Specifications Manual

for Hospital Outpatient Department Quality Measures, v4.0a

For use in submitting data for encounters from 01/01/11 through 06/30/11.

View and/or download individual sections of the Specifications Manual, (PDF documents, unless noted), listed below.

Release Notes, Version 4.0
Release Notes, Version 4.0a (11/03/10)

Acknowledgement

Table of Contents
Introduction
Using the Manual
Delivery Settings

Introduction

1.1 - Outpatient Acute Myocardial Infarction (AMI) and Chest Pain

AMI and Chest Pain Data Element Lists and Population Algorithms

Outpatient AMI and Chest Pain General Data Element List
Outpatient AMI and Chest Pain Data Element List
AMI and Chest Pain Outpatient Population Algorithms


OP-1 Measure Information Form (MIF) and Flowchart (Algorithm)
OP-2 Measure Information Form (MIF) and Flowchart (Algorithm)

OP-3 Measure Information Form (MIF) and Flowchart (Algorithm)
OP-4 Measure Information Form (MIF) and Flowchart (Algorithm)
OP-5 Measure Information Form (MIF) and Flowchart (Algorithm)

1.2 - Outpatient Surgery

Surgery Data Element Lists and Population Algorithms

Outpatient Surgery General Data Element List
Outpatient Surgery Data Element List
Outpatient Surgery Population Algorithm


OP-6 Measure Information Form (MIF) and Flowchart (Algorithm)
OP-7 Measure Information Form (MIF) and Flowchart (Algorithm)

1.3 - Imaging Efficiency

Measure Information Forms:

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

Data Dictionary and General Abstraction Guidelines

Introduction
Interpretation of Data Dictionary Terms
Data Dictionary Terms
General Abstraction Guidelines

Alphabetical Data Dictionary

Unable to be Determined (UTD) and Missing/Invalid Values

Introduction
Data Collection and the UTD Allowable Value
Missing and Invalid Data
Abstraction Software Skip Logic and Missing Data

Population, Sampling and Transmission

Introduction
Order of Data Flow
Sample Size Requirements
Sampling Approaches
Transmission of Outpatient Population and Sample Data Elements
Introduction and Guidelines for Submission of Data
Transmission Data Element List and Transmission Data Element Pages
Transmission Data Processing Flow

Hospital Outpatient Data XML File Layout, XLS

Hospital Outpatient Population Data XML File Layout, XLS

A - ICD-9-CM Diagnosis and CPT Code Tables, XLS or PDF
B - Glossary of Terms, PDF

C - Medication Tables, XLS or PDF

P - Measure Preview, PDF

Download Entire Manual, ZIP or EXE

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