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Intensive Care Unit Venous Thromboembolism Prophylaxis

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Compare Versions of: "Intensive Care Unit Venous Thromboembolism Prophylaxis"

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Table Options
Measure Information 2024 Reporting Period
Title Intensive Care Unit Venous Thromboembolism Prophylaxis
CMS eCQM ID CMS190v12
Short Name

VTE-2

CBE ID* Not Applicable
Measure Steward The Joint Commission
Description

This measure assesses the number of patients who received Venous Thromboembolism (VTE) prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries...

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Measure Scoring Proportion measure
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

Venous Thromboembolism (VTE) is a known complication of hospitalization, frequently extending the length of stay and increasing hospital mortality (Maynard, 2016). Approximately 20% of VTE are associated with a surgical procedure (Henke et al., 2020).

Almost all hospitalized patients have...

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Clinical Recommendation Statement

Failure to recognize and protect patients at risk for venous thromboembolism (VTE) increases the chances for critically ill hospitalized patients for developing a deep vein thrombosis or dying from a pulmonary embolism. Screening all patients is the only evidence based practice in...

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Improvement Notation

Improvement noted as an increase in rate

Definition

None

Guidance

The definition of an ICU for the purpose of the measures noted above is that used by the CDC in the NHSN Patient Safety Project (2022). An intensive care unit can be defined as a nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults...

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Initial Population

Inpatient hospitalizations for patients age 18 and older, discharged from hospital inpatient acute care without a diagnosis of venous thromboembolism (VTE) or obstetrics with a length of stay less than or equal to 120 days that ends during the measurement period

Denominator

Inpatient hospitalizations for patients directly admitted or transferred to ICU during the hospitalization

Denominator Exclusions

- Inpatient hospitalizations for patients who have a hospital length of stay (LOS) less than 2 days

- Inpatient hospitalizations for patients with a principal procedure of surgical care improvement Project (SCIP) VTE selected surgeries that end the day of or the day after ICU admission or...

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Numerator

Inpatient hospitalizations for patients who received VTE prophylaxis:

- the day of or the day after ICU admission (or transfer)

- the day of or the day after surgery end date (for surgeries that end the day of or the day after ICU admission or transfer)

Inpatient hospitalizations for...

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Numerator Exclusions

Not Applicable

Denominator Exceptions

Inpatient hospitalizations for patients with ICU LOS less than one day

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Last Updated: May 01, 2025