Percentage of patients aged 6 months to 12 years of age with a diagnosis of otitis media with effusion (OME) including chronic serous, mucoid, or nonsuppurative OME of > or = 3 months duration who had or received an order or referral for comprehensive audiometric evaluation
Category: Quality Measures
Standard Benign Positional Paroxysmal Vertigo (BPPV) Management
Percentage of patients diagnosed with Benign Positional Paroxysmal Vertigo (BPPV) who received vestibular testing, imaging, and antihistamine, benzodiazepine, or vestibular suppressant medications.
Tympanostomy Tubes: Resolution of Otitis Media with Effusion (OME) in Adults and Children
Percentage of patients aged 6 months and older with a diagnosis of otitis media with effusion (OME) who are seen 2 to 8 weeks after tympanostomy tube surgery and OME is resolved
Dysphonia: Laryngeal Examination
Percentage of patients who were diagnosed with dysphonia that failed to resolve within 4 weeks and received a laryngoscopy
Neck Mass Evaluation
Percentage of patients aged 18 years and older diagnosed with a neck mass and suspected/increased risk of malignancy who had a fine needle aspiration (FNA), or refer the patient to someone who can perform FNA and receive a neck computed tomography (or magnetic resonance imaging) with contrast.
Tonsillectomy: Post-Tonsillectomy Pain Management in Pediatric Patients
Percentage of patients aged 12 years and younger who underwent a tonsillectomy and were given opioids within the 5-day postoperative period.
Tonsillectomy: Post-Tonsillectomy Hemorrhage
Percentage of patients aged 1 year and older who underwent a tonsillectomy and had a post-tonsillectomy hemorrhage requiring reevaluation or surgical intervention within the 21-day postoperative period.
Obstructive Sleep Apnea: Improvement of Obstructive Sleep Apnea after a Corrective Surgical Procedure
Percentage of patients aged 18 years and older who have a diagnosis of obstructive sleep apnea and received a corrective procedure for the obstructive sleep apnea and had an improvement in their post-operative sleep study results (i.e., Apnea-Hypopnea Index [AHI], Respiratory Disturbance Index [RDI]) compared to their pre-operative results.
Otolaryngologic Surgical Procedures: Avoidance of Unnecessary Antibiotic Use
Percentage of patients aged 1 year and older who underwent an otolaryngologic surgical procedure and did not receive perioperative or postoperative antibiotics when there were no clinical indications, based on evidence-based guidelines.
Measuring the Value-Functions of Primary Care: Comprehensiveness of Care
This measure evaluates the extent primary care physicians (PCPs) perform care-based and procedural-based services core to primary care (licensure ensures competence of these services). For each PCP, the resulting value reflects an average of the weighted proportion of services within each category performed during the measurement period.
Scores are based on weighted averages of 19 care-based and 20 procedural-based core primary care services resulting in scores between 0 and 100.
Inclusion criteria: Primary care physicians who have provided care to 30 or more patients regardless of age within the measurement period (the performance year and the 12 months prior to the performance year).See Figure 1: Physician and Care Site Identifier in the Measure Specification Figures and Tables document under the Additional Supporting Documentation section for the variables used to determine if physicians meet the inclusion criteria (Step 1 and 2 of the Measure Calculation Algorithm (also found in the Measure Specification Figures and Tables document).
Throughout this application, since the fields do not accept scientific formulas, tables or figures, we have attached those items in the Additional Supporting Documentation section.