Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose (NQF 0300)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
- 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: Cardiac Surgery (ordinality: 'Hospital Measures-Principal')" >= 1 minute(s) starts
after start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Cardiac Surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient
(admission datetime)")
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" during "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures - Burn diagnosis (ordinality: 'Hospital Measures-Principal')" during "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Transplant" starts before start of "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
-
Denominator Exclusions =
- AND:
- 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: Cardiac Surgery (incision
datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient")
- OR: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge datetime)" < 2 day(s) starts after start
of "Occurrence A of Procedure, Performed: Cardiac Surgery (ordinality: 'Hospital Measures-Principal')"
-
Numerator =
- AND: "Laboratory Test, Result: Hospital Measures-Glucose (result <= 200 mg/dL)" = 1 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" during "Occurrence A of Procedure, Performed: Cardiac Surgery")
- AND: "Laboratory Test, Result: Hospital Measures-Glucose (result <= 200 mg/dL)" = 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" during "Occurrence A of Procedure, Performed: Cardiac Surgery")
-
Denominator Exceptions =
-
"Diagnosis, Active: Hospital Measures - Any infection" using "Hospital Measures - Any infection Value Set GROUPING (2.16.840.1.113883.3.666.05.696)"
-
"Diagnosis, Active: Hospital Measures - Burn diagnosis" using "Hospital Measures - Burn diagnosis Value Set GROUPING (2.16.840.1.113883.3.666.05.813)"
-
"Diagnosis, Active: Hospital Measures-Infection diagnosis" using "Hospital Measures-Infection diagnosis Value Set GROUPING (2.16.840.1.113883.3.666.05.695)"
-
"Diagnosis, Active: Hospital Measures-Transplant" using "Hospital Measures-Transplant Value Set GROUPING (2.16.840.1.113883.3.666.05.815)"
-
"Encounter: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.625)"
-
"Laboratory Test, Result: Hospital Measures-Glucose" using "Hospital Measures-Glucose SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.816)"
-
"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)"
-
"Procedure, Performed: Cardiac Surgery" using "Cardiac Surgery Value Set GROUPING (2.16.840.1.113883.3.526.03.371)"
-
"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)"
-
Attribute: "Ordinality: Hospital Measures-Principal" using "Hospital Measures-Principal SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.8001)"
- "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)"