| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Outcome | Yes | Patient Safety | Vascular Surgery |
Measure Description
Percent of asymptomatic patients undergoing CEA who are discharged to home no later than post-operative day #2
Instruction
This measure is to be reported each time a CEA is performed during the performance period. It is anticipated that eligible clinicians who provide services of CEA, as described in the measure, based on the services provided and the measure-specific denominator coding will report 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.
Denominator
All carotid endarterectomy procedures
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
AND
Patient procedure during the performance period (CPT): 35301
AND NOT
DENOMINATOR EXCLUSIONS:
Symptomatic carotid stenosis: Ipsilateral carotid territory TIA or stroke less than 120 days prior
to procedure: 9006F
OR
Other carotid stenosis: Ipsilateral TIA or stroke 120 days or greater p
or any prior
contralateral carotid territory or vertebrobasilar TIA or stroke: 9007F
Numerator
Patients that are asymptomatic neurologically who were discharged alive, to home no later than post-operative day #2 following CEA
Definition:
Home – For purposes of reporting this measure, home is the point of origin prior to hospital admission for procedure of CEA. For example, if the patient comes from a skilled facility and returns to the skilled facility post CEA, this would meet criteria for discharged to home.
Numerator Options:
Performance Met: Patient discharged to home no later than post-operative day #2 following CEA (G8834)
OR
Performance Not Met: Patient not discharged to home by post-operative day #2 following CEA (G8838)