Urinary catheter removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with day of surgery being day zero (NQF 0453)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient (admission datetime)"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator =
- AND: "Initial Patient Population"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major surgical procedure (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-SCIP Urological/Perineal procedures with potential need of indwelling
catheters (ordinality: 'Hospital Measures-Principal')"
- AND: "Occurrence A of Device, Applied: Hospital Measures-Indwelling urinary catheter (start datetime, anatomical structure:
'Hospital Measures-Urethra')" starts after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission
datetime)"
- AND: "Occurrence A of Device, Applied: Hospital Measures-Indwelling urinary catheter (start datetime, anatomical structure:
'Hospital Measures-Urethra')" starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- AND:
- AND NOT: "Physical Exam, Finding: Hospital Measures-SCIP urinary diversion" starts before start of "Procedure, Performed:
Hospital Measures-SCIP major surgical procedure"
- AND NOT: "Procedure, Performed: Hospital Measures-SCIP urinary diversion procedures" starts before start of "Procedure, Performed:
Hospital Measures-SCIP major surgical procedure"
- AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Intermittent catheterization" starts before start of
"Occurrence A of Procedure, Performed: Hospital Measures-SCIP major surgical procedure"
- AND:
- AND NOT: "Occurrence B of Device, Applied: Hospital Measures-Indwelling urinary catheter (start datetime, anatomical structure:
'Hospital Measures-Urethra')" starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission
datetime)"
- AND NOT: "Occurrence B of Device, Applied: Hospital Measures-Indwelling urinary catheter (stop datetime, anatomical structure:
'Hospital Measures-Urethra')" starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission
datetime)"
- AND NOT: "Device, Applied: Hospital Measures-Suprapubic catheter" starts before or during "Occurrence A of Procedure, Performed:
Hospital Measures-SCIP major surgical procedure"
- AND NOT: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient" < 2 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-SCIP major surgical procedure"
- AND:
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures-CABG" <= 4 day(s) starts before start of ("Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major surgical procedure")
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures-CABG" <= 4 day(s) starts after end of ("Occurrence A of
Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major surgical procedure")
- AND:
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures-Other Cardiac Surgery" <= 4 day(s) starts before start
of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major surgical
procedure")
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures-Other Cardiac Surgery" <= 4 day(s) starts after end of
("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia" starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major surgical
procedure")
- AND:
- AND NOT: IMMEDIATE PRIOR "Occurrence B of Procedure, Performed: Hospital Measures-SCIP major surgical procedure" <= 3 day(s)
starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP
major surgical procedure")
- AND NOT: IMMEDIATE PRIOR "Occurrence B of Procedure, Performed: Hospital Measures-Other Cardiac Surgery" <= 3 day(s) starts
after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major
surgical procedure")
- AND:
- OR NOT: "Occurrence A of Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts before
start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-CABG")
- OR NOT: "Occurrence A of Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure"
<= 4 day(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of
a surgical procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-CABG")
- AND:
- OR NOT: "Occurrence A of Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts after
end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-CABG")
- OR NOT: "Occurrence A of Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure"
<= 4 day(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital
Measures-CABG")
- AND:
- OR NOT: "Occurrence A of Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts before
start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other Cardiac
Surgery")
- OR NOT: "Occurrence A of Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure"
<= 4 day(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of
a surgical procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Other Cardiac Surgery")
- AND:
- OR NOT: "Occurrence A of Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts after
end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other Cardiac
Surgery")
- OR NOT: "Occurrence A of Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure"
<= 4 day(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital
Measures-Other Cardiac Surgery")
- AND:
- OR NOT: "Occurrence A of Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before
start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major
surgical procedure")
- OR NOT: "Occurrence A of Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure"
<= 3 day(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of
a surgical procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-SCIP major surgical procedure")
- AND:
- OR NOT: "Occurrence A of Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after
end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP major
surgical procedure")
- OR NOT: "Occurrence A of Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure"
<= 3 day(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital
Measures-SCIP major surgical procedure")
-
Denominator Exclusions =
- AND:
- OR: "Occurrence A of Device, Applied: Hospital Measures-Indwelling urinary catheter (stop datetime, anatomical structure:
'Hospital Measures-Urethra', reason)" > 2 day(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" starts after end of "Occurrence A of
Procedure, Performed: Hospital Measures-Surgical procedure")
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital Measures-SCIP
major surgical procedure (ordinality: 'Hospital Measures-Principal', incision datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after start of "Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia (stop datetime)"
- OR:
- OR: "Occurrence A of Medication, Administered: Hospital Measures-Diuretics" >= 2 day(s) starts after end of ("Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Surgical procedure")
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
>= 2 day(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia" starts before start of "Occurrence A of Procedure, Performed: Hospital
Measures-Surgical procedure")
-
Numerator =
- AND: "Occurrence A of Device, Applied: Hospital Measures-Indwelling urinary catheter (stop datetime, anatomical structure:
'Hospital Measures-Urethra')" <= 2 day(s) starts after end of "Procedure, Performed: Hospital Measures-Surgical procedure"
-
Denominator Exceptions =
-
"Device, Applied: Hospital Measures-Indwelling urinary catheter" using "Hospital Measures-Indwelling urinary catheter SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.820)"
-
"Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" using "Hospital Measures-Pacemaker or implantable defibrillator ICD-9-CM Value Set (2.16.840.1.113883.3.666.05.1086)"
-
"Device, Applied: Hospital Measures-Suprapubic catheter" using "Hospital Measures-Suprapubic catheter SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.827)"
-
"Encounter: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.625)"
-
"Intervention, Performed: Hospital Measures-Intermittent catheterization" using "Hospital Measures-Intermittent catheterization SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.825)"
-
"Medication, Administered: Hospital Measures-Diuretics" using "Hospital Measures-Diuretics RxNorm Value Set (2.16.840.1.113883.3.666.05.829)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic: Clinical trial participant" using "Clinical trial participant SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.643)"
-
"Patient Characteristic: Expired" using "Expired Value Set GROUPING (2.16.840.1.113883.3.666.05.730)"
-
"Physical Exam, Finding: Hospital Measures-SCIP urinary diversion" using "Hospital Measures-SCIP urinary diversion SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.822)"
-
"Procedure, Performed: Hospital Measures-CABG" using "Hospital Measures-CABG Value Set GROUPING (2.16.840.1.113883.3.666.05.694)"
-
"Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia" using "Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia SNOMED-CT
Value Set (1.3.6.1.4.1.33895.1.3.0.31)"
-
"Procedure, Performed: Hospital Measures-Other Cardiac Surgery" using "Hospital Measures-Other Cardiac Surgery Value Set GROUPING (2.16.840.1.113883.3.666.05.701)"
-
"Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" using "Hospital Measures-Pacemaker or implantable defibrillator insertion procedure SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1087)"
-
"Procedure, Performed: Hospital Measures-SCIP major surgical procedure" using "Hospital Measures-SCIP major surgical procedure ICD-9-CM Value Set (2.16.840.1.113883.3.666.05.817)"
-
"Procedure, Performed: Hospital Measures-SCIP urinary diversion procedures" using "Hospital Measures-SCIP urinary diversion procedures SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1050)"
-
"Procedure, Performed: Hospital Measures-SCIP Urological/Perineal procedures with potential need of indwelling catheters" using "Hospital Measures-SCIP Urological/Perineal procedures with potential need of indwelling catheters SNOMED-CT Value
Set (2.16.840.1.113883.3.666.05.819)"
-
"Procedure, Performed: Hospital Measures-Surgical procedure" using "Hospital Measures-Surgical procedure SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.828)"
-
Attribute: "Ordinality: Hospital Measures-Principal" using "Hospital Measures-Principal SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.8001)"
-
Attribute: "Facility location: Hospital Measures-ICU locations" using "Hospital Measures-ICU locations HL7 Value Set (2.16.840.1.113883.3.666.05.1083)"
-
Attribute: "Anatomical structure: Hospital Measures-Urethra" using "Hospital Measures-Urethra SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1130)"
- "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"
- "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)"