High Priority: Yes; Opioid-related Measure
Percentage of patients aged 15 years and older who had a rhinoplasty procedure who had documentation of a preoperative shared-decision making strategy for multi-modal post-operative management of discomfort.
Definitions: Documentation of discussion of at least two mechanisms of pain management from the following terms or phrases (one term or phrase from each list) will meet the measure:
List 1) Non-opioid analgesics: Non-narcotic/Non-opioid, Acetaminophen/Tylenol, Cox-II inhibitor (Celecoxib),
Local/Marcaine/Block, Anxiolytic, Tramadol, NSAID/ibuprofen
List 2) Non-systemic: Ice/Cooling, Elevation, Rest, Mindfulness, Meditation
Denominator:
All patients aged 15 years and older who had a rhinoplasty procedure.
Age > 15 years
AND
CPT® for Encounter:
30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, or 30465
Denominator Exclusions:
None
Denominator Exceptions:
Patient reasons for not taking a non-opioid analgesic.
Numerator:
Patients who had documentation of a pre-operative shared-decision making strategy for multi-modal post-operative management of discomfort.
Definitions: Documentation of discussion of at least two mechanisms of pain management from the following terms or phrases (one term or phrase from each list) will meet the measure:
List 1) Non-opioid analgesics: Non-narcotic/Non-opioid, Acetaminophen/Tylenol, Cox-II inhibitor (Celecoxib),
Local/Marcaine/Block, Anxiolytic, Tramadol, NSAID/ibuprofen
List 2) Non-systemic: Ice/Cooling, Elevation, Rest, Mindfulness, Meditation
Measure Classifications:
- Measure Type: Process
- National Quality Strategy (NQS) domain: Patient Safety
- Meaningful Measure Area: Prevention and Treatment of Opioid and Substance Use Disorders
- Calculation: 1st Performance Rate
- Inverse measure: No
- Continuous measure: No
- Proportional measure: Yes
- Ratio measure: No
- Risk Adjusted measure: No
