Last updated: May 17, 2016
|CMS Measure ID:||CMS178v4|
Surgical patients with urinary catheter removed on Postoperative Day 1 or Postoperative Day 2 with day of surgery being day zero.
|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 a catheter in place postoperatively.
All selected surgical patients 18 years of age and older with a catheter in place postoperatively with An ICD-9-CM Principal Procedure Code of selected surgeries.
Number of surgical patients whose urinary catheter is removed on postoperative day (POD) 1 or postoperative day (POD) 2 with day of surgery being day zero.
|Measure Steward:||Centers for Medicare & Medicaid Services|
|Next Version:||Urinary catheter removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with day of surgery being day zero|
Higher score indicates better quality.
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.
In this measure the code lists that describe types of surgical procedures remain only in ICD-9 or ICD-10 because the concepts that apply are limited to a very specific subset of all surgical procedures.
Denominator element guidance:
The denominator in this measure specifically excludes surgical procedures that may be associated with post-operative indwelling urinary catheter usage and that occur in close time proximity to the index major surgical procedure.
Exclusion element 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.
By convention, discharge date post Encounter inpatient is used to describe the hospital discharge date. Where logic needs to indicate discharge (or transfer) from one inpatient location to another, the logic uses Transfer From or Transfer To as the QDS data type.