Percentage of procedures among average-risk patients aged 45 to 75 years receiving a screening colonoscopy with biopsy or polypectomy and pathology findings who had a follow-up interval consistent with US Multi-Society Task Force (USMSTF) recommendations for repeat colonoscopy documented in their colonoscopy report
Measure Type: High Priority
Screening Colonoscopy Adenoma Detection Rate
The percentage of patients aged 45 to 75 years with at least one conventional adenoma or colorectal cancer detected during screening colonoscopy
Appropriate Utilization of Vancomycin for Cellulitis
Percentage of Patients with Cellulitis Who Did Not Receive Vancomycin Unless MRSA Infection or Risk for MRSA Infection Was Identified
Avoidance of Long-Acting (LA) or Extended-Release (ER) Opiate Prescriptions and Opiate Prescriptions for Greater Than 3 Days Duration for Acute Pain
Percentage of Adult Patients Who Were Prescribed an Opiate Who Were Not Prescribed a Long-Acting (LA) or Extended-Release (ER) Formulation and for Whom the Prescription Duration Was Not Greater than 3 days for Acute Pain
Opioid Withdrawal: Initiation of Medication for Opioid Use Disorder (MOUD) and Referral to Outpatient Opioid Treatment
Percentage of Patients Presenting with Opioid Withdrawal Who Were Given Medication for Opioid Use Disorder (MOUD) and Referred to Outpatient Opioid Treatment
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
Avoidance of Advanced Imaging for Pediatric Patients with Unprovoked, Generalized Seizure
Percentage of patients aged younger than 18 years with diagnosis of seizure that did not have a CT or MRI of the head ordered.
Intraoperative Hypotension (IOH) among Non-Emergent Noncardiac Surgical Cases
Percentage of general, neuraxial, or regional anesthesia care cases in which the mean arterial pressure (MAP) fell below 65 mmHg for a cumulative total of 15 minutes or more
Functional Status Change for Patients with Upper or Lower Quadrant Edema
This is a patient-reported outcome performance measure (PRO-PM) consisting of a patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients aged 14 years and older with lymphedema or other causes of edema. For patients with such conditions affecting the arm, hand, chest, or breast body regions, the change in FS is assessed using the FOTO Upper Quadrant Edema (UQE) FS PROM.1 For patients with such conditions affecting the leg, foot, groin, or lower trunk regions, the change in FS is assessed using the FOTO Lower Quadrant Edema (LQE) FS PROM.2 PROM scores were scaled to the 0-100 metric, with higher scores representing higher perceived functional status.
To fairly measure performance between providers, the measure is risk-adjusted to patient characteristics known to be associated with FS outcomes and used as a performance measure at the patient and provider levels to assess quality.