| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | Yes | Patient Safety | Orthopedic Surgery |
Measure Description
Percentage of patients regardless of age undergoing a total knee replacement who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet
Instruction
This measure is to be reported each time a procedure for total knee replacement is performed 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.
Denominator
Patients regardless of age undergoing a total knee replacement performed
Denominator Criteria (Eligible Cases):
All patients regardless of age
AND
Patient procedure during the performance period (CPT): 27438, 27442, 27445, 27446, 27447
Numerator
Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet (tourniquet around the proximal thigh)
Numerator Options:
Performance Met: Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet (G9301)
OR
Denominator Exception: Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used) (G9300)
OR
Performance Not Met: Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not given (G9302)