Percentage of pediatric patients ≥ 6 months to 18 years old who recieved a blood transfusion and had a valid hemoglobin or hematocrit value documented prior to transfusion.

Up to 36 hours prior to the first transfusion during the case

Pediatric patients  ≥ 6 months to 18 years of age who receive a transfusion of packed red blood cells intraoperatively

• Age < 6 months and ≥ 18 years 
• ASA 6 including Organ Procurement (CPT: 01990)
• Cardiac cases (determined by Procedure Type: Cardiac (pediatric) value codes 1 & 9)
• Massive Transfusion or blood loss: Defined as volume of 40mL/kg
• No intraoperative transfusion
• Obstetric cases (determined by Obstetric Anesthesia Type value codes > 0)

Documentation of hemoglobin and/or hematocrit within 90 minutes prior to each blood transfusion volume ≥ 15mL/kg

• Hemoglobin values reported in g/L are divided by 10 to convert to g/dL.
• Hematocrit values < 1 reported in L/L (liters of blood cells per liter of blood volume) are multiplied by 100
• Documentation of a Hgb/Hct value must be present within 90 minutes before each transfused volume of 15mL/Kg.
• Exceptions
  • If the Hgb/Hct was  < 8/24 within 36 hours of the first transfusion, 15mL/kg may be transfused without a lab check 
  • If the most recent hgb/hct drawn before the first transfusion is ≤ 5/16, a volume of ≤ 30mL/kg can be administered without a lab check.

*This measure will include valid MPOG cases defined by the Is Valid Case phenotype.

Not applicable

Provider(s) signed in at time of blood product administration