2026 Emergency & Acute Care Clinical Registry quality measures

Quality Id	Measure Name	High Priority	Measure Type	Measure Description
ECPR59	Patient Reported Trust in Provider	Yes	Patient Engagement/Experience	Percentage of patients, aged 18 years and older, undergoing elective total joint arthroplasty who were screened for anemia preoperatively AND, if positive, have documentation that one or more of the following management strategies were used prior to PACU discharge. Management strategies include one or more of the following: Cell salvage techniques employed intraoperatively Intraoperative antifibrinolytic therapy or tourniquet, if not contraindicated Preoperative iron supplementation, epoetin alpha Use of evidence-based preoperative anemia management algorithm supplemented with laboratory testing and/or multidisciplinary consult	View
ECPR46	Avoidance of Opiate Prescriptions for Low Back Pain or Migraines	Yes	Process	Percentage of Patients with Low Back Pain and/or Migraines Who Were Not Prescribed an Opiate	View
ECPR55	Avoidance of Long-Acting (LA) or Extended-Release (ER) Opiate Prescriptions and Opiate Prescriptions for Greater Than 3 Days Duration for Acute Pain	Yes	Process	Percentage of Adult Patients Who Were Prescribed an Opiate Who Were Not Prescribed a Long-Acting (LA) or Extended-Release (ER) Formulation and for Whom the Prescription Duration Was Not Greater than 3 days for Acute Pain.	View
ECPR51	Discharge Prescription of Naloxone after Opioid Poisoning or Overdose	Yes	Process	Percentage of Opioid Poisoning or Overdose Patients Presenting to An Acute Care Facility Who Were Prescribed Naloxone at Discharge.	View
ECPR56	Opioid Withdrawal: Initiation of Medication for Opioid Use Disorder (MOUD) and Referral to Outpatient Opioid Treatment	Yes	Process	Percentage of Patients Presenting with Opioid Withdrawal Who Were Given Medication for Opioid Use Disorder (MOUD) and Referred to Outpatient Opioid Treatment	View
ECPR52	Appropriate Treatment of Psychosis and Agitation in the Emergency Department	No	Process	Percentage of Adult Patients With Psychosis or Agitation Who Were Ordered an Oral Antipsychotic Medication in the Emergency Department.	View
HCPR28	Heart Failure (HF): SGLT-2 Inhibitor Therapy for Left Ventricular Systolic Dysfunction (LVSD)	No	Process	Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) less than or equal to 40% who were prescribed SGLT-2 Inhibitors during their SNF stay or at the time of discharge.	View
HCPR27	Point-of-Care Ultrasound: Evaluation for Pneumothorax after Central Venous Catheter (CVC) Placement	Yes	Process	Percentage of patients, aged 18 years and older, undergoing elective total joint arthroplasty who were screened for anemia preoperatively AND, if positive, have documentation that one or more of the following management strategies were used prior to PACU discharge. Management strategies include one or more of the following: Cell salvage techniques employed intraoperatively Intraoperative antifibrinolytic therapy or tourniquet, if not contraindicated Preoperative iron supplementation, epoetin alpha Use of evidence-based preoperative anemia management algorithm supplemented with laboratory testing and/or multidisciplinary consult	View
HCPR32	Medication for Alcohol Use Disorder (MAUD) for Patients with Alcohol Use Disorder	No	Process	Percentage of patients diagnosed with Alcohol Use Disorder who were prescribed a Medication for Alcohol Use Disorder (MAUD)	View
ECPR61	Inhaled Corticosteroid for Patients with Acute Asthma Exacerbation	No	Process	Percentage of patients aged 6+ diagnosed with an acute asthma exacerbation and prescribed inhaled corticosteroid	View
ECPR58	Patient-Reported Understanding of Discharge Diagnosis and Plan of Care	Yes	Patient-Reported Outcome-based Performance Measure (PRO-PM)	Percentage of Adult Patients Who Completed a Survey Regarding Their Care Visit Who Reported Understanding of Their Discharge Diagnosis and Plan of Care	View
HCPR29	Avoidance of DVT Ultrasound for Patients Diagnosed with Cellulitis	Yes	Process	Percentage of patients aged 18 years and older with diagnosis of cellulitis that did not have a DVT ultrasound ordered.	View

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