PCPI Measures
A list of 266 PCPI performance measures is available for implementation.
Use the feedback form to provide your input to PCPI staff about measure descriptions and specifications.
Descriptions and specifications for PCPI performance measures are available for 42 clinical topics and conditions.
Acute otitis externa / otitis media with effusion
Measures (approved March 2007)
Measure release notes (January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic health records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 4.0; January 2009 - Posted August 2009)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 4.0; January 2009 - Posted August 2009)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Anesthesiology and critical care
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted Nov. 19, 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted Nov. 19, 2007)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided at a later date.
Asthma
Measurement set (summary document, including the evidence base for the measures)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic medical records
Algorithm for measures calculation (Version 3.0.1; July 2007 - - Posted May 8, 2008)
Release notes (Version 3.0.1; July 2007 - Posted May 8, 2008)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC)
(Version 3.0.1; July 2007 - Posted May 8, 2008)
Specifications for paper medical records
Prospective data abstraction tool to be added at a later date.
Retrospective data abstraction tool (Version 2.0 July 2006 - Posted Sept. 6, 2006)
Data abstraction definitions (including synonyms) (Version 2.0; July 2006 - Posted Sept. 6, 2006]
Algorithm for measures calculation (Version 2.0; July 2006 - Posted Sept. 6, 2006)
Medication table (Version 2.0; July 2006 - Posted Sept. 6, 2006)
Atrial fibrillation and atrial flutter
Care Transitions
Chronic kidney disease
Measures (approved October 2007)
Measure specifications
The Physician Consortium for Performance Improvement (PCPI) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted Jan. 31, 2008]
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided at a later date.
Chronic obstructive pulmonary disease
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic health records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted Sept. 17, 2007)
Release notes (Version 3.0; July 2007 - Posted Sept. 17, 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted Sept. 17, 2007)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Chronic stable coronary artery disease
Measurement set (summary document, including the evidence base for the measures)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic medical records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted June 12, 2007)
Release notes (Version 3.0; July 2007 - Posted June 12, 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted June 12, 2007]
Specifications for paper medical records
Prospective data abstraction tool
Retrospective data abstraction too
Data abstraction definitions (including synonyms)
Specifications for administrative data (paper or electronic)
CPT® Category II Codes (Version 2.0; July 2006 - Posted June 9, 2006)
CPT® Category I Codes and ICD-9 Codes to be provided at a later date.
Chronic wound care
Measures (approved August 2008)
Community-acquired bacterial pneumonia
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. Algorithm for measures calculation (Posted August 6, 2008)
Diabetes - Adult
Emergency medicine
Measures (Approved November 2006; updated January 2009)
Release notes (Updated January 2009)
Endoscopy and polyp surveillance
Measures (Approved August 2008; updated January 2009)
Release notes (Updated January 2009)
End stage renal disease - Adult
Measures (approved March 2007; updated January 2009)
Release notes (updated January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted Jan. 31, 2008]
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July, 2007 - Posted Jan. 31, 2008]
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided at a later date.
End stage renal disease - Pediatric
Measures (Approved August 2008)
Release notes (updated January 2009)
Eye care
Eye care measures (approved October 2006; updated October 2007)
Eye care II measures (approved October 2007; updated January 2009)
Eye care II measure release notes (updated January 2009)
Gastroesophageal reflux disease
Measures (Approved March 2007)
Geriatrics
Measures (approved November 2006; revised January and July 2009)
Release notes (January 2009)
Heart failure
Measures (summary document, including the evidence base for the measures)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic medical records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted June, 12, 2007)
Release Notes (Version 3.0; July 2007 - Posted June, 12, 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted June 12, 2007)
Specifications for paper medical records
Prospective data abstraction tool to be provided at a later date.
Retrospective data abstraction tool to be provided at a later date.
Algorithm for measures calculation to be provided at a later date.
Medication table to be provided at a later date.
Specifications for administrative data (paper or electronic)
CPT® Category II Codes (Version 2.0; July 2006 - Posted July 7, 2006)
CPT® Category I Codes and ICD-9 Codes to be provided at a later date.
Hematology
Measures (approved January 2007; updated January 2009)
Release notes (updated January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic health records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted September 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted September 2007)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Hepatitis C
Measures (Approved March 2007; updated January 2009)
Release notes (Updated January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information electronic health records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007; posted November 2007
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007; posted November 2007
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Specifications for paper medical records and for use of administrative data will be provided later.
HIV / AIDS
Measures (Approved May 2008)
Hypertension
Measures (summary document, including the evidence base for the measures).
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic medical records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted June 12, 2007)
Release Notes (Version 3.0; July 2007 - Posted June 12, 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted June 12, 2007)
Specifications for paper medical records
Prospective date abstraction tool to be added at a later date.
Retrospective data abstraction tool to be added at a later date.
Data abstraction definitions (including synonyms) to ba added at a later date.
Algorithm for measures calculation to be added at a later date.
Medication table to be added at a later date.
Specifications for administrative data (paper or electronic)
CPT® Category II Codes (Version 2.0; July 2006 - Posted July 11, 2006)
CPT® Category I Codes and ICD-9 Codes to be provided at a later date.
Major depressive disorder - Adult
Measures (Approved March 2006; updated January 2009)
Release notes (updated January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted January 2008)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted January 2008)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided at a later date.
Major depressive disorder - Child and adolescent
Measures (Approved September 2008)
Melanoma
Measures (Approved October 2007; updated January 2009)
Release notes (Updated January 2009)
Nuclear medicine
Measures (Approved February 2008; updated January 2009)
Release notes (Updated January 2009)
Obstructive sleep apnea
Measures (Approved September 2008)
Oncology
Measures (Approved October 2007; revised June 2008; updated January 2009)
Release notes (Updated January 2009)
Osteoarthritis
Measures (Approved June 2006)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted Sept. 17, 2007]
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted Sept. 17, 2007)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Osteoporosis
Measures (Approved October 2006)
Outpatient parenteral antibiotic therapy
Measures (approved October 2007)
Palliative care
Pathology
Measures (approved June 2007; updated January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted September 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted September 2007)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Pediatric acute gastroenteritis
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic medical records
Algorithm for measures calculation
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (PDF, 717KB)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided later.
Specifications for paper medical records
Prospective data abstraction tool to be provided at a later date.
Retrospective data abstraction tool to be provided at a later date.
Data abstraction definitions (including synonyms) to be provided at a later date.
Algorithm for measures calculation to be provided at a later date.
Medication table to be provided at a later date.
Specifications for administrative data (paper or electronic)
CPT® Category II Codes to be provided at a later date.
CPT® Category I Codes and ICD-9 Codes to be provided at a later date.
Perioperative care
Measures (approved November 2006)
Prenatal testing
Preventive care and screening
Measures (approved September 2008)
Prostate cancer
Measures (approved June 2007; updated October 2008)
Release notes (updated January 2009)
Measure specifications
The Physician Consortium for Performance Improvement (Consortium) provides specifications for obtaining the required data elements for its clinical performance measures based on the selected data source. More detailed specification information for electronic medical records, paper medical records, and use of administrative data is available.
Specifications for electronic health records
Algorithm for measures calculation (Version 3.0; July 2007 - Posted November 2007)
Coding specifications (CPT® Category I, CPT® Category II, ICD-9, SNOMED CT®, LOINC®, NDC) (Version 3.0; July 2007 - Posted November 2007)
The files above are the initial release required for adoption of Consortium-developed measures within this measure set into electronic health record format.
Release notes will be provided with future updates and revisions.
Specifications for paper medical records and for use of administrative data will be provided at a later date.
Radiology
Measures (approved October 2007; updated February 2009)
Release notes (updated February 2009)
Rheumatoid arthritis
Measures (approved July 2008)
Stroke and stroke rehabilitation
Measures (approved November 2006; updated February 2009)
Substance use disorder
Measures (approved May 2008)
