开发用于基于绩效的激励支付系统（MIPS）的四项电子临床质量指标（eCQMs），用于择期初次全髋关节和全膝关节置换术后。
Development of four electronic clinical quality measures (eCQMs) for use in the Merit-based Incentive Payment System (MIPS) following elective primary total hip and 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;2021:408-417. eCollection 2021.
The Centers for Medicare & Medicaid Services (CMS) supported Brigham and Women's Hospital (BWH) Center for Patient Safety, Research, and Practice to retool one existing National Quality Forum (NQF) endorsed clinical quality measure (CQM) measure into an electronic clinical quality measure (eCQM) and develop three new eCQMs related to orthopedic care. This manuscript details the iterative process of measure development through environmental scans and stakeholder feedback prior to testing at two geographically different sites. The four measures under development are the: Risk Standardized Complication Rate (RSCR), Risk Standardized Venous Thromboembolism and Major Bleeding Rate (VTE/Bleeding), Risk Standardized Prolonged Opioid Prescribing Rate (POP), and the Risk Standardized Inpatient Respiratory Depression Rate (IRD).
医疗保险和医疗补助服务中心（CMS）支持布莱根妇女医院（BWH）患者安全、研究和实践中心，将现有的一个经国家质量论坛（NQF）认可的临床质量指标（CQM）重新打造成电子临床质量指标（eCQM），并开发三个与骨科护理相关的新的电子临床质量指标。本文详细介绍了在两个地理位置不同的地点进行测试之前，通过环境扫描和利益相关者反馈进行指标开发的迭代过程。正在开发的四个指标是：风险标准化并发症发生率（RSCR）、风险标准化静脉血栓栓塞和大出血发生率（VTE/出血）、风险标准化延长阿片类药物处方发生率（POP）和风险标准化住院呼吸抑制发生率（IRD）。
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