Ventilator Bundle (NQF 0302)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Encounter: ICU"
- AND: "Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period")
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND: "Procedure, Performed: Head of Bed Elevation (result >= 30 degrees)" during ("Physical Exam, Finding: Ventilated" during
("Encounter: ICU" during "Measurement period"))
- AND: "Intervention, Performed: Sedation Interruption" during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU"
during "Measurement period"))
- AND: "Intervention, Performed: Assessed for Readiness to Extubate" during ("Physical Exam, Finding: Ventilated" during ("Encounter:
ICU" during "Measurement period"))
- AND:
- OR: "Medication, Administered: DVT Prophylaxis - Pharmacological" during ("Physical Exam, Finding: Ventilated" during ("Encounter:
ICU" during "Measurement period"))
- OR: "Device, Applied: DVT Prophylaxis - Mechanical" during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU"
during "Measurement period"))
- AND:
- OR: "Medication, Administered: Sucralfate" during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement
period"))
- OR: "Medication, Administered: H2 Blockers" during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement
period"))
- OR: "Medication, Administered: Proton Pump Inhibitors" during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU"
during "Measurement period"))
- AND: "Medication, Administered: Chlorhexidine Oral Care" during ("Physical Exam, Finding: Ventilated" during ("Encounter:
ICU" during "Measurement period"))
-
Denominator Exceptions =
- AND:
- OR: "Procedure, Performed not done: Medical Reason - any" for "Head of Bed Elevation SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Procedure, Performed not done: Patient Reason - any" for "Head of Bed Elevation SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Procedure, Performed not done: System Reason - any" for "Head of Bed Elevation SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Intervention, Performed not done: Medical Reason - any" for "Sedation Interruption SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Intervention, Performed not done: Patient Reason - any" for "Sedation Interruption SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Intervention, Performed not done: System Reason - any" for "Sedation Interruption SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Intervention, Performed not done: Medical Reason - any" for "Assessed for Readiness to Extubate SNOMED-CT Value Set"
during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Intervention, Performed not done: Patient Reason - any" for "Assessed for Readiness to Extubate SNOMED-CT Value Set"
during ("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Intervention, Performed not done: System Reason - any" for "Assessed for Readiness to Extubate SNOMED-CT Value Set" during
("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Medical Reason - any" for "DVT Prophylaxis - Pharmacological RxNorm Value Set" during
("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Patient Reason - any" for "DVT Prophylaxis - Pharmacological RxNorm Value Set" during
("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: System Reason - any" for "DVT Prophylaxis - Pharmacological RxNorm Value Set" during
("Physical Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Device, Applied not done: Medical Reason - any" for "DVT Prophylaxis - Mechanical SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Device, Applied not done: Patient Reason - any" for "DVT Prophylaxis - Mechanical SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Device, Applied not done: System Reason - any" for "DVT Prophylaxis - Mechanical SNOMED-CT Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Medical Reason - any" for "Sucralfate RxNorm Value Set" during ("Physical Exam, Finding:
Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Patient Reason - any" for "Sucralfate RxNorm Value Set" during ("Physical Exam, Finding:
Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: System Reason - any" for "Sucralfate RxNorm Value Set" during ("Physical Exam, Finding:
Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Medical Reason - any" for "H2 Blockers RxNorm Value Set" during ("Physical Exam, Finding:
Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Patient Reason - any" for "H2 Blockers RxNorm Value Set" during ("Physical Exam, Finding:
Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: System Reason - any" for "H2 Blockers RxNorm Value Set" during ("Physical Exam, Finding:
Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Medical Reason - any" for "Proton Pump Inhibitors RxNorm Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Patient Reason - any" for "Proton Pump Inhibitors RxNorm Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: System Reason - any" for "Proton Pump Inhibitors RxNorm Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Medical Reason - any" for "Chlorhexidine Oral Care RxNorm Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: Patient Reason - any" for "Chlorhexidine Oral Care RxNorm Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
- OR: "Medication, Administered not done: System Reason - any" for "Chlorhexidine Oral Care RxNorm Value Set" during ("Physical
Exam, Finding: Ventilated" during ("Encounter: ICU" during "Measurement period"))
-
"Device, Applied: DVT Prophylaxis - Mechanical" using "DVT Prophylaxis - Mechanical SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.64)"
-
"Device, Applied not done: Medical Reason - any" using "Medical Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.376)"
-
"Device, Applied not done: Patient Reason - any" using "Patient Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.377)"
-
"Device, Applied not done: System Reason - any" using "System Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.378)"
-
"Encounter: ICU" using "ICU SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.53)"
-
"Intervention, Performed: Assessed for Readiness to Extubate" using "Assessed for Readiness to Extubate SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.355)"
-
"Intervention, Performed: Sedation Interruption" using "Sedation Interruption SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.68)"
-
"Intervention, Performed not done: Medical Reason - any" using "Medical Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.376)"
-
"Intervention, Performed not done: Patient Reason - any" using "Patient Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.377)"
-
"Intervention, Performed not done: System Reason - any" using "System Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.378)"
-
"Medication, Administered: Chlorhexidine Oral Care" using "Chlorhexidine Oral Care RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.71)"
-
"Medication, Administered: DVT Prophylaxis - Pharmacological" using "DVT Prophylaxis - Pharmacological RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.63)"
-
"Medication, Administered: H2 Blockers" using "H2 Blockers RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.59)"
-
"Medication, Administered: Proton Pump Inhibitors" using "Proton Pump Inhibitors RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.60)"
-
"Medication, Administered: Sucralfate" using "Sucralfate RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.58)"
-
"Medication, Administered not done: Medical Reason - any" using "Medical Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.376)"
-
"Medication, Administered not done: Patient Reason - any" using "Patient Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.377)"
-
"Medication, Administered not done: System Reason - any" using "System Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.378)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Physical Exam, Finding: Ventilated" using "Ventilated SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.356)"
-
"Procedure, Performed: Head of Bed Elevation" using "Head of Bed Elevation SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.61)"
-
"Procedure, Performed not done: Medical Reason - any" using "Medical Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.376)"
-
"Procedure, Performed not done: Patient Reason - any" using "Patient Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.377)"
-
"Procedure, Performed not done: System Reason - any" using "System Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.378)"
- "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)"