Category: Episode Definition

While AMI is primarily an acute condition, the successful management of AMI patients involves the need for longer-term treatment and secondary prevention. Therefore, the AMI episode looks into the index hospitalization to measure variation in costs at the hospital level and then follows the patient for 30 days post-discharge to capture variability associated with...

Services and costs associated with a procedure of Bariatric Surgery (BARI) are grouped together to include the index stay during which the procedure was performed, a 30-day look back period to capture pre-operative diagnostic workup leading to the surgery and a 90-day post-discharge period to capture post-operative care. Patients are identified as those with...

Most breast biopsy procedures are done in an outpatient setting, so these are the ones intended to be captured in the BSTBIO episode. Services and costs associated with a procedure of Breast Biopsy (BSTBIO) are grouped together to include the index event during which the procedure was performed, a 7-day look back period to...

Services and costs associated with a procedure of coronary artery bypass grafting, with or without valve surgery, arrhythmia surgery, or other related open-heart procedures, are grouped together into a complex coronary artery bypass graft (CxCABG) episode. The episode includes the index stay during which the procedure was performed, a 30-day look back period to...

Most cataract surgery procedures are done in an outpatient setting, so these are the ones intended to be captured in the CTRTSU episode. Services and costs associated with a procedure of Cataract Surgery (CTRTSU) are grouped together to include the index event during which the procedure was performed, a 30-day look back period to...