Measure Title: Appropriate Utilization of Vancomycin for Cellulitis
Measure Description: Percentage of Patients with Cellulitis Who Did Not Receive Vancomycin Unless MRSA Infection or Risk for MRSA Infection Was Identified
Denominator:Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional PLUS
- Admitted or Placed in Observation Status (V0717) PLUS (E/M Codes 99221-23, 99234-36, 99281-85,
99291-92 AND Place of Service indicators 02, 19, 21, 22, or 23 OR equivalent in standardized code sets)
PLUS - Diagnosis of Cellulitis
- A48.0, H05.011, H05.012, H05.013, H05.019, H60.10, H60.11, H60.12, H60.13, J34.0, J36, J38.3,
J38.7, J39.1, K12.2, K13.0, K61.0, K61.1, L03.011, L03.012, L03.019, L03.031, L03.032, L03.039,
L03.111, L03.112, L03.113, L03.114, L03.115, L03.116, L03.119, L03.211, L03.212, L03.213,
L03.221, L03.311, L03.312, L03.313, L03.314, L03.315, L03.316, L03.317, L03.319, L03.811,
L03.818, L03.90, L98.3, N48.22, N49.9, N61.0, N73.0, N73.1, N73.2
- A48.0, H05.011, H05.012, H05.013, H05.019, H60.10, H60.11, H60.12, H60.13, J34.0, J36, J38.3,
- Transferred, eloped, AMA or expired patients are excluded (V0704)
Numerator: Patients who did NOT have Vancomycin ordered unless known MRSA infection was identified or specific risk for MRSA infection was indicated
- Performance Met (VH271):
- Vancomycin NOT ordered OR Vancomycin discontinued at admission
OR - Vancomycin ordered AND MRSA infection identified or risk for MRSA infection documented
(i.e., nasal colonization, prior MRSA infection, recent hospitalization, recent antibiotics,
penetrating injury, IVDU, purulent cellulitis, SIRS criteria, sepsis, impaired host defense)
- Vancomycin NOT ordered OR Vancomycin discontinued at admission
- Performance Not Met (VH272): Vancomycin ordered AND no MRSA infection identified OR no risk for MRSA infection documented
Denominator Exclusions: None
Denominator Exceptions: None
NQF ID Number: N/A
NQS Domain: Efficiency and Cost Reduction
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: Emergency Department and Services; Hospital; Hospital Inpatient
Submission Pathway: Traditional MIPS