Measures
Hospital Outpatient Quality Reporting Program
The measures for payment determination for hospitals participating in the Hospital Outpatient Quality Reporting (OQR) Program are provided in the following table. These measures assess: process of care, imaging efficiency patterns, care transitions, ED throughput efficiency, use of Health Information Technology (HIT) care coordination, patient safety and volume.
| Hospital OQR Quality Measures | |
|---|---|
|
OP-1 |
Median Time to Fibrinolysis |
|
OP-2 |
Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival |
|
OP-3 |
Median Time to Transfer to Another Facility for Acute Coronary Intervention |
|
OP-4 |
Aspirin at Arrival |
|
OP-5 |
Median Time to ECG |
|
OP-6 |
Timing of Antibiotic Prophylaxsis |
|
OP-7 |
Prophylactic Antibiotic Selection for Surgical Patients |
| OP-8 | MRI Lumbar Spine for Low Back Pain |
| OP-9 | Mammography Follow-up Rates |
| OP-10 | Abdomen CT Use of Contrast Material |
| OP-11 | Thorax CT Use of Contrast Material |
| OP-12 | The Ability for Providers with HIT to Receive Laboratory Data Electronically Directly into their ONC-Certified EHR System as Discrete Searchable Data |
| OP-13 | Cardiac Imaging for Preoperative Risk Assessment for Non-Cardiac Low-Risk Surgery |
| OP-14 | Simultaneous Use of Brain Computed Tomography (CT) and Sinus CT |
| OP-15 | Use of Brain CT in the Emergency Department (ED) for Atraumatic Headache - REPORTING POSTPONED* |
| OP-17 | Tracking Clinical Results between Visits |
| OP-18 | Median Time from ED Arrival to ED Departure for Discharged ED Patients |
| OP-19 | Transition Record with Specified Elements Received by Discharged Patients - MEASURE SUSPENDED** |
| OP-20 | Door to Diagnostic Evaluation by a Qualified Medical Professional |
| OP-21 | ED-Median Time to Pain Management for Long Bone Fracture |
| OP-22 | ED-Patient Left Without Being Seen (Numerator/denominator one time per year for designated reference period) |
| OP-23 | ED-Head CT Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke who Received Head CT Scan Interpretation Within 45 Minutes of Arrival |
| OP-24 | Cardiac Rehabilitation Patient Referral From an Outpatient Setting – DATA COLLECTION DEFERRED*** |
| OP-25 | Safe Surgery Checklist Use |
| OP-26 | Hospital Outpatient Volume Data on Selected Outpatient Surgical Procedures (For a complete list of procedure category and corresponding codes affected, see Hospital OQR Program Measures for the CY 2014, CY 2015, and Subsequent Payment Determinations.) |
* Public reporting of measure OP-15 has been postponed. See Imaging Efficiency Measures for more information.
** Data collection for OP-19 was suspended by CMS effective for encounters after January 1, 2012. Until then, this measure will not be used for public reporting, validation, or payment update determination purposes. OP-19 still needs to be answered YES or NO in order to allow the other measures in the ED Throughput measure set to be accepted into the warehouse.
*** Data collection for OP-24 was deferred until January 1, 2014 and its first application toward a payment determination will be for CY 2015 rather than CY 2014.
Structural and Web-based Measures Submission
Hospitals participating in the Hospital Outpatient Quality Reporting (OQR) program for payment year 2014 are required to complete the Structural Measures (OP-12, OP-17, OP-25, and OP-26) and the chart-abstracted aggregate value measure (OP-22) questions between July 1, 2013, and November 1, 2013. The reference period for these measures is January 1, 2012, through December 31, 2012.