#417: Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive

Quality ID

417

NQF

1523

High Priority Measure

Yes

Specifications

Registry

Measure Type

Outcome

Specialty

Vascular Surgery

Measure description

Percentage of patients undergoing open repair of small or moderate non-ruptured infrarenal abdominal aortic aneurysms (AAA) who are discharged alive

 

Instructions

This measure is to be submitted each time a repair of abdominal aortic aneurysms (AAA) is performed during the performance period. It is anticipated that eligible clinicians who provide services of the repair of abdominal aortic aneurysms (AAA), as described in the measure, based on the services provided and the measure-specific denominator coding will submit this measure. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.

 

Denominator

Patients aged 18 and older with all elective open repairs of small or moderate asymptomatic AAAs in men with < 6 cm diameter and women with < 5.5 cm diameter AAAs

Denominator Criteria (Eligible Cases):

Patients aged 18 and older

AND

Patient procedure during performance period (CPT): 35081, 35102

AND NOT

DENOMINATOR EXCLUSIONS:

For women: Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted CT or minor diameter on axial formatted CT: 9003F

OR

Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT: 9004F

OR

For men: Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT: 9004F

OR

Symptomatic AAAs that required urgent/emergent (non-elective) repair: G9600

 

Numerator

Patients discharged alive/home following open repair of asymptomatic AAAs in men with < 6 cm diameter and women with < 5.5 cm diameter AAAs

Numerator Instructions: A higher calculated performance rate for this measure indicates better clinical care or control. Therefore the “Performance Met” numerator outcome option for this measure is the representation of the better clinical quality or control. Submitting that numerator outcome option will produce a performance rate that trends closer to 100%, as quality increases.

Definition:

Home – For purposes of submitting this measure, home is the point of origin prior to hospital admission prior to procedure of AAA. For example, if the patient comes from a skilled facility and returns to the skilled facility post AAA repair, this would meet criteria for discharged to home.

Numerator Options:

Performance Met: Patient discharge to home no later than post-operative day #7 (G9601)

OR

Performance Not Met: Patient not discharged to home by post-operative day #7 (G9602)

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