Compass Hospital Improvement Innovation Network (HIIN) Measure Set
|
|
- Elisabeth Parsons
- 5 years ago
- Views:
Transcription
1 Compass Hospital Improvement Innovation Network (HIIN) Measure Set * Statewide s National Safety Healthcare Network () * Self- f Focus Area Adverse Drug Event Rate Adverse Drug Events riginating During Hospital Stay, (AHRQ Statistical Brief #109) Blood Glucose Less Than 50 rocess ()/ utcome () Number of Acute Care, SNF, Swing Bed and bservation adverse drug events Number of Acute Care adverse drug events that cause harm Number of blood glucose measurements (per lab reports, CT, EMR, Charge Data, etc.) for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients where blood glucose <50 Number of Acute Care, SNF, Swing Bed and bservation patient days and Swing Bed discharges Number of blood glucose measurements (per lab reports/ct, EMR, Charge Data, etc.) for Acute Care, Skilled Nursing Care, Swing Bed and bservation patients Statewide s (if available), therwise Self- g # 21 * 23 * 24 * INRs Greater Than 5 Number of lab measurements for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients on Warfarin where documented INR >5 Number of INR lab measurements for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients on Warfarin 25 * (NEW) (NEW) CLSTRIDIUM DIFF (NEW) CLSTRIDIUM DIFF (NEW) CLSTRIDIUM DIFF (NEW) Stat naloxone Administration pioid Therapy Treatment lan revalence of naloxone usage in community setting prior to admission Healthcare facility-onset Clostridium difficile Infection Rate Clostridium difficile revalence Hand Hygiene Compliance Number of episodes when a reversal agent (e.g. naloxone) is administered to Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients prescribed opioids Number of patients discharged from a hospital on opioids with patient-specific goals of therapy at discharge Number of patients who received naloxone in community setting prior to admission (include ambulance, in-home, and law enforcement use of naloxone) Number of healthcare facility-onset Clostridium difficile infections, Swing Bed and bservation patients prescribed opioids Number of patients discharged on opioids Number of Acute Care admissions Number of Acute Care inpatient days Number of Clostridium difficile Lab ID events Number of Acute Care inpatient admissions Number of observations where appropriate handwashing technique was applied Number of handwashing observations 26 * 27 * 28 * * *Focus area optional depending on hospital services age 1
2 f Focus Area CLSTRIDIUM DIFF (NEW) Contact recaution Compliance SIR - ICU Units excluding NICU, (NQF 0138) rocess ()/ utcome () SIR - ICU Units + ther Units, (NQF 0138) Catheter-Associated Urinary Tract Infection Rate Unnecessary Urinary Catheters Number of contact precautions performed consistent with guidelines bserved number of infections for ICU units excluding NICU based on aggregate bserved number of infections for ICU units plus other units based on aggregate Number of observations Expected number of infections for ICU units excluding NICU based on aggregate Expected number of infections for ICU units plus other units based on aggregate Number of hospital-acquired urinary tract infections Number of Acute Care urinary catheter days Swing Bed inpatients with new indwelling urinary catheters inserted without appropriate indication and Swing Bed inpatients with new indwelling urinary catheter insertions g # 34 * * CLABSI Emergency Department Catheter Utilization Urinary Catheter Utilization Ratio * CLABSI SIR - ICU Units including NICU, (NQF 0139) * CLABSI SIR - ICU Units + ther Units, (NQF 0139) *Central Line-Associated Bloodstream Infection Rate Number of Emergency Department urinary catheter placements in the Emergency Department Swing Bed inpatient days with urinary catheter in place bserved number of CLABSI infections for ICU units excluding NICU based on aggregate Number of Emergency Department visits and Swing Bed inpatient days Expected number of CLABSI infections for ICU units excluding NICU based on aggregate Statewide s (if available), therwise Self- 40 * 39 CLABSI bserved number of CLABSI infections for ICU Expected number of CLABSI infections for ICU units plus other units based on aggregate units plus other units based on aggregate CLABSI Number of hospital-acquired, central line-associated Number of Acute Care central line catheter days bloodstream infections 41 CLABSI *Cental Line Utilization Ratio Number of central line days Total number of patient days 42 CLABSI *Central Line Insertion Compliance ans Swing Bed inpatients with full ICC line and/or central line catheter insertion bundle compliance and Swing Bed inpatients with ICC line and/or central line insertions 43 * Fall Resulting in Fracture or Dislocation (CMS HAC) Falls Resulting in No Apparent Injury Rate Number of Acute Care inpatient discharges with ICD-9/10 fracture or dislocation code(s) not present on admission Number of falls for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients that have unplanned descent to the floor resulting in no visible sign of injury, stable vital signs and patient denial or pain or discomfort Number of Acute Care discharges Nursing Care, Swing Bed and bservation patient Statewide s (if available), therwise Self- 45 * 47 * *Focus area optional depending on hospital services age 2
3 f Focus Area rocess ()/ utcome () g # Fall Resulting in Minor Injury Rate Number of for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients that have unplanned descent to the floor resulting in minor cuts, minor bleeding, minor skin abrasions, minor swelling and minor contusions or bruising Nursing Care, Swing Bed and bservation patient 47 * Fall Resulting in Moderate Injury Rate Number of for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients that have unplanned descent to the floor resulting in excessive bleeding, lacerations requiring sutures, temporary loss of consciousness or moderate head trauma Nursing Care, Swing Bed and bservation patient 48 * Fall Resulting in Major Injury Rate Number of for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients that have unplanned descent to the floor resulting in fracture, subdural hematoma, other major head trauma, cardiac arrest or patient requiring transfer to ICU or R Nursing Care, Swing Bed and bservation patient 49 * Fall Resulting in Death Rate Number of for Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients that have unplanned descent to the floor resulting in death Nursing Care, Swing Bed and bservation patient 50 * Fall Risk Assessment on Admission, Number of Acute Care, Skilled Nursing Care, Swing Bed and bservation patients assessed for fall Swing Bed and bservation patients admitted risk on admission 51 * Count of Assisted Falls, No denominator for this measure Swing Bed and bservation events where the patient is assisted or eased to the floor 51 * RESSURE ULCER ressure Ulcer Rate, Stage 3+ (AHRQ) Number of inpatients with ICD-9/10 code(s) for pressure ulcer AND secondary ICD-9/10 diagnosis code(s) for Stage III, Stage IV or unstageable pressure ulcer, non-a Number of discharges for Acute Care, Skilled Nursing and Swing Bed patients Statewide s (if available), therwise Self- 53 * RESSURE ULCER At-risk atients Receiving Full ressure Ulcer reventative Care Number of at-risk Acute Care, Skilled Nursing Facility and Swing Bed inpatients receiving full pressure ulcer preventative care Number of at-risk Acute Care, Skilled Nursing Care and Swing Bed inpatients 55 * READMINS Unplanned All-Cause, 30-Day Readmissions to Any Hospital Number of Acute Care inpatient discharges that Number of Acute Care inpatient discharges meet criteria inclusion as a readmission to any meeting eligibility for inclusion as an index hospital using unplanned, 30-day, all-cause, all-payer admission methodology Statewide s (if available), therwise Self- 57 * READMINS Unplanned All-Cause, 30-Day Readmissions to Same Hospital Number of Acute Care inpatient discharges that Number of Acute Care inpatient discharges meet criteria inclusion as a readmission to the same meeting eligibility for inclusion as an index hospital using unplanned, 30-day, all-cause, all-payer admission methodology Statewide s (if available), therwise Self- 58 * *Focus area optional depending on hospital services age 3
4 f Focus Area rocess ()/ utcome () g # READMINS Handover Communication Swing Bed inpatient discharges where critical information is transmitted to the next site of care (e.g. office, LTC, HH) or person continuing care Number of discharges for Acute Care, Skilled Nursing Care and Swing Bed inpatient discharges 63 * READMINS Community rovider Involvement in identifying ost- Discharge Needs Swing Bed inpatient discharges where community providers (e.g. home care, primary care, nurses, skilled nursing) were included in assessing post discharge needs Number of discharges for Acute Care, Skilled Nursing Care and Swing Bed inpatient discharges 61 * READMINS READMINS SEVERE SESIS AND SETIC SHCK (NEW) ost-hospital Follow-up Appointment atient Teach-Back ostoperative Sepsis Rate, (AHRQ SI 13) Swing Bed inpatient discharges with follow-up appointment scheduled before discharge in accordance with risk assessment Number of observations of nurses where teach-back is used to assess understanding Number of Acute Care elective surgical inpatient discharges with any secondary ICD-9/10 diagnosis code for sepsis Number of discharges for Acute Care, Skilled Nursing Care and Swing Bed inpatient discharges Number of observations of nurse teaching Number of Acute Care elective surgical inpatient discharges with any-listed ICD-9/10 procedure code for an operating room procedure and admission type recorded as elective 62 * 60 * Statewide s (if available), therwise Self- 65 * SEVERE SESIS AND SETIC SHCK (NEW) Severe Sepsis and Septic Shock 3 hour Management Bundle Compliance (NQF 0500) Swing Bed inpatients in the denominator population who receive all elements of the 3 hour Severe Sepsis and Septic Shock Management Bundle and Swing Bed inpatients presenting with severe sepsis or septic shock (exclude patients comfort care only, where central line cannot be placed or is contraindicated, or where clinical condition precludes total measure completion) 66 * SEVERE SESIS AND SETIC SHCK (NEW) Severe Sepsis and Septic Shock 6-hour Management Bundle Compliance (NQF 0500) Number of Acute Care, Skilled Nursing and Swing Bed inatients in the denominator population who receive all elements of the 6 hour Severe Sepsis and Septic Shock Management Bundle and Swing Bed inpatients presenting with severe sepsis or septic shock (exclude patients comfort care only, where central line cannot be placed or is contraindicated, or where clinical condition precludes total measure completion) 68 * *CDC Harmonized rocedure- Specific SIR - Colon Surgeries, (CMS IQR xx), (NQF 0753) bserved number of Colon infections based on aggregate Expected number of Colon infections based on aggregate *CDC Harmonized rocedure- Specific SIR - Abdominal Hysterectomies, (NQF 0753) bserved number of Abdominal Hysterectomy infections based on aggregate Expected number of Abdominal Hysterectomy infections based on aggregate *Focus area optional depending on hospital services age 4
5 f Focus Area rocess ()/ utcome () g # *CDC Harmonized rocedure- Specific SIR - Total Hip Replacements, (NQF 0753) *CDC Harmonized rocedure- Specific SIR - Total Knee Replacements, (NQF 0753) bserved number of Total Hip infections based on aggregate bserved number of Total Knee infections based on aggregate Expected number of Total Hip infections based on aggregate Expected number of Total Knee infections based on aggregate *Colon Surgical Site Infection Rate Number of hospital-acquired colon surgical site infections Number colon surgical episodes 70 *Abdominal Hysterectomy Surgical Site Infection Rate *Hip Replacement Surgical Site Infection Rate *Knee Replacement Surgical Site Infection Rate *Surgery atients with erioperative Temperature Management Number of hospital-acquired abdominal hysterectomy surgical site infections Number of hospital-acquired hip replacement surgical site infections Number of hospital-acquired knee replacement surgical site infections Number of surgical inpatients for whom either active warming was used intraoperatively or who had at least one body temperature equal to or greater than 96.8F/36C within 30 minutes immediately prior to or 15 minutes immediately after anesthesia end time Number of abdominal hysterectomy surgical episodes Number of hip replacement surgical episodes Number of knee replacement surgical episodes Number of surgical inpatients undergoing procedure under general or neuraxial anesthesia of greater than or equal to 60 minutes duration * (NEW) VAE VAE VAE VAE *Surgical Safety Checklist Compliance *Ventilator-Associated Condition (VAC) *Infection-Related Ventilator- Associated Complication (IVAC) *ossible/robable Ventilator- Associated neumonia *Ventilator Bundle Compliance Number of operating room procedures in which the checklist was used Number of operating room procedures during observed time period Number of events that meet VAC criteria Number of ventilator days Number of events that meet IVAC criteria Number of ventilator days Number of events that meet possible/probable Ventilator-Associated neumonia criteria Number of ventilator days Number of ICU patients in the denominator Number of ICU patients on mechanical ventilation population on mechanical ventilation with full on day of week sample ventilator-associated prevention bundle compliance 76 * * VTE ost-perative ulmonary Embolism (E) or Deep Venous Thrombosis (DVT) (AHRQ) Number of Acute Care surgical inpatients with non- A secondary ICD-9/10 code(s) for DVT or E Number of Acute Care surgical inpatient discharges excluding cases where DVT/E are present on admission Statewide s (if available), therwise Self- 83 * VTE (NEW) Venous Thromboembolism Warfarin Therapy Discharge Instructions (CMS VTE-5) Number of patients with documentation that they or their caregivers were given written discharge instructions or other educational material about warfarin Number of patients with confirmed VTE discharged on warfarin therapy 86 * *Focus area optional depending on hospital services age 5
6 f Focus Area VTE VTE Appropriate rophylaxis rocess ()/ utcome (), Swing Bed and bservation patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given Number of admissions to Acute Care, Skilled Nursing Facility, Swing Bed and bservation patients with stays of >48 hours g # 84 * *Focus area optional depending on hospital services age 6
7 Compass Hospital Improvement Innovation Network (HIIN) Additional Harm Area Measure Set (TINAL) * Statewide s National Safety Healthcare Network () * Self- f Focus Area MDR/ANTI- MICRBIAL STEWARDSHI (NEW) MDR/ANTI- MICRBIAL STEWARDSHI (NEW) Carbapenem-resistant Enterobacteriaceae (CRE) revalence Standardized Antimicrobial Administration Ratio (SAAR) rocess ()/ utcome () Number of LabID CRE events Number of Acute Care Inpatient days Number of observed days of antimicrobial therapy Number of days of antimicrobial therapy predicted reported by a healthcare facility for a specified category for a healthcare facility's use of a specified of antimicrobial agents used in a patient care location or category of antimicrobial agents in a patient care group of locations location or group of locations, calculated by applying negative binomial regression modeling to nationally aggregated AU g # MDR/ANTI- MICRBIAL STEWARDSHI (NEW) MDR/ANTI- MICRBIAL STEWARDSHI (NEW) HSITAL CULTURE F SAFETY/WRKER SAFETY HSITAL CULTURE F SAFETY/WRKER SAFETY HSITAL CULTURE F SAFETY/WRKER SAFETY UNDUE EXSURE T RADIATIN Antibiotic Time ut Antimicrobial agent days Work-related Back Injuries Needlesticks Safe atient Handling rogram Equipment Checklist Compliance Abdomen CT - Use of Contrast Material (CMS) Number of patients administered antibiotics that have antibiotic "time out" in order to reassess the continuing need and choice of antibiotics, within 48 hours of initiation of antimicrobial therapy Number of patient-days when any antimicrobial was prescribed/administered (alone or in combination) Number of patients prescribed/administered antimicrobial therapy Total number of patient days 90 * 90 * Number of work-related back injuries Number of FTEs 92 * Number of needlestick events Number of FTEs 93 * Number of units with all checklist items 'In lace' Number of units assessed 94 * Number of abdomen CT studies with and without contrast ('combined studies') Number of abdomen CT studies performed (with Statewide s (if contrast, without contrast or both with and without available), therwise Selfcontrast) 96 * *Focus area optional depending on hospital services age 7
8 f Focus Area rocess ()/ utcome () g # UNDUE EXSURE T RADIATIN Thorax CT - Use of Contrast Material (CMS) Number of thorax CT studies with and without contrast ('combined studies') Number of thorax CT studies performed (with Statewide s (if contrast, without contrast or both with and without available), therwise Selfcontrast) 97 * UNDUE EXSURE T RADIATIN Total CT Dose Capture Compliance - Dose Length roduct (DL) Total number of CTs in which the total DL is recorded Total number of CTs 98 * UNDUE EXSURE T RADIATIN Total CT Dose Capture Compliance - Volume CT Dose Index (CTDIvol) Total number of CTs in which the total CTDIvol is recorded Total number of CTs 98 * UNDUE EXSURE T RADIATIN Total CT Dose Capture Compliance - Size-specific Dose Estimate (SSDE) Total number of CTs in which the total SSDE is recorded Total number of CTs 99 * MBQI HASE 3 - MBQI HASE 3 - facility where all elements were communicated to the receiving facility all Administatrive Communication (nurse-to-nurse communication and physician-to-physician communication) was communicated 106 * 107 * MBQI HASE 3 - all atient Information (name, address, age, gender, significant other contact info and insurance information) was communicated 107 * MBQI HASE 3 - all Vital Signs (pulse, respiratory rate, blood pressure, oxygen saturation, temperature and Glasgow Coma Scale/neuro assessment) was communicated 107 * MBQI HASE 3 - all Medication Information (medications administered in ED, allergies and home medications) was communicated 107 * MBQI HASE 3 - all actitioner-generated Information (history and physical, reason for transfer and plan of care) was communicated 107 * *Focus area optional depending on hospital services age 8
9 f Focus Area rocess ()/ utcome () g # MBQI HASE 3 - all the Nurse-Generated Information (nursing assessments/interventions/response, sensory status, catheters, immobilizations, respiratory support and oral limitations) was communicated 108 * MBQI HASE 3 - all Tests and rocedures done and Test and rocedure Results Sent were communicated 108 * BSTETRICAL BSTETRICAL *Early Elective Delivery *rimary Cesarean Delivery Rate, Uncomplicated Number of elective maternal deliveries between weeks gestation with no medical indication Number of maternal inpatients with either MS-DRG code for Cesarean delivery or any-listed ICD-9/10 procedure code(s) for Cesarean delivery without anylisted ICD-9/10 procedure code(s) for hysterotomy All deliveries between weeks gestation Number of deliveries 100 * Statewide s (if available), therwise Self- 101 * BSTETRICAL BSTETRICAL BSTETRICAL *Birth Trauma Rate - Injury to Newborn (ARHQ SI 18) *bstetrical Trauma Rate - Vaginal Delivery With Instrument *bstetrical Trauma Rate - Vaginal Delivery Without Instrument (ARHQ SI 19) Number of Newborns with ICD-9/10 code(s) for birth trauma Number of vaginally-delivering, instrument-assisted Moms with ICD-9/10 code(s) for 3rd or 4th degree obstetric trauma Number of vaginally-delivering, non instrument-assisted Moms with ICD-9/10 code(s) for 3rd or 4th degree obstetric trauma Number of Newborns Number of vaginal deliveries with ICD-9/10 procedure code(s) for instrument-assisted delivery Number of vaginal deliveries without ICD-9/10 procedure code(s) for non instrument-assisted delivery Statewide s (if available), therwise Self- Statewide s (if available), therwise Self- Statewide s (if available), therwise Self- 102 * 103 * 104 * *Focus area optional depending on hospital services age 9
Iowa Healthcare Collaborative - HEN 2.0 Measures
Iowa Healthcare Collaborative - HEN 2.0 Measures Yellow Pink Purple Green Blue Legend Readmissions and Care Transitions Healthcare-associated Infections Hospital Acquired Conditions Safety Across the Board
More informationThe Iowa Healthcare Collaborative - HEN Measure Descriptions
The Iowa Healthcare Collaborative - HEN Measure Descriptions Yellow Pink Purple Green Blue Legend Readmissions and Care Transitions Healthcare-associated Infections Hospital Acquired Conditions Safety
More informationWelcome and Instructions
Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.
More informationOHA HEN 2.0 Partnership for Patients Letter of Commitment
OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information
More informationAppendix A: Encyclopedia of Measures (EOM)
Appendix A: Encyclopedia of Measures (EOM) Great Lakes Partners for Patients HIIN Hospital Improvement Innovation Network (HIIN) Program Evaluation Measures Adapted from Version 1.0 AHA/HRET HEN 2.0 HIIN
More informationK-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2
Outcome Measure for Any One of the Following: Outcome Measures Meeting Either A or B: Adverse Drug Events (ADE) All measures are surveillance data Hospital Collected Anticoagulant (ADE-12) Opioid (ADE-111)
More informationHealthInsight HIIN Onboarding Event: DATA, DATA, DATA. April 12, a.m. to noon PT Noon to 1 p.m. MT
HealthInsight HIIN Onboarding Event: DATA, DATA, DATA April 12, 2017 11 a.m. to noon PT Noon to 1 p.m. MT Welcome So glad you are able to join us! This session is being recorded and a copy of the slides
More informationAppendix A: Encyclopedia of Measures (EOM)
Appendix A: Encyclopedia of Measures (EOM) Hospital Improvement Innovation Network (HIIN) Program Evaluation Measures Adapted from Version 1.0 AHA/HRET HEN 2.0 Summary of 3/30/17 Updates (v.2.0) ADE-2
More informationAppendix A: Encyclopedia of Measures (EOM)
Appendix A: Encyclopedia of Measures (EOM) Great Lakes Partners for Patients HIIN Hospital Improvement Innovation Network (HIIN) Program Evaluation Measures Adapted from Version 1.0 AHA/HRET HEN 2.0 Summary
More informationPatient Experience of Care Survey Results Hospital Consumer Assessment of Healthcare Providers and Systems (Inpatient)
Patient Experience of Care Survey Results Hospital Consumer Assessment of Healthcare Providers and Systems (Inpatient) HCAHPS QUESTION DESCRIPTION (April 2016 - March 2017) Patients who reported that their
More informationQuality Health Indicators: Measure List. Clinical Quality: Monthly
Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -
More informationTable of Contents NYSPFP Data Collection Methodology... 2
Table of Contents NYSPFP Data Collection Methodology... 2 Catheter-Associated Urinary Tract Infections (CAUTI) Outcome Measures... 3 CAUTI Process Measure... 4 Central Line Associated Blood Stream Infections
More informationCMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018
CMS Quality Program- Outcome Measures Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 Philosophy The Centers for Medicare and Medicaid Services (CMS) is changing
More information4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017
New Jersey Antimicrobial Stewardship Learning Action Collaborative Update May 10, 2017 Antimicrobial Stewardship Efforts in New Jersey Acute Care Hospitals Outpatient Settings (ED, physician practices)
More informationNational Provider Call: Hospital Value-Based Purchasing
National Provider Call: Hospital Value-Based Purchasing Fiscal Year 2015 Overview for Beneficiaries, Providers, and Stakeholders Centers for Medicare & Medicaid Services 1 March 14, 2013 Medicare Learning
More informationCenters for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update
ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2020 Centers for Medicare & Medicaid Services (CMS) Improvement s for Acute
More informationMEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP)
MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP) Began in September 2011 Key quality improvement activity within the Medicare Rural Hospital Flexibility grant program Goal of MBQIP: to improve
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
More informationSCORING METHODOLOGY APRIL 2014
SCORING METHODOLOGY APRIL 2014 HOSPITAL SAFETY SCORE Contents What is the Hospital Safety Score?... 4 Who is The Leapfrog Group?... 4 Eligible and Excluded Hospitals... 4 Scoring Methodology... 5 Measures...
More information(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE April 30, 2014 Contact: CMS Media
More informationAppendix A: Encyclopedia of Measures (EOM)
Appendix A: Encyclopedia of Measures (EOM) Great Lakes Partners for Patients HIIN Hospital Improvement Innovation Network (HIIN) Program Evaluation Measures Adapted from Version 1.0 AHA/HRET HEN 2.0 Summary
More informationScoring Methodology FALL 2016
Scoring Methodology FALL 2016 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 7 Process/Structural Measures... 7 Computerized Physician Order
More informationMinnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationFY 2014 Inpatient Prospective Payment System Proposed Rule
FY 2014 Inpatient Prospective Payment System Proposed Rule Summary of Provisions Potentially Impacting EPs On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year
More informationMedicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years
julian.coomes@flhosp.orgjulian.coomes@flhosp.org Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years 2018-2020 October 2017 Table of Contents Value Based Purchasing (VBP)
More informationMedicare Value Based Purchasing August 14, 2012
Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare
More informationThe Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey
The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey 2017 Leapfrog Hospital Survey Scoring Algorithms Table of Contents 2017 Leapfrog Hospital
More informationMinnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654
Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 DECEMBER 2017 APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota
More informationQuality Health Indicators: Measure List. Clinical Quality: Monthly
Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -
More informationScoring Methodology FALL 2017
Scoring Methodology FALL 2017 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician Order
More informationCompetitive Benchmarking Report
Competitive Benchmarking Report Sample Hospital A comparative assessment of patient safety, quality, and resource use, derived from measures on the Leapfrog Hospital Survey. POWERED BY www.leapfroggroup.org
More informationWelcome to the HSAG HIIN Initiative
Welcome to the HSAG HIIN Initiative Let s get started! We are excited that you have agreed to participate in the HSAG HIIN initiative. Together, we will continue to expand national progress toward better
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)
More informationImpacting Quality Initiatives through Documentation Improvement. Fran Jurcak, MSN, RN, CCDS Vice President of Clinical Innovation Iodine Software
Impacting Quality Initiatives through Documentation Improvement Fran Jurcak, MSN, RN, CCDS Vice President of Clinical Innovation Iodine Software Objectives The learner will be able to: Articulate the goals
More informationAPIC NHSN Webinar. Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts
APIC NHSN Webinar Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts April 27, 2015 National Center for Emerging and Zoonotic Infectious
More informationEffective Tools to Prevent and Manage Adverse Events
Effective Tools to Prevent and Manage Adverse Events Based on Office of Inspector General Adverse Events Report Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com Objectives Upon completion
More informationFacility State National
Percentage Summary Report Page 1 of 5 Data As Of: 07/27/2016 Total Performance Facility State National 35.250000000000 37.325750561167 35.561361414483 Unweighted Domain Weighting Weighted Domain Clinical
More informationHospital Inpatient Quality Reporting (IQR) Program Measures (Calendar Year 2012 Discharges - Revised)
The purpose of this document is to provide a reference guide on submission and Hospital details for Quality Improvement Organizations (QIOs) and hospitals for the Hospital Inpatient Quality Reporting (IQR)
More informationJune 27, Dear Ms. Tavenner:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 27, 2014 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid
More informationHOSPITAL QUALITY MEASURES. Overview of QM s
HOSPITAL QUALITY MEASURES Overview of QM s QUALITY MEASURES FOR HOSPITALS The overall rating defined by Hospital Compare summarizes up to 57 quality measures reflecting common conditions that hospitals
More informationScoring Methodology SPRING 2018
Scoring Methodology SPRING 2018 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 6 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician
More informationHospital Acquired Conditions: using ACS-NSQIP to drive performance. J Michael Henderson Jackie Matthews Nirav Vakharia
Hospital Acquired Conditions: using ACS-NSQIP to drive performance J Michael Henderson Jackie Matthews Nirav Vakharia Your Team: Quality & Patient Safety Institute Cleveland Clinic Mike Henderson: Chief
More informationInpatient Quality Reporting Program
Hospital Value-Based Purchasing Program: Overview of FY 2017 Questions & Answers Moderator: Deb Price, PhD, MEd Educational Coordinator, Inpatient Program SC, HSAG Speaker(s): Bethany Wheeler, BS HVBP
More informationFY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar
FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar May 23, 2013 AAMC Staff: Scott Wetzel, swetzel@aamc.org Mary Wheatley, mwheatley@aamc.org Important Info on Proposed Rule In Federal Register
More informationStar Rating Method for Single and Composite Measures
Star Rating Method for Single and Composite Measures CheckPoint uses three-star ratings to enable consumers to more quickly and easily interpret information about hospital quality measures. Composite ratings
More informationImproving quality of care during inpatient hospital stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Communications FACT SHEET FOR IMMEDIATE RELEASE Contact:
More informationGeneral information. Hospital type : Acute Care Hospitals. Provides emergency services : Yes. electronically between visits : Yes
General information 80 JESSE HILL, JR DRIVE SE ATLANTA, GA 30303 (404) 616 45 Overall rating : 1 out of 5 stars Learn more about the overall ratings General information Hospital type : Acute Care Hospitals
More informationClinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services
Clinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services Clinical Documentation: Beyond The Financials Key Points of
More informationVALUE. Critical Access Hospital QUALITY REPORTING GUIDE
better health care VALUE HEALTHIER POPULATIONS Critical Access Hospital QUALITY REPORTING GUIDE TABLE OF CONTENTS Introduction and Summary....2 Missouri Health Care-Associated Infection Reporting System
More informationHealthcare- Associated Infections in North Carolina
2018 Healthcare- Associated Infections in North Carolina Reference Document Revised June 2018 NC Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program NC Department of Health
More information2015 Executive Overview
An Independent Licensee of the Blue Cross and Blue Shield Association 2015 Executive Overview Criteria for the Blue Cross and Blue Shield of Alabama Hospital Tiered Network will be updated effective January
More informationNHSN: An Update on the Risk Adjustment of HAI Data
National Center for Emerging and Zoonotic Infectious Diseases NHSN: An Update on the Risk Adjustment of HAI Data Maggie Dudeck, MPH Zuleika Aponte, MPH Rashad Arcement, MSPH Prachi Patel, MPH Wednesday,
More information1. Recommended Nurse Sensitive Outcome: Adult inpatients who reported how often their pain was controlled.
Testimony of Judith Shindul-Rothschild, Ph.D., RNPC Associate Professor William F. Connell School of Nursing, Boston College ICU Nurse Staffing Regulations October 29, 2014 Good morning members of the
More informationHospital-Acquired Condition Reduction Program. Hospital-Specific Report User Guide Fiscal Year 2017
Hospital-Acquired Condition Reduction Program Hospital-Specific Report User Guide Fiscal Year 2017 Contents Overview... 4 September 2016 Error Notice... 4 Background and Resources... 6 Updates for FY 2017...
More informationFoundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0
Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0 Hospital NHSN Workshop February 22, 2017 Greg Vasse Anne Diefendorf Our charge is clear:
More informationJune 24, Dear Ms. Tavenner:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 24, 2013 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid
More informationHospital Quality Improvement Program (QIP) Measurement Specifications
Hospital Quality Improvement Program (QIP) 2015-2016 Measurement Specifications Developed by: The Hospital QIP Team Contact: HQIP@partnershiphp.org 2015-2016 Hospital QIP Page 1 Table of Contents 2015-2016
More informationFast Facts 2018 Clinical Integration Performance Measures
IMPORTANT: LHP providers who do not achieve a minimum CI Score in 2018 will not be eligible for incentive distribution and will be placed on a monitoring plan for the 2019 performance year. For additional
More informationQuality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment
Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment presented by Sherry Kwater, MSM,BSN,RN Chief Nursing Officer Penn State Hershey Medical Center Objectives 1. Understand
More informationCommissioning for Quality & Innovation (CQUIN)
Commissioning for Quality & Innovation () The following suite of s are goals relating to improvements in the quality of patient care which the Trust has agreed with commissioners (with the exception of
More informationHealth Care Associated Infections in 2015 Acute Care Hospitals
Health Care Associated Infections in 2015 Acute Care Hospitals Alfred DeMaria, M.D. State Epidemiologist Bureau of Infectious Disease and Laboratory Sciences Katherine T. Fillo, Ph.D, RN-BC Quality Improvement
More informationAPIC Questions with Answers. NHSN FAQ Webinar. Wednesday, September 9, :00-3:00 PM EST
APIC Questions with Answers NHSN FAQ Webinar Wednesday, September 9, 2015 2:00-3:00 PM EST General Questions We are an acute general hospital - psych, do we need to be reporting anything to NSHN? Yes,
More informationChasing Zero Infections Coaching Call Strategies to Reduce Surgical Site Infections March 14, 2018
Chasing Zero Infections Coaching Call Strategies to Reduce Surgical Site Infections March 14, 2018 Agenda Welcome & FHA Mission to Care HIIN Trends and Progress: Surgical Site Infections Cheryl Love, RN,
More informationAccreditation, Quality, Risk & Patient Safety
Accreditation, Quality, Risk & Patient Safety Accreditation The Joint Commission (TJC) Centers for Medicare & Medicaid Services (CMS) Wyoming Department of Health (DOH) Joint Commission: - Joint Commission
More informationHospital data to improve the quality of care and patient safety in oncology
Symposium QUALITY AND SAFETY IN ONCOLOGY NURSING: INTERNATIONAL PERSPECTIVES Hospital data to improve the quality of care and patient safety in oncology Dr Jean-Marie Januel, PhD, MPH, RN MER 1, IUFRS,
More informationQuality Based Impacts to Medicare Inpatient Payments
Quality Based Impacts to Medicare Inpatient Payments Overview New Developments in Quality Based Reimbursement Recap of programs Hospital acquired conditions Readmission reduction program Value based purchasing
More informationHOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program
HOSPITAL ACQUIRED COMPLICATIONS Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS (HACS) A medical condition or complication that a patient develops during
More informationLABORATORY-IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE. National Healthcare Safety Network (NHSN)
LABORATORY-IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE National Healthcare Safety Network (NHSN) CMS PARTICIPATION Acute care hospitals, Long Term Acute Care (LTACs),IP Rehabilitation
More informationInpatient Quality Reporting Program for Hospitals
Inpatient Quality Reporting Program for Hospitals Candace Jackson, RN Project Lead, Hospital Inpatient Quality Reporting (IQR) Program Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR)
More informationNHSN Updates. Linda R Greene RN, MPS, CIC
NHSN Updates Linda R Greene RN, MPS, CIC linda.greene@urmc.rochester.edu Objectives Describe changes to NHSN definitions Explain how these changes are consistent with the HHS action plan Identify new prevention
More informationConsumers Union/Safe Patient Project Page 1 of 7
Improving Hospital and Patient Safety: An overview of recently passed legislation and requirements towards improving the safety of California s hospital patients June 2009 Background Since 2006 several
More informationSubject: Hospital-Acquired Conditions (Page 1 of 5)
Subject: Hospital-Acquired Conditions (Page 1 of 5) Objective: I. To facilitate safe patient care for all Health Share/Tuality Health Alliance (THA) members. II. To encourage and support provider efforts
More informationInpatient Hospital Compare Preview Report Help Guide
Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals to access and interpret the data
More informationAugust 1, 2012 (202) CMS makes changes to improve quality of care during hospital inpatient stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE Contact: CMS Media Relations
More informationFHA MTC HIIN Quarterly Virtual Meeting January 22, 2018
FHA MTC HIIN Quarterly Virtual Meeting January 22, 2018 Today s Agenda Purpose of the Call UP Campaign Review of the data Needs Assessment Feedback What do you Need? CMS HIIN GOALS GOALS: 20% Overall Reduction
More informationNEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY HOSPITAL PERFORMANCE REPORT 2014 DATA PUBLISHED 2016 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment
More informationPerioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery
CLINICAL GUIDELINE Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CG10214-2 For use in (clinical areas): For use by (staff groups):
More informationCMS and NHSN: What s New for Infection Preventionists in 2013 Part II
CMS and NHSN: What s New for Infection Preventionists in 2013 Part II Joan Hebden RN, MS, CIC Clinical Program Manager Sentri7 Wolters Kluwer Health - Clinical Solutions Objectives Define the two major
More informationCMS and NHSN: What s New for Infection Preventionists in 2013
CMS and NHSN: What s New for Infection Preventionists in 2013 Joan Hebden RN, MS, CIC Clinical Program Manager Sentri7 Wolters Kluwer Health - Clinical Solutions Objectives Define the current status of
More informationNational Patient Safety Goals & Quality Measures CY 2017
National Patient Safety Goals & Quality Measures CY 2017 General Clinical Orientation 2017 January National Patient Safety Goals 1. Identify Patients Correctly 2. Improve Staff Communication 3. Use Medications
More informationThe dawn of hospital pay for quality has arrived. Hospitals have been reporting
Value-based purchasing SCIP measures to weigh in Medicare pay starting in 2013 The dawn of hospital pay for quality has arrived. Hospitals have been reporting Surgical Care Improvement Project (SCIP) measures
More informationVALUE. Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE
better health care VALUE HEALTHIER POPULATIONS Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE TABLE OF CONTENTS Missouri Quality Transparency Measures....4 Missouri Health Care-Associated
More informationMohamad Fakih, MD, MPH
Ensuring Sustainability for CAUTI Prevention Efforts Mohamad Fakih, MD, MPH Professor of Medicine, Wayne State University School of Medicine St John Hospital and Medical Center Detroit, MI So we often
More informationMastering the Mandatory Elements of the Affordable Care Act. Melinda Hancock Walter Coleman
Mastering the Mandatory Elements of the Affordable Care Act Melinda Hancock Walter Coleman 1 ACA Gains through 2019 Amounts in Billions Source:CBO and Joint Committee on Taxation, 2010 Projection 2 Current
More informationSANTA ROSA MEMORIAL HOSPITAL AND AFFILIATED ENTITIES ONGOING PROFESSIONAL PRACTICE EVALUATION POLICY (OPPE)
SANTA ROSA MEMORIAL HOSPITAL AND AFFILIATED ENTITIES ONGOING PROFESSIONAL PRACTICE EVALUATION POLICY (OPPE) Discussion Draft August 6, 2017 Horty, Springer & Mattern, P.C. 250979.8 ONGOING PROFESSIONAL
More informationPharmacy Round Table Tuesday, August 20, 2013
Florida Hospital Association Hospital Engagement Network (HEN) Pharmacy Round Table Tuesday, August 20, 2013 Audio for today s presentation is broadcast via phone access only: Please Dial-in - 866.740.1260
More informationNEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY HOSPITAL PERFORMANCE REPORT 2012 DATA PUBLISHED 2015 TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment
More informationAnalysis of Final Rule for FY 2009 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Analysis of Final Rule for FY 2009 Revisions to the Medicare Hospital Inpatient Prospective Payment System The final rule regarding fiscal year (FY) 2009 revisions to the Medicare hospital inpatient prospective
More informationA health system perspective on patient safety
THE ECONOMICS OF PATIENT SAFETY STRENGTHENING A VALUE BASED APPROACH TO REDUCING PATIENT HARM AT NATIONAL LEVEL Most research on the cost of patient harm has focused on the acute care setting in the developed
More informationPricing and funding for safety and quality: the Australian approach
Pricing and funding for safety and quality: the Australian approach Sarah Neville, Ph.D. Executive Director, Data Analytics Sean Heng Senior Technical Advisor, AR-DRG Development Independent Hospital Pricing
More informationOverview of the Hospital Safety Score September 24, Missy Danforth, Senior Director of Hospital Ratings, The Leapfrog Group
Overview of the Hospital Safety Score September 24, 2013 Missy Danforth, Senior Director of Hospital Ratings, The Leapfrog Group Presentation Overview Who is getting a Hospital Safety Score? Changes to
More informationHealth Care Associated Infections in 2017 Acute Care Hospitals
Health Care Associated Infections in 2017 Acute Care Hospitals Christina Brandeburg, MPH Epidemiologist Katherine T. Fillo, Ph.D, RN-BC Director of Clinical Quality Improvement Eileen McHale, RN, BSN Healthcare
More informationQuality Matters 2016
Quality Matters 2016 Dear Neighbor, At Inova, we strive to ensure our patients and our communities have quality of care information available to them to make their health care decisions easier. We take
More informationMEASURE APPLICATIONS PARTNERSHIP Safety and Care Coordination Task Force Convened by the National Quality Forum. Meeting Summary June 19-20, 2012
MEASURE APPLICATIONS PARTNERSHIP Safety and Care Coordination Task Force Convened by the National Quality Forum Meeting Summary June 19-20, 2012 An in-person meeting of the Measure Applications Partnership
More informationInpatient Hospital Compare Preview Report Help Guide
Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals on how to access and understand the
More informationAdditional Considerations for SQRMS 2018 Measure Recommendations
Additional Considerations for SQRMS 2018 Measure Recommendations HCAHPS The Hospital Consumer Assessments of Healthcare Providers and Systems (HCAHPS) is a requirement of MBQIP for CAHs and therefore a
More informationSCIP. Surgical Care Improvement Project. Making Surgeries Safer. By: Roshini Mathew, RN
SCIP Surgical Care Improvement Project Making Surgeries Safer By: Roshini Mathew, RN Importance Hospitals could prevent 13,000 patient deaths and 271,000 surgical complications each year 4 measures are
More informationBuilding a Culture That Lasts
Building a Culture That Lasts Establishing a Leadership Legacy Quality Texas Foundation June 28, 2016 M. Michael Shabot, MD, FACS, FCCM, FACMI Executive Vice President System Chief Clinical Officer V2
More information