Release Notes:
Measure Information Form
Version 2010A1
Surgical Care Improvement Project (SCIP)
Set Measures
Set Measure ID 
Measure Short Name 
SCIPCard2 
Surgery Patients on BetaBlocker Therapy Prior to Admission Who Received a BetaBlocker During the Perioperative Period 
SCIPInf1 
Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision 
SCIPInf2 
Prophylactic Antibiotic Selection for Surgical Patients 
SCIPInf3 
Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time 
SCIPInf4 
Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose 
SCIPInf6 
Surgery Patients with Appropriate Hair Removal 
SCIPInf7 
Colorectal Surgery Patients with Immediate Postoperative Normothermia 
SCIPvenousthromboembolism1 
Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered 
SCIPvenousthromboembolism2 
Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery 
General Data Elements
Element Name 
Collected For 
Birthdate 
All Records, 
Discharge Date 
All Records, (used in algorithm for AMI1, AMI6, PN1, PN3a, PN3b, PN5, PN5b, PN5c, PN6, PN6a, PN6b, PN7, PR2, SCIPInf4, SCIPVTE1, SCIPVTE2) 
Discharge Status 
All Records, (used in algorithm for AMI1, AMI2, AMI3, AMI4, AMI5, AMI6, AMI9, AMIT1a and AMIT2 [CMS Optional Test Measures], CAC3 [Joint Commission Test Measure], All HF Measures, All PN Measures, PR2) 
First Name 
All Records, CMS Only, 
Hispanic Ethnicity 
All Records, CMS Only, 
Hospital Patient Identifier 
All Records, CMS Only, NOTE: Refer to the Hospital Clinical Data XML File Layout in the Transmission section of this manual. 
Last Name 
All Records, CMS Only, 
Patient HIC# 
All Records, CMS Only, Collected by CMS for patients with a Payment Source  Medicare who have a standard HIC number. 
Physician 1 
All Records, Optional for All Records, (CMS Optional Element) 
Physician 2 
All Records, Optional for All Records, (CMS Optional Element) 
Point of Origin for Admission or Visit 
All Records, (used in algorithm for AMI1, AMI6, AMI7, AMI7a, AMI8, AMI8a, AMI9, PN1, PN3a, PN5, PN5b, PN5c, PN6, PN6a, PN6b 
Postal Code 
All Records, CMS Only, 
Race 
All Records, CMS Only, 
Algorithm Output Data Elements
Measure Set Specific Data Elements
Element Name 
Collected For 
Antibiotic Administration Date 
SCIPInf1, SCIPInf2, SCIPInf3, 
Antibiotic Administration Route 
SCIPInf1, SCIPInf2, SCIPInf3, 
Antibiotic Administration Time 
SCIPInf1, SCIPInf2, SCIPInf3, 
Antibiotic Allergy 
SCIPInf2, 
Antibiotic Name 
SCIPInf1, SCIPInf2, SCIPInf3, 
Antibiotic Received 
SCIPInf1, SCIPInf2, SCIPInf3, 
BetaBlocker Current Medication 
SCIPCard2, 
BetaBlocker During Pregnancy 
SCIPCard2, 
BetaBlocker Perioperative 
SCIPCard2, 
Contraindication to BetaBlocker  Perioperative 
SCIPCard2, 
Contraindication to VTE Prophylaxis 

Date of Infection 
SCIPInf3, 
Glucose POD 1 
SCIPInf4, 
Glucose POD 2 
SCIPInf4, 
Infection Prior to Anesthesia 
SCIPInf1, SCIPInf2, SCIPInf3, SCIPInf4, SCIPInf7, 
Joint Revision 
SCIPInf1, SCIPInf2, SCIPInf3, 
Laparoscope 
SCIPCard2, SCIPInf1, SCIPInf2, SCIPInf3, SCIPInf4, SCIPInf6, SCIPInf7, 
Neuraxial Anesthesia 

Oral Antibiotics 
SCIPInf1, SCIPInf2, SCIPInf3, 
Other Surgeries 
SCIPInf1, SCIPInf3, 
Perioperative Death 
SCIPCard2, SCIPInf2, SCIPInf3, SCIPInf4, SCIPInf7, 
Postoperative Infections 
SCIPInf3, 
Preadmission Warfarin 

Preoperative Hair Removal 
SCIPInf6, 
Surgery End Date 
SCIPInf2, SCIPInf3, SCIPInf4, 
Surgery End Time 
SCIPInf2, SCIPInf3, 
Surgery Start Date 
SCIPCard2, SCIPInf1, SCIPInf2, SCIPInf3, SCIPInf4, SCIPInf6, SCIPInf7, 
Surgical Incision Time 
SCIPInf1, SCIPInf2, SCIPInf3, 
Temperature Value 
SCIPInf7, 
VTE Prophylaxis 

VTE Timely 

Vancomycin 
SCIPInf2, 
Surgical Care Improvement Project (SCIP) Initial Patient Population
The SCIP Topic Population (common to all SCIP measures) is defined as patients admitted to the hospital for inpatient acute care with an ICD9CM Principal Procedure Code for SCIP as defined in Appendix A, Table 5.10, a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days. There are eight distinct strata or subpopulations within the SCIP Topic Population, each identified by a specific group of procedure codes. The patients in each stratum are counted in the Initial Patient Population of multiple measures.
Measures 
Initial Patient Population definition 
SCIPINF1a, 2a, 3a (overall measures) 
The count of all patients in strata 1, 2, 3, 4, 5, 6, and 7 
SCIPInf1b, 2b, 3b 
The count of all patients in stratum 1 
SCIPInf1c, 2c, 3c 
The count of all patients in stratum 2 
SCIPInf1d, 2d, 3d 
The count of all patients in stratum 3 
SCIPInf1e, 2e, 3e 
The count of all patients in stratum 4 
SCIPInf1f, 2f, 3f 
The count of all patients in stratum 5 
SCIPInf1g, 2g, 3g 
The count of all patients in stratum 6 
SCIPInf1h, 2h, 3h 
The count of all patients in stratum 7 
SCIPInf4, 6, and 7 
The count of all patients in strata 1, 2, 3, 4, 5, 6, 7, and 8 
SCIPCARD2 
The count of all patients in strata 1, 2, 3, 4, 5, 6, 7, and 8 
SCIPVTE1 and 2 
The count of all patients in strata 1, 2, 3, 4, 5, 6, 7, and 8 
Patients admitted to the hospital for inpatient acute care are included in one of the SCIP ICD Strata Populations and are eligible to be sampled if they have:
1 CABG stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.01, a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
2  Other Cardiac Surgery stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.02, a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
3  Hip Arthroplasty stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.04, a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
4  Knee Arthroplasty stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.05, a Patient Age (Admission Date Birthdate) >= 18 years , and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
5  Colon Surgery stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.03, a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
6  Hysterectomy stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, on either Table 5.06 (Abdominal) or Table 5.07 (Vaginal), a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
7  Vascular Surgery stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.08, a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
8 Other Major Surgery stratum Patients with an ICD9CM Principal Procedure Code as defined in Appendix A, Table 5.25 (Other Major Surgery for Sampling), a Patient Age (Admission Date Birthdate) >= 18 years, and a Length of Stay (Discharge Date  Admission Date) <= 120 days.
Sample Size Requirements
Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. A hospital may choose to use a larger sample size than is required. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for a stratum cannot sample that stratum.
Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. Because the sample for a measure set will rarely be equal to the effective sample due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size.
The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual.
Quarterly Sampling
For hospitals selecting sample cases for SCIP, a modified sampling procedure is required. Hospitals selecting sample cases for this set must ensure that each individual stratums population and effective quarterly sample size meets the following conditions:
 Select within each of the seven individual measure stratum (e.g., colorectal surgery, hip arthoplasty, etc.) and the 8th SCIP stratum (Table 5.25 in Appendix A). The effective quarterly sample size within a stratum is at least 16 cases per quarter.
 The required quarterly sample size is at least 10% of the stratum population for the quarter.
Quarterly Sample Size
Based on Initial Patient Population for the SCIP Measure Set
Monthly Sampling
For hospitals selecting sample cases for SCIP, a modified sampling procedure is required. Hospitals selecting sample cases for this set must ensure that each individual strata population and effective monthly sample size meets the following conditions:
 Select within each of the seven individual measure stratum (e.g., colorectal surgery, hip arthoplasty, etc.) and the 8th SCIP stratum (Table 5.25 in Appendix A). The effective monthly sample size within a stratum is at least 6 cases per month.
 The required monthly sample size is at least 10% of the strata population for the month.
Monthly Sample Size
Based on Initial Patient Population for the SCIP Measure Set
Sample Size Examples
Note: All sampled strata in SCIP should be used in the calculation of all SCIP Infection, Venous Thromboembolism (VTE), and Cardiac measures, including the several surgeryspecific measures (e.g., SCIPInf7, Colorectal Surgery Patients with Immediate Postoperative Normothermia). All of the SCIP measures' specific exclusion criteria are used to filter out cases that do not belong in the measure denominator. Using SCIPInf7 as an example, include cases covering all sampled strata, although the measurespecific exclusion criteria would only allow cases in the colorectal stratum to be included in the denominator.
 Quarterly sampling:
When applicable, larger hospitals must also abide by the required quarterly sample sizes for the seven individual measure stratum and the 8th SCIP strata (Table 5.25 in Appendix A) a minimum of 16 required sample cases per strata when Initial Patient Population size is 16 or greater.
 The SCIP Initial Patient Population sizes for a hospital are 5, 50, 15, 140, 35, 201, 3, and 481 patients respectively per quarter. The required quarterly sample sizes would be 5, 16, 15, 16, 16, 21, 3, and 48.
 The 1st, 3rd, and 7th strata are less than the minimum required quarterly sample size, so 100% of each of these strata are sampled.
 The 2nd, 4th, and 5th strata each require 16 cases to be sampled.
 The 6th stratum has 201 patients per quarter, which requires a 10% sample size, or 21 cases (ten percent of 201 equals 20.1 rounded to the next highest whole number = 21).
 The 8th stratum is more than the maximum required quarterly sample size, so this stratum requires 48 cases to be sampled.
 Monthly sampling:
When applicable, larger hospitals must also abide by the required monthly sample sizes for the seven individual measure stratum and the 8th SCIP strata (Table 5.25 in Appendix A) a minimum of 6 required sample cases per strata when Initial Patient Population size is 6 or greater.
 The SCIP Initial Patient Population sizes for a hospital are 5, 50, 15, 141, 35, 201, 3, and 481 patients respectively in June. The required monthly sample sizes would be 5, 6, 6, 15, 6, 16, 3, and 16.
 The 1st and 7th strata are less than the minimum required monthly sample size, so 100% of each of these strata are sampled.
 The 2nd, 3rd, and 5th strata each require 6 cases to be sampled.
 The 4th stratum has 141 patients per month, which requires a 10% sample size, or 15 cases (ten percent of 141 equals 14.1 rounded to the next highest whole number = 15).
 The 6th and 8th strata are each more than the maximum required monthly sample size, so each of these strata requires 16 cases to be sampled.
