2016 AMC Quality and Accountability Performance Scorecard Vidant Medical Center. Overall Rank. Overall Score 63.4% Efficiency 7.
|
|
|
- Melvin Moody
- 5 years ago
- Views:
Transcription
1 2016 AMC Quality and Accountability Performance Scorecard Vidant Medical Center Star Rating Mortality 12.66% of 25% Domain Performance Overall Rank 27 Overall Score 63.4% Equity 5.00% of 5% Efficiency 7.19% of 10% Patient Centeredness 9.38% of 15% Overall Score 63.4% Safety 15.91% of 25% Effectiveness 13.26% of 20% Domain Performance Table Historical Overall Rank Domain Rank Weight Score Weighted Score Vizient Median Vizient Top Performer Overall % 63.40% 63.40% 61.47% 71.00% Mortality 80 25% 50.63% 12.66% 57.25% 82.25% Efficiency 2 10% 71.94% 7.19% 56.88% 76.75% Safety 23 25% 63.64% 15.91% 60.23% 73.86% Effectiveness 26 20% 66.31% 13.26% 62.97% 77.21% Patient Centeredness 29 15% 62.50% 9.38% 56.94% 75.00% Equity 1 5% % 5.00% % %
2 Overall Performance Distribution 100% 80% Overall Score 60% 40% 20% 0% Vizient Median: 61.47%
3 The following section provides the details behind the overall and domain scoring using the 2016 methodology over the past three years. The top section provides the overall and domain scores/ranks. The subsequent sections break down each domain into the individual metrics. For each metric, the unit of measure, the metric performance and the score on the 8-point scale (in parentheses) are included. The Q&A Timeframe refers to the year of the past Q&A ranking. Please refer to the 2016 Q&A methodology document available within the Report Express for specifics regarding the metrics, scoring methods, and data sources used. Overall Domain Scores and Rank - 3 Year Trend Score (Rank) 2016 Overall and Domain Performance Distribution Vizient Median: 61.47% Overall 62.55% (30) 63.45% (26) 63.40% (27) Vizient Median: 57.25% Mortality 56.38% (51) 51.75% (72) 50.63% (80) Vizient Median: 56.88% Efficiency 62.50% (20) 67.00% (7) 71.94% (2) Vizient Median: 60.23% Safety 62.50% (29) 63.64% (19) 63.64% (23) Vizient Median: 62.97% Effectiveness 60.68% (42) 66.60% (26) 66.31% (26) Vizient Median: 56.94% Patient Centeredness 66.67% (14) 63.89% (21) 62.50% (29) Vizient Median: % Equity 88.89% (62) % (1) % (1)
4 Mortality Mortality - Cardiology (1) (2) (7) (8) Mortality - CT Surgery (1) (2) (7) (8) Mortality - Gastroenterology (1) (2) (7) (8) Mortality - Medicine General (1) (2) (7) (8) Mortality - Neurology (1) (2) (7) (8) Mortality - Neurosurgery (1) (2) (7) (8) Mortality - Surgery General (1) (2) (7) (8) Mortality - Ortho/Spine (1) (2) (7) (8) Mortality - Oncology (2) (1) (2) (7) (8) Mortality - Vascular Surgery (1) (2) (7) (8) Mortality - Non Core Service Lines (1) (2) (7) (8)
5 Efficiency Direct Cost - Cardiology (1) (2) (7) (8) Direct Cost - CT Surgery (1) (2) (7) (8) Direct Cost - Gastroenterology (1) (2) (7) (8) Direct Cost - Medicine General (1) (2) (7) (8) Direct Cost - Neurology (1) (2) (7) (8) Direct Cost - Neurosurgery (1) (2) (7) (8) Direct Cost - Surgery General (1) (2) (7) (8) Direct Cost - Oncology (1) (2) (7) (8) Direct Cost - Ortho/Spine (1) (2) (7) (8) Direct Cost - Vascular Surgery (1) (2) (7) (8) Direct Cost - Non Core Service Lines (1) (2) (7) (8)
6 LOS - Cardiology (1) (2) (7) (8) LOS - CT Surgery (1) (2) (7) (8) LOS - Gastroenterology (1) (2) (7) (8) LOS - Medicine General (1) (2) (7) (8) LOS - Neurology (1) (2) (7) (8) LOS - Neurosurgery (1) (2) (7) (8) LOS - Surgery General (1) (2) (7) (8) LOS - Oncology (1) (2) (7) (8) LOS - Ortho/Spine (1) (2) (7) (8) LOS - Vascular Surgery (1) (2) (7) (8) LOS - Non Core Service Lines (1) (2) (7) (8)
7 Safety PSI-03 Pressure Ulcer (1) (2) (7) (8) PSI-06 Iatrogenic Pneumothorax (1) (2) (7) (8) PSI-09 Postoperative Hemorrhage or Hematoma (1) (2) (7) (8) PSI-11 Postoperative Respiratory Failure (1) (2) (7) (8) PSI-13 Postoperative Sepsis (1) (2) (7) (8) NHSN-CAUTI SIR (1) (2) (7) (8) NHSN-CLABSI SIR (1) (2) (7) (8) NHSN-SSI SIR (1) (2) (7) (8) NHSN-CDI SIR (1) (2) (7) (8) VTE-06 Rate % 3.13 (8) 4.48 (8) 0.00 (8) (1) (2) (7) (8) THK Complication Rate % (1) (2) (7) (8)
8 Effectiveness Readmission - Cardiology Rate % (1) (2) (7) (8) Readmission - CT Surgery Rate % (1) (2) (7) (8) Readmission - Gastroenterology Rate % (1) (2) (7) (8) Readmission - Medicine General Rate % (1) (2) (7) (8) Readmission - Neurology Rate % (1) (2) (7) (8) Readmission - Neurosurgery Rate % (1) (2) (7) (8) Readmission - Oncology Rate % (1) (2) (7) (8) Readmission - Ortho/Spine Rate % (1) (2) (7) (8) Readmission - Surgery General Rate % (1) (2) (7) (8) Readmission - Vascular Surgery Rate % (1) (2) (7) (8) Readmission - Non Core Service Lines Rate % (1) (2) (7) (8)
9 Excess Days - Cardiology Rate % (1) (2) (7) (8) Excess Days - CT Rate % (1) (2) (7) (8) Excess Days - Gastroenterology Rate % (1) (2) (7) (8) Excess Days - Medicine General Rate % (1) (2) (7) (8) Excess Days - Neurology Rate % (1) (2) (7) (8) Excess Days - Neurosurgery Rate % (1) (2) (7) (8) Excess Days - Oncology Rate % (1) (2) (7) (8) Excess Days - Ortho/Spine Rate % (1) (2) (7) (8) Excess Days - Surgery General Rate % (1) (2) (7) (8) Excess Days - Vascular Surgery Rate % (1) (2) (7) (8) Excess Days - Non Core Service Lines Rate % (1) (2) (7) (8) ED-1B - Median Time: Admitted Patients Minutes (1) (2) (7) (8)
10 ED-OP-18B - Median Time: Discharged Patients Minutes (1) (2) (7) (8) Stroke Rate % (7) (7) (1) (2) (7) (8) Venous Thromboembolism (VTE) Rate % (7) (7) (1) (2) (7) (8)
11 Patient Centeredness Cleanliness/Quietness (1) (2) (7) (8) Discharge (1) (2) (7) (8) Doctor (1) (2) (7) (8) Medications (1) (2) (7) (8) Nurse (1) (2) (7) (8) Overall (1) (2) (7) (8) Pain (1) (2) (7) (8) Responsiveness (1) (2) (7) (8) Transition of Care (1) (2) (7) (8)
12 Equity Gender Race Socio Economic Status (SES) Measure Set Males Females p-value White Non-White p-value Non-Low SES Low SES p-value ED Median Wait Time for Admitted Patients Min (n=130) Min (n=96) Min (n=130) Min (n=135) Min (n=118) Min (n=156) Min (n=142) Min (n=127) Min (n=142) Min (n=123) Min (n=87) Min (n=144) Min (n=198) Min (n=168) Min (n=222) Min (n=67) Min (n=46) Min (n=64) Stroke Composite (306/377) (333/357) (458/495) (271/326) (344/370) (408/455) (305/371) (352/383) (426/465) (272/332) (325/344) (440/485) (457/561) (556/600) (708/779) (120/142) (121/127) (158/171) VTE Composite (267/321) (308/331) (383/410) (292/336) (347/363) (385/418) (300/346) (355/370) (398/429) (259/311) (300/324) (370/399) (461/526) (530/563) (619/664) (98/131) (125/131) (149/164) Vizient. All rights reserved. For a complete explanation of Vizients's rights and disclaimers related to the information and documents on this site, click here. For assistance please contact Vizient Service Center at CDPinfo@vizientinc.com or (844) Vizient, 290 E. John Carpenter Freeway, Irving, Texas, 75062, (312)
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
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
Medicare Hospital Acquired Conditions Reduction Program Andrew B. Wheeler Vice President of Federal Finance
Medicare Hospital Acquired Conditions Reduction Program - 201 Andrew B. Wheeler Vice President of Federal Finance Value-Based Hospital Acquired Purchasing Conditions FFY 2018 FFY -2016 2020 AHRQ Claims
COOK COUNTY HEALTH Meaningful Metrics
COOK COUNTY HEALTH Meaningful Metrics 2018-2019 Ronald Wyatt MD MHA January 18, 2019 2 Meaningful Measures 3 Meaningful Measures Framework Meaningful Measure Areas Achieve: High quality healthcare Meaningful
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
CMS Hospital Inpatient Quality Reporting (IQR) Program Measures for the FY 2019 Payment Update
CMS Inpatient Quality Reporting (IQR) Program Measures for the Update Measures Required to Meet IQR Program APU Requirements NHSN Submission CAUTI National Healthcare Safety Network (NHSN) Catheter-Associated
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
CMS Hospital Inpatient Quality Reporting (IQR) Program Measures for the FY 2020 Payment Update
CMS Inpatient Quality Reporting (IQR) Program Measures for the Payment Update Measures Required to Meet IQR Program APU Requirements Healthcare-Associated Infection on CAUTI National Healthcare Safety
Mandatory Elements of Healthcare Reform Walter Coleman. healthcare consulting
Mandatory Elements of Healthcare Reform Walter Coleman 1 Agenda ACA Mandatory Elements of Reform Value Based Purchasing Readmission Reduction Program Hospital Acquired Conditions Best practices to analyze
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-
Core = Core required measures for all CAH nationally r = Required by State of Minnesota X = Additional for MBQIP
Key: 2016 Hospital Measure Summary Minnesota Statewide Quality eporting and Measurement System (SQMS) and FY2018 for Center for Medicare and Medicaid Services () January 2016 = equired by Core = Core required
End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Status Type NQF Measure Title
End-Stage Renal Disease Quality Incentive Program (ESRD QIP) Status Type NQF Measure Title NQF Status ID Implemented Outcome 1454 Proportion of patients with hypercalcemia 0256 Vascular Access Type Catheter
CAMPAIGN THE UP CAMPAIGN: BRIEF. Problem. Solution THE UP CAMPAIGN WAKE UP GET UP SOAP UP SEDATION AND OPIOID SAFETY PLANS HAND HYGIENE
THE CAMPAIGN: BRIEF Problem Front-line staff are implementing multiple worthy approaches to reduce harm and improve care, which can make it difficult to prioritize and execute interventions. With ever-increasing
Nancy Hailpern, Director, Regulatory Affairs K Street, NW, Suite 1000 Washington, DC 20005
Summary of Infection Prevention Issues in the Centers for Medicare & Medicaid Services (CMS) FY 2014 Inpatient Prospective Payment System (IPPS) Final Rule Hospital Readmissions Reduction Program-Fiscal
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:
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
Stratis Health
2017 Hospital Measure Summary Minnesota Statewide Quality eporting & Measurement System (SQMS) and FY2019 for Center for Medicare & Medicaid Services (CMS) Contents Key... 1 Chart Abstracted Measures...
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
6/30/2015. Lunch and Learn. Objectives. Who owns Quality and Patient Safety? We all do It s a Balance of Responsibility
Lunch and Learn Patient Safety Indicators June 11, 2014 Objectives List at least 3 entities that drive patient quality and safety initiatives Define AHRQ Patient Safety Indicators Describe the 10 diagnoses
CMS Measures - Fiscal Year 2019
ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2019 ID Name NQF # The Centers for Medicare & Medicaid Services (CMS) Improvement
Reporting Period and Reliability of AHRQ, CMS 30-day and HAC Quality Measures - Revised
MEMORANDUM TO: Sophia Chan SUBJECT: Reporting Period and Reliability of AHRQ, CMS 30-day and HAC Quality Measures - Revised Reliability of an outcome measure is the extent to which variation in the measure
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
Rapid Response Teams. January 17, Safe Table Webinar
Rapid Response Teams January 17, 2017 Safe Table Webinar Christin Gordanier, MSN, RN, Inpatient Nursing Director at Virginia Mason Medical Center in Seattle, Washington. Alice Ferguson, BSN, RN, Project
Click to edit Master subtitle style
Does Enhanced Recovery Improve Outcomes? Click to edit Master subtitle style Kaare Weber, MD Director of Surgery Associate Medical Director, Surgery A MEMBER OF THE MONTEFIORE HEALTH SYSTEM mes? Click
Reliability and Validity of PPCs in the MHAC Program
Reliability and Validity of PPCs in the MHAC Program Presentation at the November Work Group Meeting November 20 th, 2015 Fei Xing Huihua Lu Haixia Xu Emily McPherson Frank Yoon Eric Schone Overview of
PIN BENCHMARKING DATA DEFINITIONS DICTIONARY
CORE MEASURES PIN BENCHMARKING DATA DEFINITIONS DICTIONARY 1 Total number of CAH acute care patient admissions. Report all CAH acute care only patient admissions for the quarter. Exclude CAH swing bed,
Proposed Expansion of the Patient Safety Indicator Set Patrick S. Romano, MD MPH UC Davis/USA
Proposed Expansion of the Patient Safety Indicator Set Patrick S. Romano, MD MPH UC Davis/USA OECD Health Care Quality Indicators Patient Safety Subgroup 9 May 2012 AHRQ PSIs endorsed by OECD (after review
A Pause in the Availability of Risk Adjusted National Benchmarks for AHRQ Indicators and an Alternative Measurement Approach
A Pause in the Availability of Risk Adjusted National Benchmarks for AHRQ Indicators and an Alternative Measurement Approach Joseph Greenway, MPH Director of the Center for Health Information Analysis
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
CCHHSQualityDashboard-DRAFT
CCHHSQualityDashboard-DRAFT9..8 Falswith Injury Pressure Injury(Stage I&IV) Aug-7 Nov-7 Feb-8 May-8 Aug-8 Aug-7 Nov-7 Feb-8 May-8 Aug-8 0 4 9 8 5 5 6 5 HospitalAcquiredConditions 07Q 07Q4 08Q 08Q 0.00
Absent: Director Layla P. Suleiman Gonzalez, PhD, JD (1)
Minutes of the meeting of the Quality and Patient Safety Committee of the Board of Directors of the Cook County Health and Hospitals System held Friday, January 18, 2019 at the hour of 10:00 A.M. at 1950
Medicare Value Based Purchasing Andrew B. Wheeler Vice President of Federal Finance
Medicare Value Based Purchasing - 101 Andrew B. Wheeler Vice President of Federal Finance What is Medicare s VBP System? Incentive program to improve outcomes, safety, patient satisfaction, and efficiency
Standards of excellence
The Accreditation Canada Stroke Distinction program was launched in March 2010 to offer a rigorous and highly specialized process above and beyond the requirements of Qmentum. The comprehensive Stroke
Operational Performance. SaTH Overall Performance
Balanced Scorecard Summary 3 Operational Performance inance Previous This Year to Date Previous This Year to Date Number Number Number Number Number Green 16 17 17 Green 7 7 0 Amber 4 3 3 Amber 0 1 0 Red
Ischemic Heart Disease Interventional Treatment
Ischemic Heart Disease Interventional Treatment Cardiac Catheterization Laboratory Procedures (N = 89) is a regional and national referral center for percutaneous coronary intervention (PCI). A total of
Is Readmission a Good Quality Measure for Surgical Care? Examining the Underlying Reasons for Readmissions after Surgery at ACS NSQIP Hospitals
Is Readmission a Good Quality Measure for Surgical Care? Examining the Underlying Reasons for Readmissions after Surgery at ACS NSQIP Hospitals Mila H. Ju, MD, MS Ryan P. Merkow, MD, MS Jeanette W. Chung,
2015 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.
A Matter of Life or Death: CDI Impact on Mortality Risk Adjustment Allison Clerval, RN, BSN, CCDS Kathleen Shindle, RN, BSN, CCDS Clinical Documentation Supervisors Thomas Jefferson University Hospital
Ischemic Heart Disease Interventional Treatment
Ischemic Heart Disease Interventional Treatment Cardiac Catheterization Laboratory Procedures (N = 11,61) is a regional and national referral center for percutaneous coronary intervention (PCI). A total
THE NATIONAL QUALITY FORUM
THE NATIONAL QUALITY FORUM National Voluntary Consensus Standards for Patient Outcomes Table of Measures Submitted-Phase 1 As of March 5, 2010 Note: This information is for personal and noncommercial use
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
Primary Care Gap Analysis
Primary Care Gap Analysis (Qualitative Report) Uvalde, Texas is a continually growing city and although the population continues to grow at a moderately stable rate, the access to primary care has remained
SOC s Guide to the 2013 CMS New Core Measures for Stroke
SOC s Guide to the 2013 CMS New Core Measures for Stroke Since 2004, the Centers for Medicare & Medicaid Services (CMS) has collected quality data from acute care hospitals on a voluntary basis under the
Tennessee s Tenth Report on Healthcare-Associated Infections: Overview of Report, Methodology, and Format
Tennessee s Tenth Report on Healthcare-Associated Infections: Overview of Report, Methodology, and Format TDH HAI Team September 3, 2015 Acknowledgements THA/TCPS for hosting this webinar TDH HAI Team
Introduction. Centers for Disease Control and Prevention (CDC),
When Prevention Fails: The Clinical and Economic Impact of Sepsis Introduction Healthcare-associated infections are one of the top 0 leading causes of death in the U.S. The US Centers for Disease Control
Risk of Venous Thromboembolism Outweighs Post-Hepatectomy Bleeding Complications: Analysis of 5,651 NSQIP Patients
Risk of Venous Thromboembolism Outweighs Post-Hepatectomy Bleeding Complications: Analysis of 5,651 NSQIP Patients Ching-Wei D. Tzeng, MD Matthew H. G. Katz, MD; Jason B. Fleming, MD; Peter W. T. Pisters,
Table of Contents. Current and Proposed CMS Quality Measures for Reporting in 2017 through 2023 Revised 5/4/2017
Table of Contents Current and Proposed CMS Quality Measures for Reporting in 2017 through 2023 Inpatient Measures Collected and Submitted by Hospital AMI/ED/IMM/Pneumonia/Sepsis/Stroke Page 2 Surgical
Great Lakes Partners for Patients: Hospital Improvement Innovation Network - Encyclopedia of Measures Frequently Asked Questions
Great Lakes Partners for Patients: Hospital Improvement Innovation Network - Encyclopedia of Measures Frequently Asked Questions Contents Great Lakes Partners for Patients: Hospital Improvement Innovation
DEMAND AND CAPACITY MODELLING
DEMAND AND CAPACITY MODELLING How we used demand and capacity modelling to develop a robust and credible recovery plan Piers Young Deputy Chief Operating Officer (Elective Care) CONTENTS Brief history
Table of Contents. Current and Proposed CMS Quality Measures for Reporting in 2017 through 2023 Revised 8/8/2017
Table of Contents Current and Proposed CMS Quality Measures Inpatient Measures Collected and Submitted by Hospital AMI/ED/IMM/Pneumonia/Sepsis/Stroke Page 2 Surgical Care Improvement/VTE/Perinatal Care/Pediatric
Troubleshooting Audio
Welcome! Audio for this event is available via ReadyTalk Internet streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
Long-stay patients methodology Published by NHS England and NHS Improvement
Long-stay patients methodology Published by NHS England and NHS Improvement July 2018 1 Document Title: Long-stay patients methodology Version number: 1.0 First published: 9 July 2018 Updated: Prepared
NHS Outcomes Framework: at-a-glance
April 2016 NHS Outcomes Framework: at-a-glance List of outcomes and indicators in the NHS Outcomes Framework for 2016-17 Domain 1: Preventing people from dying prematurely 1a Potential years of life lost
Troubleshooting Audio
Welcome Audio for this event is available via ReadyTalk Internet streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
Knowledge to Practice; Applying New Skills
Knowledge to Practice; Applying New Skills Linda R. Greene, RN, BS, MPS,CIC UR Highland Hospital Rochester, NY linda_greene@urmc.rochester.edu Kim M. Delahanty, RN, BSN, PHN,MBA/HCM,CIC UCSD Health System
NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes:
NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes: Implications for Benchmarking and Collaborative Quality Improvement Shawn J. Rangel, MD, MSCE ACS NSQIP Conference
Connecticut Joint Replacement Institute (CJRI) Outcomes Report
Connecticut Joint Replacement Institute () Outcomes Report Our Highlights: Nationally recognized Over 27,000 surgeries performed Devoted to excellence in patient care Proven superior outcomes that matter.
Institutional Priorities and the Impact on Mortality Rates
Institutional Priorities and the Impact on Mortality Rates John M. McGregor, MD Ciarán Powers, MD, PhD Associate Professor, Clinical Neurosurgery Associate Professor, Neurological Surgery Co-Chair Neurosciences
Evolutions in Geriatric Fracture Care Preparing for the Silver Tsunami
Evolutions in Geriatric Fracture Care Preparing for the Silver Tsunami James Holstine, DO Medical Director for the Joint Replacement Center, Geriatric Fracture Center, Orthopedic Surgeon PeaceHealth Whatcom
Specifications Manual Update: Hospital Outpatient Quality Reporting (OQR) Program
Specifications Manual Update: Hospital Outpatient Quality Reporting (OQR) Program Melissa Thompson, RN, BSN Specifications Manual Lead Hospital OQR Program Support Contractor January 23, 2019 Featuring:
2016 Report Card Gwen Neilsen Anderson Rehabilitation Center Inpatient Rehabilitation Unit. stlukesonline.org
2016 Report Card Gwen Neilsen Anderson Rehabilitation Center Inpatient Rehabilitation Unit stlukesonline.org Why the Gwen Neilsen Anderson Rehabilitation Center? The Gwen Neilsen Anderson Rehabilitation
MHA Keystone Center. MICAH QN Meeting May 18, 2018
MHA Keystone Center MICAH QN Meeting May 18, 2018 Agenda ADEs due to Opioids measure Sepsis measures a) Post-Operative Sepsis (PSI-13) b) Sepsis Mortality Rate Falls with Injury measure Person & Family
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
Trust Clinical Claim Scorecard - Guidance Sheet
Trust Clinical Claim Scorecard - Guidance Sheet The data presented in these spreadsheets is provided to Trusts to consider their claims and learning that can be determined by using different approaches
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
Wind, Water, Wound, Walk Do the Data Deliver the Dictum?
Wind, Water, Wound, Walk Do the Data Deliver the Dictum? Elizabeth M. Sonnenberg, MD, Caroline E. Reinke, MD MSHP, Edmund K. Bartlett, MD, Karole T. Collier, Giorgos C. Karakousis, MD, Daniel N. Holena,
4. Which survey program does your facility use to get your program designated by the state?
TRAUMA SURVEY Please complete one survey for each TCD designation you have in your facility. There would be a maximum of three surveys completed if your facility was designated as a trauma, stroke and
CFO Council. Physician Compensation Trends. Survey Challenges
CFO Council Physician Compensation Trends 1 Survey Challenges Many healthcare organizations use surveys in their compensation plans. Some to set specific targets and benchmarks and others to determine
Statit pimd Client Panel. Guy March, Product Lead, Midas+ Statit
Statit pimd Client Panel Guy March, Product Lead, Midas+ Statit Statit pimd/ppr Statit Software Started ~25 years ago Currently serving 650 hospitals Guy March Working with Statit QC products for over
C E R T I FI C AT I O N. Benchmarking Performance in HFAP-certified Primary Stroke Centers
PRIMARY STROKE C E R T I FI C AT I O N Benchmarking Performance in HFAP-certified Primary Stroke Centers HFAP s mission is to advance high quality patient care and safety through objective application
Clinical Quality Measures for PQRS. Last Updated: June 4, 2014
Clinical Quality Measures for PQRS Last Updated: June 4, 2014 The Michigan Bariatric Surgery Collaborative (MBSC) Quality Clinical Data Registry will submit the following measures outlined below on behalf
IASIS Focus on Quality
IASIS Focus on Quality Patients and their families know and understand the meaning of quality healthcare. The attitude and responsiveness of their nurse, the doctor s bedside manner, the overall appearance
Index. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Absorption of drugs in the elderly, 278 Abuse substance in patient with cognitive impairment safety concerns related to, 323, 325, 329 330 ADEs.
PPS Exempt Cancer Hospital Quality Reporting (PCHQR) Program Relationship Matrix of Program Measures by Years and Quarters
PPS Exempt Cancer Quality (PCHQR) Relationship Matrix of Measures by and This reference document for PCHQR participants provides the following: Specific measures with their National Quality Forum (NQF)
Chasing Zero Infections Coaching Call No Catheter = No CAUTI: Reducing Catheter Utilization Feb. 13, 2018
Chasing Zero Infections Coaching Call No Catheter = No CAUTI: Reducing Catheter Utilization Feb. 13, 2018 Agenda Welcome & FHA Mission to Care HIIN Trends and Progress: CAUTI and Device Utilization Cheryl
Appendix 1. Validation studies of Agency for Healthcare Research and Quality (AHRQ) patient safety indicator (PSI) Validated PSI and author
Appendix 1. Validation studies of Agency for Healthcare Research and Quality (AHRQ) patient safety indicator (PSI) Validated PSI and author Reference standard, Year of data PPV ( % of N) Conclusion made
Infection Control: Meeting the Challenge
22nd Annual Midas+ User Symposium June 2 5, 2013 Tucson, Arizona Infection Control: Meeting the Challenge Wednesday, June 5, 2:30 pm The data demands placed on Infection Control departments have significantly
Inferior Venacaval Filters Valuable vs. Dangerous Valuable Annie Kulungowski. Department of Surgery Grand Rounds March 24, 2008
Inferior Venacaval Filters Valuable vs. Dangerous Valuable Annie Kulungowski Department of Surgery Grand Rounds March 24, 2008 History of Vena Cava Filters Virchow-1846-Proposes PE originate from veins
PPS Exempt Cancer Hospital Quality Reporting (PCHQR) Program Relationship Matrix of Program Measures by Years and Quarters
PPS Exempt Cancer Quality (PCHQR) Relationship Matrix of Measures by and This reference document for PCHQR participants provides the following: Specific measures with their National Quality Forum (NQF)
Carolinas HealthCare System Fragility Fracture Program
Carolinas HealthCare System Fragility Fracture Program Presented By: Monica C. Mowry, MSN, RN, NE-BC, ONC Director, Clinical Program Development Carolinas HealthCare System Charlotte, NC Objectives Expand
FloridaHealthFinder.gov
FloridaHealthFinder.gov Hospital Inpatient Medical Conditions and Procedures Adults Includes Readmissions except Cancer (excluding Mastectomy and Kidney/Ureter Removal) Bones and Joints 1. Back Problems
Understanding the Role of Palliative Care in the Treatment of Cancer Patients
Understanding the Role of Palliative Care in the Treatment of Cancer Patients Palliative care is derived from the Latin word palliare, to cloak. This is a form of medical care or treatment that concentrates
What's in a Review? Key Factors to Include and Exclude
What's in a Review? Key Factors to Include and Exclude Deanne Wilk, BSN, RN, CCDS, CCS, CMS Manager, Clinical Documentation Improvement Penn State Health Hershey This is the Full Title of a Session Hershey,
PfP Quality Metrics: Readmissions, Value-Based Purchasing and Beyond
PfP Quality Metrics: Readmissions, Value-Based Purchasing and Beyond Presented to ASHNHA Alaska Partnership for Patients Advisory Group February 4, 2015 Gloria Kupferman Readmissions Calculation methods
2017 Stroke Statistics
2017 Stroke Statistics 2017 LUMC Stroke Volumes by Type of Stroke Ischemic Stroke Treatment by Type 2017 17% 8% 75% Ischemic Intracerebral Hemorrhage Aneurysmal Subarachnoid Hemorrhage 31 42 25 r-tpa Administered
Venous Thromboembolism Prophylaxis
Approved by: Venous Thromboembolism Prophylaxis Vice President and Chief Medical Officer; and Vice President and Chief Operating Officer Corporate Policy & Procedures Manual Number: Date Approved January
Session 15 Improved Outcomes and a Proven ROI Model for Quality Improvement: Transforming Diabetes Care
Session 15 Improved Outcomes and a Proven ROI Model for Quality Improvement: Transforming Diabetes Care Charles G Macias MD, MPH Chief Clinical Systems Integration Officer Director of Evidence-Based Outcomes
Predicting Short Term Morbidity following Revision Hip and Knee Arthroplasty
Predicting Short Term Morbidity following Revision Hip and Knee Arthroplasty A Review of ACS-NSQIP 2006-2012 Arjun Sebastian, M.D., Stephanie Polites, M.D., Kristine Thomsen, B.S., Elizabeth Habermann,
Surveillance and Epidemiological Investigation
Surveillance and Epidemiological Investigation Objectives The participant will be able to identify at least 4 types of data used for surveillance of infections. The participant will be able to define outbreak.
TREATMENT OF INPATIENTS WITH ACUTE SEVERE ULCERATIVE COLITIS
TREATMENT OF INPATIENTS WITH ACUTE SEVERE ULCERATIVE COLITIS Target Audience: Physicians, Physician Assistants, Nurse Practitioners and Nurses impacted by the protocol. Scope/Patient Population: All adult
TREATMENT OF INPATIENTS WITH ACUTE SEVERE ULCERATIVE COLITIS
TREATMENT OF INPATIENTS WITH ACUTE SEVERE ULCERATIVE COLITIS Target Audience: Physicians, Physician Assistants, Nurse Practitioners and Nurses impacted by the protocol. Scope/Patient Population: All adult
Consultant Services to Kansas Family Physicians
Consultant Services to Kansas Family Physicians The purpose of this study is to track the use of consultants. An e-mail survey was sent to 114 Kansas family physicians The survey was launched on 11/25/2009
Data Comparability in Patient Safety Indicators
Data Comparability in Patient Safety Indicators Yael Applbaum MD Shulamit Gordon Ziona Haklai Background In Israel diagnosis is only at discharge without an additional admission diagnosis upon entrance
Appropriate documentationwhy it matters. Eric Cornatzer MD Baptist Princeton Hospital
Appropriate documentationwhy it matters Eric Cornatzer MD Baptist Princeton Hospital Disclosures Nothing to disclose Purpose Why Clinical documentation is important To provide general overview of Clinical
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
Thirty-Day Outcomes of Laparoscopic vs. Open Total Proctocolectomy with Ileoanal Anastomosis in Children
Thirty-Day Outcomes of Laparoscopic vs. Open Total Proctocolectomy with Ileoanal Anastomosis in Children Jeremy D. Kauffman MD, Paul D. Danielson MD, Nicole M. Chandler MD Johns Hopkins All Children s
Validation of HAI Reporting in New Hampshire Hospitals: Data from
Validation of HAI Reporting in New Hampshire Hospitals: Data from 2014-15 Nancy Reinhalter, RN CCRC JSI Research & Training Institute, Inc. February 22, 2017 ACKNOWLEDGEMENTS JSI Team Priscilla Davis Paddy
EJEMPLARES DE HOSPITAL J. J. AGUIRRE RECIBIDOS EN EL MES DE JULIO DE 2004
EJEMPLARES DE HOSPITAL J. J. AGUIRRE RECIBIDOS EN EL MES DE JULIO DE 2004 1. Acta anaesthesiologica Scandinavica. Vol.48, No.6 (July 2004) Vol.48, No.7 (Aug. 2004) 2. AIDS. Vol.18, No.8 (May 21, 2004)
KHC Hand Hygiene Collaborative
Introducing the KHC Hand Hygiene Collaborative 10:00 a.m. 623 SW 10 th Ave. Topeka, KS 66612 (785) 235 0763 www.khconline.org KHC Presenters Michele Clark Program Director mclark@khconline.org 785-235-0763
TEXAS Project: Transitions EXplored And Studied
TEXAS Project: Transitions EXplored And Studied Robert A. Phillips, MD, PhD, FACC EVP& CMO/CQO, Houston Methodist President & CEO, HM Physician Organization Professor of Medicine, Weill Cornell Medical