2025 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 ≥ 18 years of age evaluated by the Eligible Professional Admitted in the inpatient acute care setting, including intensive care unit (E/M Codes 99221- 99223 99234-99236 & 99291-99292 AND Place of Service Indicator: 02 or 21 OR equivalent in standardized code sets)
• Transferred, eloped or AMA patients are excluded (V0700

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

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


Tags

QCDR-EACCR-2025