SCGhealth Blog

Meet the Measure: Assessment of Patients for Obstructive Sleep Apnea

Monday, April 16, 2018

By Audrey Landers

Last week we gave you a sneak peek at the six measures SCG Health has created for the 2018 MIPS reporting year, but that’s not all we have to offer. We’ve also licensed 21 measures from 7 other Qualified Clinical Data Registries (QCDR), including AQI51-Assessment of Patients for Obstructive Sleep Apnea.

An estimated 22 million American adults have sleep apnea. Those with obstructive sleep apnea (OSA) have an especially high risk.OSA is the most common form of sleep apnea, and occurs when throat muscles relax. OSA is characterized by blocked airways and can cause those who suffer from it to snore loudly or even stop breathing during sleep, forcing them awake in order to reopen the airway. Overweight or obese patients are more likely to suffer from sleep apnea, though it can also be caused by old age. In addition, Men are twice as likely as women to developed sleep apnea.

Sleep apnea doesn’t only affect patients when they are asleep. Those who suffer from OSA often suffer from fatigue during the day due to constantly being woken up by lack breathing during the night. Other complications can include high blood pressure, heart problems and type two diabetes. Sleep apnea can also put strain on a patient’s relationship, as the loud snoring can disturb the sleep of their partner.

In addition to these problems, OSA can also cause serious issues for patients who receive anesthesia. Patients with OSA are naturally at risk for airway obstruction, and likely to be more sensitive than the average patient to the effects of anesthesia. In addition, patients with OSA may have more difficulty regaining consciousness after being sedated. Screening for OSA allows the surgical team to be aware of any extra risks and can allow you to create a more personalized care plan for your patients.

AQI51-Assessment of Patients for Obstructive Sleep Apnea is a QCDR measure owned by the Anesthesia Quality Institute. This measure is defined as the percentage of patients, aged 18 and older, who underwent an elective procedure under anesthesia who were screened preoperatively for Obstructive Sleep Apnea (OSA) using a standardized tool prior to the procedure. You must report this measure any time a patient undergoes an elective procedure under anesthesia during the reporting period.

Unlike many of the other measures we’ve covered in the SCG Health blog, the numerator options for this measure are very strait forward. Either you performed the screening or you didn’t.

Performance   Service Provided
 10A20  Performance Met

Patient was screened preoperatively for Obstructive
Sleep Apnea (OSA) using a standardized tool prior to
the procedure.

 10A21  Performance Not Met  

 Patient was NOT screened preoperatively for
Obstructive Sleep Apnea (OSA) using a
standardized tool prior to the procedure

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