This Core Measure Report shows performance to date. CAVEAT: Data collection is still in progress for the current and immediate past quarter!

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1 This Core Measure Report shows performance to date. CAVEAT: Data collection is still in progress for the current and immediate past quarter!

2 AMI-1 -- Aspirin at Arrival

3 AMI-2 -- Aspirin Prescribed at Discharge

4 AMI-3 -- ACEI or ARB for LVSD

5 AMI-5 -- Beta Blocker Prescribed at Discharge

6 AMI-8a -- Primary PCI Received Within 9 Minutes of Hospital Arrival

7 AMI-1 -- Statin Prescribed at Discharge

8 AMI Composite Measures

9 HF-2 -- Evaluation of LVS Function

10 HF-3 -- ACEI or ARB for LVSD

11 HF Composite Measures

12 PN-3a -- Blood Cultures Performed Within 24 Hours or 24 Hours After Hospital Arrival for Patients Who Were Transferred or Admitted to the ICU Within 24 Hours of Hospital Arrival

13 PN-6 -- Initial Antibiotic Selection for CAP in Immunocompetent - ICU Patient and NON-ICU Patient (Only CMS)

14 PN-6a -- Initial Antibiotic Selection for CAP in Immunocompetent - ICU Patient

15 PN-6b -- Initial Antibiotic Selection for CAP in Immunocompetent - Non ICU Patient

16 PN Composite Measures

17 SCIP-Inf-1a -- Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision - Overall Rate

18 SCIP-Inf-2a -- Prophylactic Antibiotic Selection for Surgical Patients - Overall Rate

19 SCIP-Inf-3a -- Prophylactic Antibiotics Discontinued Within 24 Hours After Surger End Time - Overall Rate Source: UHC Core Measures Database

20 SCIP-Inf-4 -- Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Serum Glucose CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

21 SCIP-Inf-6 -- Surgery Patients with Appropriate Hair Removal CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

22 SCIP-Card-2 -- Surgery Patients on Beta Blocker Therapy Prior to Admission Who Received a Beta Blocker During the Perioperative Period CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

23 SCIP-VTE-2 -- Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours to Surgery to 24 Hours After Surgery CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

24 SCIP-Inf-9 -- Urinary Catheter Removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) With Day of Surgery Being Day Zero CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

25 SCIP-Inf-1 -- Surgery Patients with Perioperative Temperature Management CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

26 SCIP Composite Measures CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

27 IMM-1a -- Pneumococcal Immunization - Overall Rate Source: UHC Core Measures Database

28 IMM-1b -- Pneumococcal Immunization - Age 65 and Older Source: UHC Core Measures Database

29 IMM-1c -- Pneumococcal Immunization - High Risk Populations (Age 6 through 64 years) Source: UHC Core Measures Database

30 IMM-2 -- Influenza Immunization * Only Reported Oct-Mar (Flu Season) CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

31 VTE-1 -- Venous Thromboembolism Prophylaxis Source: UHC Core Measures Database

32 VTE-2 -- Intensive Care Unit Venous Thromboembolism Prophylaxis Source: UHC Core Measures Database

33 VTE-3 -- Venous Thromboembolism Patients with Anticoagulation Overlap Therapy Source: UHC Core Measures Database

34 VTE-4 -- Venous Thromboembolism Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol Source: UHC Core Measures Database

35 VTE-5 -- Venous Thromboembolism Discharge Instructions Source: UHC Core Measures Database

36 VTE-6 -- Incidence of Potentially-Preventable Venous Thromboembolism Source: UHC Core Measures Database

37 VTE Composite Measures Source: UHC Core Measures Database

38 Perinatal Care Mom - PC-1 -- Elective Delivery CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

39 Perinatal Care Mom - PC-3 -- Antenatal Steroids CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

40 Perinatal Care Mom -2a Cesarean Section - Overall Rate CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

41 Perinatal Care Mom - Composite Measures CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

42 PC-5 -- Exclusive Breast Milk Feeding CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

43 PC-5a -- Exclusive Breast Milk Feeding Considering Mothers Choice CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

44 Perinatal Care_Breast Feeding Composite Measure CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

45 PC-4 -- Health Care-Associated Bloodstream Infections in Newborns CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

46 Perinatal Care _Bloodstream Infection in Newborns Composite Measure CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

47 HBIPS-1a -- Admission Screening- Overall Rate

48 HBIPS-4a -- Multiple Antipsychotic Medications at Discharge- Overall Rate

49 HBIPS-5a -- Multiple Antipsychotic Medications at Discharge with Appropriate Justification- Overall Rate

50 HBIPS-6a -- Post Discharge Continuing Care Plan- Overall Rate

51 HBIPS-7a -- Post Discharge Continuing Care Plan Transmitted- Overall Rate

52 . HBIPS Composite Measures

53 SUB1 -- Alcohol Use Screening

54 STK-1 -- Venous Thromboembolism (VTE) Prophylaxis

55 STK-2 -- Discharged on Antithrombotic Therapy

56 STK-3 -- Anticoagulation Therapy for Atrial Fibrillation/Flutter

57 STK-4 -- Thrombolytic Therapy

58 STK-5 -- Antithrombotic Therapy By End of Hospital Day

59 STK-6 -- Discharged on Statin Medication

60 STK-8 -- Stroke Education

61 STK-1 -- Assessed for Rehabilitation

62 STK Composite Measure

63 Median Minutes ED-1a -- Median Time from ED Arrival to ED Departure for Admitted ED Patients Overall Rate

64 OP-4c -- Aspirin at Arrival Chest Pain CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

65 OP Troponin Results Received Within 6 Minutes CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

66 HOP Surgery OP-6 -- Timing of Antibiotic Prophylaxis Measure CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4 Source: UHC Core Measures Database

67 HOP Surgery OP-7 -- Antibiotic Selection Measure

68 Stroke - OP Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 minutes of ED Arrival Measures CY12Q1 CY12Q2 CY12Q3 CY12Q4 CY13Q1 CY13Q2 CY13Q3 CY13Q4 CY14Q1 CY14Q2 CY14Q4

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