New Quality Measures Likely...Collect Data Now!

February 25, 2015

The Measure Applications Partnership, a group that guides the Centers for Medicare & Medicaid Services (CMS) on their selection of performance measures for federal quality reporting programs, issued a draft recommendation supporting the inclusion of two additional measures in the ASC Quality Reporting Program. The two measures, Unplanned Anterior Vitrectomy and Normothermia, received conditional support from the group. This recommendation means there is a reasonable possibility that CMS will include the two measures in its proposed ASC payment rule this summer.

The intent of the Unplanned Anterior Vitrectomy measure is to determine the number of cataract surgery patients (based on certain CPT codes) who had an Unplanned Anterior Vitrectomy. Download the Unplanned Anterior Vitrectomy measure specifications.

The intent of the Normothermia measure is to capture the number of patients that had general or neuraxial anesthesia of 60 minutes or more in duration and are normothermic (body temperature equal to or greater than 96.8 Fahrenheit/36 Celsius) within 15 minutes of arrival in PACU. Download the Normothermia measure specifications. To make data collection for Normothermia easier, download a sample Normothermia collection log (this collection log is an example, and its use is not required).

If these measures are appropriate to your case mix and you are not already collecting data for them, we suggest you consider gaining experience with the measures. ASCA Benchmarking is an easy way to begin collecting data for these two potential measures. Click here to subscribe to the 2015 survey.

For more information, contact Gina Throneberry at