• Institute for Clinical Systems Improvement (ICSI). Preoperative evaluation. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jul. 32 p. [20 references]

Does not apply to this measure

This measure is used to assess the percentage of patients with a preoperative health history and physical examination completed prior to the day of scheduled procedure.

The priority aim addressed by this measure is to obtain complete preoperative history and physical examination.

Elective surgery; preoperative health history and physical examination

Total number of patients (age two and older) having elective low-risk surgery (see the related "Denominator Inclusions/Exclusions" field in the Complete Summary)

Number of patients having documentation of preoperative history and physical examination prior to the day of the scheduled procedure

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Physician Group Practices/Clinics

Physicians

Group Clinical Practices

Age greater than or equal to 2 years

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Getting Better

Effectiveness

Users of care only

Patients associated with provider

Inclusions
Total number of patients (age two and older) having elective low-risk surgery*

*Elective low-risk surgery includes planned, scheduled, non-emergent surgical procedures that allow time for a scheduled preoperative health assessment.

Exclusions
High-risk procedures, such as cardiac or procedures anticipated to be prolonged (usually greater than two hours), are not included.

All cases in the denominator are equally eligible to appear in the numerator

Therapeutic Intervention

Time window is a single point in time

Inclusions
Number of patients having documentation of preoperative history and physical examination prior to the day of the scheduled procedure

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Episode of care

Administrative data
Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Increase the percentage of patients with a preoperative health history and physical examination completed prior to the day of scheduled procedure.

Institute for Clinical Systems Improvement

The following Minnesota health plans provide direct financial support: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, Metropolitan Health Plan, PreferredOne, and UCare Minnesota. In-kind support is provided by the Institute for Clinical Systems Improvement's (ICSI) members.

Work Group Members: David Danielson, MD (Work Group Leader) (Mayo Clinic) (Anesthesiology); John Robrock, MD (Park Nicollet Health System) (Family Medicine); Peter Rothe, MD (HealthPartners Medical Group) (Internal Medicine); Jerry Stultz, MD (HealthPartners Medical Group) (Pediatrics); Kevin Bjork, MD (Stillwater Medical Center) (Surgery); Teresa Hunteman, MA, CPHQ (Institute for Clinical Systems Improvement) (Measurement/Implementation Advisor); Joann Foreman, RN (Institute for Clinical Systems Improvement) (Facilitator); Melissa Marshall, MBA (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2003 Sep

2008 Jul

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Preoperative Evaluation. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Jul. 33 p.

• Institute for Clinical Systems Improvement (ICSI). Preoperative evaluation. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jul. 32 p. [20 references]

This NQMC summary was completed by ECRI on May 11, 2004. This NQMC summary was updated by ECRI Institute on October 24, 2008.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

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