| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | No | Effective Clinical Care |
Measure Description
Percentage of patients in whom a retrievable IVC filter is placed who, within 3 months post-placement, have a documented assessment for the appropriateness of continued filtration, device removal or the inability to contact the patient with at least two attempts
Instruction
This measure is to be reported once each time for patients with an IVC filter procedure during the performance period. There is no diagnosis associated with this measure. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
NOTE: Include only patients that have IVC filter placement through September 30 of theperformance period. This will allow the evaluation of at least 90 days of IVC filter removal within the reporting year.
Denominator
All patients who have a retrievable IVC filter placed with the intent for potential removal at time of placement
Denominator Criteria (Eligible Cases):
All patients, regardless of age
AND
Patient procedure during the performance period (CPT): 37191
AND
Intent for Potential Removal at Time of Placement: G9539
AND
Patient alive 3 Months Post Procedure: G9540
Numerator
Number of patients that have appropriate IVC filter follow-up
Definition:
Appropriate IVC Filter follow-up – For the purposes of this measure, the appropriate follow-up would include:
1)Filter removed OR;
2)Documentation of re-assessment for the appropriateness of filter removal OR;
3)Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for theappropriateness of filter removal
Numerator Options:
Performance Met: Filter removed within 3 months of placement (G9541)
OR
Performance Met: Documented re-assessment for the appropriateness of filter removal within 3 months of placement (G9542)
OR
Performance Met: Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement (G9543)
OR
Performance Not Met: Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement (G9544)