Improved Visual Acuity after Vitrectomy for Complications of Diabetic Retinopathy within 120 Days

Percentage of patients with a 20% or greater improvement in visual acuity within 120 days following vitrectomy for complications of diabetic retinopathy

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.

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.

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

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

Hospital Admissions or Infectious Complications Within 30 days of Prostate Biopsy

Percentage of patients with urinary retention, infection, inpatient consultation, or hospital admission for infection or sepsis within 30 days of undergoing a prostate biopsy

Stones: Repeat Shock Wave Lithotripsy (SWL) Within 6 Months of Initial Treatment

Percentage of patients who underwent repeat Shock Wave Lithotripsy within 6 months of initial procedure

Avoidance of Cerebral Hyperthermia for Procedures Involving Cardiopulmonary Bypass

Percentage of patients, aged 18 years and older, undergoing a procedure using cardiopulmonary bypass who did not have a documented intraoperative pulmonary artery, oropharyngeal, or nasopharyngeal temperature greater than or equal to 37.0 degrees Celsius during the period of cardiopulmonary bypass

Coronary Artery Bypass Graft (CABG): Prolonged Intubation – Inverse Measure

Percentage of patients aged 18 years and older undergoing isolated CABG surgery who require postoperative intubation greater than 24 hours

Multi-strata weighted average for 3 CT Exam Types: Overall Percent of CT exams for which Dose Length Product is at or below the size-specific diagnostic reference level (for CT Abdomen-pelvis with contrast/single phase scan, CT Chest without contrast/single phase scan and CT Head/Brain without contrast/single phase scan)

Weighted average of 3 former QCDR measures, ACRad 31, ACRad 32, ACRad 33.