High Priority: Yes; Opioid-related Measure
NQF Number: N/A
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
Numerator Exclusions:
None
Measure Classifications:
- Measure Type: Process
- National Quality Strategy (NQS) domain: Patient Safety
- Meaningful Measure Area: Prevention and Treatment of Opioid and Substance Use Disorders
- Care Setting(s): Ambulatory Care: Clinician Office/Clinic
- Includes Telehealth: No
- Calculation: 1st Performance Rate
- Inverse measure: No
- Continuous measure: No
- Proportional measure: Yes
- Ratio measure: No
- Risk Adjusted measure: No
© 2021 American Society of Plastic Surgeons, American Academy of Facial Plastic and Reconstructive Surgery and American Academy of Otolaryngology – Head and Neck Surgery Foundation. All Rights Reserved.
Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The Measures, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, e.g. use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measures require a license agreement between the user, the American Society of Plastic Surgeons (ASPS), American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) and American Academy of Otolaryngology – Head and Neck Surgery Foundation (AAO-HNSF). All Rights Reserved.
Disclaimer:
The Measures are not clinical guidelines, do not establish a standard of medical care, and have not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND. Neither the AAO-HNSF nor its members shall be responsible for any use of the Measures. The AAO-HNSF and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.
