Measure Title: DEF [Portion of [ABCDEF ICU Liberation Bundle] – Delirium Management; Early mobility; and Family Engagement in ICU patients Measure description: Patients admitted to the intensive care unit (ICU) for > or = 3 days should be included in the ‘DEF’ portion of the ABCDEF bundle, including Delirium Assessment, Prevention, and Management; Early mobility; and Family Engagement and Empowerment |
Denominator: All Patients >= 18 years of age on date of discharge with an ICU length of stay > or = 3 days. Denominator Exclusions: Patients who expire. |
Denominator Exceptions:Offered but patient/family declined; clinical contraindication, such as comfort measures or limited treatment, or mechanical circulatory support / extracorporeal membrane oxygenation *ECMO), or acute alcohol withdrawal.
Numerator: Patients receiving delirium screening, monitoring and management using the CAM-ICU method or Intensive Care Delirium Screening Checklist, and appropriate prevention and pharmacologic and non-pharmacologic management strategies as outlined in the ICU Liberation Bundle; AND participation in an early mobility program; AND Family engagement and empowerment including flexible visitation, daily meetings and participation in rounds, patient and family diaries and other resources to support family needs in accordance with the ICU Liberation Bundle. Numerator Exclusions: None |
National Quality Forum (NQF) number, if applicable
N/A
Care setting(s)
Hospital Inpatient
Telehealth, if applicable
Yes
Number of performance rates required for measures
1
Traditional vs. inverse measure
Traditional
Proportional, continuous variable, and/or ratio measure indicator
Proportional
Risk adjustment, if applicable
No
Submission pathway
Traditional MIPS