Ambulatory Surgical Center Quality Reporting by Facility

$179 / year

The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this program may have their Medicare payments reduced if they do not report data for these measures. This dataset describes the facility level healthcare results for Ambulatory Surgical Center Quality Reporting Program measures.

Complexity

The Ambulatory Surgical Center Quality Reporting (ASCQR) Program dataset reports quality measures for care provided in an ambulatory surgical center (ASC) setting. ACSs are healthcare facilities that perform surgeries and procedures outside the hospital setting. The ASCQR Program was started to help promote higher quality, more efficient healthcare for Medicare beneficiaries through data reporting, quality improvement, and measure alignment with other clinical care settings. ASCs that participate in the program and meet program requirements are rewarded based on the quality of care they provide to patients. The program operates by (1) awarding ASCs that meet program requirements with an annual payment, and (2) reducing the annual payment by two percent for ASCs that do not participate in the program, or fail to meet program requirements for the seven ASC measures.

Date Created

2015-07-28

Last Modified

2020-04-21

Version

2020-04-21

Update Frequency

Quarterly

Temporal Coverage

2013-2018

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hospital Transfers, Ambulatory Patients, Quality Measures, Hospital Reporting, Ambulatory Facility Reporting, ASC Eligibility, Ambulatory Surgical Center Payments, US Ambulatory Centers

Other Titles

Ambulatory Surgical Center Hospital Transfer Quality Reporting by Facility, Ambulatory Center Surgical Quality Reporting by Facility, Ambulatory Patient Surgical Center Quality Reporting by Facility, Ambulatory Surgical Center Quality Measures Reporting by Facility

NameDescriptionTypeConstraints
ASC_NameThe name of the health care facility that performs surgeries and procedures outside the hospital setting.string-
Provider_IDCenters for Medicare & Medicaid Services (CMS) certification number (CCN). Identification number of the facility within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility.string-
NPINational Provider Identifier is a 10 digit identification number assigned by the National Provider System (NPS) to uniquely identify a health care provider.integerlevel : Nominal
CityThe city name in the location address of the facility being identifiedstring-
State_AbbreviationThe two-letter abbreviations of the state in the mailing address of the ambulatory center. This includes information on hospitals in.string-
Zip_CodeThe postal Zip code in the mailing address of the hospital.integerlevel : Nominal
YearIndicates the reporting year.date-
ASC1_Measure_RateThe number of admissions (patients) in a facility who experience a burn prior to discharge from the ASC.numberlevel : Ratio
ASC1_FootnoteThe number of admissions (patients) in a facility who experience a burn prior to discharge from the ASC.integerlevel : Ratio
ASC2_Measure_RateThe number of admissions (patients) in a facility who experience a fall within the ASC.numberlevel : Ratio
ASC2_FootnoteThe number of admissions (patients) in a facility who experience a fall within the ASC.numberlevel : Ratio
ASC3_Measure_RateThe number of admissions (patients) who experience a wrong site, side, patient, procedure or implant in the ASC.numberlevel : Ratio
ASC3_FootnoteThe number of admissions (patients) who experience a wrong site, side, patient, procedure or implant in the ASC footnote value.numberlevel : Ratio
ASC4_Measure_RateThe number of admissions (patients) who are transferred or admitted to a hospital upon discharge from the ASC.numberlevel : Ratio
ASC4_FootnoteThe number of admissions (patients) who are transferred or admitted to a hospital upon discharge from the ASC footnote value.numberlevel : Ratio
ASC5_Measure_RateIntravenous (IV) antibiotics given for prevention of surgical site infection were administered on time.numberlevel : Ratio
ASC5_FootnoteIntravenous (IV) antibiotics given for prevention of surgical site infection were administered on time footnote value.numberlevel : Ratio
ASC1_5_Encounter_Start_DateThe first day the data measures were collected. Complications were measured within specific times because complications over a longer period may be impacted by factors outside the hospitals’ control like other complicating illnesses, patients’ own behavior, or care provided to patients after discharge. The date format is YYY-MM-DD.date-
ASC1_5_Encounter_End_DateThe last day the data measures were collected. The date format is YYY-MM-DD.date-
Is_ASC6_SS_ChecklistWhether your facility uses a safe surgery checklist based on accepted standards of practice during the designated period or not.boolean-
ASC7_VolumeAmbulatory Surgical Center (ASC) facility volume data on selected ASC surgical procedures. The aggregate count of selected surgical procedures - Most ASC procedures fall into one of eight categories: Eye, Gastrointestinal, Genitourinary, Musculoskeletal, Nervous System, Respiratory, Skin, and Multi-System. Measure ascertains response to the following question:- What was the aggregate count of selected surgical procedures per category?integerlevel : Ratio
ASC7_RespiratoryAmbulatory Surgical Center (ASC) facility volume data on Respiratory.integerlevel : Ratio
ASC7_EyeAmbulatory Surgical Center (ASC) facility volume data on Eye.integerlevel : Ratio
ASC7_GenitourinaryAmbulatory Surgical Center (ASC) facility volume data on Genitourinary.integerlevel : Ratio
ASC7_MusculoskeletalAmbulatory Surgical Center (ASC) facility volume data on Musculoskeletal.integerlevel : Ratio
ASC7_GastrointestinalAmbulatory Surgical Center (ASC) facility volume data on Gastrointestinal.integerlevel : Ratio
ASC7_Nervous_SystemAmbulatory Surgical Center (ASC) facility volume data on Nervous System.integerlevel : Ratio
ASC7_SkinAmbulatory Surgical Center (ASC) facility volume data on Skin.integerlevel : Ratio
ASC7_Multi_SystemAmbulatory Surgical Center (ASC) facility volume data on Multi-Systems.numberlevel : Ratio
ASC6_7_Encounter_Start_DateThe first day the data measures were collected. Complications were measured within specific times because complications over a longer period may be impacted by factors outside the hospitals’ control like other complicating illnesses, patients’ own behavior, or care provided to patients after discharge. The date format is YYY-MM-DD.date-
ASC6_7_Encounter_End_DateThe last day the data measures were collected. The date format is YYY-MM-DD.date-
ASC8_RateInfluenza Vaccination Coverage among Healthcare Personnel.numberlevel : Ratio
ASC8_FootnoteAmbulatory Surgical Center (ASC) facility volume data on Influenza Vaccination Coverage footnote value.numberlevel : Ratio
ASC8_Encounter_DateThe first day the data measures were collected.string-
ASC9_RatePercentage of patients aged 50 years through less than or equal to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report.numberlevel : Ratio
ASC9_FootnoteAmbulatory Surgical Center (ASC) facility volume data on a screening colonoscopy without biopsy or polypectomy footnote value.numberlevel : Ratio
ASC10_RatePercentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior colonic polyp(s) in previous colonoscopy findings, who had a follow-up interval of 3 or more years since their last colonoscopy.numberlevel : Ratio
ASC10_FootnoteAmbulatory Surgical Center (ASC) facility volume data on a surveillance colonoscopy, with a history of a prior colonic polyp(s) in previous colonoscopy footnote value.numberlevel : Ratio
ASC9_10_Encounter_Start_DateThe first day the data measures were collected. Complications were measured within specific times because complications over a longer period may be impacted by factors outside the hospitals’ control like other complicating illnesses, patients’ own behavior, or care provided to patients after discharge. The date format is YYY-MM-DD.date-
ASC9_10_Encounter_End_DateThe last day the data measures were collected. The date format is YYY-MM-DD.date-
ASC11_RatePercentage of patients aged 18 years and older who had cataract surgery and had improvement in visual function achieved within 90 days following the cataract surgery, based on completing a pre-operative and post-operative visual function survey.numberlevel : Ratio
ASC11_FootnoteAmbulatory Surgical Center (ASC) facility volume data on patients who had cataract surgery and had improvement in visual function achieved within 90 days following the cataract surgery footnote value.numberlevel : Ratio
ASC12_Total_CasesThe measure estimates a facility-level rate of risk-standardized, all-cause, unplanned hospital visits within 7 days of an outpatient colonoscopy among Medicare Fee-for-Service (FFS) patients aged 65 years and older.integerlevel : Ratio
ASC12_Performance_CategoryRefers to the performance category of the facility-level rate of risk-standardized, all-cause, unplanned hospital visits within 7 days of an outpatient colonoscopy among Medicare Fee-for-Service (FFS) patients aged 65 years and older.string-
ASC12_Interval_Lower_LimitIndicates the lower limit for interval of the facility-level rate of risk-standardized, all-cause, unplanned hospital visits within 7 days of an outpatient colonoscopy among Medicare Fee-for-Service (FFS) patients aged 65 years and older.numberlevel : Ratio
ASC12_Interval_Upper_LimitIndicates the upper limit for interval of the facility-level rate of risk-standardized, all-cause, unplanned hospital visits within 7 days of an outpatient colonoscopy among Medicare Fee-for-Service (FFS) patients aged 65 years and older.numberlevel : Ratio
ASC12_FootnoteAmbulatory Surgical Center (ASC) facility volume data on the facility-level rate of risk-standardized, all-cause, unplanned hospital visits within 7 days of an outpatient colonoscopy footnote value.numberlevel : Ratio
ASC12_RSHV_RateThe facility 7-Day Risk-Standardized Hospital Visit (RSHV) Rate after Outpatient Colonoscopy.numberlevel : Ratio
ASC13_RatePercentage of patients having surgical procedures under general or neuraxial anesthesia of 60 minutes or more in duration are normothermic within 15 minutes of arrival in PACU.numberlevel : Ratio
ASC13_FootnoteAmbulatory Surgical Center (ASC) facility volume data on patients having surgical procedures under general or neuraxial anesthesia of 60 minutes or more footnote value.numberlevel : Ratio
ASC14_RatePercentage of cataract surgery patients who have an unplanned anterior vitrectomy.numberlevel : Ratio
ASC14_FootnoteAmbulatory Surgical Center (ASC) facility volume data on cataract surgery patients who have an unplanned anterior vitrectomy footnote value.numberlevel : Ratio
ASC NameProvider IDNPICityState AbbreviationZip CodeYearASC1 Measure RateASC1 FootnoteASC2 Measure RateASC2 FootnoteASC3 Measure RateASC3 FootnoteASC4 Measure RateASC4 FootnoteASC5 Measure RateASC5 FootnoteASC1 5 Encounter Start DateASC1 5 Encounter End DateIs ASC6 SS ChecklistASC7 VolumeASC7 RespiratoryASC7 EyeASC7 GenitourinaryASC7 MusculoskeletalASC7 GastrointestinalASC7 Nervous SystemASC7 SkinASC7 Multi SystemASC6 7 Encounter Start DateASC6 7 Encounter End DateASC8 RateASC8 FootnoteASC8 Encounter DateASC9 RateASC9 FootnoteASC10 RateASC10 FootnoteASC9 10 Encounter Start DateASC9 10 Encounter End DateASC11 RateASC11 FootnoteASC12 Total CasesASC12 Performance CategoryASC12 Interval Lower LimitASC12 Interval Upper LimitASC12 FootnoteASC12 RSHV RateASC13 RateASC13 FootnoteASC14 RateASC14 Footnote
ROXBURY CLINIC AND SURGERY CENTER INC05C00016581003001967BEVERLY HILLSCA9021020171.01.01.01.05.05.05.055.0
THE SURGERY CENTER AT NORTHBAY VACA VALLEY05C00018311003015843VACAVILLECA9568720171.089.058.079.05297.0No Different than the National Rate10.020.014.0
CARLSBAD SURGERY CENTER LLC05C00018731003017351CARLSBADCA92011201794.073.080.05Number of Cases Too Small1.0
MIDWEST ENDOSCOPY CENTER LLC14C00011341003036310NAPERVILLEIL60540201792.097.089.05601.0No Different than the National Rate8.015.011.0
YORK COUNTY ENDOSCOPY CENTER LLC42C00010801003058744ROCK HILLSC2973220175.05.05.05.090.05.05.055.0
ADVANCED SURGICAL CARE OF BATON ROUGE LLC19C00011151003062274BATON ROUGELA70808201796.05.05.055.0
SPECIALTY ASC LLC29C00010491003064890LAS VEGASNV8911720175.05.05.05.0100.05.05.055.0
WASC LLC36C00012481003079187WOOSTEROH44691201777.094.077.05142.0No Different than the National Rate9.019.013.0
NEW ALBANY SURGERY CENTER LLC36C00012671003103474NEW ALBANYOH43054201763.05.05.055.0
CREVE COEUR SURGERY CENTER LLC26C00010331003110792CREVE COEURMO63141201770.05.05.055.0