• Measure Summary
  • NQMC:009655
  • 2014 Mar

Perioperative protocol: percentage of patients with comorbidities undergoing elective non-high-risk surgery who have preoperative recommendations documented/communicated to the patient and/or surgical facility for all of the following applicable comorbidities: antithrombotic therapy, recent coronary stent/antiplatelet therapy, beta-blocker therapy, diabetes mellitus, sleep apnea, and nicotine cessation.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009322
  • 2013 Jul

Diagnosis and treatment of osteoporosis: percentage of patients who were found to be at risk for bone loss or fractures who had bone densitometry.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009658
  • 2014 Mar

Perioperative protocol: percentage of canceled or delayed surgical procedures due to ineffective communication regarding patient information as defined by organizational procedures.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:008432
  • 2012 Sep

Non-OR procedural safety: percentage of wrong invasive or high-risk procedure events outside of the operating room per month.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009661
  • 2014 Mar

Perioperative protocol: percentage of preoperative wound infections by wound classifications: Class I: clean, Class II: clean contaminated, and Class III: contaminated.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009664
  • 2014 Mar

Perioperative protocol: percentage of surgical cases in which a verbal, active Time-Out has been conducted by all appropriate members of the surgical team prior to incision.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009653
  • 2014 Mar

Perioperative protocol: percentage of patients undergoing cataract surgery who have electrocardiograms performed as part of the preoperative assessment prior to cataract surgery.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:007433
  • 2012 Jan

Diagnosis of breast disease: percentage of BI-RADS category 4 or BI-RADS category 5 mammograms that are followed by a biopsy within 7 to 10 days.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009659
  • 2014 Mar

Perioperative protocol: percentage of wrong surgery events per month.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009662
  • 2014 Mar

Perioperative protocol: percentage of surgical patients with documentation of preoperative verification of correct patient, procedure and site/side/level.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009656
  • 2014 Mar

Perioperative protocol: percentage of patients with comorbidities who have preoperative education documented for all specified applicable comorbidities.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009665
  • 2014 Mar

Perioperative protocol: percentage of surgical cases where the baseline count was conducted prior to the patient arriving in the operating/procedure room.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:008433
  • 2012 Sep

Non-OR procedural safety: percentage of invasive or high-risk procedures outside of the operating room that met observational compliance.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009657
  • 2014 Mar

Perioperative protocol: percentage of patients who have canceled or delayed non-high-risk surgical procedures due to incomplete preoperative basic health assessment documentation.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009651
  • 2014 Mar

Perioperative protocol: percentage of patients undergoing elective non-high-risk surgery with a preoperative basic health assessment completed prior to the day of the scheduled procedure.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009654
  • 2014 Mar

Perioperative protocol: percentage of patients with comorbidities undergoing elective non-high-risk surgery who have appropriate management of comorbidities prior to surgery, including antithrombotic therapy, recent coronary stent/antiplatelet therapy, beta-blocker therapy, diabetes mellitus, sleep apnea, and nicotine cessation.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009975
  • 2014 Sep

Preventive services for adults: percentage of patients ages 50 to 75 years who have one or more of the following screenings: colonoscopy in past 10 years, flexible sigmoidoscopy in past five years, and fecal occult blood test (FOBT) annually.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009663
  • 2014 Mar

Perioperative protocol: percentage of appropriate surgical patients who had their site marked by the surgeon in preoperative with his/her initials.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:009652
  • 2014 Mar

Perioperative protocol: percentage of patients undergoing elective non-high-risk surgery having laboratory tests/imaging unrelated to positive findings on preoperative basic health assessment.

Institute for Clinical Systems Improvement

  • Measure Summary
  • NQMC:008343
  • 2013 Jan

Venous thromboembolism (VTE) diagnosis and treatment: percentage of patients suspected of DVT who have leg duplex ultrasound (DUS) performed, despite a low clinical pretest probability (CPTP) and a negative D-dimer test.

Institute for Clinical Systems Improvement