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:
AQI48a: Documentation of patient reason(s), process reason(s)or medical reason(s) for not receiving survey (i.e. patients who are non-verbal, who are unable to be surveyed due to a medical or psychiatric reason, who are unable to be surveyed due to a language barrier, have not provided contact information, who are discharged to assisted living, skilled nursing facility or other similar location where direct access to the patient is not available, or who decline to be surveyed)
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