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. Author manuscript; available in PMC: 2024 Jan 1.
Published in final edited form as: Ann Emerg Med. 2022 Oct 15;81(1):47–56. doi: 10.1016/j.annemergmed.2022.08.010

Table 1.

Existing Disparities-Sensitive Emergency Medicine Quality Measures

Measure IDa Measure Title Emergency Medicine Health Disparities Framework Domain Measure Typeb Priority Rank* NQFc Score**
ACEP 56 Follow-Up Care Coordination Documented in Discharge Summary Transitions Process 1 5
ECPR 52 Percentage of Adult Patients with Psychosis or Agitation Who Were Ordered an Oral Antipsychotic Medication in the ED Care Delivery Process 2 9
ACEP 48 Sepsis Management: Septic Shock: Lactate Level Measurement, Antibiotics Ordered, and Fluid Resuscitation Care Delivery Process 3 9
MIPS 87 Stroke & Stroke Rehabilitation: Thrombolytic Therapy for Ischemic CVA Care Delivery Process 4 11
ECPR 51 Percentage of Opioid Poisoning or Overdose Patients Presenting to An Acute Care Facility Who Were Prescribed Naloxone at Discharge Transitions Process 5 10
ECPR 66 Opioid Withdrawal: Initiation of Medication-Assisted Treatment (MAT) and Referral to Outpatient Opioid Treatment Transitions Process 6 10
ACEP 19 Percentage of ED visits for patients aged 18 years and older who presented with a minor blunt head trauma who had a head CT for trauma ordered by an emergency care clinician who have an indication for a head CT Care Delivery Process 7 10
MIPS 317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Transitions Process 8 9
ACEP 22 Appropriate ED Utilization of CT for Pulmonary Embolism Care Delivery Process 9 10
ECPR 40 Initiation of Initial Sepsis Bundle Care Delivery Process 10 9
ACEP 30 Sepsis Management: Septic Shock: Lactate Clearance Rate ≥ 10% Care Delivery Outcome 11 9
ACEP 25 Tobacco Use: Screening and Cessation Intervention for Patients with Asthma and COPD Transitions Process 12 9
ACEP 55 Emergency Medicine: ED Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years Care Delivery Process 13 9

ACEP=American College of Emergency Physicians; MIPS= Merit-based Incentive Payment System; ECPR= Emergency-Clinical Performance Registry; NQF= National Quality Forum

*

In descending order of priority for testing and implementation; based on consensus of the ACEP Quality Measurement Development Workgroup

**

NQF score range is 2–14. A score of 9 points or higher met threshold for disparities-sensitivity. Additionally, measures could be deemed disparities-sensitive based on the magnitude of the quality gap between the historically disadvantaged group and the group with the highest quality for that measure.

a

American College of Emergency Physicians. Clinical Emergency Data Registry. 2022. https://www.acep.org/cedr/

b

Donabedian A. The Quality of Care: How Can It Be Assessed? JAMA. 1988;260(12):1743. doi:10.1001/jama.1988.03410120089033

c

National Quality Forum. Healthcare Disparities and Cultural Competency Consensus Standards: Disparities-sensitive Measure Assessment. 2012. Accessed October 2021: https://www.qualityforum.org/Publications/2012/11/Healthcare Disparities and Cultural Competency Consensus Standards__Disparities-Sensitive_Measure_Assessment.aspx