New Jersey DSRIP Performance Measurement DatabookNew JerseyDelivery System Reform Incentive Payment (DSRIP) ProgramDSRIPPerformance Measurement DatabookJune 2016, v2.02Prepared by Myers and Stauffer LCTable of ContentsI.General Overview4II.Attribution Methodology 23III.Sampling Methodology29IV.Specification Sheet Description and Definitions31Chart / Electronic Health Record Performance Measurement Specifications1.Antenatal Steroids DSRIP Code 10352.Asthma: Pharmacologic Therapy for Persistent Asthma DSRIP Code 89383.Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use DSRIP Code 15424.CAC-1: Relievers for Inpatient Asthma DSRIP Code 17455.CAC-2: Systemic Corticosteroids for Inpatient Asthma DSRIP Code 18486.Cardiovascular health screening for people with schizophrenia or bipolar disorder who are prescribed antipsychotic medicines DSRIP Code 94517.Central Line-Associated Bloodstream Infection (CLABSI) Event DSRIP Code 21538.Cesarean Rate for Nulliparious Singleton Visits DSRIP Code 23569.Children Age 6 17 Years who Engage in Weekly Physical Activity DSRIP Code 265810.Comprehensive Diabetes Care: LDL-C Control 100mg/DL DSRIP Code 306011.Controlling High Blood Pressure (CBP) DSRIP Code 316312.Depression Remission at 12 Months DSRIP Code 336613.Diabetes Mellitus: Daily Aspirin or Anti-platelet Medication Use for Patients with Diabetes and Ischemic Vascular Disease DSRIP Code 1006814.Elective Delivery DSRIP Code 377015.Emergency Medicine: Community-Acquired Pneumonia (CAP): Assessment of Mental Status DSRIP Code 697316.Eye Examination DSRIP Code 397517.Foot Examination DSRIP Code 437818.Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (inpatient setting) DSRIP Code 98019.Hospital Acquired Potentially Preventable Venous Thromboembolism DSRIP 478320.Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patient DSRIP Code 518621.Ischemic Vascular Disease (IVD): Complete Lipid Profile and LDL-C Control = 25 who set an individualized goal along with target date for reduction in body mass index DSRIP Code 7111232.Post-Discharge Appointment for Heart Failure Patients DSRIP Code 7311433.Postoperative Sepsis DSRIP Code 7411734.Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention DSRIP Code 7611935.Screening for Clinical Depression and Follow-up Plan DSRIP Code 7912236.Substance Use Disorders: Screening for Depression Among Patients with Substance Abuse or Dependence DSRIP Code 6812437.Timely Transmission of Transition Record DSRIP Code 8012638.Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents DSRIP Code 87129MMIS Performance Measurement Specifications1.30-Day All-Cause Readmission Following Acute Myocardial Infarction (AMI) Hospitalization DSRIP Code 11342.30-Day All-Cause Readmission Following Chronic Obstructive Pulmonary Disease (COPD) Hospitalization DSRIP Code 21403.30-Day All-Cause Readmission Following Heart Failure (HF) Hospitalization DSRIP Code 31464.30-Day All-Cause Readmission Following Pneumonia Hospitalization DSRIP Code 41516.Adherence to Chronic Medications for People with Diabetes Mellitus: Hypoglycemic Agents DSRIP Code 971617.Adherence to Chronic Medications for People with Diabetes Mellitus: Statins DSRIP Code 961668.Adolescent Well-Care Visit DSRIP Code 51729.Adult Asthma Admission Rate DSRIP Code 617410.Adult Body Mass Index (BMI) assessment DSRIP Code 717711.Ambulatory Care Emergency Department Visits DSRIP Code 817912.Antidepressant Medication Management Effective Acute Phase Treatment DSRIP Code 1118213.Antidepressant Medication Management Effective Continuation