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ASPS19: Pre-surgical discussion of motivations and outcomes for patients undergoing Rhinoplasty

ASPS19: Pre-surgical discussion of motivations and outcomes for patients undergoing Rhinoplasty

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High Priority: Yes; Communication and Care Coordination
Percentage of patients aged 15 years and older who had a rhinoplasty procedure and with whom motivation for surgery and outcome expectations were discussed and for whom the following information was documented:
1. Discussion of motivations and expectations*
2. Surgical goals were realistic and exclusion criteria were reviewed

Definitions: *Documentation of any of words motivation, expectation, realistic, or unrealistic AND one of the following terms or phrases will meet the measure:
• Independent /Preference/Desire/Look like/Appearance
• Size: Big(ger), small(er)
• Shape: Straight, crooked, bent, hook, hump, bump, droop, flare, wide, thin, narrow, bulbous, pug, pointy, projection, rotation, flare, round, long(er), short(er)
• Proportion/Balance: Tip, bridge, overly-prominent nostrils/nostril asymmetry, change of appearance with smiling (pulling or widening), general asymmetry
• External shaming/Ridicule/Bullying/Advice/Critical/Tease(ing)
• Self-esteem/Self-conscious
• Facial Harmony/ gender characteristics/ ethnicity
• Function: Breathe/Breathing, Repair injury, Snoring, Olfaction, Recurrent infection, Altered sensation, Voice change
• Realistic/Unrealistic

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:
None

Numerator:
Patients with whom motivation for surgery and expectations of outcomes were discussed and for whom the following information was documented:
1. Discussion of motivations and expectations*
2. Surgical goals were realistic and exclusion criteria were reviewed

Definitions: *Documentation of any words of motivation, expectation, realistic, or unrealistic AND one of the following terms or phrases will meet the measure:

  • Independent/Preference/Desire/Look like/Appearance
  • Size: Big(ger), small(er)
  • Empowering otolaryngologist–head and neck surgeons to deliver the best patient care
  • Shape: Straight, crooked, bent, hook, hump, bump, droop, flare, wide, thin, narrow, bulbous, pug, pointy, projection, rotation, flare, round, long(er), short(er)
  • Proportion/Balance: Tip, bridge, overly-prominent nostrils/nostril asymmetry, change of appearance with smiling (pulling or widening), general asymmetry
  • External shaming/Ridicule/Bullying/Advice/Critical/Tease(ing)
  • Self-esteem/Self-conscious
  • Facial Harmony/gender characteristics/ethnicity
  • Function: Breathe/Breathing, Repair injury, Snoring, Olfaction, Recurrent infection, Altered sensation, Voice change
  • Realistic/Unrealistic

Measure Classifications:

  • Measure Type: Process
  • National Quality Strategy (NQS) domain: Person and Caregiver Centered Experience and Outcomes
  • Meaningful Measure Area: Care is Personalized and Aligned with Patient’s Goals
  • Calculation: 1st Performance Rate
    • Inverse Measure: No
    • Continuous Measure: No
    • Proportional Measure: Yes
    • Ratio Measure: No
    • Risk Adjusted: No
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