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.
Submission Method: Registry
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.
Screening for Osteoporosis for Men Aged 70 Years and Older
Percentage of male patients aged 70 years and older who had a central dual-energy X-ray absorptiometry (DXA) to screen for osteoporosis
Reporting Frequency:
This measure is reported once per reporting period
Bunion Outcome – Adult and Adolescent
Percentage of patients with a who have a hallux valgus (bunion) deformity causing pain that receive an intervention and have clinically significant reduction in pain as a result of that intervention.
Offloading with Remote Monitoring
Percentage of patients with a plantar foot ulcer who were compliant with offloading and healed their ulcer in 10 (ten) weeks.
Monitor and Improve Treatment Outcomes in Chronic Wound Healing
This measure is specifically for CHRONIC wounds. Those are wounds that have been present for an extended period of time and have not demonstrated healing.
Percentage of patients presenting with a non-healing (chronic) wound (present for 6 weeks with no or limited response to treatment) who are currently visiting a provider responsible for their wound care, who performs a re-assessment of the wound (The use of digital imaging to monitor the wound is encouraged) , and has used the information learned from that re-assessment to implement a change in treatment plan, and whose wound healing rate has accelerated since implementation of the updated treatment plan.
Tunneled Hemodialysis Catheter Clinical Success Rate
Percentage of tunneled central venous access catheter insertions or replacements that resulted in successful dialysis treatment in patients with end-stage renal disease (ESRD).
Percutaneous Arteriovenous Fistula for Dialysis – Clinical Success Rate
Percentage of clinically successful percutaneously created arteriovenous fistulae (pAVF) for patients on maintenance hemodialysis.