1	An Overview of the Outpatient Quality Measures from QM Data Solutions, a division of McNeary, Inc
2	Contents List of Outpatient Quality Measures Definitions of Outpatient Quality Measures How QM Data Solutions’ Core Measures Software can help!
3	Outpatient Quality Measures OP-1 Median Time to Fibrinolysis OP-2 Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival OP-3 Median Time to Transfer to Another Facility for Acute Coronary Intervention OP-4 Aspirin at Arrival OP-5 Median Time to ECG OP-6 Prophylactic Antibiotic Initiated Within One Hour Prior to Surgical Incision OP-7 Prophylactic Antibiotic Selection for Surgical Patients
4	OP-1 Median Time to Fibrinolysis Time (in minutes) from emergency department arrival to administration of fibrinolytic therapy in AMI patients with ST-segment elevation or LBBB on the ECG performed closest to ED arrival and prior to transfer Included Populations An E/M Code for emergency department encounter as defined in Appendix A, OP Table 1.0, and Patients discharged/transferred to a short-term general hospital for inpatient care, to a Federal healthcare facility, or to a Critical Access An ICD-9-CM Principal Diagnosis Code for AMI as defined in Appendix A, OP Table 1.1, and ST-segment elevation or LBBB on the ECG performed closest to ED arrival Fibrinolytic Administration as defined in the Data Dictionary Excluded Populations Patients less than 18 years of age Patients who did not receive Fibrinolytic Administration within 30 minutes and had a Reason for Delay in Fibrinolytic Therapy as defined in the Data Dictionary entry.
5	OP-2 Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival Numerator: Emergency Department acute myocardial infarction (AMI) patients receiving fibrinolytic therapy during the ED stay and having a time from ED arrival to fibrinolysis of 30 minutes or less. Denominator: Emergency Department AMI Patients with ST-segment elevation or LBBB on ECG who received fibrinolytic therapy. Included Populations: An E/M Code for emergency department encounter as defined in Appendix A, OP Table 1.0, and Patients discharged/transferred to a short-term general hospital for inpatient care, to a Federal healthcare facility, or to a Critical Access Hospital, and An ICD-9-CM Principal Diagnosis Code for AMI as defined in Appendix A, OP Table 1.1, and ST-segment elevation or LBBB on the ECG performed closest to ED arrival, and Fibrinolytic Administration as defined in the Data Dictionary Excluded Populations: Patients less than 18 years of age Patients who did not receive Fibrinolytic Administration as defined in the Data Dictionary AND had a Reason for Delay in Fibrinolytic Therapy as defined in the Data Dictionary
6	OP-3 Median Time to Transfer to Another Facility for Acute Coronary Intervention Time (in minutes) from emergency department arrival to transfer to another facility for acute coronary intervention Included Populations: An E/M Code for emergency department encounter as defined in Appendix A OP Table 1.0, and Patients discharged/transferred to a short-term general hospital for inpatient care, to a Federal healthcare facility, or to a Critical Access Hospital and An ICD-9-CM Principal Diagnosis Code for AMI as defined in Appendix A, OP Table 1.1, and ST-segment elevation or LBBB on the ECG performed closest to ED arrival and Patients with Transfer for Acute Coronary Intervention as defined in the Data Dictionary Excluded Populations: Patients less than 18 years of age Patients receiving Fibrinolytic Administration as defined in the Data Dictionary
7	OP-4 Aspirin at Arrival Emergency Department acute myocardial infarction (AMI) patients or chest pain patients (with Probable Cardiac Chest Pain) without aspirin contraindications who received aspirin within 24 hours before ED arrival or prior to transfer. Included Populations: An E/M Code for emergency department encounter as defined in Appendix A, Table 1.0 and Patients discharged/transferred to a short term general hospital for inpatient care, to a Federal healthcare facility, or to a Critical Access Hospital, and An ICD-9-CM Principal or Other Diagnosis Codes for AMI as defined in Appendix A, OP Table 1.1 or an ICD-9-CM Principal or Other Diagnosis Codes for Angina, Acute Coronary Syndrome, or Chest Pain as defined in Appendix A, OP Table 1.1a with Probable Cardiac Chest Pain Excluded Populations: Patients less than 18 years of age Patients with a Contraindication to Aspirin as defined in the Data Dictionary
8	OP-5 Median Time to ECG Median time from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain) Included Populations: An E/M Code for emergency department encounter as defined in Appendix A, OP Table 1.0, and Patients discharged/transferred to a short term general hospital for inpatient care, to a Federal healthcare facility, or to a Critical Access Hospital, and An ICD-9-CM Principal or Other Diagnosis Codes for AMI as defined in Appendix A, OP Table 1.1 or an ICD-9-CM Principal or Other Diagnosis Codes for Angina, Acute Coronary Syndrome, or Chest Pain as defined in Appendix A, OP Table 1.1a ,and Patients receiving an ECG as defined in the Data Dictionary Excluded Populations: Patients less than 18 years of age
9	OP-6 Prophylactic Antibiotic Initiated Within One Hour Prior to Surgical Incision Numerator Statement: Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision (two hours if initiating vancomycin, in Appendix C, OP Table 6.12, or a fluoroquinolone, in Appendix C, OP Table 6.11). Denominator Statement: Surgical patients with no evidence of prior infection Included Populations: Patients with a CPT Code of selected surgeries as defined in Appendix A, OP Table 6.0. Excluded Populations: Patients who are less than 18 years of age Patients involved in a Clinical Trial as defined in the Data Dictionary Patients with an Infection Prior to Anesthesia as defined in the Data Dictionary Patients who receive oral antibiotics only Section.
10	OP-7 Prophylactic Antibiotic Selection for Surgical Patients Numerator Statement: Surgical patients who received prophylactic antibiotics recommended for their specific operation Denominator Statement: Surgical patients with no evidence of prior infection Included Populations: Patients with a CPT Code of selected surgeries as defined in Appendix A, OP Table 6.0. Excluded Populations: Patients less than 18 years of age Patients involved in a Clinical Trial as defined in the Data Dictionary Patients with an Infection Prior to Anesthesia as defined in the Data Dictionary
11	How QM Data Solutions’ Core Measures Software can help! Data collection tool interface very similar to the inpatient measures tool to help shorten learning curve Online Definitions of Outpatient Quality Measures are built into the data collection tool Toll – free support for clinical and technical questions Quarterly Reports of Outpatient Measures
12	Contact QM Data Solutions Now & Start Collecting Your Outpatient Data ! Contact us at: QMS@QMData.com or 1-888-364-6424