Percentage of patients with a 20% or greater improvement in visual acuity within 120 days following vitrectomy for complications of diabetic retinopathy
Measure Type: High Priority
Regaining Vision After Cataract Surgery
Percentage of eyes of patients aged 18 years and older with a diagnosis of cataract had cataract surgery and had 20/20 best-corrected distance visual acuity or better OR an improvement in best-corrected distance visual acuity achieved within 30 days following the cataract surgery. Weighted average of performance rates reported.
Endothelial Keratoplasty – Post-operative improvement in best corrected visual acuity to 20/40 or better
Percentage of endothelial keratoplasty patients with a best corrected visual acuity of 20/40 or better within 90 days after surgery
Physician’s Orders for Life-Sustaining Treatment (POLST) Form
Percentage of Patients with Advanced Illness with Physician’s Orders for Life-Sustaining Treatment (POLST) Forms Completed.
Point-of-Care Ultrasound: Evaluation for Pneumothorax after Central Venous Catheter (CVC) Placement
Percentage of Patients Aged 18 years and Older Who Undergo Central Venous Catheter (CVC) Insertion for Whom Point-of-Care Ultrasound Was Performed to Evaluate for Pneumothorax.
Avoidance of DVT Ultrasound for Patients Diagnosed with Cellulitis
Percentage of patients aged 18 years and older with diagnosis of lower extremity cellulitis that did not have a DVT ultrasound ordered
Point-of-Care Ultrasound for Evaluation and Management of Shock
Percentage of patients aged 18 years and older with diagnosis of Shock and that had Point-of-Care Ultrasound performed.
Functional Status Change for Patients with Vestibular Dysfunction
Percentage of patients aged 14 years and older diagnosed with vestibular dysfunction who achieve a Minimal Clinically Important Difference (MCID) as measured via the validated Dizziness Handicap Inventory or equivalent instrument to indicate functional, emotional, and physical improvement
· Submission Age Criteria 1: Patients aged 14-17 years of age
· Submission Age Criteria 2: Patients aged 18-64 years of age
· Submission Age Criteria 3: Patients aged 65 years and older
· Submission Criteria 4: Overall total rate of patients aged 14 years and older
The measure is adjusted to patient characteristics known to be associated with functional status and quality of life outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality.
Patient-Reported Understanding of Discharge Diagnosis and Plan of Care
Percentage of Adult Patients Who Completed a Survey Regarding Their Care Visit Who Reported Understanding of Their Discharge Diagnosis and Plan of Care
Patient Reported Trust in Provider
Percentage of Adult Patients Who Completed a Survey Regarding Their Care Visit Who Reported They Would Trust the Doctor/Provider to Care for their Friends/Family