Wednesday, April 04, 2007

CMS releases 2007 Physician Quality Reporting Initiative Measures

There are 74 measures in the initiative, a fair amount of them relate to diabetes, antibiotic prescription, perioperative care, stroke, osteoporosis, CAP, and GERD. A few from the list:

20. Perioperative Care: Timing of Antibiotic Prophylaxis - Ordering Physician
Description
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic parenteral antibiotics, who have an order for prophylactic antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required)
21. Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Description
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
22. Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures)
Description
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
23. Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Description
Percentage of patients aged 18 years and older 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 within 24 hours after surgery end time
Click here to access the CMS release; click here to access the list of 74 measures. What percent of your CME Program will address these measures? Will you be able to link your CME activities to these measures in your CME database?

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