Percentage of venous leg ulcers among patients aged 18 or older that have achieved healing or closure within 12 months, stratified by the Wound Healing Index. Healing or closure is defined as complete epithelialization without drainage or the need for a dressing over the closed ulceration, although venous compression would still be required.
Submission Method: Registry
Adequate Off-loading of Diabetic Foot Ulcers performed at each visit, appropriate to location of ulcer
Percentage of visits in which diabetic foot ulcers received adequate off-loading during the 12-month reporting period, appropriate to the location of the ulcer. (Off-loading is not a simple documentation process but may include performing a procedure such as Total Contact Casting or special bandaging.)
Pressure Ulcer* (PU) Healing or Closure (ulcerations not on the lower extremity)
Percentage of Stage 2, 3, or 4 pressure ulcers* (not on the lower extremity) among patients aged 18 or older that achieve healing or closure within 6 months [Note: Because both CMS and ICD10-CM use the term “pressure ulcer” for open cutaneous lesions, we are using that term.]
Objective Measurement of Wound Surface Area With AI-Based Imaging
Percentage of chronic wound/ulcer treatment visits in which wound surface area is measured objectively with an AI-based imaging tool, allowing for an objective evaluation of surface area reduction over time.
Treatment of Symptoms of Autonomic Dysfunction for Patients with Parkinson’s Disease
Percentage of all patients with a diagnosis of Parkinson’s Disease who experienced symptoms of autonomic dysfunction during the measurement period and were provided follow-up care
Consultation to Palliative Care for Patients with End Stage Conditions
The measure will identify patients with end stage diagnoses who meet any of the listed criteria for a palliative care consult
Avoidance of Head CT Scans in Recurrent Seizure Episodes Without New Head Injury.
This quality measure aims to minimize the use of head computed tomography (CT) scans in both the Emergency Department (ED) and Hospital Medicine (HM) settings for patients presenting with seizures when they have a known history of seizure disorder and there is no new clinical evidence of head injury.
Timely and Effective Management of Pediatric Asthma Exacerbations in the Emergency Department
This measure evaluates the timely administration of both Short-Acting Beta Agonists (SABAs) and corticosteroids within 60 minutes of ED presentation in pediatric patients aged 2 to 18 years experiencing moderate to severe asthma exacerbations. It specifically assesses the prompt delivery of SABAs in conjunction with oral, intramuscular (IM), or intravenous (IV) corticosteroids to ensure effective management of asthma symptoms.
Optimization of Short-term Dual Antiplatelet Therapy for High-risk Cerebrovascular Events
This measure assesses the proportion of adult patients who are prescribed short-term dual antiplatelet therapy upon discharge following a diagnosis of high-risk transient ischemic attack (TIA), minor non-embolic ischemic stroke, or intracranial large artery atherosclerosis. It encourages the use of evidence-based protocols to reduce the risk of recurrent stroke.
Vitamin D level: Effective Control of Low Bone Mass/Osteopenia and Osteoporosis: Therapeutic Level Of 25 OH Vitamin D Level Achieved
Percentage of patients aged 65 years and older diagnosed with osteopenia or osteoporosis whose most recent serum 25 Hydroxy-Vitamin D results is greater than or equal to 30.0 ng/dL.
Reporting Frequency:
This measure is reported once per reporting period.