Last updated: May 17, 2016
|CMS Measure ID:||CMS171v4|
Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision. Patients who received vancomycin or a fluoroquinolone for prophylactic antibiotics should have the antibiotics initiated within two hours prior to surgical incision. Due to the longer infusion time required for vancomycin or a fluoroquinolone, it is acceptable to start these antibiotics within two hours prior to incision time.
|Initial Patient Population:||
All hospital discharges for selective surgery with hospital stays <= 120 days during the measurement year for patients age 18 and older at the time of hospital admission with no evidence of prior infection
Denominator(s): All selected surgical patients 18 years of age and older with no evidence of prior infection with a Principal Procedure Code of selected surgeries.
Denominator for population 1 – Coronary artery bypass graft (CABG) procedures
Denominator for population 2 - Other cardiac surgery
Denominator for population 3 - Hip arthroplasty
Denominator for population 4 – Knee arthroplasty
Denominator for population 5 – Colon surgery
Denominator for population 6 – Abdominal hysterectomy
Denominator for population 7 – Vaginal hysterectomy
Denominator for population 8 - Vascular surgery
Number of surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision (two hours if receiving vancomycin or a fluoroquinolone).
|Measure Steward:||Centers for Medicare & Medicaid Services|
|Next Version:||Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision|
An increase in the rate
The measurement period is one calendar year but the reporting period is 3 months as a calendar quarter; Q1 = Jan – Mar, Q2 = Apr – Jun, Q3 = Jul – Sep, Q4 is Oct – Dec.
Denominator Exclusion guidance:
The exclusion for patients who are clinical trial participants is limited to patients participating in a clinical trial for the same conditions as covered by the measure. Other clinical trials are not valid reasons for exclusions.