Percentage of patients diagnosed with Benign Positional Paroxysmal Vertigo (BPPV) who received vestibular testing, imaging, and antihistamine, benzodiazepine, or vestibular suppressant medications.
Measure Type: Process
Dysphonia: Laryngeal Examination
Percentage of patients who were diagnosed with dysphonia that failed to resolve within 4 weeks and received a laryngoscopy
Neck Mass Evaluation
Percentage of patients aged 18 years and older diagnosed with a neck mass and suspected/increased risk of malignancy who had a fine needle aspiration (FNA), or refer the patient to someone who can perform FNA and receive a neck computed tomography (or magnetic resonance imaging) with contrast.
Tonsillectomy: Post-Tonsillectomy Pain Management in Pediatric Patients
Percentage of patients aged 12 years and younger who underwent a tonsillectomy and were given opioids within the 5-day postoperative period.
Otolaryngologic Surgical Procedures: Avoidance of Unnecessary Antibiotic Use
Percentage of patients aged 1 year and older who underwent an otolaryngologic surgical procedure and did not receive perioperative or postoperative antibiotics when there were no clinical indications, based on evidence-based guidelines.
Measuring the Value-Functions of Primary Care: Comprehensiveness of Care
This measure evaluates the extent primary care physicians (PCPs) perform care-based and procedural-based services core to primary care (licensure ensures competence of these services). For each PCP, the resulting value reflects an average of the weighted proportion of services within each category performed during the measurement period.
Scores are based on weighted averages of 19 care-based and 20 procedural-based core primary care services resulting in scores between 0 and 100.
Inclusion criteria: Primary care physicians who have provided care to 30 or more patients regardless of age within the measurement period (the performance year and the 12 months prior to the performance year).See Figure 1: Physician and Care Site Identifier in the Measure Specification Figures and Tables document under the Additional Supporting Documentation section for the variables used to determine if physicians meet the inclusion criteria (Step 1 and 2 of the Measure Calculation Algorithm (also found in the Measure Specification Figures and Tables document).
Throughout this application, since the fields do not accept scientific formulas, tables or figures, we have attached those items in the Additional Supporting Documentation section.
Aspiration prevention in patients with gastric distension
Percentage of patients 18 years and older with a current diagnosis of gastrointestinal obstruction, ileus, incarcerated hernia, or patients taking GLP-1 receptor agonists, or patients with gastroparesis, who undergo a surgical procedure under anesthesia and are treated preoperatively with a mitigation strategy that reduces the risk of aspiration during the surgical procedure.
Instructions
This measure is to be reported each time an adult patient with one or more of the following conditions undergoes a surgical procedure under anesthesia:
a) has gastrointestinal obstruction, ileus, or an incarcerated hernia
b) is taking a GLP-1 receptor agonists
c) has gastroparesis
Appropriate Emergency Department Utilization of CT for Pulmonary Embolism
Percentage of emergency department visits during which patients aged 18 years and older had a CT pulmonary angiogram (CTPA) ordered by an emergency care provider, regardless of discharge disposition, with either moderate or high pre-test clinical probability for pulmonary embolism or elevated D-dimer level
Age-Related Hearing Loss: Comprehensive Audiometric Evaluation
Percentage of patients aged 50 years and older who failed a hearing screening and/or who report suspected hearing loss who received, were ordered, or were referred for comprehensive audiometric evaluation within 4 weeks of the office visit
Chronic Skin Conditions: Patient Reported Quality-of-Life
The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period.