AMI 100% 80% 60% 40% 20% AMI: Aspirin at Arrival Targets AMI: Aspirin at D/C 2 - Aspirin at Discharge: Targets 100% 80% 60% 40% 20%
|
|
|
- Oswald Reeves
- 5 years ago
- Views:
Transcription
1 AMI AMI: 1 - Aspirin at Arrival AMI: 2 - Aspirin at Discharge AMI: Aspirin at Arrival Targets AMI: Aspirin at D/C 2 - Aspirin at Discharge: Targets AMI: 3 - ACEI or ARB for LVSD AMI: 4 - Adult Smoking Cessation 5 cases 3 cases 7 cases 6 cases AMI: ACEI for LVSD 3 - ACEI or ARB for LVSD: Targets AMI: Adult Smoking Cessation 4 - Adult Smoking Cessation: Targets San Francisco General Hospital Page 1 02/1
2 AMI AMI: 5 - Beta Blocker at D/C AMI: 8 - PCI Within 90 Minutes of Arrival 5 Cases/ 1 Delay: 147 Minutes 4 cases 3 cases with D2B over 90 min 3 cases 2 Cases/ 1 Delay: 182 Minutes 2 cases i case AMI: Beta Blocker at D/C 5 - Beta Blocker at D/C: Targets AMI: PCI Within 90 Minutes of Arrival 8 - PCI Within 90 Minutes of Arrival: Targets AMI: 9 - Inpatient Mortality AMI: Inpatient Mortality 9 - Inpatient Mortality: Targets San Francisco General Hospital Page 2 02/1
3 Heart Failure Heart Failure: 1 - Discharge Instructions include all required elements Heart Failure: 2 - Evaluation of LVS Function New Cardiac D/C Instructions New Hospital D/C Instructions Clinical Lead assigned Heart Failure: Discharge Instructions 1 - Target: National Average Heart Failure: Evaluation of LVS Function National Average Heart Failure: 3 - ACEI for LVSD Heart Failure: 4 - Adult Smoking Cessation Advice/Counceling Heart Failure: ACEI for LVSD National Average Heart Failure: 4 - Adult Smoking Cessation 4 - Adult Smoking Cessation: Targets San Francisco General Hospital Page 1 02/1
4 Pneumonia Pneumonia: Pneumococcal Vaccination (>age 65) Pneumonia: Blood Cultures in ED Before Antibiotics 2 Cases/ Not screened or given Pneumonia: Pneumococcal screen (>age 65) 2 - Pneumococcal screen (>age 65): Targets Targets Pneumonia: Blood Cultures (before Abx) 3b - Blood Cultures - ED: Targets Pneumonia: Smoking Cessation Pneumonia: Antibiotics within 6 Hours of Arrival 7/07 1/08 7/08 1/09 7/09 1/10 Pneumonia: 4 - Smoking Cessation 4 - Smoking Cessation: Targets Pneumonia: Antibiotics within 8 Hours 5b - Antibiotics within 6 Hours: Targets 7/10 1/11 7/11 San Francisco General Hospital Page 1 02/1
5 Pneumonia Pneumonia: Appropriate Antibiotic Selection - Immunocompetent Patients Pneumonia: Influenza Vaccination Physician/Pharm D Involvement/Education ED Focus on PN Improvement Vaccine policy implemented 1/08 7/08 1/09 7/09 1/10 7/10 1/11 SFGH - Antibiotic Selection Target Pneumonia: Influenza Vaccination 7 - Influenza Vaccination: Targets San Francisco General Hospital Page 2 02/1
6 Surgical Care Improvement Project Surgical Care Improvement Project: 1 Antibiotic within 1 hour of Incision Surgical Care Improvement Project: 2 Appropriate Antibiotic Selection Surgical Care Improvement Project: 2 - Antibiotic within 1 hour of incision 2 - Surgical Care Improvement Project: Appropriate antibiotic selection Surgical Care Improvement Project: 3 Antibiotic Discontinued within 24 hours Surgical Care Improvement Project: CARD 2 Beta Blocker Therapy for patients on Beta Blockers Clinical Lead Assigned Pre-printed order form Revised/Simplified Abx Form April 2010 Documentation Improvement in Process BB field added to ORMIS mid-quarter Surgical Care Improvement Project: 1 - Antibiotic discontinued within 24 hours National Rate Surgical Care Improvement Project: 3 - Beta Blocker therapy San Francisco General Hospital Page 1 02/1
7 Surgical Care Improvement Project Surgical Care Improvement Project: 6 Appropriate Hair Removal Surgical Care Improvement Project: VTE 1 VTE Prophylaxis Ordered Surgical Care Improvement Project: 4 - Hair removal Surgical Care Improvement Project: VTE 2 VTE given Surgical Care Improvement Project: 7 - VTE Prophylaxis ordered Surgical Care Improvement Project: 6 - VTE given San Francisco General Hospital Page 2 02/1
NEW JERSEY 2012 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY 2012 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health Health Care Quality Assessment June 2013 NEW JERSEY
NEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES
NEW JERSEY 2011 HOSPITAL PERFORMANCE REPORT TECHNICAL REPORT: METHODOLOGY RECOMMENDED CARE (PROCESS OF CARE) MEASURES New Jersey Department of Health and Senior Services Health Care Quality Assessment
2012 Core Measures. Acute Myocardial Infarction (AMI)
2012 Core Measures Acute Myocardial Infarction (AMI) Aspirin at Arrival Aspirin Prescribed at Discharge Angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) for left ventricular
This Core Measure Report shows performance to date. CAVEAT: Data collection is still in progress for the current and immediate past quarter!
This Core Measure Report shows performance to date. CAVEAT: Data collection is still in progress for the current and immediate past quarter! AMI-1 -- Aspirin at Arrival 9 8 7 6 5 4 3 2 1 AMI-2 -- Aspirin
UCLA Health System Apr - Jun 2013 (Q2)
Denom Observed VBP Standard VBP Benchmark Denom Observed VBP Standard VBP Benchmark N Percent x/n N Percent x/n Value Based Purchasing-Clinical Process of Care Measures (%) SCIP-Inf-9 Urinary catheter
Quality Committee Core Measures Report AMI. Acute Myocardial Infarction
AMI 2011 Acute Myocardial Infarction ASPIRIN AT ARRIVAL: A higher number is better. This measure shows the percentage of heart attack patients who receive aspirin within 24 hrs of arrival at hospital.
SUNY Downstate Medical Center/University Hospital Oct - Dec 2013 (Q4)
Value Based Purchasing-Clinical Process of Care Measures Denom Observed VBP VBP Benchmark Standard Denom Observed VBP VBP Benchmark Standard N Percent x/n N Percent x/n SCIP-Inf-9 Urinary catheter removed
SCORES FOR 4 TH QUARTER, RD QUARTER, 2014
SCORES FOR 4 TH QUARTER, 2013 3 RD QUARTER, 2014 PATIENT SATISFACTION SCORES (HCAHPS): 4 STARS OUT OF 5 (ONLY 4 AREA ACUTE CARE HOSPITALS RECEIVED A 4-STAR RATING. NONE ACHIEVED 5-STARS). STRUCTURAL MEASURES:
CAH Participation and Quality Measure Results for Hospital Compare 2007 Discharges and Trends: National and North Carolina Results
January 2009 CAH Participation and Quality Measure Results for Hospital Compare Discharges and - Trends: and Results Michelle Casey, MS 1, Michele Burlew, MS 2, Ira Moscovice, PhD 1 1 University of Minnesota
State of the State: Hospital Performance in Pennsylvania August 2010
State of the State: Hospital Performance in Pennsylvania August 2010 Measuring Progress in PA Hospital Performance: Process Measures Quality Measures Analysis We reviewed the latest year-over-year changes
State of the State: Hospital Performance in Pennsylvania September 2012
State of the State: Hospital Performance in Pennsylvania September 2012 Measuring Progress in PA Hospital Performance: Process Measures 1 PA Hospital Performance: Process Measures We examined the latest
AMI Talking Points. Provide appropriate treatment to Acute MI patients with these core measures:
AMI Provide appropriate treatment to Acute MI patients with these core measures: Aspirin received within 24 hours of arrival or contraindication documented Primary PCI Received Within 90 Minutes of Hospital
tel / fax
National Association of Public Hospitals and Health Brief Systems JUNE 00 0 Pennsylvania Avenue, NW, Suite 50 Washington, DC 0004 0 585 000 tel / 0 585 00 fax www.naph.org NAPH Members Continue to Improve
Hospital Compare Quality Measures: 2011 National and Tennessee Results for Critical Access Hospitals
March 2013 Hospital Compare Quality Measures: 2011 National and Results for Critical Access Michelle Casey, MS, Peiyin Hung, MSPH, Maeve McClellan, BS, Ira Moscovice, PhD, University of Minnesota Rural
Quality Reporting for CAHs and Rural PPS Hospitals: The Potential Impact of Composite Measures
UpperMidwest Rural Health Research Center www.uppermidwestrhrc.org July 202 Policy Brief Quality Reporting for CAHs and Rural PPS Hospitals: The Potential Impact of Composite Measures Michelle Casey MS,
Toledo Hospital Clinical Quality Indicators. Effective - Heart Attack
Effective - Heart Attack This page shows information on effective measures for patients who had heart attacks. "Effective care" means patients are given treatments that scientific evidence has shown leads
Quality Data on Core Measures
Quality Data on Core Measures The Centers for Medicare and Medicaid (CMS) have developed several measurements to reflect the quality of care in hospitals. They include pneumonia, surgical care, heart failure
Performance Measure. Inpatient Clinical Process of Care Measures
Acute Myocardial Infarction (AMI) 's Maryland Hospital Performance Evaluation System: Inpatient s Quality Based Reimbursement () Measures Highlighted in Green (02/27/2014) Inpatient Clinical Process of
e-module Centers for Medicaid and Medicare (CMS) Core Measures
Centers for Medicaid and Medicare (CMS) Core Measures 1 Purpose The purpose of this e-learning module is to provide education for health care providers on Core Measures. This module is not all inclusive,
Surgical Care, Pneumonia, Immunizations and Emergency Department Core Measures
Surgical Care, Pneumonia, Immunizations and Emergency Department Core Measures Audrey Paulman, MD, MMM Principal Clinical Coordinator & Jackie Trojan, RN, BSN Quality Improvement Advisor This material
convey the clinical quality measure's title, number, owner/developer and contact
CMS-0033-P 153 convey the clinical quality measure's title, number, owner/developer and contact information, and a link to existing electronic specifications where applicable. TABLE 20: Proposed Clinical
50198 Federal Register / Vol. 75, No. 157 / Monday, August 16, 2010 / Rules and Regulations
50198 Federal Register / Vol. 75, No. 157 / Monday, August 16, 2010 / Rules and Regulations mstockstill on DSKH9S0YB1PROD with RULES2 VerDate Mar2010 17:02 Aug 13, 2010 Jkt 220001 PO 00000 Frm 00158
FY X Time (48 hrs for cardiac surgery) SCIP-Inf-4 Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood
Valuebased 2013 Hospital Measure Summary Data Collection for Inpatient Quality Reporting FY2015 and Outpatient Reporting CY2014 January 2013 Key: = Required by both CMS and State of Minnesota = Required
SURGICAL CARE IMPROVEMENT PROJECT QUALITY MEASURES
SURGICAL CARE IMPROVEMENT PROJECT QUALITY MEASURES Hospitals can reduce the risk of infection after surgery by making sure they provide the standard of care that is known to get the best results for most
GET WITH THE GUIDELINES- PAST AND FUTURE
GET WITH THE GUIDELINES- PAST AND FUTURE Amy Graham, RN, BS, CEN, NREMT-P Director, Quality & Systems Improvement Kentucky and Southwest Ohio American Heart Association 1 DISCLOSURE SLIDE I AM THE QUALITY
Appendix. Potentially Preventable Complications (PPCs) identify. complications that can occur during an admission. There are 64
Calikoglu S, Murray R, Feeney D. Hospital pay-for-performance programs in Maryland produced strong results, including reduced hospital-acquired infections. Health Aff (Millwood). 2012;31(12). Appendix
Keeping Up with the Regulatory Requirements and Other Hocus Pocus. Vicky A. Mahn-DiNicola RN, MS, CPHQ Vice President and Product Manager ACS MIDAS+
Keeping Up with the Regulatory Requirements and Other Hocus Pocus Vicky A. Mahn-DiNicola RN, MS, CPHQ Vice President and Product Manager ACS MIDAS+ Session Objectives Review Medicare s proposed strategies
Implementing Performance Measurement Programs: The Blue Cross Blue Shield of Massachusetts Perspective
Implementing Performance Measurement Programs: The Blue Cross Blue Shield of Massachusetts Perspective Dana Gelb Safran, Sc.D. Senior Vice President Performance Measurement and Improvement Massachusetts
Quality Performance Measures. (Starter Set)
Quality Performance Measures (Starter Set) 1 Contents ADMINISTRATIVE MEASURES.4 HEART AND VASCULAR 5 Cardiology.5 Cardiovascular Surgery 5 Vascular..5 HOSPITAL CLINICAL SERVICES.6 Pathology 6 Radiation
America s Hospitals: Improving Quality and Safety
America s Hospitals: Improving Quality and Safety The Joint Commission s Annual Report 2014 Top Performer on Key Quality Measures America s Hospitals: Improving Quality and Safety The Joint Commission
CAH Quality: Right Place, Right Skills, Right Now!
CAH Quality: Right Place, Right Skills, Right Now! January 9 & 16, 2007 10-11:30am (same agenda for both meetings) Bt-wan arranged for registered participants If you experience technical difficulties call
2015 PQRS Registry. Source Measure Title Measure Description CITIUS1
1 CQ-IQ covers 65 CMS defined measures that Eligible Providers (EPs) have to report on to assess quality of care provided to the patients. Version Supported: PQRS Registry 2015 65 measures Reporting Period:
2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program. Tracy McDonald Medicaid EHR Incentive Program Coordinator
2014 Clinical Quality Measures: Changes for the Medicaid EHR Incentive Program Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Why are Clinical Quality Measures important? Clinical Quality
CMS Hospital IQR Program Measure Comparison Tables FY 2018 (CY 2016) Measures Required to Meet Hospital IQR APU Requirements NHSN Submission
CMS IQR Program Measure Comparison Tables (CY 2016) NHSN Submission CLABSI Central Line-Associated Bloodstream Infection (CLABSI) Required NHSN CAUTI Catheter-Associated Urinary Tract Infection (CAUTI)
2016 Hospital Measures
2016 Hospital Measures Vicki Tang Olson, Stratis Health Statewide Quality Reporting and Measurement System (SQRMS) Annual Forum June 22, 2015 Objectives Share the process used for 2016 hospital measures
Table of Contents. Claims Based Measures Calculated by CMS (Outpatient) Imaging Efficiency Page 10
Current Proposed Quality Measures Table of Contents Inpatient Measures Collected Submitted by Hospital Acute Myocardial Infarction/Emergency Department Page2 Immunization/Heart Failure/Pneumonia/Stroke
Appendix G Explanation/Clarification Summary
Appendix G Explanation/Clarification Summary Summary of Changes for Recommendations Alignment of measures with VBP by fiscal year Measures and service dates were adjusted to be consistent with the FY2016
Prescribe appropriate immunizations for. Prescribe childhood immunization as per. Prescribe influenza vaccinations in high-risk
Supplemental Digital Appendix 1 46 Health Care Problems and the Corresponding 59 Practice Indicators Expected of All Physicians Entering or in Practice Infectious and parasitic diseases Avoidable complications/death
Updates to Advanced Certification for Primary Stroke Centers and Advanced Certification in Heart Failure
Updates to Advanced Certification for Primary Stroke Centers and Advanced Certification in Heart Failure February 9, 2012 1 New Features of The Joint Commission / American Heart Association / American
RCCO Quality Indicators Crosswalk
Aim: Better Care for Individuals (patient s perspective) RCCO Quality Indicators Crosswalk Quality Number 1. Access: timely care, appointments & info Denominator& Numerator ACO patients 18+ Data collection
HEART FAILURE QUALITY IMPROVEMENT. American Heart Association Shawni Smith Regional Director, Quality & Systems Improvement
HEART FAILURE QUALITY IMPROVEMENT American Heart Association Shawni Smith Regional Director, Quality & Systems Improvement 1 DISCLOSURES NONE 2 3 WHY IS THIS IMPORTANT? WHY? Heart Failure Currently, an
HF QUALITY MEASURES. Hydralazine/nitrate at discharge: Percent of black heart
Get With The Guidelines - Heart Failure is the American Heart Association s collaborative quality improvement program, demonstrated to improve adherence to evidence-based care of patients hospitalized
Supplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Sutton M, Nikolova S, Boaden R, Lester H, McDonald R, Roland
In Pursuit of Excellence: The CheckPoint Journey
Focus On Quality... In Pursuit of Excellence: The CheckPoint Journey Charles Shabino, MD; Dana Richardson, RN, MHA Abstract In March 2004, the Wisconsin Hospital Association launched CheckPoint sm (www.wicheckpoint.org)
Medicare Patient Transfers from Rural Emergency Departments
Medicare Patient Transfers from Rural Emergency Departments Michelle Casey, MS Jeffrey McCullough, PhD Supported by the Office of Rural Health Policy, Health Resources and Services Administration, PHS
Quality Performance Measurement and Use of Health Information Technology in Critical Access Hospitals
Quality Performance Measurement and Use of Health Information Technology in Critical Access Hospitals Michelle Casey University of Minnesota Rural Health Research Center Flex Monitoring Team 2006 National
Getting to Safe, Affordable, Effective, Patient-Centered Care: Good Data Are Only the Beginning
Getting to Safe, Affordable, Effective, Patient-Centered Care: Good Data Are Only the Beginning Dana Gelb Safran, Sc.D. Senior Vice President Performance Measurement & Improvement Transformation Vision:
CMS National Patient Safety Initiative for Surgical Care
CMS National Patient Safety Initiative for Surgical Care Ongoing Opportunities for Improvement Dale W. Bratzler, DO, MPH President and CEO Oklahoma Foundation for Medical Quality An update where are we
Practice-Level Executive Summary Report
PINNACLE Registry Metrics 0003, Test Practice_NextGen [Rolling: 1st April 2015 to 31st March 2016 ] Generated on 5/11/2016 11:37:35 AM American College of Cardiology Foundation National Cardiovascular
SCIP and NSQIP the Alphabet Soup of Surgical Quality
SCIP and NSQIP the Alphabet Soup of Surgical Quality NSQIP National Conference Christopher C Johnson M.D. Caryn Foster RN, SCR Nicholas Hellenthal M.D., F.A.C.S. 7/26/15 Disclosure None Introduction The
Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists
Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Measure Name Measure Domain Measure Focus Comment/Explanation CMS Value-based Purchasing Program (CMS VBP) AMI 30-day
The NOF & NBHA Quality Improvement Registry
In collaboration with CECity The NOF & NBHA Quality Improvement Registry This registry is approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Professionals and GPRO Practices for
Physician's Core Measure Pocket Guide AMI
Physician's Core Measure Pocket Guide Core Measure Hotline: Ext. 4448 http://centegramedsource.com Indicator: AMI AMI VER. 9/2018 MUST document WHY no ASA unless there is documentation of contraindication
Program Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for, Atrial Fibrillation, Hypertension and.
Clinical Quality Measures
Core Measures Preventive Care and Screening Measure Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention. Percentage of patients aged 18 years and older who have been seen for at least 2
Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings
CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience
IHC ATP PROJECT. Cardiac Medications for Patients with AMI & CHF MERLE WEST MEDICAL CENTER
IHC ATP PROJECT Cardiac Medications for Patients with AMI & CHF TEAM COMPOSITION Paul Stewart, President/CEO - Facilitator Dr. Jim Calvert, Chairman, PIC Dr. Kathy Bakke, CE Faculty, Chief of Staff Dr.
Physician Orders ADULT: PCI Post Procedure Plan
Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase Phase: PCI Post Procedure Phase, When to Initiate: Initiate Powerplan Phase Phase: Post Cath/PCI Hydration Protocol Phase,
Meaningful Use Clinical Quality Measures for Eligible Professionals
Meaningful Use Clinical Quality Measures for Eligible Professionals Measure Type NQF ID CMS ID Description Title: Adult Weight Screening and Follow-Up 1 NQF 0421 PQRI 128 calculated BMI in the past six
2013, American Heart Association
2013, American Heart Association Mission: Lifeline - Data, Reports and ACTION Registry - GWTG THE MISSION: BETTER HEART ATTACK CARE FOR YOUR COMMUNITY THE LIFELINE: THE AMERICAN HEART ASSOCIATION AND YOU
Clinical Integration Quality Measures
Clinical Integration Quality Measures Valley Integrated Care Network (VIPN) is physician-driven, with physicians determining which quality measures will be used to improve overall quality of care. Purpose:
AZ-CAH Operational Performance Review. Howard J. Eng, Stephen Delgado and Kevin Driesen
AZ-CAH Operational Performance Review Howard J. Eng, Stephen Delgado and Kevin Driesen Financial Indicators Summary Howard J. Eng, DrPH 2 Overview CAH Profitability Trends Net Income (Total Revenue Total
Clinical Quality Measures for Submission by Medicare or Medicaid EP/s for the 2011 and 2012 Payment Year
1 NQF 0059 1 NQF 0064 2 NQF 0061 3 Title: Diabetes: Hemoglobin A1c Poor Control Description: Percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had hemoglobin A1c > 9.0%. Title:
American College of Physicians Genesis Registry
Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the
Measurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI)
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for Artery, Atrial Fibrillation, Hypertension
including prevention, healthy lifestyle behaviors, populations at risk & disparities (age, race/ ethnicity, gender, geographic & socioeconomic)
Endorsement Maintenance 2010 Identification of Gap Areas for which Evidence-based Surgery-related Measures are Needed Cardiac, General, Other Surgical Subspecialties The table below is a tool that identifies
Improving Quality of Care for Medicare Patients: Accountable Care Organizations
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE
CLINICAL QUALITY MEASURES Stage 1 Meaningful Use
CLINICAL QUALITY MEASURES Stage 1 Meaningful Use * Eligible professionals (EPs) must report on 3 required core clinical quality measures (CQMs). If the denominator of 1 or more of the required core measures
To develop guidelines for the use of appropriate antibiotics for adult patients with CAP and guidance on IV to PO conversion.
Page 1 of 5 TITLE: COMMUNITY-ACQUIRED PNEUMONIA (CAP) EMPIRIC MANAGEMENT OF ADULT PATIENTS AND IV TO PO CONVERSION GUIDELINES: These guidelines serve to aid clinicians in the diagnostic work-up, assessment
For Electronic Measure Specification Information go to:
Diabetes Recognition NQF 0421 PQRI 128 Title: Adult Weight Screening and Follow-Up Description: Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the
Get With The Guidelines: Lessons for National Healthcare Improvement Programs
Get With The Guidelines: Lessons for National Healthcare Improvement Programs Gregg C. Fonarow, MD, FACC, FAHA, FHFSA Eliot Corday Professor of Cardiovascular Medicine and Science UCLA Division of Cardiology
American College of Physicians Genesis Registry
Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the
2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015
2016 Physician Quality Reporting System (PQRS) Web Interface 12/18/2015 NQF, ) Care Coordination/Patient Safety (CARE) s (2 s Individually Sampled) CARE-2 Falls: Screening for Future Fall Risk Only #318
The Centers for Medicare & Medicaid Services (CMS) Acute Care Hospital Fiscal Year (FY) 2018 Quality Improvement Program Measures
ID M easure Name NQF # H os pital M easurement Period H os pital H os pital Value-Bas ed Purchas ing M easurement Period H os pital H ealth Record (EH R) Incentive M easurement Period H os pital H os pital-
MEASURING CARE QUALITY
MEASURING CARE QUALITY Region December 2013 For Clinical Effectiveness of Care Measures of Performance From: Healthcare Effectiveness Data and Information Set (HEDIS ) HEDIS is a set of standardized performance
Publicly Reported Quality Measures
Publicly Reported Quality Measures Five-Star Quality Rating System As part of the initiative to add five-star quality ratings to its Compare Web sites, the Centers for Medicare & Medicaid Services (CMS)
Our Commitment to Quality and Patient Safety Core Measures
Calvert Memorial Hospital is committed to our community, with a focus on patient-centered care. High quality and safe patient care is not our goal, it is our priority. That means delivering the best possible
New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0.
New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. Measure Steward Measure Name Measure Description Rationale for Adding
III. ACCOUNTABILITY MEASURES. Care That Follows Best Practice
III. ACCOTAILITY MEASRES Care That Follows est Practice TIMELY & EFFECTIVE CARE FOR COMMO DIAGOSES Compliance with national quality accountability measures (Higher Is etter, except for time to transfer
Institutional Outcomes Report 2012Q2 Sample Hospital
Version 2.2 Institutional Outcomes Report 2012Q2 If User desires to publish or otherwise distribute or use, in whole or in part, any aggregate data or reports provided by ACCF, or produced in connection
Dashboard and Outcomes Report with Case Studies
Dashboard and Outcomes Report with Case Studies Kim Hustler Clinical Quality Consultant, American College of Cardiology The following relationships exist: Kim Hustler: No Disclosures Section F- Procedures
Quality & Hospital Acquired Conditions
Quality & Hospital Acquired Conditions Rebecca Armbruster, DO, MS, FACOI Medical Director Resource Management Patricia Heys, BS Director of Infection Prevention & Control Sally Hinkle, DNP, MPA, RN Director
Physician Consortium for Performance Improvement (PCPI) Performance Measure Status Report
Acute Otitis Externa / Otitis Media with Effusion (8 measures) (AAO-HNS Foundation) AOE : Topical therapy AOE : Pain assessment AOE : Systemic antimicrobial therapy avoidance of inappropriate use OME :
Patient Navigator Program: Focus MI Diplomat Hospital Metrics
Patient Navigator Program: Focus MI Diplomat Hospital Metrics Goal Statement: To reduce avoidable hospital readmissions for patients discharged with acute myocardial infarction (AMI) by supporting a culture
proposed set to a required subset of 3 to 5 measures based on the availability of electronic
CMS-0033-P 143 proposed set to a required subset of 3 to 5 measures based on the availability of electronic measure specifications and comments received. We propose to require for 2011 and 2012 that EP's
OCHSNER PHYSICIAN PARTNERS. PQRS Measures by Specialty (FINAL)
OCHSNER PHYSICIAN PARTNERS PQRS Measures by Specialty (FINAL) Allergy and Immunology 2. Asthma: Pharmacologic Therapy for Persistent Asthma - Ambulatory Care Setting (PQRS 53) 3. Patients aged 18 years
NHS QIS National Measurement of Audit Acute Coronary Syndrome
NHS QIS National Measurement of Audit Acute Coronary Syndrome Things have changed based on the experience and feedback from the first cycle of measurement and, for the better we think! The Acute Coronary
Preventing Surgical Site Infections: The SSI Bundle
Preventing Surgical Site Infections: The SSI Bundle 1 Why SSI? New York State 30,000 hospital discharges 1984 3.7% of patients experience serious adverse events related to medical management The top three
VHA Performance Measurement In Cardiac Care
VHA Performance Measurement In Cardiac Care A Map for VHA Cardiac Performance Measurement in FY 2005 and beyond Roxane Rusch, BSN, MPA, RN Department Of Veterans Affairs Office of Quality and Performance
Measure Applications Partnership. Hospital Workgroup In-Person Meeting Follow- Up Call
Measure Applications Partnership Hospital Workgroup In-Person Meeting Follow- Up Call December 21, 2016 Feedback on Current Measure Sets for IQR, HACs, Readmissions, and VBP 2 Previously Identified Crosscutting
Evidence-Based Measure (EBMs) Definitions
Evidence-Based (EBMs) s This guide is a brief summary of the most commonly-used EBMs. All information is based on the MedInsight Evidence Based s (EBMs) User Guide (October 2015), compiled in a way most
Quality Improvement Updates Foley Discontinuation Protocol Surgical Care Improvement Project
Quality Improvement Updates Foley Discontinuation Protocol Surgical Care Improvement Project Barbara J Martin, RN, MBA Quality Consultant, Center for Clinical Improvement Indwelling Urinary Catheters Insertion,
Keeping Up with CAH QA and QI April 18 & 19, 2012
Keeping Up with CAH QA and QI April 18 & 19, 2012 Jody Ward, RN, BSN ND CAH Quality Network Coordinator ND CAH Quality Network Mission To support ongoing performance improvement of North Dakota s Critical
Getting to the Core of CMS Measures
Pharmacy Technician Education for Association Members By: Joanna Caranante PharmD, BCPS Pharmacy Clinical Coordinator St. Joseph s Hospital Joanna Caranante is currently the Pharmacy Clinical Coordinator
Acute Coronary Syndrome (ACS) Initial Evaluation and Management
Acute Coronary Syndrome (ACS) Initial Evaluation and Management Symptoms of Possible ACS Chest discomfort with or without radiation to the arm(s), jaw, or epigastrium Short of breath Weakness Diaphoresis
HEALTHCARE REFORM. September 2012
HEALTHCARE REFORM Accountable Care Organizations: ACOs 101 September 2012 The enclosed slides are intended to provide you with a general overview of accountable care organizations (ACOs), created within
Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents
Comprehensive ESRD Care (CEC) Model Proposed Quality s for Public Comment Table of Contents Page # Introduction 3 Summaries by Domain Technical Expert Panel Recommended CEC Quality s 4 s that were recommended
FINANCIAL DISCLOSURE: No relevant financial relationship exists
The Value of Guideline Directed Medical Therapy in Heart Failure Steve Dentel RN BSN CPHQ National Director, Field Programs and Integration American Heart Association/American Stroke Association FINANCIAL
NQF Measure Number & PQRI Implementation Number
Title NQF Steward s Adult Weight Screening and Follow-Up Hypertension: Blood Pressure ment Preventive Care and Screening Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention with a calculated
Know the Quality of our Care at Every Step. Kansas City ACS Summit BI-State Cardiovascular Education Consortium
Know the Quality of our Care at Every Step Kansas City ACS Summit BI-State Cardiovascular Education Consortium Welcome to the Kansas City ACS Summit Objectives: Follow the flow and care of an ACS patient