2023 # HCPR20 Clostridium Difficile- Risk Assessment and Plan of Care

Measure Title: Clostridium Difficile – Risk Assessment and Plan of Care

Measure Description: Percentage of Adult Patients Who Had a Risk Assessment for C. difficile Infection and, If High-Risk, Had a Plan of Care for C. difficile Completed on the Day Of or Day After Hospital Admission

Denominator: Any patient greater or equal to 18 years of age evaluated by the Eligible Professional in the hospital setting. (Not including transferred, eloped, AMA patients)

Numerator: Patients that had a risk assessment for C. difficile infection and, if high-risk, a plan of care documented on the day of or day after hospital admission

Denominator Exclusions: None

Denominator Exceptions: Patients who did not have a C. difficile infection risk assessment, AND if high risk, a plan of care for C. difficile for medical reasons documented by the Eligible Professional (e.g., C. difficile infection already documented prior to hospital admission, patients unable to provide history, patients on comfort measures)

NQF ID Number: N/A

NQS Domain: Effective Clinical Care

High Priority Measure: Yes

Measure Type: Process

Includes Teleheatlh: Yes

Inverse Measure: No

Proportional Measure: Yes

Continuous Variable Measure: No

Ratio Measure: No

Number of performance rates to be calculated and submitted: 1

Risk-Adjusted Status: No

Care Setting: Hospital; Hospital Inpatient

Submission Pathway: Traditional MIPS