These resources focus on quality improvement for outpatient hospital services, primarily those provided in the emergency department (ED). The current required and additional Medicare Beneficiary Quality Improvement Project (MBQIP) measures that fall under this domain include:


  • OP-1: Median Time to Fibrinolysis
  • OP-2: Fibrinolytic Therapy Received Within 30 Minutes
  • OP-3: Median Time to Transfer to Another Facility for Acute Coronary Intervention
  • OP-4: Aspirin at Arrival
  • OP-5: Median Time to ECG (electrocardiogram)
  • OP-18: Median Time from ED Arrival to ED Departure for Discharged ED Patients
  • OP-20: Door to Diagnostic Evaluation by a Qualified Medical Professional
  • OP-21: Median Time to Pain Management for Long Bone Fracture
  • OP-22: Left Without Being Seen (Emergency Department)


  • ED-1: Median Time from ED Arrival to ED Departure for Admitted ED Patients (Required measure beginning Fiscal Year (FY) 2018, moving to the Patient Safety/Inpatient domain)
  • ED-2: Admit Decision Time to ED Departure Time for Admitted Patients (Required measure beginning FY 2018, moving to the Patient Safety/Inpatient domain)
  • OP-23: ED – Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 Minutes of ED Arrival
  • OP-25: Safe Surgery Checklist Use

For more information about the reporting requirements for these measures, see Data Reporting and Use.

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.