2023 # AQI48 Patient-Reported Experience with Anesthesia

Measure Title: Patient-Reported Experience with Anesthesia

Description: Percentage of patients, aged 18 and older, who were surveyed on their patient experience and satisfaction with anesthesia care and who reported a positive experience.

This measure will consist of two performance rates:

AQI48a: Percentage of patients, aged 18 and older, who were surveyed on their patient experience and satisfaction with anesthesia care

AQI48b: Percentage of patients, aged 18 and older, who completed a survey on their patient experience and satisfaction with anesthesia care who report a positive experience with anesthesia care

NOTE: The measure requires that a valid survey, as defined in the numerator of AQI48a, be sent to patients between discharge from the facility and within 30 days of facility discharge. To report AQI48b, a minimum number of 20 surveys with the mandatory question completed must be reported. ** In order to be scored on this measure, clinicians must report BOTH AQI48a AND AQI48b.

Denominator: Patients, aged 18 and older, who undergo a procedure* under anesthesia (AQI48a) and who complete a survey on their patient experience and satisfaction with anesthesia care (AQI48b)

Definition: *Any procedure including surgical, therapeutic or diagnostic

Denominator Note: In order to report AQI48b, the denominator must include a minimum of 20 returned surveys.

Denominator-AQI48a
Patients aged 18 and older, who undergo a procedure* under anesthesia
Definition: *Any procedure including surgical, therapeutic or diagnostic

Denominator-AQI48b
All patients from the numerator of AQI48a who complete a survey on their patient experience and satisfaction with anesthesia care

Numerator: Numerator AQI48a: Patients who received a survey within 30 days of the procedure to assess their experience and satisfaction with anesthesia.

Numerator Note: The survey should be administered to the patient shortly following discharge from the facility.

Definition: Practices and eligible clinicians may customize their patient experience and satisfaction with anesthesia surveys to meet local needs but, at a minimum, a valid survey must include a core set of questions that address three of the four following criteria related to patient experience and satisfaction and one mandatory question described below.
1. Pre-operative Education and Preparation
2. Patient and/or Family Communication
3. Care Team Response to Comfort and Well-Being
4. Post-operative pain control and/or management

Mandatory question that must be included in each valid survey (practices must also include an option for patient to indicate “Not Applicable”):
1. On a scale of 1 to 5, where 1 indicates the worst anesthesia experience and where 5 indicates the best anesthesia experience, how would you rate your anesthesia experience?

Numerator AQI48b: Patients who reported a positive experience with anesthesia care.

Definition: A positive experience is defined as a response of 4 or 5 on the following mandatory patient experience and satisfaction survey question:

On a scale of 1 to 5, where 1 indicates the worst anesthesia experience and where 5 indicates the best anesthesia experience, how would you rate your overall anesthesia experience? (Practices must include an option for patient to indicate “Not Applicable”)

Denominator Exclusions: AQI48a: Organ Donors as designated by ASA Physical Status 6
AQI48a: Patient died within 30 days of the procedure
AQI48b: Patient did not complete the mandatory anesthesia satisfaction question

Denominator Exceptions: None

National Quality Forum (NQF) number, if applicable
N/A

Care setting(s) 
Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Hospital; Hospital Inpatient; Outpatient Services

Telehealth, if applicable
No

Number of performance rates required for measures
2

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway 
Traditional MIPS, MVP