AHRQ)
Cardiac-CABG
• 0116: Anti-platelet medication at discharge (STS)
• 0118: Anti-lipid treatment discharge (STS)
• 0130: Risk-adjusted deep sternal wound infection rate (STS)
Venous Thromboembolism (VTE)
• 0218: Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to surgery to 24 hours after surgery end time (CMS)
Pediatric Cardiac Surgery Quality Measures:
• 0733: Pre-Operative Mortality Stratified by the Five STS-EACTS Mortality Categories (STS)
• 0732: Surgical Volume for Pediatric and Congenital Heart Surgery: Total Programmatic Volume and Programmatic Volume Stratified by the Five STS-EACTS Mortality Levels (STS)
• 0734: Participation in a national database for pediatric and congenital health surgery (STS)
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