Clinical Conditions, Measures for Reporting, and Incentives

Acute myocardial infarction

  1. Aspirin at arrival
  2. Aspirin prescribed at discharge
  3. ACE inhibitor for left ventricular systolic disorder (LVSD)
  4. Smoking cessation advice/counseling
  5. Beta-blocker prescribed at discharge
  6. Beta-blocker at arrival
  7. Thrombolytic received within 30 minutes of hospital arrival
  8. PCI received within 120 minutes of hospital arrival
  9. Inpatient mortality rate

Coronary artery bypass graft (CABG)

  1. Aspirin prescribed at discharge
  2. CABG using internal mammary artery
  3. Prophylactic antibiotic received within one hour prior to surgical incision
  4. Prophylactic antibiotic selection for surgical patients
  5. Prophylactic antibiotics discontinued within 24 hours after surgery end time
  6. Inpatient mortality rate
  7. Postoperative hemorrhage or hematoma
  8. Post-op physiologic and metabolic derangement

Heart failure

  1. Left ventricular function assessment
  2. Detailed discharge instructions
  3. ACE inhibitor for LVSD
  4. Smoking cessation advice/counseling

Community-acquired pneumonia

  1. Percentage of patients who received oxygenation assessment within 24 hours prior to or after hospital arrival
  2. Initial antibiotic consistent with current recommendations
  3. Blood culture collected prior to first antibiotic administration
  4. Influenza screening/vaccination
  5. Pneumococcal screening/vaccination
  6. Antibiotic timing, percentage of pneumonia patients who received first dose of antibiotics within four hours after hospital arrival
  7. Smoking cessation advice/counseling

Hip and knee replacement

  1. Prophylactic antibiotic received within one hour prior to surgical incision
  2. Prophylactic antibiotic selection for surgical patients
  3. Prophylactic antibiotics discontinued within 24 hours after surgery end time
  4. Post-op hemorrhage or hematoma
  5. Post-op physiologic, metabolic derangement
  6. Readmissions 30 days post-discharge

Source: Centers for Medicare & Medicaid, Baltimore.