State of Connecticut
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Providers of Distinction Quality Measures

Quality and Performance Measures

Program Criteria

The provider review period runs from January  1- March 30 of each year. Providers selected during this period will become Providers of Distinction, effective July 1.

Endoscopy and Colonoscopy
  • ED visit within 7 days after colonoscopy
  • Adenoma detection rate in screening colonoscopy
  • ED visit within 7 days after upper endoscopy
  • Admission within 7 days after upper endoscopy
  • Repeat screening colonoscopy within 1 year.
  • Upper and lower endoscopy on separate days
  • Upper endoscopy overuse in GERD patients without alarm symptoms
  • Upper endoscopy use in GERD patients with alarm symptoms
Maternity Care
  • Cesarean delivery rate in low-risk delivery
  • Percent of stays of 3 days or less
  • Transfusion after delivery in low-risk pregnancy
  • ICU admission within 30 days after delivery in low-risk pregnancy
  • Infection after delivery in low-risk pregnancy
  • ED visit or readmission within 30 days after delivery in low-risk pregnancy
  • Overly frequent use of ultrasounds in low-risk pregnancy
  • Receipt of appropriate prenatal testing
  • Overly frequent use of forceps or vacuum in low-risk pregnancy.
  • Overly frequent use of episiotomy in low-risk pregnancy
  • Follow-up for behavioral health diagnosis
Hip Care and Hip Replacement
  • PT within 4 months prior to hip replacement
  • Overly frequent use of preoperative stress testing
  • MRI within 4 months prior to hip replacement
  • PT within 4 months prior to elective hip arthroscopy
  • SNF admission after hip replacement
  • Surgical revision after hip replacement
  • Hip replacement within 1 year of new osteoarthritis diagnosis.
  • MRI in the first year after diagnosis of hip pain
  • PT in the first 4 months of new hip pain
  • Opioid prescribing within 28 days in patients with new joint pain
  • Complication rate after hip replacement
Knee Care and Knee Replacement
  • PT within 4 months prior to knee replacement
  • Overly frequent use of preoperative stress testing
  • MRI within 4 months prior to knee replacement
  • PT within 4 months prior to elective  knee arthroscopy
  • SNF admission after knee replacement
  • Surgical revision after knee replacement
  • Arthroscopy overuse in patients with new osteoarthritis
  • Knee replacement within 1 year of new osteoarthritis diagnosis.
  • MRI in the first year after diagnosis of knee pain
  • PT in the first 4 months of new knee pain
  • Opioid prescribing within 28 days in patients with new joint pain
  • Complication rate after knee replacement
Spine Pain Management
  • PT within 4 months prior to cervical spine surgery
  • PT within 4 months prior to lumbar spine surgery
  • Surgery within 1 year for new lumbar degenerative disc disease
  • Surgery within 1 year for new cervical degenerative disc disease
  • Surgery within 1 year for new lumbar pain
  • Surgery within 1 year for new cervical pain
  • PT in the first 4 months of new lumbar spine pain
  • PT in the first 4 months of new cervical spine pain
  • Opioid prescribing in patients with new lumbar spine pain
  • Opioid prescribing in patients with new cervical spine pain
Lumbar Spine Surgery
  • PT within 4 months prior to lumbar spine surgery
  • Skilled nursing facility admission after lumbar spine surgery
  • Complication rate after lumbar spinal surgery
  • Hardware removal after lumbar spine surgery
  • Surgery within 1 year for spondylolisthesis
  • Surgery within 1 year for new lumbar degenerative disc disease
  • Surgery within 1 year for new lumbar pain
  • PT in the first 4 months of new lumbar spine pain
  • Opioid prescribing in patients with new lumbar spine pain
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