Skip to main content

Related NQMC Measures

The list below identifies guidelines with associated measures available through the National Quality Measures Clearinghouseâ„¢ (NQMC) Web site External Web Site Policy.

Diagnosis of breast disease. NGC:008960

Pressure ulcer prevention and treatment protocol. Health care protocol. NGC:008962

NGC Guideline

Pressure ulcer prevention and treatment protocol. Health care protocol.

Related NQMC Measures

Pressure ulcer prevention and treatment protocol: percentage of at-risk patients with documentation in the medical record that a head-to-toe skin inspection was completed. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of inpatients with a pressure ulcer who are discharged home, with documentation in the medical record that written instructions and educational materials were given to the patient and/or his/her caregiver at discharge or during the hospital stay. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of inpatients with pressure ulcer(s) whose medical record contains documentation of a comprehensive patient assessment and thorough wound evaluation. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of inpatients with pressure ulcers whose medical record contains documentation of a partial wound assessment with every dressing change. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of outpatients with a pressure ulcer(s) with documentation in the medical record that education was provided to patient, family and/or caregiver regarding the treatment, progression, and prevention of pressure ulcers. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of outpatients with pressure ulcer(s) whose medical record contains documentation of a comprehensive patient assessment and thorough wound evaluation. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with a pressure ulcer who are transferred/discharged, with documentation in the medical record of the transfer/discharge plan. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation in the medical record indicating a risk assessment (using the Braden Scale or Braden Q) was completed upon admission. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation in the medical record indicating a risk assessment was done, using specific questions. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation in the medical record indicating patient risk was reassessed daily (using the Braden Scale or Braden Q) or as indicated for care setting. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation in the medical record that a head-to-toe re-inspection and palpation were completed every 8 to 24 hours, depending on the status of the patient. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation in the medical record that a head-to-toe skin inspection and palpation were completed within six hours of admission. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation in the medical record that communication of a transfer/discharge plan for patients with a pressure ulcer(s) took place addressing skin status and the pressure ulcer prevention plan when transferring patient care to another care provider. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation of a pressure ulcer. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with documentation of interventions, including patient education, in the medical record. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients with pressure ulcer(s) whose medical record contains documentation of a pressure ulcer treatment plan in their plan of care. External Web Site Policy

Pressure ulcer prevention and treatment protocol: percentage of patients, evaluated for pressure ulcer, with documentation of a pressure ulcer. External Web Site Policy

Prevention of unintentionally retained foreign objects during vaginal deliveries. Health care protocol. NGC:008963

Prevention of falls (acute care). Health care protocol. NGC:009096

Routine prenatal care. NGC:009283

Adult acute and subacute low back pain. NGC:009520

NGC Guideline

Adult acute and subacute low back pain.

Related NQMC Measures

Adult acute and subacute low back pain: percentage of patients who were advised on maintenance or resumption of activities, against bed rest, use of heat, education on importance of active lifestyle and exercise, and recommendation to take anti-inflammatory or analgesic medication in the first six weeks of pain onset in the absence of "red flags." External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with a diagnosis of non-specific back pain for whom the physician ordered imaging studies during the six weeks after pain onset, in the absence of "red flags." External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with low back pain diagnosis who are prescribed opioids. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with low back pain diagnosis who have a reassessment at each follow-up visit that includes: pain assessment using the Visual Analog Scale, pain diagram or other assessment tool; functional status using the Oswestry Disability Questionnaire or other assessment tool; clinician's objective assessment; and psychosocial screening that includes depression and chemical dependency screening. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with low back pain diagnosis who have all of the following at the initial visit with the physician: pain assessment using the Visual Analog Scale, pain diagram or other assessment tool; functional status using the Oswestry Disability Questionnaire or other assessment tool; patient history, including notation of presence or absence of "red flags"; assessment of prior treatment and response; job and activity association; and psychosocial screening that includes depression and chemical dependency screening. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with low back pain diagnosis who have their functional status assessed using the Oswestry Disability Questionnaire or other assessment tool. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with low back pain diagnosis who have their pain status assessed using the Visual Analog Scale, pain diagram or other assessment tool. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with non-specific back pain diagnosis who received inappropriate repeat imaging studies in the absence of "red flags" or progressive symptoms. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with non-specific low back pain diagnosis who have had collaborative decision-making with regards to referral to a specialist. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with radicular pain diagnosis who have had collaborative decision-making with regards to imaging, intervention and/or surgery. External Web Site Policy

Adult acute and subacute low back pain: percentage of patients with radicular pain for whom the clinician ordered imaging studies during the six weeks after pain onset. External Web Site Policy

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS). NGC:009521

Non-OR procedural safety. Health care protocol. NGC:009556

Diagnosis and treatment of headache. NGC:009625

NGC Guideline

Diagnosis and treatment of headache.

Related NQMC Measures

Diagnosis and treatment of headache: percentage of patients diagnosed with primary headache using the appropriate diagnostic criteria. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with a primary headache who received educational materials on headache. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with decreased migraine headache shown by using a calendar or diary. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with migraine headache prescribed appropriate acute treatment. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with migraine headache seen for migraine in the emergency department/urgent care. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with migraine headache who are showing improvement in functional status shown by using one of the following disease-specific tools or questionnaires (e.g., MIDAS, Headache Impact Test [HIT], Migraine Specific Quality of Life [MSQ]). External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with migraine headache with a prescription for opiates or barbiturates for the treatment of migraine. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with migraine headache with a treatment plan who report adherence to their treatment plan. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with migraine headache with treatment plans. External Web Site Policy

Diagnosis and treatment of headache: percentage of patients with primary headache syndrome who are prescribed prophylactic treatment when appropriate. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults. NGC:009626

NGC Guideline

Diagnosis and treatment of respiratory illness in children and adults.

Related NQMC Measures

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients and/or parents of children with a viral upper-respiratory infection who receive home treatment education. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with a viral upper-respiratory infection who do not receive an antibiotic. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with seasonal allergic rhinitis being treated with injectable corticosteroids. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with strep pharyngitis instructed on actions to take if symptoms worsen. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with strep pharyngitis prescribed antibiotics with documentation of being educated on taking the complete course. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with strep pharyngitis prescribed first-line medications for strep pharyngitis. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with strep pharyngitis who had a rapid group A strep test or strep culture. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients diagnosed with strep pharyngitis, and prescribed antibiotics, who had a negative culture or no rapid group A strep test or strep culture. External Web Site Policy

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients with strep pharyngitis prescribed antibiotics with documentation of education on 24-hour treatment prior to returning to work, school or day care. External Web Site Policy

Prevention and management of obesity for adults. NGC:009898

Stable coronary artery disease. NGC:009899

NGC Guideline

Stable coronary artery disease.

Related NQMC Measures

Stable coronary artery disease: percentage of patients who smoke with documentation in the medical record that advice to quit was provided and/or help to quit was provided. External Web Site Policy

Stable coronary artery disease: percentage of patients who were screened for depression using the PHQ-9. External Web Site Policy

Stable coronary artery disease: percentage of patients with a diagnosis of stable coronary artery disease and chronic kidney disease who are prescribed an ACE inhibitor or ARB. External Web Site Policy

Stable coronary artery disease: percentage of patients with a diagnosis of stable coronary artery disease and hypertension who are prescribed an ACE inhibitor or ARB. External Web Site Policy

Stable coronary artery disease: percentage of patients with a documented blood pressure in the medical record of 140/90 mmHg or less. External Web Site Policy

Stable coronary artery disease: percentage of patients with cardiovascular disease who received an annual influenza vaccination. External Web Site Policy

Stable coronary artery disease: percentage of patients with diabetes with a documented HbA1c of less than 7.0% or meeting the patient's individualized HbA1c goal. External Web Site Policy

Stable coronary artery disease: percentage of patients with diagnosis of stable coronary artery disease with systolic CHF (ejection fraction less than or equal to 40%) who are prescribed an ACE inhibitor or ARB. External Web Site Policy

Stable coronary artery disease: percentage of patients with documentation in the medical record of physical activity goal and when the goal was met. External Web Site Policy

Stable coronary artery disease: percentage of patients with documentation in the medical record of prognostic assessment preceding or following a course of pharmacologic therapy. External Web Site Policy

Stable coronary artery disease: percentage of patients with documentation in the medical record of receiving a pneumonia vaccination according to the CDC recommendations. External Web Site Policy

Stable coronary artery disease: percentage of patients with documentation in the medical record that an LDL was obtained within the last 12 months with an LDL less than 100 mg/dL. Consider less than 70 mg/dL for high-risk patient. External Web Site Policy

Stable coronary artery disease: percentage of patients with stable coronary artery disease who are prescribed aspirin and anti-atherosclerotic medications. External Web Site Policy

Stable coronary artery disease: percentage of patients with stable coronary artery disease who have demonstrated an understanding of how to respond in an acute cardiac event by "teaching back" as to how they would respond in the case of acute cardiac event. External Web Site Policy

Heart failure in adults. NGC:009982

Prevention and management of obesity for children and adolescents. NGC:010019

Diagnosis and treatment of osteoporosis. NGC:010082

Palliative care for adults. NGC:010131

NGC Guideline

Palliative care for adults.

Related NQMC Measures

Palliative care for adults: percentage of adult patients with a serious illness who have a completed Physician/Provider Order for Life-Sustaining Treatment (POLST) form documented in the medical record. External Web Site Policy

Palliative care for adults: percentage of adult patients with a serious illness who have a revised symptom assessment in the medical record. External Web Site Policy

Palliative care for adults: percentage of adult patients with a serious illness who have a revised, documented care plan that addresses the domains of palliative care. External Web Site Policy

Palliative care for adults: percentage of adult patients with a serious illness who have a symptom assessment documented in the medical record. External Web Site Policy

Palliative care for adults: percentage of adult patients with a serious illness who have been assessed for the domains of palliative care. External Web Site Policy

Palliative care for adults: percentage of adult patients with a serious illness who have been screened for palliative care. External Web Site Policy

Palliative care for adults: percentage of adult patients with a serious illness who have documentation in the medical record of a completed advance directive. External Web Site Policy

Palliative care for adults: percentage of clinicians who have education and training regarding palliative care concepts. External Web Site Policy

Palliative care for adults: percentage of clinicians who have training in the use of scripting for palliative care discussions. External Web Site Policy

Palliative care for adults: percentage of patients who have treatment options, patient goals and a plan of care across care continuum documented. External Web Site Policy

Assessment and management of chronic pain. NGC:010140

NGC Guideline

Assessment and management of chronic pain.

Related NQMC Measures

Assessment and management of chronic pain: percentage of chronic pain patients who are referred to diagnostic and/or therapeutic procedures if the goals for pain control or functional status have not been met. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are prescribed an opioid at a dose less than 100 mg per day of morphine. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are prescribed an opioid who have an opioid agreement form and urine toxicology screen documented in the medical record. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are receiving opioids who have documentation of the four A's assessment: 1) the degree of analgesia, 2) current opioid-related side effects, 3) current functional status and 4) existence of aberrant drug-related behaviors documented at each visit. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are screened for chemical dependency before being prescribed opioid medication. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who have documentation of a plan of care that addresses personal goals, sleep, physical activity, stress management and pain reduction in the medical record and identifies potential barriers to patient follow-up on plan of care. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who have not met pain control or functional status goals who are referred to pain specialist or interdisciplinary pain team. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with a diagnosis of neuropathic pain who are prescribed a sedative analgesic OR anticonvulsant prior to use of opioids. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with documentation of reassessment of pain at follow-up visits using a standardized tool that addresses pain intensity, location, pattern and current functional status. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with documentation of receiving education regarding their diagnosis of chronic pain, medications, importance of physical activity and/or any interventional procedures in the medical record. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with documentation of screening for major depression and chemical dependency. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with functional outcome goals documented in the medical record. External Web Site Policy

Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with referral to physical rehabilitation and/or behavioral management therapy. External Web Site Policy

Assessment and management of chronic pain: percentage of patients with chronic pain diagnosis with documentation of a pain assessment completed at initial visit using a standardized tool that addresses pain intensity, location, pattern, mechanism of pain, current functional status and follow-up plan. External Web Site Policy

Perioperative protocol. Health care protocol. NGC:010503

NGC Guideline

Perioperative protocol. Health care protocol.

Related NQMC Measures

Perioperative protocol: percentage of appropriate surgical patients who had their site marked by the surgeon in preoperative with his/her initials. External Web Site Policy

Perioperative protocol: percentage of canceled or delayed surgical procedures due to ineffective communication regarding patient information as defined by organizational procedures. External Web Site Policy

Perioperative protocol: percentage of patients undergoing cataract surgery who have electrocardiograms performed as part of the preoperative assessment prior to cataract surgery. External Web Site Policy

Perioperative protocol: percentage of patients undergoing elective non-high-risk surgery having laboratory tests/imaging unrelated to positive findings on preoperative basic health assessment. External Web Site Policy

Perioperative protocol: percentage of patients undergoing elective non-high-risk surgery with a preoperative basic health assessment completed prior to the day of the scheduled procedure. External Web Site Policy

Perioperative protocol: percentage of patients who have canceled or delayed non-high-risk surgical procedures due to incomplete preoperative basic health assessment documentation. External Web Site Policy

Perioperative protocol: percentage of patients with comorbidities undergoing elective non-high-risk surgery who have appropriate management of comorbidities prior to surgery, including antithrombotic therapy, recent coronary stent/antiplatelet therapy, beta-blocker therapy, diabetes mellitus, sleep apnea, and nicotine cessation. External Web Site Policy

Perioperative protocol: percentage of patients with comorbidities undergoing elective non-high-risk surgery who have preoperative recommendations documented/communicated to the patient and/or surgical facility for all of the following applicable comorbidities: antithrombotic therapy, recent coronary stent/antiplatelet therapy, beta-blocker therapy, diabetes mellitus, sleep apnea, and nicotine cessation. External Web Site Policy

Perioperative protocol: percentage of patients with comorbidities who have preoperative education documented for all specified applicable comorbidities. External Web Site Policy

Perioperative protocol: percentage of preoperative wound infections by wound classifications: Class I: clean, Class II: clean contaminated, and Class III: contaminated. External Web Site Policy

Perioperative protocol: percentage of surgical cases in which a verbal, active Time-Out has been conducted by all appropriate members of the surgical team prior to incision. External Web Site Policy

Perioperative protocol: percentage of surgical cases where counts were not reconciled and imaging was performed. External Web Site Policy

Perioperative protocol: percentage of surgical cases where the baseline count was conducted prior to the patient arriving in the operating/procedure room. External Web Site Policy

Perioperative protocol: percentage of surgical patients with documentation of preoperative verification of correct patient, procedure and site/side/level. External Web Site Policy

Perioperative protocol: percentage of unintentionally retained foreign objects in surgical cases per month. External Web Site Policy

Perioperative protocol: percentage of wrong surgery events per month. External Web Site Policy

Diagnosis and management of type 2 diabetes mellitus in adults. NGC:010548

Adult depression in primary care. NGC:011012

NGC Guideline

Adult depression in primary care.

Related NQMC Measures

Adult depression in primary care: percentage of patients of patients who have had a response to treatment at 12 months (+/- 30 days) after diagnosis or initiating treatment, e.g., had a PHQ-9 score decreased by 50% from initial score at 12 months (+/- 30 days). External Web Site Policy

Adult depression in primary care: percentage of patients who are screened for substance use disorders with an appropriate screening tool. External Web Site Policy

Adult depression in primary care: percentage of patients who commit suicide at any time while managed in primary care. External Web Site Policy

Adult depression in primary care: percentage of patients who had a stroke with documentation of screening for major depression or persistent depressive disorder using either PHQ-2 or PHQ-9. External Web Site Policy

Adult depression in primary care: percentage of patients who have had a response to treatment at six months (+/- 30 days) after diagnosis or initiating treatment, e.g., had a PHQ-9 score decreased by 50% from initial score at six months (+/- 30 days). External Web Site Policy

Adult depression in primary care: percentage of patients who have reached remission at six months (+/- 30 days) after diagnosis or initiating treatment, e.g., had any PHQ-9 score less than 5 at six months (+/- 30 days). External Web Site Policy

Adult depression in primary care: percentage of patients who reached remission at 12 months (+/- 30 days) after diagnosis or initiating treatment, e.g., had a PHQ-9 score less than 5 at 12 months (+/- 30 days). External Web Site Policy

Adult depression in primary care: percentage of patients whose symptoms are reassessed by the use of a quantitative symptom assessment tool (PHQ-9) at six months (+/- 30 days) after diagnosis or initiating treatment. External Web Site Policy

Adult depression in primary care: percentage of patients whose symptoms are reassessed by the use of a quantitative symptom assessment tool (such as PHQ-9) at 12 months (+/- 30 days) after diagnosis or initiating treatment. External Web Site Policy

Adult depression in primary care: percentage of patients with a diagnosis of major depression or persistent depressive disorder with documentation of DSM-5 criteria at the time of the diagnosis. External Web Site Policy

Adult depression in primary care: percentage of patients with cardiovascular disease with documentation of screening for major depression or persistent depressive disorder using either PHQ-2 or PHQ-9. External Web Site Policy

Adult depression in primary care: percentage of patients with chronic pain with documentation of screening for major depression or persistent depressive disorder using either PHQ-2 or PHQ-9. External Web Site Policy

Adult depression in primary care: percentage of patients with major depression or persistent depressive disorder whose primary care records show documentation of any communication between the primary care clinician and the mental health care clinician. External Web Site Policy

Adult depression in primary care: percentage of patients with type 2 diabetes with documentation of screening for major depression or persistent depressive disorder using either PHQ-2 or PHQ-9. External Web Site Policy

Adult depression in primary care: percentage of perinatal patients with documentation of screening for major depression or persistent depressive disorder using either PHQ-2 or PHQ-9. External Web Site Policy

About NGC Guideline Summaries

NGC provides structured summaries containing information from clinical practice guidelines.

Guideline Summaries In Progress

101 guideline summaries in progress

Submit Guidelines

Learn how to submit your evidence-based clinical practice guidelines.

Hospital-Acquired Conditions

Browse evidence-based guideline resources that assist users in prevention of CMS-identified hospital-acquired conditions.

Guideline Summary Archive

View list of summaries that have been withdrawn from NGC.