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REP O RT
RAND/UCLA Quality-of-Care
Measures for Carpal Tunnel
Syndrome
Appendix VII: Quality Measures: Instructions for
Analyzing Data
Teryl K. NuckolstAnne GriffintSteven M. AschtDouglas A. BennertErika Bruce
Mary CassidytWalter T. ChangtNeil G. HarnesstLiisa HiatttCharles K. Jablecki
Joanne Jeromet Karl J. SandintRebecca ShawtHaoling H. WengtMelinda Maggard Gibbons
Supported by the California Commission on Health and Safety and Workers’ Compensation and by
the Zenith Insurance Company
C EN T ER F OR HE ALTH A N D S AF ETY IN THE WORKPLACE
A study by the RAND Institute for Civil Justice and RAND Health
This research was jointly supported by the California Commission on Health and Safety
and Workers’ Compensation and by the Zenith Insurance Company, and was undertaken
within the RAND Center for Health and Safety in the Workplace.
The R AND Corporation is a nonprofit institution that helps improve policy and
decisionmaking through research and analysis. RAND’s publications do not necessarily
reflect the opinions of its research clients and sponsors.
R® is a registered trademark.
© Copyright 2011 RAND Corporation
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Appendix VII: Quality Measures: Instructions for Analyzing Data
After the Data Forms have been completed, the data will need to be transferred from paper
form to electronic form (such as by entering in a database). Next, rates of adherence for each
measure will need to be determined, that is, the numerator divided by the denominator. First, the
instances in which the eligibility criteria have been met will need to be identified, thereby producing
the denominators. Next, the instances in which the adherence criteria have been met will need to
be identified, producing the numerators. The table below summarizes the eligibility and adherence
criteria for each measure to facilitate these steps in analysis; the rules for identifying the instances of
eligibility and adherence are indicated by the term “analysis” within each cell.
In addition, there are additional rules that can be used to “double-check” that the responses
to different questions are internally consistent. That is, if adherence is based on certain conditions
being met, then the variables representing those conditions should show that they are met. Problems
with entry of information onto the Data Forms, or transferring the information from paper to
electronic form, can involve errors. Checking for consistency across variables and responses is one
way of identifying the errors so that they can be corrected.
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-1
Measure Title
Denominator (Eligibility)
Numerator (Adherence)
Section 3: CTS as
possible cause of
symptoms
3.02.M New
symptoms
characteristic of CTS
require detailed
assessment
3.03.M New
symptoms
characteristic of CTS
should lead to
suspicion
Analysis:
Analysis:
3.01.ME = 1
3.02.MA = 1
Double check:
3.02.MA = 1 if and only if at least
TWO of the following are true:
x
3.02.MC.1 = 1
x
3.02.MC.2 = 2
x
3.02.MC.3 = 3
x
3.02.MC.4 = 4
Analysis:
Analysis:
3.03.ME = 1
3.03.MA = 1
Double check:
3.03.ME = 1 only if 3.01.ME = 1
Section 4:
Symptoms and signs
of CTS vs. other
conditions
4.01.M New hand or
forearm pain requires
evaluation for “red
flags”
4.02.M New suspicion
of CTS requires
specific physical
examination
Analysis:
Analysis:
4.01.ME = 1
4.01.MA = 1
Double check:
4.01.MA = 1 if and only if at least ONE
of the following is true:
x
4.01.MC.1 = 1
x
4.01.MC.2 = 2
x
4.01.MC.3 = 3
Analysis:
Analysis:
4.02.ME = 1
4.02.MA = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
Double check:
4.02.MA = 1 if and only if at least ONE
of the following is true:
x
4.02.MC.1 = 1
x
4.02.MC.2 = 2
x
4.02.MC.3 = 3
VII-2
Measure Title
Denominator (Eligibility)
Numerator (Adherence)
Analysis:
Analysis:
4.03.ME = 1
4.03.MA = 1
Analysis:
Analysis:
5.01.ME = 1
5.01.MA = 1
6.01.M New suspicion
of CTS requires
evaluation for excessive
weight
Analysis:
Analysis:
6.01.ME = 1
6.01.MA = 1
6.03.M New CTS
diagnosis requires
assessment of medical
risk factors
Analysis:
Analysis:
6.02.E = 1
6.03.MA = 1
Double check:
Double check:
6.02.E = 1 only if 7.02.E = 1
6.03.MA = 1 if and only if at least ONE
of the following is true:
4.03.M New
symptoms inconsistent
with CTS require
evaluation
Section 5: Imaging
Studies
5.01.M Imaging
should be used
selectively for
suspected CTS
Section 6: NonOccupational Risk
Factors and
Exacerbating Factors
6.04.M New CTS
diagnosis requires
assessment of nonoccupational factors
x
6.03.MC.1 = 1
x
6.03.MC.2 = 2
x
6.03.MC.3 = 3
x
6.03.MC.4 = 4
x
6.03.MC.5 = 5
Analysis:
Analysis:
6.02.E = 1
6.04.MA = 1
Double check:
Double check:
6.02.E = 1 only if 7.02.E = 1
6.04.MA = 1 if and only if at least ONE
of the following is true:
Appendix VII: Quality Measures: Instructions for Analyzing Data
x
6.04.MC.1 = 1
x
6.04.MC.2 = 2
x
6.04.MC.3 = 3
VII-3
Section 7: WorkAssociated CTS
Symptoms
7.03.M New CTS
diagnosis requires
detailed occupational
history
7.04.M New CTS
diagnosis requires
assessment of
occupational factors
Double check:
All Measures in Section 7 are eligible
only if the following is true:
o 7.01.E = 1
Analysis:
Analysis:
7.02.ME = 1
7.03.MA = 1
Double check:
7.03.MA = 1 if and only if at least ONE
of the following is true:
x
7.03.MC.1 = 1
x
7.03.MC.2 = 2
x
7.03.MC.3 = 3
x
7.03.MC.4 = 4
Analysis:
Analysis:
7.04.ME = 1
7.04.MA = 1
Double check:
Double check:
7.04.ME = 1 only if 7.02.E = 1
7.04.MA = 1 if and only if at least ONE
of the following is true:
x
7.04.MC.1 = 1
x
7.04.MC.2 = 2
x
7.04.MC.3 = 3
7.05.M Exacerbating
activities should be
identified when
symptoms limit
functioning
Analysis:
Analysis:
7.05.ME = 1
7.05.MA = 1
7.06.M. Rationale for
work-association
should be documented
Analysis:
Analysis:
7.06.ME = 1
7.06.MA = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-4
8.01.M Patients newly
diagnosed with CTS
should be educated
about the condition
Analysis:
Analysis:
8.01.ME = 1
8.01.MA = 1
Double check:
8.01.MA = 1 if and only if at least one
of the following is true:
x
8.01.MC.1 = 1
x
8.01.MC.2 = 2
x
8.01.MC.3 = 3
x
8.01.MC.4 = 4
x
8.01.MC.5 = 5
x
8.01.MC.6 = 6
x
8.01.MC.7 = 7
x
8.01.MC.8 = 8
8.02.M Exposures to
vibration, force, and
repetition should be
minimized
Analysis:
Analysis:
8.02.ME = 1
8.02.MA =1
8.04.M Splints should
be placed in neutral
position.
Analysis:
Analysis:
8.03.E = 1
8.04.MA =1
8.05.M An attempt at
splinting should last at
least six weeks
Analysis:
Analysis:
8.05.ME =1
8.05.MA =1
Double check:
8.05.ME = 1 only if 8.03.E = 1
8.07.M NSAIDs
should not be used for
CTS
Analysis:
Analysis:
8.06.E =1
8.07.MA = 1
8.08.M Muscle
relaxants should not be
used for CTS
Analysis:
Analysis:
8.06.E =1
8.08.MA = 1
8.09.M Opiates
should not be used for
CTS
Analysis:
Analysis:
8.06.E =1
8.09.MA = 1
8.10.M Diuretics
should not be used for
CTS
Analysis:
Analysis:
8.06.E =1
8.10.MA = 1
8.11.M Steroid
treatment requires
discussion of risks
Analysis:
Analysis:
8.11.ME = 1
8.11.MA = 1
Double check:
8.11.ME = 1 only if 8.06.E = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-5
8.12.M Discuss
benefits of surgery
when offering steroids
to patients with severe
CTS
Analysis:
Analysis:
8.12.ME = 1
8.12.MA = 1
8.13.M Limit steroid
injections to four
Analysis:
Analysis:
8.13.ME = 1
8.13.MA = 1
Double check:
8.12.ME = 1 only if 8.06.E = 1
Double check:
8.13.ME = 1 only if 8.06.E = 1
8.14.M Laser therapy
should not be used for
CTS
Analysis:
Analysis:
8.14.ME = 1
8.14.MA = 1
Double check:
Section 9: Follow-up
All Measures in section are eligible only
if 7.01.E = 1
9.01.M Symptoms
should be monitored
after new diagnosis of
CTS
Analysis:
Analysis:
9.01.ME = 1
9.01.MA = 1
Double check:
9.01.MA = 1 if and only if at least one
of the following is true:
x
9.01.MC.1 = 1
x
9.01.MC.2 = 2
9.03.M Workassociated CTS
symptoms require
prompt follow-up
Analysis:
Analysis:
9.03.ME = 1
9.03.MA = 1
9.04.M Work status
should be monitored
when CTS appears
work-associated
Analysis:
Analysis:
9.04.ME = 1
9.04.MA = 1
9.05.M Steroids for
work-associated
symptoms require
follow-up
Analysis:
Analysis:
9.05.ME = 1
9.05.MA = 1
9.07.M Return to
work after CTS-related
disability requires
follow-up assessment
that includes
functional limitations
Analysis:
Analysis:
9.07.ME = 1
9.07.MA = 1
Double check:
9.03.ME = 1 only if 9.02.E = 1
Double check:
9.04.ME = 1 only if 9.02.E = 1
Double check:
9.05.ME = 1 only if 9.02.E = 1
Double check:
9.07.ME = 1 only if 9.06.E = 1
9.07.ME = 1 only if 9.02.E = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-6
9.08.M Prolonged
CTS-related disability
should trigger
evaluation
Analysis:
Analysis:
9.06.E = 1
9.08.MA = 1
Double check:
Double check:
9.06.E = 1 only if 9.02.E = 1
9.08.MA = 1 if and only if at least ONE
of the following are true:
x
9.08.MC.1 = 1
x
9.08.MC.2 = 2
x
9.08.MC.3 = 3
Double check:
Section 10: Surgical
Decision-making
All Measures in section are eligible only
if all of the following are true:
x
7.01.E = 1
x
10.01.E = 1 or 2
x
10.02.E = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-7
10.09.V Severity
Summary
Double check:
10.09.V = 1 if and only if all of the
following are true:
x
10.04.V.Summary = 1, AND
x
10.06.V.Summary = 1
10.09.V = 2 if and only if all of the
following are true:
x
10.04.V.Summary = 1 or 2, AND
x
10.06.V.Summary = 2, AND
x
At least one of the following:
o
10.05.V.Summary = 1
OR
o
10.07.V.Summary = 1
OR
o
10.08.V.Summary = 1
10.09.V = 3 if and only if all of the
following are true:
10.10.V Probability
Summary
x
10.04.V.Summary = 1 or 2, AND
x
10.05.V.Summary = 2, AND
x
10.06.V.Summary = 2, AND
x
10.07.V.Summary = 2, AND
x
10.08.V.Summary = 2, AND
Double check:
10.10.V = 1 if and only if either of the
following is true:
x
x
For moderate or severe CTS
(10.09.V = 1 or 2):
o
10.04.V.Summary = 1,
AND
o
10.07.V.Summary OR
10.08.V.Summary = 1
For mild CTS (10.09.V = 3):
o
Appendix VII: Quality Measures: Instructions for Analyzing Data
10.04.V.Summary = 1
VII-8
Double check:
Section 11:
Compelling
Indications for CTR
All Measures in section are eligible only
if all of the following are true:
x
7.01.E = 1
x
10.01.E = 1 or 2
x
10.02.E = 1
11.01.M Indications
for carpal tunnel
surgery are not
changed by diabetes
Analysis:
Analysis:
11.01.ME = 1
11.01.MA = 1
11.02.M Prompt
surgery in wrist injury
Analysis:
Analysis:
11.02.ME = 1
11.02.MA = 1
Double check:
If 6.03.MC.2 = 2 then 11.01.ME
should = 1
Double check:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined surgery
11.03.M Compelling
indications for surgery
when CTS is MILD
11.04.M Compelling
indications for surgery
when CTS is
MODERATE, Part I
Analysis:
Analysis:
11.03.ME = 1
11.03.MA = 1
Double check:
Double check:
11.03.ME = 1 if and only if all of the
following are true:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined surgery
x
10.09.V = 3, AND
x
10.10.V = 1, AND
x
10.11.V = 1, AND
x
10.12.V = 1, AND
Analysis:
Analysis:
11.04.ME = 1
11.04.MA = 1
Double check:
Double check:
11.04.ME = 1 if and only if all of the
following are true:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined surgery
x
10.09.V = 2, AND
x
10.10.V = 1, AND
x
10.11.V = 1, AND
x
10.12.V = 1, AND
x
10.13.V = 2 or 3
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-9
11.05.M Compelling
indications for surgery
when CTS is
MODERATE, Part II
11.06.M Compelling
indications for surgery
when CTS is
SEVERE, part I
11.07.M Compelling
indications for surgery
when CTS is
SEVERE, part II
11.08.M Compelling
indications for surgery
when CTS is
SEVERE, part III
Analysis:
Analysis:
11.05.ME = 1
11.05.MA = 1
Double check:
Double check:
11.05.ME = 1 if and only if all of the
following are true:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined surgery
x
10.09.V = 2, AND
x
10.10.V = 1 AND/OR 10.11.V = 1,
AND
x
10.12.V = 1, AND
x
10.13.V = 1
Analysis:
Analysis:
11.06.ME = 1
11.06.MA = 1
Double check:
Double check:
11.06.ME = 1 if and only if all of the
following are true:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined CTR
x
10.09.V = 1, AND
x
10.10.V = 1, AND
x
10.12.V = 1,
Analysis:
Analysis:
11.07.ME = 1
11.07.MA = 1
Double check:
Double check:
11.07.ME = 1 if and only if all of the
following are true:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined surgery
x
10.09.V = 1, AND
x
10.10.V = 1, AND
x
10.11.V = 1, AND
x
10.12.V = 2 or 4, AND
x
10.13.V = 3
Analysis:
Analysis:
11.08.ME = 1
11.08.MA = 1
Double check:
Double check:
11.08.ME = 1 if and only if all of the
following are true:
10.01.E = 1 for most patients, some
exceptions are plausible for patients who
declined surgery
x
10.09.V = 1, AND
x
10.10.V = 1, AND
x
10.11.V = 1, AND
x
10.12.V = 2 or 4, AND
x
10.13.V = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-10
Double check:
Section 12:
Compelling Contraindications to CTR
12.01.M Avoidance of
carpal tunnel surgery
during pregnancy
12.02.M Compelling
CONTRA-indications
for surgery when CTS
is MILD, part I
12.03.M Compelling
CONTRA-indications
for surgery when CTS
is MILD, part II
All Measures in section are eligible only
if all of the following are true:
x
7.01.E = 1, AND
x
10.01.E = 1 or 2, AND
x
10.02.E = 1
Analysis:
Analysis:
12.01.ME = 1
12.02.MA = 1
Double check:
Double check:
If 6.03.MC.4 = 4 then 12.01.ME
should = 1
Either 10.01.E = 2; OR
10.01.E = 1 AND all of the following
are true:
x
12.02.MC.1 = 1, AND
x
12.02.MC.2 = 2, AND
x
12.02.MC.3 = 3
Analysis:
Analysis:
12.02.ME = 1
10.01.E = 2
Double check:
12.02.ME = 1 if and only if all of the
following are true:
x
10.09.V = 3, AND
x
10.10.V = 2 AND/OR 10.11.V = 2,
AND
x
10.12.V = 2, 3, or 4
Analysis:
Analysis:
12.03.ME = 1
10.01.E = 2
Double check:
12.03.ME = 1 if and only if all of the
following are true:
x
10.09.V = 3, AND
x
10.10.V = 2, AND
x
10.11.V = 2, AND
x
10.12.V = 1, AND
x
10.13.V = 2 or 3
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-11
12.04.M Compelling
CONTRA-indications
for surgery when CTS
is MODERATE, part
I
12.05.M Compelling
CONTRA-indications
for surgery when CTS
is MODERATE, part
II
12.06.M Compelling
CONTRA-indications
for surgery when CTS
is MODERATE, part
III
12.07.M Compelling
CONTRA-indications
for surgery when CTS
is MODERATE, part
IV
Analysis:
Analysis:
12.04.ME = 1
10.01.E = 2
Double check:
12.04.ME = 1 if and only if all of the
following are true:
x
10.09.V = 2, AND
x
10.10.V = 2 AND/OR 10.11.V = 2,
AND
x
10.12.V = 2, 3 or 4, AND
x
10.13.V = 3
Analysis:
Analysis:
12.05.ME = 1
10.01.E = 2
Double check:
12.05.ME = 1 if and only if all of the
following are true:
x
10.09.V = 2, AND
x
10.10.V = 2, AND
x
10.11.V = 2, AND
x
10.12.V = 1, AND
x
10.13.V = 3
Analysis:
Analysis:
12.06.ME = 1
10.01.E = 2
Double check:
12.06.ME = 1 if and only if all of the
following are true:
x
10.09.V = 2, AND
x
10.10.V = 2 AND/OR 10.11.V = 2,
AND
x
10.12.V = 3, AND
x
10.13.V = 1 or 2
Analysis:
Analysis:
12.07.ME = 1
10.01.E = 2
Double check:
12.07.ME = 1 if and only if all of the
following are true:
x
10.09.V = 2, AND
x
10.11.V = 2, AND
x
10.12.V = 2 or 4, AND
x
10.13.V = 1 or 2
Appendix VII: Quality Measures: Instructions for Analyzing Data
VII-12
Analysis:
Section 13: Perioperative Care
All Measures in section are eligible only
if 10.01.E = 1
Double check:
All measures in this section are eligible
only if 7.01.E = 1
Analysis:
13.01.M Elements of
CTS-specific surgical
evaluation
13.01.MA = 1
Double check:
13.01.MA = 1 if and only if ALL of the
following are true:
x
13.01.MC.1 = 1, AND
x
13.01.MC.2 = 2, AND
x
13.01.MC.3 = 3
Analysis:
13.02.M
Documentation of
prior treatments for
CTS
13.02.MA = 1
13.03.M Preoperative
evaluation of suspected
cervical radiculopathy
Analysis:
Analysis:
13.03.ME = 1
13.03.MA = 1
13.04.M Preoperative
electrodiagnostic
testing for work
associated CTS
Analysis:
Analysis:
13.04.ME = 1
13.04.MA = 1
Double check:
9.02.E = 1
13.05.M Recent
preoperative visit with
surgical team
Analysis:
13.06.M Elements of
general preoperative
history: Medical comorbidities
Analysis:
13.07.M Elements of
general preoperative
history: Past surgical
history
Analysis:
13.08.M Elements of
general preoperative
history: Current
medications
Analysis:
Appendix VII: Quality Measures: Instructions for Analyzing Data
13.05.MA = 1
13.06.MA = 1
13.07.MA = 1
13.08.MA = 1
VII-13
13.9.M Elements of
general preoperative
history: “Allergies”
Analysis:
13.10.M Elements of
general preoperative
history: Review of
systems including at
least two organ systems
Analysis:
13.09.MA = 1
13.10.MA = 1
13.11.M Consent for
open procedure in
planned endoscopic
release
Analysis:
Analysis:
13.11.ME = 1
13.11.MA = 1
13.12.M Requirement
for a postoperative
visit
Analysis:
Analysis:
13.12.ME = 1
13.12.MA = 1
13.13.M Elements of
postoperative visit with
surgical team
Analysis:
Analysis:
13.13.ME = 1
13.13.MA = 1
13.14.M Monitoring
of postoperative
stiffness
Analysis:
Analysis:
13.14.ME = 1
13.14.MA = 1
13.15.M Management
of postoperative finger
stiffness
Analysis:
Analysis:
13.15.ME = 1
13.15.MA = 1
13.16.M Patients who
do not improve after
surgery require
evaluation
Analysis:
Analysis:
13.16.ME = 1
13.16.MA = 1
13.17.M Management
of lack of
improvement after
surgery
Analysis:
Analysis:
13.17.ME = 1
13.17.MA = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
Double check:
13.17.MA = 1 if and only if at least one
of the following is true:
x
13.17.MC.1 = 1, OR
x
13.17.MC.2 = 2, OR
x
13.17.MC.3 = 3
VII-14
Scoring Measures for Electrodiagnosis in Suspected CTS
Measure Title
EDX.04.M Essential components
of electrodiagnostic evaluation for
CTS
EDX.05.M Skin temperature
measured during test
EDX.06.M Low skin
temperature normalized before
electrodiagnostic testing
EDX.19.MA Criteria for calling
electrodiagnostic test positive for
CTS overall
EDX.20.M Criteria for calling
positive test for CTS severe
Denominator (Eligibility)
Double check:
For all measures in section, all of the
following should be true:
x 2.03.V = Date (i.e., not missing),
AND
x EDX.01.E = Date (i.e., not missing),
AND
x EDX.03.E = 1
Analysis:
EDX.02.E = Date
Analysis:
EDX.02.E = Date
Analysis:
EDX.06.ME = 1
Double check:
EDX.06.ME = 1 if and only if
EDX.05.MA = 1
Analysis:
EDX.07.E = 1
Analysis:
EDX.20.ME = 1
Double check:
EDX.07.E = 1
Appendix VII: Quality Measures: Instructions for Analyzing Data
Numerator (Adherence)
Analysis:
EDX.04.MA = 1
Double check:
All three of the following must be
true:
x EDX.04.MC.1 = 1, AND
x EDX.04.MC.2 = 2, AND
x EDX.04.MC.3 = 3
Analysis:
EDX.05.MA = 1
Analysis:
EDX.06.MA = 1
Analysis:
EDX.19.MA = 1
Double check:
At least one of the following must
be true:
x EDX.10.MC = 1, OR
x EDX.13.MC = 1, OR
x EDX.16.MC = 1, OR
x EDX.18.MC = 1
Analysis:
EDX.20.MA = 1
Double check:
EDX.20.MA = 1 if and only if
both of the following are true
x EDX.20.MC.1 = 1, AND
x EDX.20.MC.2 = 2
VII-15
Scoring Intraoperative Care Measures
Measure Title
IOC.02.M Documentation of
TCL release
IOC.03.M
Indications for primary open
rather than endoscopic release
IOC.04.M Documentation of
proximal transverse incision
location in endoscopic release
IOC.05.M Identification of deep
surface of TCL in endoscopic
release
IOC.06.M Limit superficial
epineurotomy to specific
indications
IOC.07.M Limit internal
neurolysis to specific indications
IOC.08.M Limit flexor
tenosynovectomy to specific
indications
IOC.09.M Avoidance of TCL
repair
Denominator (Eligibility)
Double check:
For all measures in section, all of the
following should be true (but additional
requirements may also apply):
x 7.01.E = 1, AND
x 10.01.E = 1, AND
x IOC.01.E = 1, 2, or 3
Analysis:
IOC.01.E = 1, 2, or 3
Numerator (Adherence)
Analysis:
IOC.02.MA = 1
Analysis:
x IOC.01.E = 1, 2 or 3
x IOC.03.ME = 1, 2 or 3
Double check:
IOC.03.ME = 1 if and only if at least one
of the following is true:
x IOC.03.MC.1 = 1, OR
x IOC.03.MC.2 = 2, OR
x IOC.03.MC.3 = 3, OR
x IOC.03.MC.4 = 4
Analysis:
IOC.01.E = 1 or 3
Analysis:
IOC.03.MA = 1
Analysis:
IOC.05.ME = 1 or 3
Double check:
IOC.05.ME = 1 if and only if
IOC.01.E = 3
Analysis:
IOC.01.E = 2 or 3
Analysis:
IOC.05.MA = 1
Analysis:
IOC.01.E = 2 or 3
Analysis:
IOC.07.MA.01 = 2 OR
IOC.07.MA.02 = 1
Analysis:
IOC.08.MA.01 = 2 OR
IOC.08.MA.02 = 1
Analysis:
IOC.01.E = 2 or 3
Analysis:
IOC.01.E = 2 or 3
Appendix VII: Quality Measures: Instructions for Analyzing Data
Analysis:
IOC.04.MA = 1
Double check:
IOC.04.MA = 1 if and only if
one of the following is true:
x IOC.04.MC.1 = 1
x IOC.04.MC.2 = 2
Analysis:
IOC.06.MA.01 = 2 OR
IOC.06.MA.02 = 1
Analysis:
IOC.09.MA = 1
VII-16