High Priority: No; N/A
Percentage of patients age 18 years and older who were diagnosed with new onset dysphonia within 2 months after a
thyroidectomy who received or were referred for a laryngeal examination to examine vocal fold/cord mobility, and, if
abnormal vocal fold mobility is identified, receive a plan of care for voice rehabilitation.
1. All patients 18 years and older diagnosed with new onset dysphonia within 2 months after a thyroidectomy.
2. All patients who received a laryngeal examination and identified with abnormal vocal fold mobility.
Dysphonia definition: Dysphonia is disorder characterized by harsh and raspy voice arising from or spreading to
the larynx. For the purposes of this measure dysphonia is referring to a change or hoarseness in the patient’s
Exclude patients diagnosed with dysphonia or vocal fold paralysis prior to thyroidectomy and patients undergoing
concurrent laryngectomy at the time of thyroidectomy.
Patient refusal of laryngeal examination or plan of care for treatment.
1. Patients who received or were referred for a laryngeal examination to examine vocal fold/cord mobility. Laryngeal
examination definition: examination by a qualified examiner utilizing flexible laryngoscopy, or stroboscopy to
examine vocal fold/cord mobility.
2. Patients who received a plan of care for voice rehabilitation.
Plan of care for voice rehabilitation includes one of the following
• Voice and/or swallowing therapy or referral for voice and/or swallowing therapy to a speech-language pathologist
• Surgical therapy, including but not limited to:
− Injection laryngoplasty
− Framework procedures – operations to improve vocal fold mobility
− Reinnervation – operation to improve vocal fold position
• Medical therapy
- Measure Type: Process
- National Quality Strategy (NQS) domain: Effective Clinical Care
- Meaningful Measure Area: Appropriate Use of Healthcare
- Calculation: 1st Performance Rate
- Inverse measure: No
- Continuous measure: No
- Proportional measure: Yes
- Ratio measure: No
- Risk Adjusted measure: No