Browse >
Measure Index
Measure Index
The National Quality Measures Clearinghouse™ (NQMC),
sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of
Health and Human Services, provides a Measure Index, a complete list of measure
summaries available through the NQMC Web site. The listing is organized alphabetically,
by measure developer and/or submitter name (measure developers and submitters include
both organizations and individuals).
The NQMC Web site is updated weekly. The NQMC Update Service notifies you via
e-mail when new features and measures become available at the NQMC Web site. To receive e-mail
notifications, subscribe to the
NQMC Update Service.
The National Quality Measures Clearinghouse™ currently contains 1426 individual measure summaries.
Accreditation Association for Ambulatory Health Care Institute for Quality Improvement(2)
Intra-procedure colonoscopy complication rate: percentage of patients who developed one or more intra-procedure complications.
Patient understanding of colonoscopy procedure: percentage of patients answering "yes" to the post-procedure telephone interview question "Did you have an adequate understanding of your procedure?".
Accreditation Association for Ambulatory Health Care Institute for Quality Improvement, Performance Measurement Initiative, Colonoscopy Work Group(2)
Intra-procedure colonoscopy complication rate: percentage of patients who developed one or more intra-procedure complications.
Patient understanding of colonoscopy procedure: percentage of patients answering "yes" to the post-procedure telephone interview question "Did you have an adequate understanding of your procedure?".
Agency for Healthcare Research and Quality(176)
Abdominal aortic aneurysm (AAA) repair: mortality rate.
Abdominal aortic aneurysm (AAA) repair: volume.
Accidental puncture or laceration (area-level): rate per 100,000 population.
Accidental puncture or laceration (provider-level): rate per 1,000 discharges.
Acute myocardial infarction (AMI): mortality rate, without transfer cases.
Acute myocardial infarction (AMI): mortality rate.
Acute stroke: mortality rate.
Adult asthma: hospital admission rate.
Asthma admission rate (area level): rate per 100,000 population.
Bacterial pneumonia: hospital admission rate.
Behavioral health care patients' experiences: percentage of adult patients who rated how much improvement they perceived in themselves.
Behavioral health care patients' experiences: percentage of adult patients who reported how much of a problem they had getting treatment and information from their health plan or managed behavior health organization.
Behavioral health care patients' experiences: percentage of adult patients who reported how much they were helped by the counseling or treatment they received.
Behavioral health care patients' experiences: percentage of adult patients who reported how often their clinicians communicated well.
Behavioral health care patients' experiences: percentage of adult patients who reported how often they get treatment quickly.
Behavioral health care patients' experiences: percentage of adult patients who reported how often they were seen within 15 minutes of their appointment.
Behavioral health care patients' experiences: percentage of adult patients who reported whether anyone shared information regarding their counseling or treatment that should have been kept private.
Behavioral health care patients' experiences: percentage of adult patients who reported whether someone talked to them about including family or friends in their counseling or treatment.
Behavioral health care patients' experiences: percentage of adult patients who reported whether the care they received was responsive to their cultural needs.
Behavioral health care patients' experiences: percentage of adult patients who reported whether they felt they could refuse a specific type of medicine or treatment.
Behavioral health care patients' experiences: percentage of adult patients who reported whether they were given enough information to manage their condition.
Behavioral health care patients' experiences: percentage of adult patients who reported whether they were given information about patient rights.
Behavioral health care patients' experiences: percentage of adult patients who reported whether they were provided information about treatment options.
Behavioral health care patients' experiences: percentage of adult patients who reported whether they were told about medication side effects.
Behavioral health care patients' experiences: percentage of adult patients who reported whether they were told about other ways to receive treatment after their benefits were used up.
Behavioral health care patients' satisfaction: adult patients' overall rating of the counseling or treatment they received.
Behavioral health care patients' satisfaction: adult patients' overall rating of their health plan for counseling or treatment.
Birth trauma-injury to neonate: rate per 1,000 liveborn births.
Carotid endarterectomy (CEA): mortality rate.
Carotid endarterectomy (CEA): volume.
Cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate.
Chronic obstructive pulmonary disease: hospital admission rate.
Complications of anesthesia: rate per 1,000 surgery discharges with an operating room procedure.
Congestive heart failure (CHF): mortality rate.
Congestive heart failure: hospital admission rate.
Coronary artery bypass graft (CABG): volume.
Coronary artery disease: angina without procedure hospital admission rate.
Coronary artery disease: bilateral cardiac catheterization rate.
Coronary artery disease: coronary artery bypass graft (CABG) area rate.
Coronary artery disease: coronary artery bypass graft (CABG) mortality rate.
Coronary artery disease: percutaneous transluminal coronary angioplasty (PTCA) area rate.
Craniotomy: mortality rate.
Death in low-mortality DRGs: in-hospital deaths per 1,000 discharges.
Decubitus ulcer: rate per 1,000 discharges.
Decubitus ulcer: rate per 1,000 eligible admissions.
Dehydration: hospital admission rate.
Diabetes mellitus: hospital admission rate for long-term complications.
Diabetes mellitus: hospital admission rate for short-term complications.
Diabetes mellitus: hospital admission rate for uncontrolled diabetes.
Diabetes mellitus: lower-extremity amputation rate.
Diabetes short-term complications admission rate (area level): rate per 100,000 population.
Esophageal cancer: esophageal resection mortality rate.
Esophageal resection: volume.
Failure to rescue: deaths per 1,000 discharges.
Foreign body left during procedure (area level): discharges per 100,000 population.
Foreign body left during procedure (provider-level): rate per 1,000 discharges.
Gastroenteritis admission rate (area level): rate per 100,000 population.
Gastrointestinal (GI) hemorrhage: mortality rate.
Health plan members' experiences: percentage of adult health plan members who reported how much of a problem they had in getting needed care.
Health plan members' experiences: percentage of adult health plan members who reported how much of a problem they had with their health plan customer service, information, and paperwork.
Health plan members' experiences: percentage of adult health plan members who reported how often it was easy for them to get needed care.
Health plan members' experiences: percentage of adult health plan members who reported how often the medical office staff was courteous, respectful and helpful.
Health plan members' experiences: percentage of adult health plan members who reported how often their doctors or other health providers communicated well.
Health plan members' experiences: percentage of adult health plan members who reported how often their personal doctor communicated well.
Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly.
Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly.
Health plan members' experiences: percentage of adult health plan members who reported how often they were satisfied with their health plan customer service, information, and paperwork.
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had in getting needed care for their child.
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with getting prescription medicine for their children with chronic conditions.
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with getting specialized services for their children with chronic conditions.
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with health plan customer service for their children.
Health plan members' experiences: percentage of parents of health plan members who reported how often the medical office staff was courteous, respectful, and helpful.
Health plan members' experiences: percentage of parents of health plan members who reported how often their children get care quickly.
Health plan members' experiences: percentage of parents of health plan members who reported how often their children's doctors or other health providers communicated well.
Health plan members' experiences: percentage of parents of health plan members who reported their experiences with family centered care regarding their children with chronic conditions.
Health plan members' experiences: percentage of parents of health plan members who reported they had assistance in coordinating care and services for their children with chronic conditions.
Health plan members' experiences: percentage of parents or guardians who reported how often it was easy for them to get needed care for their enrolled child.
Health plan members' experiences: percentage of parents or guardians who reported how often it was easy to get prescription medicines for their enrolled children with chronic conditions through their health plan.
Health plan members' experiences: percentage of parents or guardians who reported how often it was easy to get specialized services for their enrolled children with chronic conditions.
Health plan members' experiences: percentage of parents or guardians who reported how often their enrolled child got care quickly.
Health plan members' experiences: percentage of parents or guardians who reported how often their enrolled child's personal doctor communicated well.
Health plan members' experiences: percentage of parents or guardians who reported how often they were satisfied with their enrolled child's health plan customer service, information, and paperwork.
Health plan members' experiences: percentage of parents or guardians who reported their experiences with getting needed information about their children's care for their enrolled children with chronic conditions.
Health plan members' experiences: percentage of parents or guardians who reported their experiences with shared decision-making for their enrolled children with chronic conditions.
Health plan members' experiences: percentage of parents or guardians who reported their experiences with their children's personal doctor or nurse for their enrolled children with chronic conditions.
Health plan members' experiences: percentage of parents or guardians who reported they received assistance with coordination of care and services for their enrolled children with chronic conditions.
Health plan members' satisfaction with care: adult health plan members ratings of the care they received from all doctors and other health providers.
Health plan members' satisfaction with care: adult health plan members' overall ratings of their health care.
Health plan members' satisfaction with care: adult health plan members' overall ratings of their health plan.
Health plan members' satisfaction with care: adult health plan members' overall ratings of their personal doctor.
Health plan members' satisfaction with care: adult health plan members' overall ratings of their specialist.
Health plan members' satisfaction with care: adult health plan members' ratings of their health plan.
Health plan members' satisfaction with care: adult health plan members' ratings of their personal health provider.
Health plan members' satisfaction with care: adult health plan members' ratings of their specialist.
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's health care.
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's health plan.
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's personal doctor.
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's specialist.
Health plan members' satisfaction with care: parents' ratings of their children's care.
Health plan members' satisfaction with care: parents' ratings of their children's health plan.
Health plan members' satisfaction with care: parents' ratings of their children's personal health provider.
Health plan members' satisfaction with care: parents' ratings of their children's specialist.
Hip fracture: mortality rate.
Hip osteoarthrosis: hip replacement mortality rate.
Hospital inpatients' experiences: adult inpatients' ratings of this hospital.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often the hospital staff communicated well about medications.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often the hospital staff was responsive to their needs.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their doctors communicated well.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their nurses communicated well.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their pain was controlled.
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their room and bathroom were kept clean and the area around their room was quiet at night.
Hospital inpatients' experiences: percentage of adult inpatients who reported whether they were provided specific discharge information.
Hospital inpatients' experiences: percentage of adult inpatients who reported whether they would recommend this hospital to their friends and family.
Hypertension: hospital admission rate.
Hysterectomy: hysterectomy area rate.
Iatrogenic pneumothorax (area-level): rate per 100,000 population.
Iatrogenic pneumothorax (provider-level): rate per 1,000 discharges.
Iatrogenic pneumothorax in neonates at risk: rate per 1,000 eligible admissions.
Iatrogenic pneumothorax in non-neonates: rate per 1,000 eligible admissions.
In-center hemodialysis patients' experiences: percentage of in-center hemodialysis patients who reported how often their nephrologist cared and communicated well.
In-center hemodialysis patients' experiences: percentage of in-center hemodialysis patients who reported how often they were satisfied with the quality of dialysis center care and operations.
In-center hemodialysis patients' experiences: percentage of in-center hemodialysis patients who reported whether specified information was provided to them.
In-center hemodialysis patients' satisfaction with care: in-center hemodialysis patients' overall ratings of their dialysis center staff.
In-center hemodialysis patients' satisfaction with care: in-center hemodialysis patients' overall ratings of their dialysis center.
In-center hemodialysis patients' satisfaction with care: in-center hemodialysis patients' overall ratings of their kidney doctors.
Incidental appendectomy: incidental appendectomy among the elderly rate.
Laminectomy or spinal fusion: laminectomy or spinal fusion area rate.
Low birth weight: rate of infants with low birth weight.
Maternity care: Cesarean delivery rate.
Maternity care: primary Cesarean delivery rate.
Maternity care: vaginal birth after Cesarean (VBAC) rate, all.
Maternity care: vaginal birth after Cesarean (VBAC) rate, uncomplicated.
Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 Cesarean deliveries.
Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 instrument-assisted vaginal deliveries.
Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 vaginal deliveries without instrument assistance.
Pancreatic cancer: pancreatic resection mortality rate.
Pancreatic resection: volume.
Patients' experiences: percentage of adult primary care patients who reported how often it was easy for them to get appointments and needed care.
Patients' experiences: percentage of adult primary care patients who reported how often their doctor's office staff was courteous and helpful.
Patients' experiences: percentage of adult primary care patients who reported how often their doctors communicated well.
Patients' experiences: percentage of adult specialty care patients who reported how often it was easy for them to get appointments and needed care.
Patients' experiences: percentage of adult specialty care patients who reported how often their doctor's office staff was courteous and helpful.
Patients' experiences: percentage of adult specialty care patients who reported how often their doctors communicated well.
Patients' experiences: percentage of parents/guardians who reported how often it was easy for them to get appointments and needed care for their child.
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor communicated well.
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office staff was courteous and helpful.
Patients' satisfaction with care: adult primary care patient's overall rating of their doctor.
Patients' satisfaction with care: adult specialty care patient's overall rating of their doctor.
Patients' satisfaction with care: parent's/guardian's overall rating of their child's doctor.
Pediatric heart surgery mortality: number of in-hospital deaths in patients undergoing surgery for congenital heart disease per 1,000 patients.
Pediatric heart surgery: volume.
Percutaneous transluminal coronary angioplasty (PTCA): mortality rate.
Percutaneous transluminal coronary angioplasty (PTCA): volume.
Perforated appendix admission rate (area level): number of patients admitted for perforated appendix per 100 admissions for appendicitis within an area.
Perforated appendix: hospital admission rate.
Pneumonia: mortality rate.
Postoperative hemorrhage and hematoma: rate per 1,000 eligible admissions.
Postoperative hemorrhage or hematoma requiring a procedure (area-level): rate per 100,000 population.
Postoperative hemorrhage or hematoma requiring a procedure (provider level): rate per 1,000 surgical discharges.
Postoperative hip fracture: rate per 1,000 surgical discharges.
Postoperative physiologic and metabolic derangement: rate per 1,000 elective surgical discharges with an operating room procedure.
Postoperative pulmonary embolism or deep vein thrombosis: rate per 1,000 surgical discharges with an operating room procedure.
Postoperative respiratory failure: rate per 1,000 elective surgical discharges with an operating room procedure.
Postoperative respiratory failure: rate per 1,000 eligible admissions.
Postoperative sepsis: rate per 1,000 elective surgery discharges with an operating room procedure and a length of stay of 4 days or more.
Postoperative sepsis: rate per 1,000 eligible admissions.
Postoperative wound dehiscence (area-level): rate of reclosure of post operative disruption of abdominal wall per 100,000 population.
Postoperative wound dehiscence (provider-level): rate of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic surgery.
Postoperative wound dehiscence: number of abdominopelvic surgery patients with disruption of abdominal wall per 1,000 eligible admissions.
Selected infection due to medical care: rate per 1,000 eligible admissions.
Selected infections due to medical care (area-level): rate per 100,000 population.
Selected infections due to medical care (provider-level): rate per 1,000 discharges.
Transfusion reaction (area-level): rate per 100,000 population.
Transfusion reaction (provider-level): rate per 1,000 discharges.
Urinary tract infection (UTI) admission rate (area level): rate per 100,000 population.
Urinary tract infection: hospital admission rate.
American Academy of Dermatology(4)
Melanoma: percentage of patients with a current diagnosis of melanoma or a history of melanoma who were entered into a recall system with the date for the next complete physical skin exam specified, at least once within the 12 month reporting period.
Melanoma: percentage of patients with a new diagnosis of melanoma or a history of melanoma who received all of the following aspects of care within the 12 month reporting period: (1) patient was asked about new and changing moles AND (2) patient received a complete physical skin examination AND (3) patient was counseled to perform a monthly self skin examination.
Melanoma: percentage of patients with a new occurrence of melanoma who have a treatment plan documented in the chart that was communicated to the physician(s) providing continuing care within one month of diagnosis.
Melanoma: percentage of patients with stage 0 or IA melanoma, without signs or symptoms, for whom no diagnostic imaging studies were ordered.
American Academy of Family Physicians(10)
Osteoporosis: percentage of female patients aged 65 years and older who have a central DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 18 years and older with one of the following conditions or therapies: receiving oral glucocorticosteroid therapy for greater than 3 months OR hypogonadism OR fracture history OR transplant history OR obesity surgery OR malabsorption disease OR receiving aromatase therapy for breast cancer who had a central dual-energy X-ray absorptiometry (DXA) ordered or performed or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 50 years and older treated for a hip, spine or distal radial fracture with documentation of communication with the physician managing the patient's on-going care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis.
Osteoporosis: percentage of patients aged 50 years and older with a diagnosis of osteoporosis who were prescribed pharmacologic therapy within 12 months.
Osteoporosis: percentage of patients aged 50 years and older with a fracture of the hip, spine or distal radius who had a central DXA measurement ordered or performed or pharmacologic therapy prescribed.
Osteoporosis: percentage of patients, regardless of age, with a diagnosis of osteoporosis who either received both calcium and vitamin D or had documented counseling regarding both calcium and vitamin D intake, and exercise at least once within 12 months.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis for whom an appropriate oral rehydration solution was recommended.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis who had documentation of hydration status.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis who had weight measurement recorded.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis whose parent/caregiver received education on diet and when to contact the physician.
American Academy of Neurology(9)
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or TIA or intracranial hemorrhage undergoing CT or MRI of the brain within 24 hours of arrival at the hospital whose final report of the CT or MRI includes documentation of the presence or absence of each of the following: hemorrhage and mass lesion and acute infarction.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA who were prescribed antiplatelet therapy at discharge.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage for whom consideration of rehabilitation services is documented.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who received DVT prophylaxis by end of hospital day 2.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who underwent a dysphagia screening process before taking any foods, fluids or medication by mouth.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA whose final reports of the carotid imaging studies performed, with characterization of an internal carotid stenosis in the 30-99% range include reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA with documented permanent, persistent, or paroxysmal atrial fibrillation who were prescribed an anticoagulant at discharge.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke who did not receive intravenous unfractionated heparin.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke whose time from symptom onset to arrival is less than 3 hours who were considered for tissue plasminogen activator (t-PA) administration.
American Academy of Ophthalmology(5)
Eye care: percentage of patients aged 18 years and older with a diagnosis of cataracts who were assessed for visual functional status during one or more office visits within 12 months.
Eye care: percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy AND the presence or absence of macular edema during one or more office visits within 12 months.
Eye care: percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the on-going care of the patient with diabetes regarding the findings of the macular or fundus exam at least once within 12 months.
Eye care: percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma who have an optic nerve head evaluation during one or more office visits within 12 months.
Eye care: percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or hemorrhage, AND the level of macular degeneration severity during one or more office visits within 12 months.
American Academy of Orthopaedic Surgeons(13)
Osteoarthritis: percentage of patient visits during which an anti-inflammatory agent or analgesic was considered.
Osteoarthritis: percentage of patient visits during which gastrointestinal (GI) prophylaxis was considered.
Osteoarthritis: percentage of patient visits during which therapeutic exercise for the knee (therapeutic exercise instructed or physical therapy prescribed) was considered.
Osteoarthritis: percentage of patient visits with assessment for function and pain.
Osteoarthritis: percentage of patient visits with assessment for use of anti-inflammatory or analgesic over-the-counter (OTC) medications.
Osteoarthritis: percentage of patients for whom a physical examination of the involved joint was performed during the initial visit.
Osteoarthritis: percentage of patients on prescribed or over-the-counter (OTC) non-steroidal anti-inflammatory drugs (NSAIDs) who were assessed for gastrointestinal (GI)/renal risk factors.
Osteoporosis: percentage of female patients aged 65 years and older who have a central DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 18 years and older with one of the following conditions or therapies: receiving oral glucocorticosteroid therapy for greater than 3 months OR hypogonadism OR fracture history OR transplant history OR obesity surgery OR malabsorption disease OR receiving aromatase therapy for breast cancer who had a central dual-energy X-ray absorptiometry (DXA) ordered or performed or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 50 years and older treated for a hip, spine or distal radial fracture with documentation of communication with the physician managing the patient's on-going care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis.
Osteoporosis: percentage of patients aged 50 years and older with a diagnosis of osteoporosis who were prescribed pharmacologic therapy within 12 months.
Osteoporosis: percentage of patients aged 50 years and older with a fracture of the hip, spine or distal radius who had a central DXA measurement ordered or performed or pharmacologic therapy prescribed.
Osteoporosis: percentage of patients, regardless of age, with a diagnosis of osteoporosis who either received both calcium and vitamin D or had documented counseling regarding both calcium and vitamin D intake, and exercise at least once within 12 months.
American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation(8)
Acute otitis externa (AOE): percentage of patient visits for those patients aged 2 years and older with a diagnosis of AOE with assessment for auricular or periauricular pain.
Acute otitis externa (AOE): percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy.
Acute otitis externa (AOE): percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations.
Otitis media with effusion (OME): percentage of patient visits for those patients aged 2 months through 12 years with a diagnosis of OME with assessment of tympanic membrane mobility with pneumatic otoscopy or tympanometry.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who received tympanostomy tube insertion who had a hearing test performed within 6 months prior to tympanostomy tube insertion.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic antimicrobials.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic corticosteroids.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed/recommended either antihistamines or decongestants.
American Academy of Pediatrics(4)
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis for whom an appropriate oral rehydration solution was recommended.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis who had documentation of hydration status.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis who had weight measurement recorded.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis whose parent/caregiver received education on diet and when to contact the physician.
American Association of Clinical Endocrinologists(6)
Osteoporosis: percentage of female patients aged 65 years and older who have a central DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 18 years and older with one of the following conditions or therapies: receiving oral glucocorticosteroid therapy for greater than 3 months OR hypogonadism OR fracture history OR transplant history OR obesity surgery OR malabsorption disease OR receiving aromatase therapy for breast cancer who had a central dual-energy X-ray absorptiometry (DXA) ordered or performed or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 50 years and older treated for a hip, spine or distal radial fracture with documentation of communication with the physician managing the patient's on-going care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis.
Osteoporosis: percentage of patients aged 50 years and older with a diagnosis of osteoporosis who were prescribed pharmacologic therapy within 12 months.
Osteoporosis: percentage of patients aged 50 years and older with a fracture of the hip, spine or distal radius who had a central DXA measurement ordered or performed or pharmacologic therapy prescribed.
Osteoporosis: percentage of patients, regardless of age, with a diagnosis of osteoporosis who either received both calcium and vitamin D or had documented counseling regarding both calcium and vitamin D intake, and exercise at least once within 12 months.
American College of Cardiology(23)
Chronic stable coronary artery disease (CAD): percentage of patients evaluated for both level of activity and anginal symptoms during one or more office visits.
Chronic stable coronary artery disease (CAD): percentage of patients identified as cigarette smokers who received a smoking cessation intervention.
Chronic stable coronary artery disease (CAD): percentage of patients queried one or more times about cigarette smoking.
Chronic stable coronary artery disease (CAD): percentage of patients who also have diabetes and/or left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who had a blood pressure measurement during the last office visit.
Chronic stable coronary artery disease (CAD): percentage of patients who received at least one lipid profile (or ALL component tests).
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed antiplatelet therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed lipid lowering therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who were screened for diabetes.
Chronic stable coronary artery disease (CAD): percentage of patients with prior myocardial infarction (MI) who were prescribed beta-blocker therapy.
Heart failure: percentage of patient visits with assessment of activity level for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with assessment of clinical signs of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with assessment of clinical symptoms of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with blood pressure measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with weight measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed beta-blocker therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who were provided with patient education on disease management and health behavior changes during one or more visit(s).
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years for whom initial laboratory testing was performed.
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years with quantitative or qualitative results of left ventricular function (LVF) assessment recorded.
Hypertension: percentage of patient visits during which either systolic blood pressure is greater than or equal to 140 mm Hg or diastolic blood pressure is greater than or equal to 90 mm Hg, with documented plan of care for hypertension.
Hypertension: percentage of patient visits with blood pressure measurement recorded.
American College of Emergency Physicians(9)
Emergency medicine: percentage of patients (regardless of age) with an emergency department diagnosis of acute myocardial infarction who received fibrinolytic therapy and the fibrinolytic therapy was ordered by the physician within 20 minutes of performing the 12-lead ECG.
Emergency medicine: percentage of patients (regardless of age) with an emergency department diagnosis of STEMI or new LBBB on 12-lead ECG who received primary PCI who had documentation that the emergency physician initiated communication with the cardiology intervention service within 10 minutes of the diagnostic 12-lead ECG.
Emergency medicine: percentage of patients aged 18 years and older with an emergency department discharge diagnosis of syncope who had a 12-lead ECG performed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with an appropriate empiric antibiotic prescribed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with mental status assessed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with oxygen saturation documented and reviewed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with vital signs documented and reviewed.
Emergency medicine: percentage of patients aged 40 years and older with an emergency department discharge diagnosis of non-traumatic chest pain who had a 12-lead ECG performed.
Emergency medicine: percentage of patients with an emergency department discharge diagnosis of AMI who had documentation of receiving aspirin within 24 hours before emergency department arrival or during emergency department stay.
American College of Radiology(9)
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or TIA or intracranial hemorrhage undergoing CT or MRI of the brain within 24 hours of arrival at the hospital whose final report of the CT or MRI includes documentation of the presence or absence of each of the following: hemorrhage and mass lesion and acute infarction.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA who were prescribed antiplatelet therapy at discharge.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage for whom consideration of rehabilitation services is documented.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who received DVT prophylaxis by end of hospital day 2.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who underwent a dysphagia screening process before taking any foods, fluids or medication by mouth.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA whose final reports of the carotid imaging studies performed, with characterization of an internal carotid stenosis in the 30-99% range include reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA with documented permanent, persistent, or paroxysmal atrial fibrillation who were prescribed an anticoagulant at discharge.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke who did not receive intravenous unfractionated heparin.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke whose time from symptom onset to arrival is less than 3 hours who were considered for tissue plasminogen activator (t-PA) administration.
American College of Rheumatology(6)
Osteoporosis: percentage of female patients aged 65 years and older who have a central DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 18 years and older with one of the following conditions or therapies: receiving oral glucocorticosteroid therapy for greater than 3 months OR hypogonadism OR fracture history OR transplant history OR obesity surgery OR malabsorption disease OR receiving aromatase therapy for breast cancer who had a central dual-energy X-ray absorptiometry (DXA) ordered or performed or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 50 years and older treated for a hip, spine or distal radial fracture with documentation of communication with the physician managing the patient's on-going care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis.
Osteoporosis: percentage of patients aged 50 years and older with a diagnosis of osteoporosis who were prescribed pharmacologic therapy within 12 months.
Osteoporosis: percentage of patients aged 50 years and older with a fracture of the hip, spine or distal radius who had a central DXA measurement ordered or performed or pharmacologic therapy prescribed.
Osteoporosis: percentage of patients, regardless of age, with a diagnosis of osteoporosis who either received both calcium and vitamin D or had documented counseling regarding both calcium and vitamin D intake, and exercise at least once within 12 months.
American College of Surgeons(6)
Perioperative care: percentage of cardiac surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic antibiotics and who received a prophylactic antibiotic, who have an order for discontinuation of prophylactic antibiotics within 48 hours of surgical end time.
Perioperative care: percentage of non-cardiac surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic antibiotics and who received a prophylactic antibiotic, who have an order for discontinuation of prophylactic antibiotics within 24 hours of surgical end time.
Perioperative care: percentage of patients undergoing procedures for which VTE prophylaxis is indicated in all patients who had an order for low-molecular weight heparin (LMWH), low-dose unfractionated heparin (LDUH), adjusted-dose warfarin, fondaparinux or mechanical prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time.
Perioperative care: percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first or second generation cephalosporin prophylactic antibiotic who had an order for cefazolin or cefuroxime for antimicrobial prophylaxis.
Perioperative care: percentage of surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic parenteral antibiotics who have an order for an antibiotic to be given within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required).
Perioperative care: percentage of surgical patients aged 18 years and older who have an order for a parenteral antibiotic to be given within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required) for whom administration of a prophylactic antibiotic has been initiated within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required).
American Gastroenterological Association Institute(5)
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older seen for an initial evaluation of GERD who did not have a barium swallow test ordered.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older seen for an initial evaluation of GERD with at least one alarm symptom who were either referred for upper endoscopy or had an upper endoscopy performed.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older with a diagnosis of GERD or heartburn whose endoscopy report indicates a suspicion of Barrett's esophagus who had a forceps esophageal biopsy performed.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older with diagnosis of GERD, seen for an initial evaluation, who were assessed for the presence or absence of the following alarm symptoms: involuntary weight loss, dysphagia, and GI bleeding.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older with the diagnosis of GERD who have been prescribed chronic proton pump inhibitor (PPI) or histamine H2 receptor antagonist (H2RA) therapy who received an assessment of their GERD symptoms within 12 months.
American Heart Association(23)
Chronic stable coronary artery disease (CAD): percentage of patients evaluated for both level of activity and anginal symptoms during one or more office visits.
Chronic stable coronary artery disease (CAD): percentage of patients identified as cigarette smokers who received a smoking cessation intervention.
Chronic stable coronary artery disease (CAD): percentage of patients queried one or more times about cigarette smoking.
Chronic stable coronary artery disease (CAD): percentage of patients who also have diabetes and/or left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who had a blood pressure measurement during the last office visit.
Chronic stable coronary artery disease (CAD): percentage of patients who received at least one lipid profile (or ALL component tests).
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed antiplatelet therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed lipid lowering therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who were screened for diabetes.
Chronic stable coronary artery disease (CAD): percentage of patients with prior myocardial infarction (MI) who were prescribed beta-blocker therapy.
Heart failure: percentage of patient visits with assessment of activity level for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with assessment of clinical signs of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with assessment of clinical symptoms of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with blood pressure measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with weight measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed beta-blocker therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who were provided with patient education on disease management and health behavior changes during one or more visit(s).
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years for whom initial laboratory testing was performed.
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years with quantitative or qualitative results of left ventricular function (LVF) assessment recorded.
Hypertension: percentage of patient visits during which either systolic blood pressure is greater than or equal to 140 mm Hg or diastolic blood pressure is greater than or equal to 90 mm Hg, with documented plan of care for hypertension.
Hypertension: percentage of patient visits with blood pressure measurement recorded.
American Medical Association on behalf of the AAFP, AAOS, AACE, American College of Rheumatology, The Endocrine Society, Physician Consortium for Performance Improvement®, and the National Committee for Quality Assurance(6)
Osteoporosis: percentage of female patients aged 65 years and older who have a central DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 18 years and older with one of the following conditions or therapies: receiving oral glucocorticosteroid therapy for greater than 3 months OR hypogonadism OR fracture history OR transplant history OR obesity surgery OR malabsorption disease OR receiving aromatase therapy for breast cancer who had a central dual-energy X-ray absorptiometry (DXA) ordered or performed or pharmacologic therapy prescribed within 12 months.
Osteoporosis: percentage of patients aged 50 years and older treated for a hip, spine or distal radial fracture with documentation of communication with the physician managing the patient's on-going care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis.
Osteoporosis: percentage of patients aged 50 years and older with a diagnosis of osteoporosis who were prescribed pharmacologic therapy within 12 months.
Osteoporosis: percentage of patients aged 50 years and older with a fracture of the hip, spine or distal radius who had a central DXA measurement ordered or performed or pharmacologic therapy prescribed.
Osteoporosis: percentage of patients, regardless of age, with a diagnosis of osteoporosis who either received both calcium and vitamin D or had documented counseling regarding both calcium and vitamin D intake, and exercise at least once within 12 months.
American Medical Association on behalf of the American Academy of Dermatology, the Physician Consortium for Performance Improvement®, and the National Committee for Quality Assurance (NCQA)(4)
Melanoma: percentage of patients with a current diagnosis of melanoma or a history of melanoma who were entered into a recall system with the date for the next complete physical skin exam specified, at least once within the 12 month reporting period.
Melanoma: percentage of patients with a new diagnosis of melanoma or a history of melanoma who received all of the following aspects of care within the 12 month reporting period: (1) patient was asked about new and changing moles AND (2) patient received a complete physical skin examination AND (3) patient was counseled to perform a monthly self skin examination.
Melanoma: percentage of patients with a new occurrence of melanoma who have a treatment plan documented in the chart that was communicated to the physician(s) providing continuing care within one month of diagnosis.
Melanoma: percentage of patients with stage 0 or IA melanoma, without signs or symptoms, for whom no diagnostic imaging studies were ordered.
American Medical Association on behalf of the American Academy of Neurology, American College of Radiology, the National Committee for Quality Assurance, and the Physician Consortium for Performance Improvement®(9)
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with a diagnosis of ischemic stroke or TIA or intracranial hemorrhage undergoing CT or MRI of the brain within 24 hours of arrival at the hospital whose final report of the CT or MRI includes documentation of the presence or absence of each of the following: hemorrhage and mass lesion and acute infarction.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA who were prescribed antiplatelet therapy at discharge.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage for whom consideration of rehabilitation services is documented.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who received DVT prophylaxis by end of hospital day 2.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or intracranial hemorrhage who underwent a dysphagia screening process before taking any foods, fluids or medication by mouth.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA whose final reports of the carotid imaging studies performed, with characterization of an internal carotid stenosis in the 30-99% range include reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke or TIA with documented permanent, persistent, or paroxysmal atrial fibrillation who were prescribed an anticoagulant at discharge.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke who did not receive intravenous unfractionated heparin.
Stroke and stroke rehabilitation: percentage of patients aged 18 years and older with the diagnosis of ischemic stroke whose time from symptom onset to arrival is less than 3 hours who were considered for tissue plasminogen activator (t-PA) administration.
American Medical Association on behalf of the American Academy of Ophthalmology, the National Committee for Quality Assurance, and the Physician Consortium for Performance Improvement®(5)
Eye care: percentage of patients aged 18 years and older with a diagnosis of cataracts who were assessed for visual functional status during one or more office visits within 12 months.
Eye care: percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy AND the presence or absence of macular edema during one or more office visits within 12 months.
Eye care: percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the on-going care of the patient with diabetes regarding the findings of the macular or fundus exam at least once within 12 months.
Eye care: percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma who have an optic nerve head evaluation during one or more office visits within 12 months.
Eye care: percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or hemorrhage, AND the level of macular degeneration severity during one or more office visits within 12 months.
American Medical Association on behalf of the American Academy of Orthopaedic Surgeons and the Physician Consortium for Performance Improvement®(7)
Osteoarthritis: percentage of patient visits during which an anti-inflammatory agent or analgesic was considered.
Osteoarthritis: percentage of patient visits during which gastrointestinal (GI) prophylaxis was considered.
Osteoarthritis: percentage of patient visits during which therapeutic exercise for the knee (therapeutic exercise instructed or physical therapy prescribed) was considered.
Osteoarthritis: percentage of patient visits with assessment for function and pain.
Osteoarthritis: percentage of patient visits with assessment for use of anti-inflammatory or analgesic over-the-counter (OTC) medications.
Osteoarthritis: percentage of patients for whom a physical examination of the involved joint was performed during the initial visit.
Osteoarthritis: percentage of patients on prescribed or over-the-counter (OTC) non-steroidal anti-inflammatory drugs (NSAIDs) who were assessed for gastrointestinal (GI)/renal risk factors.
American Medical Association on behalf of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation and the Physician Consortium for Performance Improvement®(8)
Acute otitis externa (AOE): percentage of patient visits for those patients aged 2 years and older with a diagnosis of AOE with assessment for auricular or periauricular pain.
Acute otitis externa (AOE): percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy.
Acute otitis externa (AOE): percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations.
Otitis media with effusion (OME): percentage of patient visits for those patients aged 2 months through 12 years with a diagnosis of OME with assessment of tympanic membrane mobility with pneumatic otoscopy or tympanometry.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who received tympanostomy tube insertion who had a hearing test performed within 6 months prior to tympanostomy tube insertion.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic antimicrobials.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic corticosteroids.
Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed/recommended either antihistamines or decongestants.
American Medical Association on behalf of the American Academy of Pediatrics, the American Academy of Family Physicians, and the Physician Consortium for Performance Improvement®(4)
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis for whom an appropriate oral rehydration solution was recommended.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis who had documentation of hydration status.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis who had weight measurement recorded.
Pediatric acute gastroenteritis: percentage of patients aged 1 month to 5 years of age with a diagnosis of acute gastroenteritis whose parent/caregiver received education on diet and when to contact the physician.
American Medical Association on behalf of the American College of Cardiology, the American Heart Association, and the Physician Consortium for Performance Improvement®(23)
Chronic stable coronary artery disease (CAD): percentage of patients evaluated for both level of activity and anginal symptoms during one or more office visits.
Chronic stable coronary artery disease (CAD): percentage of patients identified as cigarette smokers who received a smoking cessation intervention.
Chronic stable coronary artery disease (CAD): percentage of patients queried one or more times about cigarette smoking.
Chronic stable coronary artery disease (CAD): percentage of patients who also have diabetes and/or left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who had a blood pressure measurement during the last office visit.
Chronic stable coronary artery disease (CAD): percentage of patients who received at least one lipid profile (or ALL component tests).
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed antiplatelet therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who were prescribed lipid lowering therapy.
Chronic stable coronary artery disease (CAD): percentage of patients who were screened for diabetes.
Chronic stable coronary artery disease (CAD): percentage of patients with prior myocardial infarction (MI) who were prescribed beta-blocker therapy.
Heart failure: percentage of patient visits with assessment of activity level for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with assessment of clinical signs of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with assessment of clinical symptoms of volume overload (excess) for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with blood pressure measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patient visits with weight measurement recorded for patients aged greater than or equal to 18 years with diagnosed heart failure (HF).
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have left ventricular systolic dysfunction (LVSD) who were prescribed beta-blocker therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure (HF) who also have paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy.
Heart failure: percentage of patients aged greater than or equal to 18 years with diagnosed heart failure who were provided with patient education on disease management and health behavior changes during one or more visit(s).
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years for whom initial laboratory testing was performed.
Heart failure: percentage of patients with diagnosed heart failure (HF) aged greater than or equal to 18 years with quantitative or qualitative results of left ventricular function (LVF) assessment recorded.
Hypertension: percentage of patient visits during which either systolic blood pressure is greater than or equal to 140 mm Hg or diastolic blood pressure is greater than or equal to 90 mm Hg, with documented plan of care for hypertension.
Hypertension: percentage of patient visits with blood pressure measurement recorded.
American Medical Association on behalf of the American College of Emergency Physicians, the Physician Consortium for Performance Improvement®, and the National Committee for Quality Assurance(9)
Emergency medicine: percentage of patients (regardless of age) with an emergency department diagnosis of acute myocardial infarction who received fibrinolytic therapy and the fibrinolytic therapy was ordered by the physician within 20 minutes of performing the 12-lead ECG.
Emergency medicine: percentage of patients (regardless of age) with an emergency department diagnosis of STEMI or new LBBB on 12-lead ECG who received primary PCI who had documentation that the emergency physician initiated communication with the cardiology intervention service within 10 minutes of the diagnostic 12-lead ECG.
Emergency medicine: percentage of patients aged 18 years and older with an emergency department discharge diagnosis of syncope who had a 12-lead ECG performed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with an appropriate empiric antibiotic prescribed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with mental status assessed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with oxygen saturation documented and reviewed.
Emergency medicine: percentage of patients aged 18 years and older with the diagnosis of community-acquired bacterial pneumonia with vital signs documented and reviewed.
Emergency medicine: percentage of patients aged 40 years and older with an emergency department discharge diagnosis of non-traumatic chest pain who had a 12-lead ECG performed.
Emergency medicine: percentage of patients with an emergency department discharge diagnosis of AMI who had documentation of receiving aspirin within 24 hours before emergency department arrival or during emergency department stay.
American Medical Association on behalf of the American College of Surgeons, the National Committee for Quality Assurance, and the Physician Consortium for Performance Improvement®(6)
Perioperative care: percentage of cardiac surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic antibiotics and who received a prophylactic antibiotic, who have an order for discontinuation of prophylactic antibiotics within 48 hours of surgical end time.
Perioperative care: percentage of non-cardiac surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic antibiotics and who received a prophylactic antibiotic, who have an order for discontinuation of prophylactic antibiotics within 24 hours of surgical end time.
Perioperative care: percentage of patients undergoing procedures for which VTE prophylaxis is indicated in all patients who had an order for low-molecular weight heparin (LMWH), low-dose unfractionated heparin (LDUH), adjusted-dose warfarin, fondaparinux or mechanical prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time.
Perioperative care: percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first or second generation cephalosporin prophylactic antibiotic who had an order for cefazolin or cefuroxime for antimicrobial prophylaxis.
Perioperative care: percentage of surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic parenteral antibiotics who have an order for an antibiotic to be given within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required).
Perioperative care: percentage of surgical patients aged 18 years and older who have an order for a parenteral antibiotic to be given within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required) for whom administration of a prophylactic antibiotic has been initiated within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required).
American Medical Association on behalf of the American Gastroenterological Association Institute and the Physician Consortium for Performance Improvement®(5)
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older seen for an initial evaluation of GERD who did not have a barium swallow test ordered.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older seen for an initial evaluation of GERD with at least one alarm symptom who were either referred for upper endoscopy or had an upper endoscopy performed.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older with a diagnosis of GERD or heartburn whose endoscopy report indicates a suspicion of Barrett's esophagus who had a forceps esophageal biopsy performed.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older with diagnosis of GERD, seen for an initial evaluation, who were assessed for the presence or absence of the following alarm symptoms: involuntary weight loss, dysphagia, and GI bleeding.
Gastroesophageal reflux disease (GERD): percentage of patients aged 18 years and older with the diagnosis of GERD who have been prescribed chronic proton pump inhibitor (PPI) or histamine H2 receptor antagonist (H2RA) therapy who received an assessment of their GERD symptoms within 12 months.
American Medical Association on behalf of the American Society of Anesthesiologists and the Physician Consortium for Performance Improvement®(3)
Anesthesiology and critical care: percentage of ICU patients aged 18 years and older who receive mechanical ventilation and who had an order on the first ventilator day for head of bed elevation (30-45 degrees).
Anesthesiology and critical care: percentage of patients who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique followed.
Anesthesiology and critical care: percentage of patients, regardless of age, undergoing surgical or therapeutic procedures under general or neuraxial anesthesia of 60 minutes duration or longer for whom either active warming was used intraoperatively for the purpose of maintaining normothermia, OR at least one body temperature equal to or greater than 36 degrees Centigrade (or 96.8 degrees Fahrenheit) was recorded within 30 minutes immediately before or the 30 minutes immediately after anesthesia end time.
American Medical Association on behalf of the American Society of Hematology and the Physician Consortium for Performance Improvement®(4)
Hematology: percentage of patients aged 18 years and older with a diagnosis of chronic lymphocytic leukemia (CLL) who had baseline flow cytometry studies performed.
Hematology: percentage of patients aged 18 years and older with a diagnosis of multiple myeloma, not in remission, who were prescribed or received intravenous bisphosphonate therapy within the 12 month reporting period.
Hematology: percentage of patients aged 18 years and older with a diagnosis of myelodysplastic syndrome (MDS) or an acute leukemia who had baseline cytogenetic testing performed on bone marrow.
Hematology: percentage of patients aged 18 years and older with a diagnosis of myelodysplastic syndrome (MDS) who are receiving erythropoietin therapy with documentation of iron stores prior to initiating erythropoietin therapy.
American Medical Association on behalf of the Physician Consortium for Performance Improvement®(39)
Asthma: percentage of patients aged 5 to 40 years diagnosed with mild, moderate, or severe persistent asthma who were prescribed either the preferred long-term control medication (inhaled corticosteroid) or an acceptable alternative treatment.
Asthma: percentage of patients aged 5 to 40 years with diagnosed asthma who were evaluated during at least one office visit during the reporting year for the frequency (numeric) of daytime and nocturnal asthma symptoms.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD who were assessed for COPD symptoms at least annually.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older who had a spirometry evaluation results documented at least annually.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD and an oxygen saturation less than or equal to 88% or a PaO2 less than or equal to 55 mm Hg who prescribed long term oxygen therapy.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD and dyspnea for whom exercise training was recommended.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD and FEV1 less than 40% of predicted value who have oxygen saturation assessed at least annually.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD and who have an FEV1/FVC less than 70% and have symptoms who were prescribed an inhaled bronchodilator.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD identified as smokers who received a smoking cessation intervention at least annually.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD who received a pneumococcus immunization.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD who received influenza immunization during current flu season.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD who were assessed for pneumococcus immunization status.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD who were queried about smoking at least annually.
Chronic obstructive pulmonary disease (COPD): percentage of patients aged 18 years and older with a diagnosis of COPD who were recommended to receive an influenza immunization annually.
Community-acquired bacterial pneumonia: percentage of patients who had a documented rationale for level of care based on severity and safety of home care.
Community-acquired bacterial pneumonia: percentage of patients who received a smoking cessation intervention.
Community-acquired bacterial pneumonia: percentage of patients who were assessed for co-morbid conditions.
Community-acquired bacterial pneumonia: percentage of patients who were assessed for influenza immunization status.
Community-acquired bacterial pneumonia: percentage of patients who were assessed for pneumococcus immunization status.
Community-acquired bacterial pneumonia: percentage of patients who were prescribed an appropriate empiric antibiotic.
Community-acquired bacterial pneumonia: percentage of patients who were queried about smoking.
Community-acquired bacterial pneumonia: percentage of patients with a chest x-ray performed.
Community-acquired bacterial pneumonia: percentage of patients with hydration status assessed.
Community-acquired bacterial pneumonia: percentage of patients with mental status assessed.
Community-acquired bacterial pneumonia: percentage of patients with oxygen saturation assessed.
Community-acquired bacterial pneumonia: percentage of patients with vital signs recorded.
Major depressive disorder (MDD): percentage of patients aged 18 years and older whose depressive symptoms were adequately assessed for the presence of MDD during the initial visit.
Major depressive disorder (MDD): percentage of patients aged 18 years and older whose severity of MDD was classified at the initial visit.
Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of MDD who had a suicide risk assessment completed at each visit.
Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of MDD who received therapy appropriate to their classification.
Major depressive disorder (MDD): percentage of patients aged 18 years and older with confirmed diagnosis of MDD who were continued on medication for a minimum of 16 weeks following remission of symptoms.
Prenatal testing: percentage of D (Rh) negative, unsensitized patients who receive anti-D immune globulin at 26-30 weeks gestation. [NQMC Update Pending]
Prenatal testing: percentage of patients who are screened for HIV infection during the first or second prenatal care visit. [NQMC Update Pending]
Preventive care and screening: percentage of female patients who had a mammogram performed during the two-year measurement period.
Preventive care and screening: percentage of patients identified as tobacco users who received cessation intervention during the two-year measurement period.
Preventive care and screening: percentage of patients screened for colorectal cancer during the one-year measurement period.
Preventive care and screening: percentage of patients who received an influenza immunization during the one-year measurement period.
Preventive care and screening: percentage of patients who were queried about and screened for problem drinking during the two-year measurement period.
Preventive care and screening: percentage of patients who were queried about tobacco use one or more times during the two-year measurement period.
American Medical Directors Association(65)
Heart failure: average time for a patient's ineffective treatment to be modified.
Heart failure: average time taken to respond to a patient's adverse drug reaction.
Heart failure: percentage of patients monitored for adverse drug reactions.
Heart failure: percentage of patients referred to cardiology/hospice/palliative care (after several ineffective modifications and based on patient's advance directive).
Heart failure: percentage of patients where heart failure is diagnosed urgently or emergently (i.e., not on admission or at periodic assessment).
Heart failure: percentage of patients with documentation that appropriate lab monitoring has been ordered.
Heart failure: percentage of patients with documented assessment for heart failure risk factors.
Heart failure: percentage of patients with documented assessment for imaging studies.
Heart failure: percentage of patients with documented assessment for reversible causes of heart failure.
Heart failure: percentage of patients with documented assessment for reversible etiology workup.
Heart failure: percentage of patients with documented assessment for signs, symptoms, and heart failure risk factors at admission.
Heart failure: percentage of patients with documented consideration of angiotensin-converting enzyme (ACE) inhibitor treatment.
Heart failure: percentage of patients with documented consideration of beta-blocker treatment.
Heart failure: percentage of patients with documented discussions regarding advance directives and/or adherence to the directive.
Heart failure: percentage of patients with documented periodic assessment for peripheral edema and other heart failure risk factors.
Heart failure: percentage of patients with documented periodic monitoring of heart failure symptoms (lung sounds, edema, decreased activity).
Heart failure: percentage of patients with heart failure on angiotensin-converting enzyme (ACE) inhibitor.
Heart failure: percentage of patients with heart failure on beta-blocker.
Heart failure: percentage of patients with heart failure on diuretic therapy for at least 6 months with electrolyte measures within normal ranges.
Heart failure: percentage of patients with heart failure on diuretic therapy who had electrolyte monitoring within the past 2 months.
Heart failure: percentage of patients with heart failure prescribed a low-sodium diet in the past 6 months.
Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with patient's advance care directive.
Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with severity of heart failure.
Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with type of ventricular dysfunction.
Heart failure: percentage of patients with heart failure readmitted for acute episode of heart failure.
Heart failure: percentage of patients with heart failure receiving nonpharmacologic treatment, such as diet intervention and fluid restriction.
Heart failure: percentage of patients with heart failure sent to emergency room (ER) for acute exacerbation.
Heart failure: percentage of patients with heart failure weighed as per physician's orders.
Heart failure: percentage of patients with heart failure weighed daily.
Heart failure: percentage of patients with heart failure with documented assessment of treatment effectiveness.
Heart failure: percentage of patients with heart failure with fluid volume overload prescribed a loop diuretic.
Heart failure: percentage of patients with medical record documentation for characterization of ventricular dysfunction as systolic or diastolic.
Heart failure: percentage of patients with medical record documentation indicating communication of signs and symptoms of heart failure by direct care team to physician/nurse practitioner/physician assistant.
Pain management in the long-term care setting: percentage of patients prescribed narcotics for pain with appropriate bowel management program in place.
Pain management in the long-term care setting: percentage of patients receiving physical complementary treatments.
Pain management in the long-term care setting: percentage of patients receiving physical exam to assess for causes of pain.
Pain management in the long-term care setting: percentage of patients with adverse drug reactions (ADRs) to pain medications.
Pain management in the long-term care setting: percentage of patients with appropriate treatment for pain.
