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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

Improvement in status of surgical wounds

CBE ID
0178
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

The percentage of home health episodes of care during which the patient demonstrates an improvement in the condition of surgical wounds.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      1.9 Care Setting
      1.14 Numerator

      The number of home health episodes of care where the patient has a better status of surgical wounds at discharge compared to start (or resumption) of care.

      1.15 Denominator

      The number of home health episodes of care ending during the data collection period other than those covered by generic or measure-specific denominator exclusions.

      Exclusions

      Measure-specific exclusions: All home health episodes where it would be impossible for the patient to show measurable improvement because the patient did not have any surgical wounds or had only a surgical wound that was unobservable or fully epithelialized; OR the patient had a surgical wound that was unobservable at discharge; OR the episode of care ended in transfer to inpatient facility or death at home.
      Generic exclusions: None, except that HHAs are exempt from reporting OASIS data to CMS on certain categories of patients/clients as described in the next section.

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Surgery Spring Cycle 2018
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Centers for Medicare & Medicaid Services
      Steward POC email
      Steward Organization Copyright

      NA

              Risk Adjustment
                Use
                Use In Federal Program
                  Public Comments