Publicly Reported Quality Measures
|
|
- Duane Dorsey
- 6 years ago
- Views:
Transcription
1 Publicly Reported Quality Measures
2 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) publishes HCAHPS Star Ratings to the Hospital Compare Web site. Star Ratings make it easier for consumers to use the information on the Compare Web sites and spotlight excellence in healthcare quality. Twelve HCAHPS Star Ratings will appear on Hospital Compare: one for each of the 11 publicly reported HCAHPS measures, plus an HCAHPS Summary Star Rating. CMS updates the HCAHPS Star Ratings each quarter. Source Data: Source for measures obtained from Hospital Compare, Centers for Medicare & Medicaid Services. Last updated: March, 2016 Five Star Quality Rating HRH Rating Q Overall Star Rating 4
3 Infection Prevention
4 Infection Prevention Infections can cause additional medical problems for patients, increase the time a patient spends in the hospital, and sometimes can result in serious illness. The risk of healthcareassociated infections can be reduced by following best practices for infection control. Infections (Higher Rate is Better) HRH Rating Q HRH Internal Goal Preventing Ventilator Associated Pneumonia 100% 100% Central Line Associated Bloodstream Infection 100% 100% Sever Sepsis/Septic Shock 83.38% 90%
5 Preventing Ventilator Associated Pneumonia The percentage of patients on ventilators that have received all of the preventative interventions.
6 Central Line Associated Bloodstream Infection The percentage of patients with central lines that have received all of the preventative interventions.
7 Severe Sepsis/Septic Shock This measures how many patients who have severe sepsis/septic shock receive the timely effective care treatment bundle recommended by evidence based practice.
8 Infection Prevention Infections can cause additional medical problems for patients, increase the time a patient spends in the hospital, and sometimes can result in serious illness. The risk of healthcareassociated infections can be reduced by following best practices for infection control. Hand Hygiene (Higher Rate is Better) HRH Performance Q HRH Internal Goal Hand Hygiene: Intensive Care Unit 96% 90% Hand Hygiene: Medical-Surgical Unit 100% 90% Hand Hygiene: Emergency Department 82% 90%
9 Hand Hygiene: CICU What are we measuring? Hand hygiene performance in our intensive care unit (CICU), medical-surgical units and our emergency department.
10 Hand Hygiene: Medical-Surgical Unit What are we measuring? Hand hygiene performance in our intensive care unit (CICU), medical-surgical units and our emergency department.
11 Hand Hygiene: Emergency Department What are we measuring? Hand hygiene performance in our intensive care unit (CICU), medical-surgical units and our emergency department.
12 Heart Care
13 Heart Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for heart attack and heart failure measures. Appropriate and Timely Treatment for Heart Attack (Higher Rate is Better) Primary PCI Received Within 90 Minutes of Hospital Arrival HRH Performance Q Top 10% Nationally 100% 100%
14 Primary PCI Heart Attack These measures show how Hancock Regional Hospital provides recommended treatments for heart attack and heart failure to provide the best results for our patients.
15 Evaluation of Left Ventricular Function These measures show how Hancock Regional Hospital provides recommended treatments for heart attack and heart failure to provide the best results for our patients.
16 Heart Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for heart attack and heart failure measures. Post Discharge Outcomes for Heart Attack (Lower Rate is Better) HRH Performance Q National Performance Heart Attack 30-Day Mortality Rate 13.6% 14.2% Heart Attack 30-Day Readmission Rate 17.1% 17.0%
17 Heart Attack Mortality Rate This measure represents the percentage of patients who passed away within 30 days of being admitted for heart attack, heart failure or pneumonia at Hancock Regional Hospital. The cause of death may have been related to the original diagnosis or could be related to any other conditions.
18 Heart Attack Readmission Rate This measure represents the percentage of patients who were re-admitted within 30 days of being admitted for heart attack, heart failure or pneumonia at Hancock Regional Hospital. The re-admission may have been planned as part of the patients plan of care. Unplanned readmissions may be related to the original patient condition or due to any other condition.
19 Heart Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for heart attack and heart failure measures. Appropriate and Timely Treatment for Heart Failure (Higher Rate is Better) HRH Performance Q Top 10% Nationally Evaluation of Left Ventricular Function 100% 100%
20 Primary PCI Heart Attack These measures show how Hancock Regional Hospital provides recommended treatments for heart attack and heart failure to provide the best results for our patients.
21 Evaluation of Left Ventricular Function These measures show how Hancock Regional Hospital provides recommended treatments for heart attack and heart failure to provide the best results for our patients.
22 Heart Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for heart attack and heart failure measures. Post Discharge Outcomes for Heart Failure (Lower Rate is Better) HRH Performance Q National Performance Heart Failure 30-Day Mortality Rate 12.9% 11.6% Heart Failure 30-Day Readmission Rate 19.7% 22.0%
23 Heart Failure Mortality Rate This measure represents the percentage of patients who passed away within 30 days of being admitted for heart attack, heart failure or pneumonia at Hancock Regional Hospital. The cause of death may have been related to the original diagnosis or could be related to any other conditions.
24 Heart Failure Readmission Rate This measure represents the percentage of patients who were re-admitted within 30 days of being admitted for heart attack, heart failure or pneumonia at Hancock Regional Hospital. The re-admission may have been planned as part of the patients plan of care. Unplanned readmissions may be related to the original patient condition or due to any other condition.
25 Surgical Care
26 Surgical Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for for preventing infection from surgical procedures. Prevention of Surgical Infections (Higher Rate is Better) Antibiotic Received Within 1 Hour Prior to Surgical Incision Appropriate Antibiotic Selection for Surgical Patients HRH Performance Q Top 10% Nationally 100% 100% 100% 100% Antibiotics Stopped Within 24 Hours of Surgery 100% 100%
27 Antibiotic Received Within 1 Hour Prior to Surgical Incision This measure represents how Hancock Regional Hospital adheres to recommended guidelines for reducing the risk of infection after surgery by providing care that is know to get the best results for our patients.
28 Appropriate Antibiotic Selection for Surgical Patients This measure represents how Hancock Regional Hospital adheres to recommended guidelines for reducing the risk of infection after surgery by providing care that is know to get the best results for our patients.
29 Antibiotic Stopped Within 24 Hours of Surgery This measure represents how Hancock Regional Hospital adheres to recommended guidelines for reducing the risk of infection after surgery by providing care that is know to get the best results for our patients.
30 Pneumonia Care
31 Pneumonia Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for pneumonia care measures. Appropriate Treatment for Pneumonia (Higher Rate is Better) HRH Performance Q Top 10% Nationally Appropriate Antibiotic Selection 100% 100%
32 Appropriate Antibiotic Selection - Pneumonia These quality measures represent how Hancock Regional Hospital adheres to recommended treatments for pneumonia care for our patients.
33 Pneumonia Care The information below tells you how Hancock Regional Hospital adheres to recommended guidelines for pneumonia care measures. Post Discharge Outcomes for Pneumonia (Lower Rate is Better) HRH Performance Q National Performance Pneumonia 30-Day Mortality Rate 11.7% 11.5% Pneumonia 30-Day Readmission Rate 15.9% 16.9%
34 Pneumonia Mortality Rate This measure represents the percentage of patients who passed away within 30 days of being admitted for heart attack, heart failure or pneumonia at Hancock Regional Hospital. The cause of death may have been related to the original diagnosis or could be related to any other conditions.
35 Pneumonia Readmission Rate This measure represents the percentage of patients who were re-admitted within 30 days of being admitted for heart attack, heart failure or pneumonia at Hancock Regional Hospital. The re-admission may have been planned as part of the patients plan of care. Unplanned readmissions may be related to the original patient condition or due to any other condition.
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)
More informationSCORES 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:
More informationState 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
More informationCMS 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)
More informationCMS 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
More informationMeasure 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
More informationThe 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-
More informationPerformance 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
More informationCMS 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
More informationCMS 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
More informationCAH 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
More informationState 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
More informationQuality 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
More information50198 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
More informationNEW 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
More informationNEW 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
More informationHospital 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
More informationtel / 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
More informationHEART 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
More informationKey Findings. Mortality Rates
Mortality Rates Statewide in-hospital mortality rates showed a statistically significant decrease from federal fiscal year to federal fiscal year in 12 of the 15 conditions reported. The largest decrease
More informationHospital Compare Database Recommendations
Hospital Compare Support Contract Centers for Medicare & Medicaid Services Overview Hospital Compare Recommendations As part of the Measure and Instrument Development and Support (MIDS) Hospital Quality
More informationIII. 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
More informationNancy 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
More informationKey Findings. Mortality Rates
Mortality Rates Statewide in-hospital mortality rates showed a statistically significant decrease from to in nine of the 15 conditions reported. The largest decrease was in, where the mortality rate decreased
More informationAMI 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%
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
More informationEnd-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
More informatione-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,
More informationKansas Care Coordination Quarterly Report October 2018
Kansas Care Coordination Quarterly Report October 2018 Background Communities across the Great Plains Quality Innovation Network (QIN) region are collaborating to improve care coordination and medication
More informationconvey 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
More informationOur 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
More informationIn each hospital-year, we calculated a 30-day unplanned. readmission rate among patients who survived at least 30 days
Romley JA, Goldman DP, Sood N. US hospitals experienced substantial productivity growth during 2002 11. Health Aff (Millwood). 2015;34(3). Published online February 11, 2015. Appendix Adjusting hospital
More informationTable 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
More informationThe table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO
The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO ACO-1 ACO-2 Getting Timely Care, Appointments, and Information How Well Your Providers
More informationStratis 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...
More informationIschemic 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
More informationProprietary Acute Care Indicators
Proprietary Acute Care Indicators Indicator 1a: Device-Associated Infections in the Intensive Care Unit Central Line-Associated Bloodstream Infections in the APICU, CCU, MICU, M/S ICU, & SICU Ventilator-Associated
More informationAMI 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
More informationPerformance Outcomes: Measure & Metric Details
Performance Outcomes: Measure & Metric Details Adherence to Antipsychotic Medications for People with Schizophrenia Numerator: Number of people who remained on an antipsychotic for at least 80% of their
More informationIschemic 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
More information2012 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
More informationHeart Attack Readmissions in Virginia
Heart Attack Readmissions in Virginia Schroeder Center Statistical Brief Research by Mitchell Cole, William & Mary Public Policy, MPP Class of 2017 Highlights: In 2014, almost 11.2 percent of patients
More informationCompeting Risks: Implications for Readmission Policy
Competing Risks: Implications for Readmission Policy KAREN E. JOYNT, MD, MPH HARVARD SCHOOL OF PUBLIC HEALTH, BRIGHAM AND WOMEN S HOSPITAL, AND VA BOSTON HEALTHCARE SYSTEM NATIONAL HEALTH POLICY FORUM,
More informationRapid 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
More informationToledo 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
More informationQuality & 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
More informationTable 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
More informationTHE 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
More informationPfP 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
More informationCompare your care. How asthma care in England matches up to standards R E S P I R AT O R Y S O C I E T Y U K
Compare your care How asthma care in England matches up to standards PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K Asthma matters Around 4.5 million people in England that s 1 in 11 are being treated
More informationTroubleshooting 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
More informationPPS 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)
More informationMedicare 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
More informationCore = 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
More informationHQID Hospital Performance Update & Analysis of Quality, Cost and Mortality Trends Fact Sheet
HQID Hospital Performance Update & Analysis of Quality, Cost and Mortality Trends Fact Sheet I.) Performance of Hospitals in the Hospital Quality Incentive Demonstration over 15 Quarters* (pages 2-5) Launched
More informationLife After Sepsis: Post-Sepsis Syndrome. Sepsis Virtual Event July 6, :00 1:00 p.m. CT
Life After Sepsis: Post-Sepsis Syndrome Sepsis Virtual Event July 6, 2017 12:00 1:00 p.m. CT 1 Mallory Bender, LCSW Program Manager, HRET WELCOME AND INTRODUCTIONS 2 Today s Agenda 3 WEBINAR PLATFORM QUICK
More informationPalliative Care under a Value Based Reimbursement Model. Janet Bull MD, MBA, FAAHPM CMO Four Seasons
Palliative Care under a Value Based Reimbursement Model Janet Bull MD, MBA, FAAHPM CMO Four Seasons Objectives o Describe palliative care o Discuss benefits of palliative care o Understand differences
More informationTable 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
More informationThis 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
More information2016 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
More informationOperational 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
More informationLRE Executive Dashboard Integrated Care Delivery Platform (ICDP)
Data in Report As Of: 2/17/2018 LRE Executive Dashboard Integrated Care Delivery Platform (ICDP) Key Performance Indicators (KPIs) Report Created by: Paige Horton LAKESHORE REGIONAL ENTITY Performance
More informationQuarterly Dialysis Facility Compare - Preview for April 2018 Report DFC Dialysis Facility State: XX Network: 99 CCN: SAMPLE
Quarterly Dialysis Facility Compare -- Preview for April 2018 Report This Quarterly DFC Preview Report includes data specific to CCN(s): 999999 Purpose of the Report This report provides you with advance
More informationQuality 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.
More informationAdvancing Care Coordination through Episode Payment Models (EPMs): Summary of the Proposed Rule
Advancing Care Coordination through Episode Payment Models (EPMs): Summary of the Proposed Rule Overview Three new mandatory Episode Payment Models (EPMs) Cardiac Rehabilitation (CR) Incentive Payment
More informationThe Challenge. Bill Frist, M.D.!
The Challenge 5% of U.S. Population Spend 50% of Healthcare Dollars % of Healthcare Spending % of U.S. Population 5% of Medicare beneficiaries die each year accounting for 27.4% of Medicare expenditures
More informationCircumcision. Multimedia Health Education. Disclaimer
Disclaimer This movie is an educational resource only and should not be used to manage genitourinary health. All decisions about undergoing must be made in conjunction with your Physician or a licensed
More informationFY 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
More informationThe Future of Cardiac Care: Managing Our Patients Together
The Future of Cardiac Care: Managing Our Patients Together Charles R. Caldwell, MD, FACC Disclosures: iheartdoc,inc. Telemedicine 1 MACRA Medicare Access and CHIP Reauthorization Act of 2015 Repealed the
More informationCOMMUNITY ONCOLOGY ALLIANCE YOU WON T BELIEVE WHAT CMS WILL BE REPORTING ON YOUR ONCOLOGISTS
COMMUNITY ONCOLOGY ALLIANCE YOU WON T BELIEVE WHAT CMS WILL BE REPORTING ON YOUR ONCOLOGISTS Community Oncology Alliance 2 Physician Ratings Consumers want information about quality Have become used to
More informationTrends in Hospice Utilization
Proposed FY 2017 Hospice Wage Index and Rate Update and Hospice Quality Reporting Requirements To: NHPCO Provider Members From: Health Policy Team Date: April 25, 2016 On April 21, 2016, the Centers for
More informationAppendix 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
More informationMandatory 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
More informationImproving 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
More informationMore than 1.8 million New York State residents have diabetes, 1
September 1 New York State Health Foundation s DIABETES Policy Center DIABETES: A HIDDEN HEALTH CARE COST DRIVER IN NEW YORK An Analysis of Health Care Utilization and Trends of Patients with Diabetes
More informationLong-Term Management Of the ACS Patient: State-of-the-Art. Kim Newlin, CNS, NP-C, FPCNA Sutter Roseville Medical Center Roseville, CA
Long-Term Management Of the ACS Patient: State-of-the-Art Kim Newlin, CNS, NP-C, FPCNA Sutter Roseville Medical Center Roseville, CA Disclosures I have no disclosures. Case Study 45 y/o male admitted to
More informationII. SAFETY MEASURES. Care That Protects You from Harm
II. SFETY MESURES are That Protects You from Harm PTIENT SFETY MESURES The Leapfrog Group survey results Leapfrog metric National Top 10% aptist Health Overall aptist aptist Patient Safety Ratings Overall
More informationAccelero Identifies Opportunities to Provide Greater Value in Hip Fracture Care
Accelero Health Partners, 2015 WHITE PAPER Accelero Identifies Opportunities to Provide Greater Value in Hip Fracture Care Jason Pry, Senior Director ABSTRACT Every year more than a quarter of a million
More informationAppendix 1: Supplementary tables [posted as supplied by author]
Appendix 1: Supplementary tables [posted as supplied by author] Table A. International Classification of Diseases, Ninth Revision, Clinical Modification Codes Used to Define Heart Failure, Acute Myocardial
More informationPreventing Sepsis: A Community Based Approach. NYS Senior Action Council December 13, 2016 Eve Bankert MT (ASCP)
Preventing Sepsis: A Community Based Approach NYS Senior Action Council December 13, 2016 Eve Bankert MT (ASCP) What is Sepsis? Sepsis is a life threatening condition that arises when the body s response
More information2014 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
More informationLife After Sepsis: Post-Sepsis Syndrome. Sepsis Virtual Event July 6, :00 1:00 p.m. CT
Life After Sepsis: Post-Sepsis Syndrome Sepsis Virtual Event July 6, 2017 12:00 1:00 p.m. CT 1 Mallory Bender, LCSW Program Manager, HRET WELCOME AND INTRODUCTIONS 2 Summary Disclosure & Accreditation
More informationAccelero Identifies Opportunities to Provide Greater Value in Hip Fracture Care
Accelero Identifies Opportunities to Provide Greater Value in Hip Fracture Care Every year more than a quarter of a million people over the age of 65 are admitted to a hospital with a hip fracture. Mortality
More informationPreventing 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
More informationHigh Priority Measure? Type NQS Domain None None N/A Yes Outcome Outcome Communication. None None N/A Yes Patient Safety
Name IDs Title Description Denominator Numerator Denominator Exclusions NPA11 Unplanned Readmission Percentage of patients aged 1 QOD Patients Number of patients aged 1 Denominator Exclusions Following
More informationFY2014 Final Hospital Inpatient Rule Summary
FY2014 Final Hospital Inpatient Rule Summary Reimbursement Update Cardiac Rhythm Management (CRM) Electrophysiology (EP) Interventional Cardiology (IC) Peripheral Intervention (PI) On August 2, 2013, the
More informationNYSDOH Sepsis Q&A Session from February 2018 Data Abstraction Meetings Table of Content
NYSDOH Sepsis Q&A Session from February 2018 Data Abstraction Meetings Table of Content Adherence variables Q: within 3 hours of the start datetime. How can we document that monotherapy was started before
More informationEmergency Care Strategy Guide
International Clinical Operations Board Emergency Care Strategy Guide Volume 3: Tool Suite Road Map 5 1 2 3 Introduction to the Emergency Care Tool Suite 4 The Emergency Department Performance Audit Profiled
More informationManagement of Heart Failure: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians
Performance Measurement Management of Heart Failure: Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians Writing Committee Amir Qaseem, MD,
More informationUCLA 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
More informationTeam members: Felix Krainski, Besiana Liti, William Lane Duvall (ASNC member)
ASNC Choosing Wisely Challenge 2016 An outpatient pathway for chest pain visits to the emergency department reduces length of stay, radiation exposure, and is patient-centered, safe and cost-effective.
More informationStandards 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
More informationCare Guideline DRAFT for review cycle 08/02/17 CARE OF THE ADULT PNEUMONIA PATIENT
Care Guideline DRAFT for review cycle 08/02/17 CARE OF THE ADULT PNEUMONIA PATIENT Target Audience: All MHS employed providers within Primary Care, Urgent Care, and In-Hospital Care. The secondary audience
More informationLow Income Pool - Primary Care Access /ER Diversion Update
Low Income Pool - Primary Care Access /ER Diversion Update Presentation to LIP Council November 14, 2012 Primary Care Access for Low Income Population Problem: Access to Primary Care Services for uninsured
More informationKEY BEHAVIORAL MEASURES
2019 HEDIS AT-A-GLANCE: KEY BEHAVIORAL MEASURES (17 Years and Younger) At WellCare, we value everything you do to deliver quality care for our members your patients to make sure they have a positive healthcare
More informationTotal hip replacement
Total hip replacement 2 Hip pain Arthritis is the leading cause of disability in the United States, and the most frequent cause of discomfort and chronic hip pain. In fact, it s estimated that 1 in 5 people
More informationHospital OQR Quality Measures and Timelines for CY 2015 and Subsequent Payment Determinations
OQR Quality Measures and Timelines for CY 2015 and Subsequent Payment Determinations Data collection, implementation, and public reporting information for each measure are detailed by measure set in the
More informationPPS 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)
More informationQuality 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,
More information