Clinical Conditions, Measures for Reporting, and Incentives
Clinical Conditions, Measures for Reporting, and Incentives
Acute myocardial infarction
- Aspirin at arrival
- Aspirin prescribed at discharge
- ACE inhibitor for left ventricular systolic disorder (LVSD)
- Smoking cessation advice/counseling
- Beta-blocker prescribed at discharge
- Beta-blocker at arrival
- Thrombolytic received within 30 minutes of hospital arrival
- PCI received within 120 minutes of hospital arrival
- Inpatient mortality rate
Coronary artery bypass graft (CABG)
- Aspirin prescribed at discharge
- CABG using internal mammary artery
- Prophylactic antibiotic received within one hour prior to surgical incision
- Prophylactic antibiotic selection for surgical patients
- Prophylactic antibiotics discontinued within 24 hours after surgery end time
- Inpatient mortality rate
- Postoperative hemorrhage or hematoma
- Post-op physiologic and metabolic derangement
Heart failure
- Left ventricular function assessment
- Detailed discharge instructions
- ACE inhibitor for LVSD
- Smoking cessation advice/counseling
Community-acquired pneumonia
- Percentage of patients who received oxygenation assessment within 24 hours prior to or after hospital arrival
- Initial antibiotic consistent with current recommendations
- Blood culture collected prior to first antibiotic administration
- Influenza screening/vaccination
- Pneumococcal screening/vaccination
- Antibiotic timing, percentage of pneumonia patients who received first dose of antibiotics within four hours after hospital arrival
- Smoking cessation advice/counseling
Hip and knee replacement
- Prophylactic antibiotic received within one hour prior to surgical incision
- Prophylactic antibiotic selection for surgical patients
- Prophylactic antibiotics discontinued within 24 hours after surgery end time
- Post-op hemorrhage or hematoma
- Post-op physiologic, metabolic derangement
- Readmissions 30 days post-discharge
Source: Centers for Medicare & Medicaid, Baltimore.
Acute myocardial infarction; Coronary artery bypass graft (CABG); Heart failure; Community-acquired pneumonia; Hip and knee replacement.Subscribe Now for Access
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