CMS133v14: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Percentage of cataract surgeries for patients aged 18 and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery

Numerator

Cataract surgeries with best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following cataract surgery

Record vision with a score of 20/40 or better, in the expanded vitals area. To do this, follow these directions:

• In the Most Recent Encounter section, click on the “More” button to the left of the vitals
• click the "miscellaneous" tab.
• Enter the results under the Vision area.

Denominator

All cataract surgeries performed between January and September of the measurement period for patients aged 18 years and older.

• To record a cataract surgery In the "assessment", "plan", or "past medical history" field sections, free text the phrase "Cataract Surgery Performed ". 
  
  
• This phrase must be added to a visit between January and September of the measurement period to count

Exclusions:

Cataract surgeries in patients with significant ocular conditions impacting the visual outcome of surgery.

• recorded by Diagnosis added in the patient’s problem list.
  • Significant ocular conditions include:
    • amblyopia,
    • burn confined to eye and adnexa,
    • cataracts secondary to ocular disorders,
    • congenital cataract,
    • mature or hypermature cataract,
    • posterior polar cataract,
    • central corneal ulcer,
    • certain types of iridocyclitis,
    • choroidal degenerations,
    • choroidal detachment,
    • choroidal hemorrhage and rupture,
    • cloudy cornea,
    • corneal edema,
    • disorders of cornea including corneal opacity,
    • degeneration of macula and posterior pole,
    • degenerative disorders of globe,
    • diabetic macular edema,
    • diabetic retinopathy disorders of optic chiasm,
    • disorders of visual cortex,
    • disseminated chorioretinitis and disseminated retinochoroiditis,
    • focal chorioretinitis and focal retinochoroiditis,
    • glaucoma,
    • hereditary dystrophies (choroidal, corneal, retinal),
    • hypotony of eye,
    • injury to optic nerve and pathways,
    • macular scare of posterior polar,
    • morgagnian cataract,
    • nystagmus and other irregular eye movements,
    • open wound of eyeball,
    • optic atrophy,
    • optic neuritis,
    • pathologic myopia,
    • posterior lenticonus,
    • prior penetrating keratoplasty,
    • purulent endophthalmitis,
    • retinal detachment with retinal defect,
    • retinal vascular occlusion,
    • retrolental fibroplasias,
    • scleritis,
    • separation of retinal layers,
    • traumatic cataract,
    • uveitis,
    • vascular disorders of iris and ciliary body,
    • visual field defects