National Quality Forum Releases 21 Endorsed Surgical Care Measures

The National Quality Forum Board of Directors has recently approved endorsement for 21 quality measures concerning surgical care.

The measures — part of the Surgery Endorsement Maintenance 2010, Phase 1 and the National Voluntary Consensus Standards for Pediatric Cardiac Surgery projects — address a wide range of surgical procedures and considerations in caring for surgical patients. The 21 surgical care measures are as follows:

Cardiac-CABG

•    0114: Risk-adjusted post-operative renal failure (STS)
•    0115: Risk-adjusted surgical re-exploration (STS)
•    0129: Risk-adjusted prolonged intubation (ventilation) (STS)
•    0131: Risk-adjusted stroke/cerebrovascular accident (STS)
•    0119: Risk-adjusted operative mortality for CABG (STS)
•    0113: Participation in a database for cardiac surgery (STS) (reserve status)

 

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Cardiac-CABG: Valve Replacement/Repair

•    0120: Risk-adjusted operative mortality for aortic valve replacement (AVR) (STS)
•    0121: Risk-adjusted operative mortality for mitral valve (MV) replacement (STS)
•    0122: Risk-adjusted operative mortality MV replacement + CABG surgery (STS)
•    0123: Risk-adjusted operative mortality for aortic valve replacement (AVR) + CABG surgery (STS)
•    1501: Risk-adjusted operative mortality for mitral valve (MV) repair (STS)
•    1502: Risk-adjusted operative mortality for MV repair + CABG surgery (STS)

Esophageal Resection and Transfusion


•    0360: Esophageal resection mortality rate (IQI 8) (AHRQ)
•    0361: Esophageal resection volume (IQI 1) (AHRQ)

Cardiac-CABG

•    0116: Anti-platelet medication at discharge (STS)
•    0118: Anti-lipid treatment discharge (STS)
•    0130: Risk-adjusted deep sternal wound infection rate (STS)

Venous Thromboembolism (VTE)

•    0218: Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to surgery to 24 hours after surgery end time (CMS)
Pediatric Cardiac Surgery Quality Measures:  
•    0733: Pre-Operative Mortality Stratified by the Five STS-EACTS Mortality Categories (STS)
•    0732: Surgical Volume for Pediatric and Congenital Heart Surgery: Total Programmatic Volume and Programmatic Volume Stratified by the Five STS-EACTS Mortality Levels (STS)
•    0734: Participation in a national database for pediatric and congenital health surgery (STS)

Related Articles on the National Quality Forum:

NQF Releases Pressure Ulcer Prevention and Management Framework
National Quality Forum Endorses Measures for Child Health, Patient Safety
National Quality Forum to Release Web-Based Tool to Navigate Endorsed Measures

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