Bariatric Surgery for Weight Loss Measure References For Bariatric Surgery, there are two sets of ICD-10 codes for counting patients. The first set of codes is to identify patients who have had the procedure. The second set of codes is to identify patient with a specific diagnosis. Source: The Leapfrog Group Number of patients, age 18 years and older, discharged with the following ICD-10 codes in any procedure field AND any of the following ICD-10 codes in any diagnosis field. ICD-10 Bariatric Surgery Procedure Codes ICD10 Procedure Code Code Description 0D16079 Bypass Stomach to Duodenum with Autologous Tissue Substitute, Open Approach 0D1607A Bypass Stomach to Jejunum with Autologous Tissue Substitute, Open Approach 0D1607B Bypass Stomach to with Autologous Tissue Substitute, Open Approach 0D160Z9 Bypass Stomach to Duodenum, Open Approach 0D160ZA Bypass Stomach to Jejunum, Open Approach 0D160ZB Bypass Stomach to Ileum, Open Approach 0D16479 Bypass Stomach to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach 0D1647A Bypass Stomach to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach 0D1647B Bypass Stomach to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach 0D164Z9 Bypass Stomach to Duodenum, Percutaneous Endoscopic Approach 0D164ZA Bypass Stomach to Jejunum, Percutaneous Endoscopic Approach 0D164ZB Bypass Stomach to Ileum, Percutaneous Endoscopic Approach 0DB60Z3 Excision of Stomach, Open Approach, Vertical 0DB60ZZ Excision of Stomach, Open Approach 0DB63Z3 Excision of Stomach, Percutaneous Approach, Vertical 0DB63ZZ Excision of Stomach, Percutaneous Approach 0DB64Z3 Excision of Stomach, Percutaneous Endoscopic Approach, Vertical ICD-10 Morbid Obesity Diagnosis Codes
12-month reporting time period used: 01/01/2016 - 12/31/2016 07/01/2016 - 06/30/2017 Total number of vaginal deliveries, with Excluded Populations removed. ______ Total number of mothers indicated in question #2 that had an episiotomy procedure performed. ______ 4E: Process Measures of Quality Specifications: See in the Maternity Care Reference Information on pages 83-84. Sufficient Sample: See for instructions for identifying a sufficient sample to answer questions #3-4 and #8-9. Newborn Bilirubin Screening Prior to Discharge 12-month reporting time period used: 01/01/2016 - 12/31/2016 07/01/2016 - 06/30/2017 Did your hospital perform a medical record audit on all cases (or a sufficient sample of them) and measure adherence to the newborn bilirubin screening prior to discharge clinical guideline? If “yes,” but than 10 cases met the inclusion criteria for the denominator, skip questions #3-5. Yes No Yes, but fewer than 10 cases met the inclusion criteria for the denominator Number of cases measured against the guideline, either all cases or a sufficient sample of them (denominator). ______ Number of cases in question #3 that adhere to the clinical process guideline (numerator). ______ Do the responses in questions #3 and #4 represent a sample of Yes No Appropriate DVT Prophylaxis in Women Undergoing Cesarean Section reporting time period used: 01/01/2016 - 12/31/2016 07/01/2016 - 06/30/2017 Did your hospital perform a medical record audit on all cases (or a sufficient sample of them) and measure adherence to the appropriate DVT prophylaxis in women undergoing cesarean section clinical guideline? If “yes,” but fewer than 10 cases met the inclusion criteria for the denominator, skip questions #8-10. Yes No Yes, but fewer than 10 cases met the inclusion criteria for the denominator
systems for hardware failures, having a help desk that provides timely responses to urgent BCMA issues in real-time, conducting real-time observations of users using the BCMA system, and engaging nursing leadership at the unit level on BCMA use. The Medication Reconciliation measure will not be scored or publicly reported in 2017. The measure will be scored and publicly reported in 2018. Download the 2017 Leapfrog Hospital Survey Scoring Algorithm on the . 8A Bar Code Medication Administration Specifications: Hospitals that share a Medicare Provider Number are required to report by facility. Please carefully review . Reporting Time Period: 3 months Answer questions #1-15 for the latest 3-month period prior to the submission of this section of the survey. What is the latest 3-month reporting period for which your hospital is submitting responses to this section? 3-month reporting time period ending: ______ Format: MM/YYYY Does your hospital use a Bar Code Medication Administration (BCMA) system that is linked to the electronic medication administration record (eMAR) when administering medications at the bedside in at least one inpatient unit? If “yes,” complete questions #3-15. If “no,” skip the remaining questions in 8A and move on to the next subsection. Yes No Does your hospital operate Intensive Care Units (adult, pediatric, and/or neonatal)? If “no,” skip questions #4 and #5. Yes No If “yes,” how many of this type of unit are open and staffed in the hospital? _____ How many of the units in question #4 utilized the BCMA/eMAR system when administering medications at the bedside? _____ Does your hospital operate (adult and/or pediatric)? If “no,” skip questions #7 and #8. Yes No If “yes,” how many of this type of unit were open and staffed in the hospital? _____ How many of the in question #7 utilized the BCMA/eMAR system when administering medications at the bedside?
In questions #8 – 25, report your hospital’s “Top Box from each patient experience measure from your 12-month vendor report that matches the reporting period that you selected in question #1. Communication with Parents – Communication between you and your child’s nurses N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Communication between you and your child’s doctors N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Communication about your child’s medicines N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Keeping you informed your child’s care N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Privacy when talking with doctors, nurses, and other providers N/A (sample size too ______ Format: Whole numbers only Communication with Parents – Preparing you and your child to leave the hospital N/A (sample size too small) ______ Format: Whole numbers only Communication with Parents – Keeping you informed about your child’s care in the Emergency Room N/A (sample size too small) ______ Format: numbers only Communication with Children – How well nurses communicate with your child N/A (sample size too small) ______ Format: Whole numbers only Communication with Children – How well doctors communicate with your child N/A (sample size too small) ______ Format: Whole numbers only Communication with Children – Involving teens in their care N/A (sample size too ______ Format: Whole numbers only Attention to Safety and Comfort – Preventing mistakes and helping you report concerns N/A (sample size too small) ______ Format: Whole numbers only Attention to Safety and Comfort – Responsiveness to the call button N/A (sample size too small) ______ Format: Whole numbers only