Surgery Measure (OP-36)
The Hospital Visits after Hospital Outpatient Surgery measure provides facilities with information on patient outcomes following surgery at hospital outpatient departments (HOPDs). The measure result is a facility-specific risk-standardized hospital visit ratio (RSHVR) within 7 days of hospital outpatient surgery.
For more information on the measure, refer to the Measure Methodology page and Frequently Asked Questions document. For the measure updates and specification report and additional information, refer to the Resources page. For information on previous years resources, refer to the Archived Resources page.
For Calendar Year (CY) 2020 Payment Determination
The Centers for Medicare and Medicaid Services (CMS) plans to begin public reporting results for the measure in the Hospital Outpatient Quality Reporting (OQR) Program on Hospital Compare in January 2020. These results will be used for CY 2020 payment determination and will be calculated based on surgeries performed during CY 2018.
Prior to public reporting of the measure, CMS plans to make available via a secure portal (QualityNet) two different types of reports to facilities:
- Two Claims Detail Reports (CDRs)
To be released in September 2018 (with data on surgeries performed from January 1 – May 31, 2018) and March 2019 (with data on surgeries performed from January 1 – November 30, 2018); and
- One Facility-Specific Report (FSR)
To be released in October 2019 and based on data from CY 2018.
For more information on the CDRs and FSRs, refer to the Reports page.
Questions and Comments
Please submit questions about the outpatient Surgery measure to the Outpatient Question and Answer tool. To ensure proper handling of inquiries, please reference the hospital’s CMS Certification Number (CCN). Do NOT email your CDR or FSR nor submit patient-identifiable information (e.g., Date of Birth, Social Security Number, Health Insurance Claim Number, dates, procedure codes) to this address. Sending screenshots and/or describing a patient listed in your FSR is considered Protected Health Information (PHI).