NQF Endorsed Measure #0470: Incidence of Episiotomy
In 2008, NPIC partnered with Matthew Hoffman, MD, Chair of Obstetrics and Gynecology, and Linda Daniel, RN, MSN, Director of Performance Improvement and Care Management for the Women’s & Children’s Service Line at Christiana Care Health Services (Newark, DE) to submit the Incidence of Episiotomy to the National Quality Forum for measure endorsement.
Measure Type: Process
Level of Analysis: Facility
Setting of Care: Hospital/Acute Care Facility
Data Source: Administrative claims, paper medical records
Measure Description: Percentage of vaginal deliveries (excluding those coded with shoulder dystocia) during which an episiotomy is performed
|Numerator||Number of episiotomy procedures performed (ICD-9 codes 72.1, 72.21, 72.31, 72.71, 73.6; ICD-10 code 0W8NXZZ)|
|Denominator||Total number of vaginal deliveries (MS-DRGs 768, 796, 797, 798, 805, 806, 807 – effective for discharges beginning 10/1/2018)|
|Exclusion||Deliveries coded with shoulder dystocia (ICD-9 code 660.41; ICD-10 code O66.0)|
|Renewed: November 29, 2016; April 2, 2012
Initial Endorsement: October 24, 2008
For references and scientific acceptability, download the full Measure.