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Hospital Quality
Improvement Measures
TOPIC: Acute Myocardial Infarction (AMI)
Quality Measures:
- Early administration of
aspirin
- Aspirin and beta blocker at
discharge
- ACEI or ARB at discharge for
patients with systolic dysfunction
- Time to fibrinolytic therapy
- Time to PCI
- Smoking cessation counseling
- AMI Mortality
TOPIC: Heart Failure
Quality Measures:
- Evaluation of left
ventricular function before, during, or planned for after
hospitalization
- ACEI or ARB at discharge for
patients with systolic dysfunction
- Discharge instructions
- Smoking cessation counseling
- Heart Failure Mortality
TOPIC: Pneumonia
Quality Measures:
- Blood culture before
antibiotics in ED
- Blood culture for patients
admitted/transferred to ICU
- Initial antibiotics received
within four hours of hospital arrival
- Administration of antibiotics
consistent with current guidelines
- Pneumococcal (PPV)
immunization
- Influenza immunization
- Smoking cessation counseling
- Pneumonia Mortality
TOPIC: Surgical Care Improvement Project (SCIP)
Quality Measures:
- Prophylactic antibiotic
within 60 minutes prior to incision
- Administration of antibiotic
consistent with current guidelines
- Prophylactic antibiotic
discontinued within 24hrs of surgery end time
- Appropriate hair removal
- Maintenance of normal body
temperature (colorectal surgery)
- Maintenance of normal glucose
(cardiac surgery)
- Timely administration of VTE
prophylaxis
- Administration of VTE
prophylaxis consistent with current guidelines
Annual Payment
Update - RHQDAPU
Initiative
(Reporting Hospital Quality Data for Annual Payment Update)
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