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Episodes By Wave

WAVE 1 

  1. Perinatal 
  2. Asthma Acute Exacerbation 
  3. Total Joint Replacement (Hip & Knee) 

WAVE 2

  1. Screening and Surveillance Colonoscopy 
  2. Chronic Obstructive Pulmonary Disease (COPD) Acute Exacerbation 
  3. Outpatient and Non-Acute Inpatient Cholecystectomy 
  4. Acute Percutaneous Coronary Intervention (PCI) 
  5. Non-acute Percutaneous Coronary Intervention (PCI)

WAVE 3

  1. Upper GI Endoscopy (Esophagogastroduodenoscopy (EGD)) 
  2. Respiratory Infection 
  3. Pneumonia (PNA) 
  4. Urinary Tract Infection (UTI) - Outpatient 
  5. Urinary Tract Infection (UTI) - Inpatient 
  6. Gastrointestinal Hemorrhage (GIH)

WAVE 4

  1. Attention Deficit and Hyperactivity Disorder (ADHD)* 
  2. Bariatric Surgery 
  3. Coronary Artery Bypass Graft (CABG) 
  4. Congestive Heart Failure (CHF) Acute Exacerbation 
  5. Oppositional Defiant Disorder (ODD) 
  6. Valve Repair and Replacement

*The performance period for the ADHD episode will begin calendar year 2018 with Wave 5 episodes.

WAVE 5

  1. Anxiety 
  2. Tonsillectomy 
  3. Non-Emergent Depression 
  4. Mastectomy 
  5. Breast Biopsy 
  6. Breast Cancer Medical Oncology 
  7. Otitis Media

*The performance period for the Mastectomy and Breast Cancer Medical Oncology episodes will begin calendar year 2019 with wave 7 episodes.

WAVE 6

  1. Skin and Soft Tissue Infection 
  2. Neonatal (Age 31 weeks or less) 
  3. Neonatal (Age 32 to 36 weeks) 
  4. Neonatal (Age 37 weeks or greater) 
  5. HIV 
  6. Pancreatitis 
  7. Diabetes Acute Exacerbation

*The performance period for the Neonatal episodes is delayed

WAVE 7

  1. Spinal Fusion
  2. Spinal decompression (without spinal fusion)
  3. Femur/pelvic fracture
  4. Knee Arthroscopy
  5. Ankle non-operative injuries
  6. Wrist non-operative injuries
  7. Shoulder non-operative injuries
  8. Knee non-operative injuries
  9. Back / Neck pain

WAVE 8

  1. Acute Seizure
  2. Syncope
  3. Acute Gastroenteritis
  4. Pediatric Pneumonia
  5. Bronchiolitis
  6. Colposcopy
  7. Hysterectomy
  8. Gastrointestinal (GI) Obstruction
  9. Appendectomy
  10. Hernia Repair

WAVE 9

  1. Kidney and Urinary Tract Stones
  2. Cystourethroscopy

WAVE 10

  1. Colon Cancer
  2. Female Reproductive Cancer
  3. Liver & Pancreatic Cancer
  4. Lung cancer (multiple)
  5. Rheumatoid Arthritis
  6. Renal Failure
  7. Dermatitis / Urticaria
  8. GERD Acute Exacerbation

WAVE 11

  1. Schizophrenia (multiple)
  2. Bipolar (multiple)
  3. PTSD
  4. Conduct Disorder
  5. Drug Dependence
  6. Depression – Acute Exacerbation
  7. CAD & Angina
  8. Cardiac Arrhythmia
  9. Pacemaker / Defibrillator