Measure ID
AQI72
Measure Title
Perioperative Anemia Management
Measure Description
Percentage of patients, aged 18 years and older, undergoing elective total joint arthroplasty who were screened for anemia preoperatively AND, if positive, have documentation that one or more of the following management strategies were used prior to PACU discharge.
Management strategies include one or more of the following:
• Cell salvage techniques employed intraoperatively
• Intraoperative antifibrinolytic therapy or tourniquet, if not contraindicated
• Preoperative iron supplementation, epoetin alpha
• Use of evidence-based preoperative anemia management algorithm supplemented with laboratory testing and/or multidisciplinary consult
Denominator
Patients, aged 18 years and older, undergoing elective total joint arthroplasty.
Denominator Note: For the purpose of this measure, total joint arthroplasty includes arthroplasty of the knee, hip, and shoulder.
Numerator
Patients who were screened for anemia preoperatively AND, if positive, have documentation that one or more of the following management strategies were used prior to PACU discharge.
Management strategies include one or more of the following:
• Cell salvage techniques employed intraoperatively
• Intraoperative antifibrinolytic therapy or tourniquet, if not contraindicated
• Preoperative iron supplementation, epoetin alpha
• Use of evidence-based preoperative anemia management algorithm supplemented with laboratory testing and/or multidisciplinary consult
Numerator definition: For the purpose of this measure, a positive preoperative anemia screening result is defined as a Hgb value less than 13 gm/dL all adults regardless of gender.
Numerator note: Preoperative screening for anemia could include any of the following tests: complete blood count (CBC), arterial blood gas (ABG), venous blood gas (VBG), or other point of care hemoglobin/hematocrit test within 90 days and until one day prior to the surgical procedure.
Denominator Exclusions
Surgeon or other non-anesthesia professional clinician completed one or more of the management strategies without direction or assistance from the anesthesia professional.
Denominator Exceptions
Negative preoperative anemia screening result
OR
Documentation of medical or patient reason(s) for not screening for anemia and/or using selected management strategies (e.g., patient refusal, contraindication, etc.)
Numerator Exclusions
None
NQF ID
N/A
NQS Domain
Patient Safety
High Priority Measure
Yes
High Priority Type
Patient Safety
Measure Type
Process
Telehealth
No
Meaningful Measure Area
Preventable Healthcare Harm
Inverse Measure
No
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Range of the score(s) if Continuous Variable and/or Ratio
N/A
Number of performance rates to be calculated and submitted
1
Performance Rate Description(s)
This measure consists of a single performance rate that describes the percentage of patients tested preoperatively for anemia who, when indicated, received appropriate preoperative and intraoperative management strategies.
Overall Performance Rate
1st Performance Rate
Risk-Adjusted Status
No
Risk-Adjusted Score
N/A
Care Setting
Hospital
Additional Care Setting Information
N/A