全髋关节和/或全膝关节置换术风险标准化并发症发生率电子临床质量测量（eCQM）的测试。
Testing of a Risk-Standardized Complication Rate Electronic Clinical Quality Measure (eCQM) for Total Hip and/or Total Knee Arthroplasty.
机构信息
Brigham and Women's Hospital, Boston, MA.
Harvard Medical School, Boston, MA.
出版信息
AMIA Annu Symp Proc. 2022 Feb 21;2021:352-361. eCollection 2021.
Supported by the Centers for Medicare & Medicaid Services (CMS), Brigham and Women's Hospital (BWH) has retooled the existing claims-based measures NQF1550 and NQF3493 into an electronic clinical quality measure (eCQM) to assess the risk-standardized complication rate (RSCR) following elective primary total hip (THA) and knee arthroplasty (TKA) at the clinician group level. This novel eCQM includes risk-adjustment for social determinants of health, includes all adult patients from all payers, leverages electronic health records (EHRs) rather than claims-based data, and includes both inpatient and outpatient procedures and complications which offers benefits compared to existing metrics. Following testing in two geographically different healthcare systems, the overall risk-standardized complication rate within 90 days following THA and TKA at the two sites was 3.60% (Site 1) and 3.70% (Site 2). This measure is designed for use in the Merit-Based Incentive Payment System (MIPS).
在医疗保险和医疗补助服务中心（CMS）的支持下，布莱根妇女医院（BWH）对现有的基于索赔的衡量标准 NQF1550 和 NQF3493 进行了重新调整，将其转化为一种电子临床质量衡量标准（eCQM），用于评估择期初次全髋关节置换术（THA）和全膝关节置换术（TKA）后，临床医生群体层面的风险标准化并发症率（RSCR）。这种新颖的 eCQM 包括对健康的社会决定因素进行风险调整，涵盖了所有支付者的所有成年患者，利用电子健康记录（EHR）而不是基于索赔的数据，并包括住院和门诊手术及并发症，与现有指标相比具有优势。在两个地理位置不同的医疗保健系统中进行测试后，两个站点 THA 和 TKA 后 90 天内的总体风险标准化并发症率分别为 3.60%（站点 1）和 3.70%（站点 2）。该衡量标准旨在用于基于质量的激励支付系统（MIPS）中。
Zotero 插件