This measure is calculated based on data extracted from the electronic medical record combined with administrative data sources such as professional fee and discharge diagnoses data. This measure is explicitly not based on provider self-attestation.
Percentage of patients < 18 years old who undergo any procedure greater than 30 minutes and have a Median core/near core body temperature > 36C (96.8F)
Patients < 18 years old who undergo any procedure including surgical, therapeutic, or diagnostic that requires general anesthesia.
The median core or near core temperature intraoperatively is not less than 36 degrees Celsius (96.8F)
Algorithm for determining Measure Start/End Times
Measure Start Time
Measure End Time
Algorithm for determining Case Duration:
Provider present for the longest duration of the case per staff role. See ‘Other Measure Build Details’ section of this specification to view the algorithm used for determining case duration.
In the event that two or more providers in the same class are signed in for the same duration, all providers signed in for the longest duration will be attributed.
Temperature MPOG Concept IDs
Core temperatures outside the normal range pose significant risks to patients. Perioperative hypothermia is defined as a core temperature less than 36 degrees Celsius by both the National Institute of Health and Clinical Excellence and the American Heart Association. It is not uncommon for a patient’s core temperature to drop during surgery due to anesthetic induced peripheral vasodilation, exposure of skin during the surgical prep or impaired heat distribution.
Pediatric patients are more likely to develop perioperative hypothermia due to a high surface area to weight ratio and the inability to regulate their own temperature as nonshivering thermogenesis which is impaired by general anesthesia. Perioperative hypothermia can result in multiple adverse effects including surgical site infections, cardiovascular events, impaired wound healing and increased hospital length of stay. Such adverse effects are prevented through maintenance of normothermia intraoperatively.1-3