menu-iconMore mobile-close-icon
Skip Navigation
Skip Navigation

Measure Archive

The Measure Archive is a complete list of summaries that have been withdrawn from the NQMC Web site. Information regarding a current NQMC summary, where available, is provided. The list is organized alphabetically by measure developer.
Measure Archive tabs, Updated Withdrawn Updated

The list below identifies measures that have been withdrawn from the NQMC Web site.

Measure summaries are removed from the NQMC Web site because the measures they represent no longer meet the NQMC Inclusion Criteria or the measure developer indicated that the measure should be withdrawn. Refer to the measure developer's Web site, where available, for more information.

NQMC currently contains 1380 individual measure summaries that have been withdrawn.

A   B   C   D   F   H   I   J   M   N   P   S   V   W   Y   All
 
AAAHC Institute for Quality Improvement, Performance Measurement Initiative, Colonoscopy Work Group (1)
1.  
Patient understanding of colonoscopy procedure: percentage of patients answering "yes" to the post-procedure telephone interview question "Did you understand why the procedure was being done and what was going to happen?". NQMC:004194
Source(s): AAAHC Institute for Quality Improvement. Procedure specific information [CPT-45378-45385 colonoscopy]. Post-procedure 14 days follow-up telephone survey. Skokie (IL): Accreditation Association for Ambulatory Health Care Institute (AAAHC); 2007. 1 p.
Agency for Healthcare Research and Quality (69) (Web siteExternal Web Site Policy)
1.  
Accidental puncture or laceration (area-level): rate per 100,000 population. NQMC:001246
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
2.  
Complications of anesthesia: rate per 1,000 surgery discharges with an operating room procedure. NQMC:004039
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
3.  
Coronary artery disease: coronary artery bypass graft (CABG) area rate. NQMC:001083
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Jul 21. 172 p. (AHRQ Pub; no. 02-R0204). 
4.  
Coronary artery disease: percutaneous transluminal coronary angioplasty (PTCA) area rate. NQMC:001084
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Jul 21. 172 p. (AHRQ Pub; no. 02-R0204). 
5.  
Foreign body left during procedure (area-level): discharges per 100,000 population. NQMC:001242
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
6.  
Foreign body left during procedure (provider-level): rate per 1,000 discharges. NQMC:003118
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
7.  
Health plan members' experiences: percentage of adult health plan members who reported how much of a problem they had in getting needed care. NQMC:000580
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
8.  
Health plan members' experiences: percentage of adult health plan members who reported how much of a problem they had with their health plan customer service, information, and paperwork. NQMC:000584
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
9.  
Health plan members' experiences: percentage of adult health plan members who reported how often the medical office staff was courteous, respectful and helpful. NQMC:000583
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
10.  
Health plan members' experiences: percentage of adult health plan members who reported how often their doctors or other health providers communicated well. NQMC:000582
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
11.  
Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly. NQMC:000581
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
12.  
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had in getting needed care for their child. NQMC:000585
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
13.  
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with getting prescription medicine for their children with chronic conditions. NQMC:000590
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
14.  
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with getting specialized services for their children with chronic conditions. NQMC:000591
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
15.  
Health plan members' experiences: percentage of parents of health plan members who reported how much of a problem they had with health plan customer service for their children. NQMC:000589
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
16.  
Health plan members' experiences: percentage of parents of health plan members who reported how often the medical office staff was courteous, respectful, and helpful. NQMC:000588
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
17.  
Health plan members' experiences: percentage of parents of health plan members who reported how often their children get care quickly. NQMC:000586
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
18.  
Health plan members' experiences: percentage of parents of health plan members who reported how often their children's doctors or other health providers communicated well. NQMC:000587
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
19.  
Health plan members' experiences: percentage of parents of health plan members who reported their experiences with family centered care regarding their children with chronic conditions. NQMC:000592
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
20.  
Health plan members' experiences: percentage of parents of health plan members who reported they had assistance in coordinating care and services for their children with chronic conditions. NQMC:000593
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
21.  
Health plan members' satisfaction with care: adult health plan members ratings of the care they received from all doctors and other health providers. NQMC:000531
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
22.  
Health plan members' satisfaction with care: adult health plan members' ratings of their health plan. NQMC:000532
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
23.  
Health plan members' satisfaction with care: adult health plan members' ratings of their personal health provider. NQMC:000533
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
24.  
Health plan members' satisfaction with care: adult health plan members' ratings of their specialist. NQMC:000534
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
25.  
Health plan members' satisfaction with care: parents' ratings of their children's care. NQMC:000535
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
26.  
Health plan members' satisfaction with care: parents' ratings of their children's health plan. NQMC:000536
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
27.  
Health plan members' satisfaction with care: parents' ratings of their children's personal health provider. NQMC:000537
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
28.  
Health plan members' satisfaction with care: parents' ratings of their children's specialist. NQMC:000538
Source(s): CAHPS® Health Plan Survey and Reporting Kit 2002. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2002.
CAHPS® surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2004 Apr 15]. [3 p].
29.  
Hospital inpatients' experiences: percentage of adult inpatients who reported how often their room and bathroom were kept clean and the area around their room was quiet at night. NQMC:002464
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS Hospital Survey: survey instructions. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Feb 1. 4 p.
Centers for Medicare & Medicaid Services (CMS). HCAHPS Hospital Survey [http://www.hcahpsonline.org]. [Web site]. Baltimore (MD): Centers for Medicare & Medicaid Services (CMS); [updated 2007 Mar 09]; [accessed 2006 Jun 21]. [various].
30.  
Hysterectomy: hysterectomy area rate. NQMC:001085
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Jul 21. 172 p. (AHRQ Pub; no. 02-R0204). 
31.  
Iatrogenic pneumothorax (area-level): rate per 100,000 population. NQMC:001243
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
32.  
Iatrogenic pneumothorax in neonates at risk: rate per 1,000 eligible admissions. NQMC:002330
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
33.  
Laminectomy or spinal fusion: laminectomy or spinal fusion area rate. NQMC:001086
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Jul 21. 172 p. (AHRQ Pub; no. 02-R0204). 
34.  
Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 Cesarean deliveries. NQMC:004061
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
35.  
Obstetric trauma: rate per 1,000 Cesarean deliveries. NQMC:001241
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
36.  
Obstetric trauma: rate per 1,000 instrument-assisted vaginal deliveries. NQMC:001239
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
37.  
Obstetric trauma: rate per 1,000 vaginal deliveries without instrument. NQMC:001240
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
38.  
Patients' experiences: percentage of adult primary care patients who reported how often it was easy for them to get appointments and needed care. NQMC:004503
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
39.  
Patients' experiences: percentage of adult primary care patients who reported how often their doctors communicated well. NQMC:004504
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
40.  
Patients' experiences: percentage of adult primary care patients who reported how often their doctor's office followed up on results for blood tests, x-rays or any other tests ordered. NQMC:004507
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
41.  
Patients' experiences: percentage of adult primary care patients who reported how often their doctor's office staff was courteous and helpful. NQMC:004505
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
42.  
Patients' experiences: percentage of adult specialty care patients who reported how often it was easy for them to get appointments and needed care. NQMC:004508
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
43.  
Patients' experiences: percentage of adult specialty care patients who reported how often their doctors communicated well. NQMC:004509
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
44.  
Patients' experiences: percentage of adult specialty care patients who reported how often their doctor's office followed up on results for blood tests, x-rays or any other tests ordered. NQMC:004512
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
45.  
Patients' experiences: percentage of adult specialty care patients who reported how often their doctor's office staff was courteous and helpful. NQMC:004510
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
46.  
Patients' experiences: percentage of parents/guardians who reported how often it was easy for them to get appointments and needed care for their child. NQMC:004513
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
47.  
Patients' experiences: percentage of parents/guardians who reported how often it was easy for them to get appointments and needed care for their child. NQMC:004518
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
48.  
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor communicated well. NQMC:004519
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
49.  
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor communicated well. NQMC:004514
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
50.  
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office followed up on results for blood tests, x-rays or any other tests ordered. NQMC:004517
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
51.  
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office followed up on results for blood tests, x-rays or any other tests ordered. NQMC:004524
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
52.  
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office staff was courteous and helpful. NQMC:004515
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
53.  
Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office staff was courteous and helpful. NQMC:004520
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
54.  
Patients' experiences: percentage of parents/guardians who reported whether their child's doctor addressed their child's growth and development. NQMC:004521
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
55.  
Patients' experiences: percentage of parents/guardians who reported whether their child's doctor gave advice on keeping their child safe and healthy. NQMC:004522
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
56.  
Patients' satisfaction with care: adult primary care patient's overall rating of their doctor. NQMC:004506
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
57.  
Patients' satisfaction with care: adult specialty care patient's overall rating of their doctor. NQMC:004511
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
58.  
Patients' satisfaction with care: parent's/guardian's overall rating of their child's doctor. NQMC:004523
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
59.  
Patients' satisfaction with care: parent's/guardian's overall rating of their child's doctor. NQMC:004516
Source(s): Agency for Healthcare Research and Quality (AHRQ). CAHPS® clinician & group survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008. various p.
60.  
Pediatric asthma: hospital admission rate. NQMC:001323
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 2.1, revision 4]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Nov 24. 115 p. (AHRQ Pub; no. 02-R0203).  [50 references]
61.  
Pediatric gastroenteritis: hospital admission rate. NQMC:001325
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 2.1, revision 4]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Nov 24. 115 p. (AHRQ Pub; no. 02-R0203).  [50 references]
62.  
Pediatric heart surgery: mortality rate. NQMC:001465
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [version 2.1, revision 4]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Dec 22. 183 p. (AHRQ Pub; no. 02-R0204). 
63.  
Pediatric heart surgery: volume. NQMC:001458
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [version 2.1, revision 4]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2004 Dec 22. 183 p. (AHRQ Pub; no. 02-R0204). 
64.  
Postoperative wound dehiscence (area-level): rate of reclosure of abdominal wall per 100,000 population. NQMC:001245
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
65.  
Pregnancy and birth: Cesarean section delivery rate. NQMC:000779
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [revision 2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2003 Sep 4. Various p. (AHRQ Pub; no. 02-R0204). 
66.  
Pregnancy and birth: vaginal birth after Cesarean rate. NQMC:000780
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals -- volume, mortality, and utilization [revision 2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2003 Sep 4. Various p. (AHRQ Pub; no. 02-R0204). 
67.  
Selected infections due to medical care (area-level): rate per 100,000 population. NQMC:001244
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
68.  
Transfusion reaction (area-level): rate per 100,000 population. NQMC:001247
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 2.1, revision 3]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2005 Jan 17. Various p. (AHRQ Pub; no. 03-R203). 
69.  
Transfusion reaction (area-level): rate per 100,000 population. NQMC:003143
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
American College of Rheumatology (4) (Web siteExternal Web Site Policy)
1.  
Gout: percentage of patients with gout receiving an initial prescription for allopurinol and have significant renal impairment whose initial daily allopurinol dose is less than 300 mg per day. NQMC:003990
Source(s): Mikuls TR, MacLean CH, Olivieri J, Patino F, Allison JJ, Farrar JT, Bilker WB, Saag KG. Quality of care indicators for gout management. Arthritis Rheum. 2004 Mar;50(3):937-43. [111 references] PubMed External Web Site Policy
2.  
Gout: percentage of patients with gout started on urate-lowering therapy who have either a history of nephrolithiasis or significant renal insufficiency who are started on a xanthine oxidase inhibitor as the initial urate-lowering medication rather than a uricosuric agent. NQMC:003992
Source(s): Mikuls TR, MacLean CH, Olivieri J, Patino F, Allison JJ, Farrar JT, Bilker WB, Saag KG. Quality of care indicators for gout management. Arthritis Rheum. 2004 Mar;50(3):937-43. [111 references] PubMed External Web Site Policy
3.  
Gout: percentage of patients with hyperuricemia and gouty arthritis who are offered treatment with a urate-lowering drug. NQMC:003993
Source(s): Mikuls TR, MacLean CH, Olivieri J, Patino F, Allison JJ, Farrar JT, Bilker WB, Saag KG. Quality of care indicators for gout management. Arthritis Rheum. 2004 Mar;50(3):937-43. [111 references] PubMed External Web Site Policy
4.  
Gout: percentage of patients with tophaceous gout who are given an initial prescription for a urate-lowering medication and lack both significant renal impairment and peptic ulcer disease who had a prophylactic anti-inflammatory agent given concomitantly. NQMC:003991
Source(s): Mikuls TR, MacLean CH, Olivieri J, Patino F, Allison JJ, Farrar JT, Bilker WB, Saag KG. Quality of care indicators for gout management. Arthritis Rheum. 2004 Mar;50(3):937-43. [111 references] PubMed External Web Site Policy
American Medical Directors Association (65) (Web siteExternal Web Site Policy)
1.  
Heart failure: average time for a patient's ineffective treatment to be modified. NQMC:001389
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
2.  
Heart failure: average time taken to respond to a patient's adverse drug reaction. NQMC:001391
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
3.  
Heart failure: percentage of patients monitored for adverse drug reactions. NQMC:001390
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
4.  
Heart failure: percentage of patients referred to cardiology/hospice/palliative care (after several ineffective modifications and based on patient's advance directive). NQMC:001392
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
5.  
Heart failure: percentage of patients where heart failure is diagnosed urgently or emergently (i.e., not on admission or at periodic assessment). NQMC:001380
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
6.  
Heart failure: percentage of patients with documentation that appropriate lab monitoring has been ordered. NQMC:001379
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
7.  
Heart failure: percentage of patients with documented assessment for heart failure risk factors. NQMC:001382
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
8.  
Heart failure: percentage of patients with documented assessment for imaging studies. NQMC:001371
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
9.  
Heart failure: percentage of patients with documented assessment for reversible causes of heart failure. NQMC:001383
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
10.  
Heart failure: percentage of patients with documented assessment for reversible etiology workup. NQMC:001370
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
11.  
Heart failure: percentage of patients with documented assessment for signs, symptoms, and heart failure risk factors at admission. NQMC:001368
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
12.  
Heart failure: percentage of patients with documented consideration of angiotensin-converting enzyme (ACE) inhibitor treatment. NQMC:001374
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
13.  
Heart failure: percentage of patients with documented consideration of beta-blocker treatment. NQMC:001375
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
14.  
Heart failure: percentage of patients with documented discussions regarding advance directives and/or adherence to the directive. NQMC:001376
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
15.  
Heart failure: percentage of patients with documented periodic assessment for peripheral edema and other heart failure risk factors. NQMC:001369
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
16.  
Heart failure: percentage of patients with documented periodic monitoring of heart failure symptoms (lung sounds, edema, decreased activity). NQMC:001378
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
17.  
Heart failure: percentage of patients with heart failure on angiotensin-converting enzyme (ACE) inhibitor. NQMC:001397
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
18.  
Heart failure: percentage of patients with heart failure on beta-blocker. NQMC:001398
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
19.  
Heart failure: percentage of patients with heart failure on diuretic therapy for at least 6 months with electrolyte measures within normal ranges. NQMC:001396
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
20.  
Heart failure: percentage of patients with heart failure on diuretic therapy who had electrolyte monitoring within the past 2 months. NQMC:001394
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
21.  
Heart failure: percentage of patients with heart failure prescribed a low-sodium diet in the past 6 months. NQMC:001395
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
22.  
Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with patient's advance care directive. NQMC:001387
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
23.  
Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with severity of heart failure. NQMC:001386
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
24.  
Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with type of ventricular dysfunction. NQMC:001385
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
25.  
Heart failure: percentage of patients with heart failure readmitted for acute episode of heart failure. NQMC:001400
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
26.  
Heart failure: percentage of patients with heart failure receiving nonpharmacologic treatment, such as diet intervention and fluid restriction. NQMC:001373
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
27.  
Heart failure: percentage of patients with heart failure sent to emergency room (ER) for acute exacerbation. NQMC:001399
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
28.  
Heart failure: percentage of patients with heart failure weighed as per physician's orders. NQMC:001377
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
29.  
Heart failure: percentage of patients with heart failure weighed daily. NQMC:001393
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
30.  
Heart failure: percentage of patients with heart failure with documented assessment of treatment effectiveness. NQMC:001388
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
31.  
Heart failure: percentage of patients with heart failure with fluid volume overload prescribed a loop diuretic. NQMC:001372
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
32.  
Heart failure: percentage of patients with medical record documentation for characterization of ventricular dysfunction as systolic or diastolic. NQMC:001384
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
33.  
Heart failure: percentage of patients with medical record documentation indicating communication of signs and symptoms of heart failure by direct care team to physician/nurse practitioner/physician assistant. NQMC:001381
Source(s): American Medical Directors Association. We care: tools for providers and staff to implement clinical practice guidelines [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2003. various p.
34.  
Pain management in the long-term care setting: percentage of patients prescribed narcotics for pain with appropriate bowel management program in place. NQMC:001427
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
35.  
Pain management in the long-term care setting: percentage of patients receiving physical complementary treatments. NQMC:001432
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
36.  
Pain management in the long-term care setting: percentage of patients receiving physical exam to assess for causes of pain. NQMC:001418
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
37.  
Pain management in the long-term care setting: percentage of patients with adverse drug reactions (ADRs) to pain medications. NQMC:001428
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
38.  
Pain management in the long-term care setting: percentage of patients with appropriate treatment for pain. NQMC:001422
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
39.  
Pain management in the long-term care setting: percentage of patients with cognitive and language problems receiving targeted pain assessment. NQMC:001416
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
40.  
Pain management in the long-term care setting: percentage of patients with controlled adverse drug reactions (ADRs) to pain medications. NQMC:001429
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
41.  
Pain management in the long-term care setting: percentage of patients with documented absence of pain symptoms after treatment. NQMC:001431
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
42.  
Pain management in the long-term care setting: percentage of patients with documented assessment for pain using standardized tool at each quarterly review. NQMC:001414
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
43.  
Pain management in the long-term care setting: percentage of patients with documented assessment for pain using standardized tool at each reported change of condition requiring minimum data set (MDS) notation. NQMC:001415
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
44.  
Pain management in the long-term care setting: percentage of patients with documented assessment for pain using standardized tool on admission. NQMC:001413
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
45.  
Pain management in the long-term care setting: percentage of patients with documented care plan for acute or chronic pain. NQMC:001421
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
46.  
Pain management in the long-term care setting: percentage of patients with documented cause of pain symptoms. NQMC:001419
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
47.  
Pain management in the long-term care setting: percentage of patients with documented complete assessment of pain covering all pertinent components of pain. NQMC:001417
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
48.  
Pain management in the long-term care setting: percentage of patients with documented medication regimen with evidence of titration/adjustment in accordance with World Health Organization (WHO) step ladder. NQMC:001423
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
49.  
Pain management in the long-term care setting: percentage of patients with documented reasons for no medical work-up. NQMC:001420
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
50.  
Pain management in the long-term care setting: percentage of patients with documented reduction of pain symptoms. NQMC:001430
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
51.  
Pain management in the long-term care setting: percentage of patients with orders for not recommended drugs. NQMC:001424
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
52.  
Pain management in the long-term care setting: percentage of patients with periodic documented assessment by nursing staff of effectiveness of pain management. NQMC:001426
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
53.  
Pain management: percentage of patients with periodic documented assessment of effectiveness of pain management by medical doctor (MD). NQMC:001425
Source(s): American Medical Directors Association. We care: tool kit for implementation of the clinical practice guideline for pain management [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
54.  
Pressure ulcers: percentage of patients in facility admitted with a pressure ulcer. NQMC:001409
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
55.  
Pressure ulcers: percentage of patients in facility who develop pressure ulcers while in the facility. NQMC:001410
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
56.  
Pressure ulcers: percentage of patients with a pressure ulcer or pressure ulcer risk with documented periodic assessment for specific risk factors. NQMC:001404
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
57.  
Pressure ulcers: percentage of patients with clinically significant complications. NQMC:001412
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
58.  
Pressure ulcers: percentage of patients with documented assessment of pressure ulcer using a formal wound staging classification. NQMC:001403
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
59.  
Pressure ulcers: percentage of patients with documented assessment of risks for possible pressure ulcer development. NQMC:001402
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
60.  
Pressure ulcers: percentage of patients with documented assessment of skin for breakdown. NQMC:001401
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
61.  
Pressure ulcers: percentage of patients with pressure ulcers that heal. NQMC:001411
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
62.  
Pressure ulcers: percentage of patients with pressure ulcers with documented treatment plan for pressure reduction approaches. NQMC:001406
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
63.  
Pressure ulcers: percentage of patients with pressure ulcers with documented treatment plans citing identified risk factors and co-morbid conditions. NQMC:001405
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
64.  
Pressure ulcers: percentage of patients with pressure ulcers with necrotic tissue or slough with documented treatment plan for wound debridement. NQMC:001407
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
65.  
Pressure ulcers: percentage of patients with pressure ulcers with periodic documentation on status of the characteristics of wound (e.g., size, depth, color, induration, odor, discharge). NQMC:001408
Source(s): American Medical Directors Association. Tool kit for implementation of the clinical practice guidelines for pressure ulcers [binder]. Columbia (MD): American Medical Directors Association (AMDA); 2004. various p.
American Podiatric Medical Association (1) (Web siteExternal Web Site Policy)
1.  
Diabetes mellitus: percentage of patients aged 50 years and older with a diagnosis of diabetes mellitus that had an Ankle Brachial Index (ABI) measurement performed during one or more office visits within 12 months. NQMC:004196
Source(s): American Podiatric Medical Association (APMA), American College of Foot and Ankle Surgeons, American College of Foot and Ankle Orthopedics and Medicine, Centers for Medicare and Medicaid Services. Diabetic foot and ankle care physician performance measurement set. Bethesda (MD): American Podiatric Medical Association, Inc.; 2007 Aug. 11 p.
American Society of Clinical Oncology/National Comprehensive Cancer Network (7) (Web siteExternal Web Site Policy)
1.  
Breast cancer: percentage of patients for whom combination chemotherapy is considered or administered within 4 months (120 days) of diagnosis for women under 70 with AJCC T1c, or stage II or III hormone receptor negative breast cancer. NQMC:002689
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
2.  
Breast cancer: percentage of patients for whom radiation therapy is administered within 1 year (365 days) of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer. NQMC:002688
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
3.  
Breast cancer: percentage of patients for whom tamoxifen or third generation aromatase inhibitor is considered or administered within 1 year (365 days) of diagnosis for women with AJCC T1c or stage II or III hormone receptor positive breast cancer. NQMC:002687
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
4.  
Colon cancer: percentage of patients for whom adjuvant chemotherapy is considered or administered within 4 months (120 days) of diagnosis for patients under the age of 80 with AJCC stage III (lymph node positive) colon cancer. NQMC:002692
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
5.  
Colon cancer: percentage of patients for whom at least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer. NQMC:002693
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
6.  
Rectal cancer: percentage of patients for whom postoperative adjuvant chemotherapy is considered or administered within 9 months (270 days) of diagnosis for patients under the age 80 years with AJCC stage II or stage III rectal cancer. NQMC:002690
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
7.  
Rectal cancer: percentage of patients for whom radiation therapy is considered or administered within 6 months (180 days) of diagnosis for patients under the age of 80 with clinical or pathologic AJCC T4N0M0 or stage III receiving surgical resection for rectal cancer. NQMC:002691
Source(s): ASCO/NCCN quality measures: breast and colorectal cancers. Alexandria (VA): American Society of Clinical Oncology, National Comprehensive Cancer Network, Inc.; 2007 Apr. 5 p.
Arthritis Foundation (51) (Web siteExternal Web Site Policy)
1.  
Acetaminophen use: percentage of patients prescribed acetaminophen who have risk factors for liver disease AND the percentage of patients treated with high-dose (greater than or equal to 4 gm/day) acetaminophen who are advised of the associated risk of liver toxicity. NQMC:002170
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
2.  
Cyclooxygenase 2 (COX-2)-selective non-steroidal anti-inflammatory drug (NSAID) use: percentage of patients treated with a COX-2-selective NSAID who are taking low-dose aspirin daily and have risk factors for GI bleeding who are treated concomitantly with either misoprostol or a proton pump inhibitor (PPI). NQMC:002172
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
3.  
Low-dose aspirin use: percentage of patients treated with a low-dose aspirin daily who have 2 or more risk factors for GI bleeding who are treated concomitantly with either misoprostol or proton pump inhibitor (PPI). NQMC:002173
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
4.  
Low-dose aspirin: percentage of patients prescribed low-dose aspirin (less than or equal to 325 mg/day) who are advised of the associated GI bleeding risks. NQMC:002169
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
5.  
Non-selective non-steroidal anti-inflammatory drugs (NSAIDs): percentage of patients treated with a non-selective NSAID who have risk factors for GI bleeding and who are treated concomitantly with either misoprostol or a proton pump inhibitor (PPI). NQMC:002171
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
6.  
Non-steroidal anti-inflammatory drug (NSAID) selection: percentage of patients who are NOT treated with a low-dose aspirin, have risk factors for GI bleeding and are prescribed an NSAID who receive either a non-selective NSAID plus a gastroprotective agent (proton pump inhibitor [PPI] or misoprostol) or a COX-2-selective NSAID. NQMC:002174
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
7.  
Non-steroidal anti-inflammatory drug (NSAID) selection: percentage of patients who take coumadin and are prescribed an NSAID who receive either a cyclooxygenase 2 (COX-2)-selective NSAID or a nonacetylated salicylate. NQMC:002175
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
8.  
Non-steroidal anti-inflammatory drugs (NSAIDs): percentage of patients prescribed an NSAID (non selective or selective) who are advised of the associated GI bleeding and renal risks with the GI risks documented. NQMC:002168
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
9.  
Osteoarthritis: percentage of overweight patients (as defined by body mass index of greater than or equal to 27 kg/m2) who are advised to lose weight annually to prevent incident knee or hip osteoarthritis. NQMC:002159
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
10.  
Osteoarthritis: percentage of patients beginning drug treatment for "joint pain," "arthritis," or "arthralgia" for whom there is documentation that the affected joint was examined. NQMC:002154
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
11.  
Osteoarthritis: percentage of patients with a diagnosis of osteoarthritis and reporting difficulties with non-ambulatory activities of daily living whose functional ability with problem tasks are assessed for need of non-ambulatory assistive devices to aid with problem tasks. NQMC:002163
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
12.  
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip and reporting difficulty walking to accomplish activities of daily living for greater than 3 months whose walking ability is assessed for need of ambulatory assistive devices. NQMC:002162
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
13.  
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip for greater than 3 months who are prescribed an exercise program. NQMC:002158
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
14.  
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip for greater than 3 months who receive or who are recommended patient education. NQMC:002157
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
15.  
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip with an initial and annual functional assessment. NQMC:002155
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
16.  
Osteoarthritis: percentage of patients with a diagnosis of symptomatic osteoarthritis of the knee or hip with an initial and annual pain assessment. NQMC:002156
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
17.  
Osteoarthritis: percentage of patients with hip or knee osteoarthritis and worsening complaints accompanied by a progressive decrease in activities and no previous radiographs during the preceding 3 months for whom a knee or hip radiograph is performed within 3 months. NQMC:002167
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
18.  
Osteoarthritis: percentage of patients with osteoarthritis for whom oral pharmacologic therapy is changed from acetaminophen to a different oral agent with evidence that they have had a trial of maximum-dose acetaminophen (suitable for age and comorbidities). NQMC:002165
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
19.  
Osteoarthritis: percentage of patients with osteoarthritis pain of mild or moderate severity for whom acetaminophen is the first drug used for initial nonnarcotic pharmacologic therapy to aid with problem tasks. NQMC:002164
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
20.  
Osteoarthritis: percentage of patients with severe symptomatic osteoarthritis of the knee or hip who have failed to respond to nonpharmacologic and pharmacologic therapy who are referred to an orthopedic surgeon. NQMC:002166
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
21.  
Osteoarthritis: percentage of patients with symptomatic osteoarthritis of the knee or hip and who are overweight (as defined by body mass index of greater than or equal to 27 kg/m2) and who are advised to lose weight to reduce symptoms of osteoarthritis. NQMC:002160
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
22.  
Osteoarthritis: percentage of patients with symptomatic osteoarthritis of the knee or hip and who have been overweight (as defined by body mass index of greater than or equal to 27 kg/m2) for more than 3 years who are referred to a weight loss program. NQMC:002161
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Pencharz JN, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis Rheum. 2004 Aug 15;51(4):538-48. [108 references] PubMed External Web Site Policy
23.  
Rheumatoid arthritis: percentage of female patients of childbearing age who are newly started on any of the following disease-modifying antirheumatic drugs (DMARDs): methotrexate, cyclophosphamide, azathioprine, sulfasalazine, chlorambucil, D-penicillamine, hydroxychloroquine, gold, etanercept, infliximab, leflunomide for whom a discussion with the patient about the teratogenic risks of these drugs and about contraception is documented. NQMC:002200
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
24.  
Rheumatoid arthritis: percentage of patients being treated with methotrexate (MTX) who have elevations in serum transaminase levels above two times the upper range of normal for the laboratory two or more times over a three month period for whom non-steroidal anti-inflammatory drug (NSAID) or MTX dose reduction or discontinuation is documented within one month of the second abnormal laboratory result. NQMC:002197
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
25.  
Rheumatoid arthritis: percentage of patients being treated with methotrexate for whom folate supplementation is given. NQMC:002185
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
26.  
Rheumatoid arthritis: percentage of patients in the third trimester of pregnancy for whom non-steroidal anti-inflammatory drugs (NSAIDs) (selective and non-selective) and aspirin are not used. NQMC:002202
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
27.  
Rheumatoid arthritis: percentage of patients newly prescribed acetaminophen for whom the risk versus benefits of this drug are discussed. NQMC:002199
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
28.  
Rheumatoid arthritis: percentage of patients newly prescribed any of the following drugs: non-steroidal anti-inflammatory drugs (NSAIDs) (selective or non-selective), disease-modifying antirheumatic drugs (DMARDs), glucocorticoids, or narcotics for whom a discussion with the patient about the risks versus benefits of the chosen therapy is documented. NQMC:002198
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
29.  
Rheumatoid arthritis: percentage of patients on immunosuppressive therapy for whom there is evidence that the following vaccines have been given: influenza (annually), pneumococcal, meningococcal, haemophilus B, hepatitis B, and tetanus. NQMC:002204
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
30.  
Rheumatoid arthritis: percentage of patients receiving greater than or equal to 10 mg per day of prednisone (or equivalent) for greater than six months with no documentation of worsening disease for whom there is documentation at some point during the treatment course that a steroid taper was attempted or a disease-modifying antirheumatic drug (DMARD) dose was increased. NQMC:002188
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
31.  
Rheumatoid arthritis: percentage of patients receiving immunosuppressants and/or steroid therapy (greater than 10 mg per day prednisone equivalent for greater than two weeks) for whom live/oral polio, live typhoid, yellow fever, measles, mumps, rubella (MMR), bacille Calmette-Guerin (BCG) vaccine are not used. NQMC:002203
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
32.  
Rheumatoid arthritis: percentage of patients referred to a physician for a new diagnosis of rheumatoid arthritis who are seen by the physician within 3 months. NQMC:002178
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
33.  
Rheumatoid arthritis: percentage of patients with a diagnosis of rheumatoid arthritis (RA) for whom baseline x-rays of the hands or feet are performed within 3 months of the initial diagnosis and every 3 years. NQMC:002181
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
34.  
Rheumatoid arthritis: percentage of patients with a diagnosis of rheumatoid arthritis for whom each of the following are documented within 3 months of diagnosis and at appropriate time intervals thereafter: a joint examination of three or more joint areas, functional status, disease activity (presence/absence of synovitis), acute phase reactant (defined by erythrocyte sedimentation rate [ESR] or C-reactive protein [CRP]) and pain (by visual analog scale [VAS] or other mechanism). NQMC:002179
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
35.  
Rheumatoid arthritis: percentage of patients with a diagnosis of rheumatoid arthritis reporting having difficulties performing tasks involving use of their hands and wrists either because of stiffness or pain for whom functional ability with their hands and wrists is assessed for need of hand or wrist splints (orthoses). NQMC:002192
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
36.  
Rheumatoid arthritis: percentage of patients with a diagnosis of rheumatoid arthritis reporting having difficulties with activities of daily living either because of stiffness or pain for whom functional ability with the compliant tasks is assessed for need of assistive devices to aid with compliant tasks. NQMC:002191
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
37.  
Rheumatoid arthritis: percentage of patients with a diagnosis of rheumatoid arthritis reporting having difficulty with walking either because of stiffness, pain or instability for whom walking ability is assessed for need for ambulatory assistive devices including a cane, insoles, and orthotics. NQMC:002190
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
38.  
Rheumatoid arthritis: percentage of patients with a diagnosis of rheumatoid arthritis, no contraindications to exercise and who are physically and mentally able to exercise for whom a directed or supervised muscle strengthening or aerobic exercise program has been prescribed at least once and reviewed at least once per year. NQMC:002189
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
39.  
Rheumatoid arthritis: percentage of patients with an established diagnosis of rheumatoid arthritis (RA) whose RA is evaluated by a physician at least annually. NQMC:002180
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
40.  
Rheumatoid arthritis: percentage of patients with an established diagnosis of sero-positive rheumatoid arthritis (RA), or RA and synovitis or RA and radiographic erosions who are treated with a disease-modifying antirheumatic drug (DMARD) unless contraindication to DMARD is documented. NQMC:002183
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
41.  
Rheumatoid arthritis: percentage of patients with established treatment with a disease-modifying antirheumatic drug (DMARD) or glucocorticoids for whom monitoring for drug toxicity is performed. NQMC:002196
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
42.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis and osteoporosis treated with oral or parenteral steroids for whom antiresorptive therapy is prescribed. NQMC:002187
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
43.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis started on prednisone greater than or equal to 10 mgs daily, (or other steroid equivalent) and who continue on prednisone for more than three months for whom 1,500 mg calcium and 400 international units (IUs) per day of Vitamin D are prescribed and antiresorptive therapy is discussed with the patient. NQMC:002186
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
44.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis who are being treated with a disease-modifying antirheumatic drug (DMARD) and report worsening of symptoms over a six-month period of time and have evidence of active disease (synovitis) for whom one of the following are done: dose or route of DMARD administration is changed, DMARD is changed, an additional DMARD is added, or dose of glucocorticoids is started or increased. NQMC:002184
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
45.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis who are newly prescribed a disease-modifying antirheumatic drug (DMARD) for whom appropriate baseline studies are documented within an appropriate period of time from the original prescription. NQMC:002195
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
46.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis who have joint pain, joint instability, or tendon rupture affecting the upper extremity or the foot or ankle, which significantly limits activities despite non-pharmacologic and pharmacologic interventions for whom referral to a surgeon is offered unless contraindication to surgery is documented. NQMC:002194
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
47.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis who have severe pain of the hips or knees, which significantly limits activities despite non-pharmacologic and pharmacologic interventions for whom referral to an orthopedic surgeon is offered unless contraindication to surgery is documented. NQMC:002193
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
48.  
Rheumatoid arthritis: percentage of patients with rheumatoid arthritis who have surgery requiring general anesthesia for whom there is management or documentation of the risk of atlanto-axial instability. NQMC:002182
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
49.  
Rheumatoid arthritis: percentage of pregnant patients for whom methotrexate and leflunomide are not used. NQMC:002201
Source(s): Khanna D, Arnold EL, Pencharz JN, Grossman JM, Traina SB, Lal A, MacLean CH. Measuring process of arthritis care: the Arthritis Foundation's quality indicator set for rheumatoid arthritis. Semin Arthritis Rheum. 2006;35:211-37.
MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
50.  
Side effect monitoring practices for non-steroidal anti-inflammatory drugs (NSAIDs): percentage of patients treated with daily NSAIDs (selective or nonselective) with risk factors for developing renal insufficiency for whom serum creatinine is assessed at baseline and at least once in the first year following initiation of therapy. NQMC:002177
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
51.  
Side effect monitoring practices for non-steroidal anti-inflammatory drugs (NSAIDs): percentage of patients treated with daily NSAIDs (selective or nonselective) with risk factors for GI bleeding for whom a complete blood count is performed at baseline and during the first year after initiating therapy. NQMC:002176
Source(s): MacLean CH, Saag KG, Solomon DH, Morton SC, Sampsel S, Klippel JH. Measuring quality in arthritis care: methods for developing the Arthritis Foundation's quality indicator set. Arthritis Rheum. 2004 Apr 15;51(2):193-202. PubMed External Web Site Policy
Saag KG, Olivieri JJ, Patino F, Mikuls TR, Allison JJ, MacLean CH. Measuring quality in arthritis care: the Arthritis Foundation's quality indicator set for analgesics. Arthritis Rheum. 2004 Jun 15;51(3):337-49. [89 references] PubMed External Web Site Policy
Asian Liver Center at Stanford University (1) (Web siteExternal Web Site Policy)
1.  
Perinatal care: percentage of newborns delivered from mothers who tested positive for hepatitis B surface antigen (HBsAg) during pregnancy who receive birth doses of hepatitis B virus (HBV) vaccine and hepatitis B immune globulin (HBIG) within 12 hours of delivery. NQMC:004500
Source(s): Appendix A: National voluntary consensus standards for perinatal care. Performance measure specifications. Washington (DC): National Quality Forum (NQF); 2008 Oct 20. A1-7 p.
National voluntary consensus standards for perinatal care. Washington (DC): National Quality Forum (NQF); 2008. 36 p.
Australian Council on Healthcare Standards (411) (Web siteExternal Web Site Policy)
1.  
Access and exit block: percentage of adult elective surgical cases deferred or cancelled due to the lack of an ICU bed, during the 6 month time period. NQMC:007765
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
2.  
Access and exit block: percentage of adult patients discharged from the ICU between 6PM and 6AM, during the 6 month time period. NQMC:007768
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
3.  
Access and exit block: percentage of adult patients who were transferred to another facility/ICU due to unavailability of an ICU bed, during the 6 month time period. NQMC:007766
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
4.  
Access and exit block: percentage of adult patients whose discharge from the ICU was delayed more than 6 hours, during the 6 month time period. NQMC:007767
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
5.  
Access and exit block: percentage of appropriate adult patients referred to an ICU, who have documented evidence by an intensivist that they could not be admitted to the unit because of inadequate resources, during the 6 month time period. NQMC:007764
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
6.  
Access block: percentage of critical care admitted patients whose total ED time from time of arrival exceeded 4 hours, during the 6 month time period. NQMC:007668
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
7.  
Access block: percentage of mental health admitted patients whose total ED time from time of arrival exceeded 4 hours, during the 6 month time period. NQMC:007667
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
8.  
Access block: percentage of mental health or critical care patients who waited greater than 4 hours in the emergency department (ED) after the time of decision to admit them, during the 6 month time period. NQMC:006546
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2011. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2011 Jan.
9.  
Access block: percentage of patients who were admitted or planned for admission without reaching an inpatient bed, transferred to another hospital for admission, or died in the ED whose total ED time exceeded 8 hours, during the 6 month time period. NQMC:007666
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
10.  
Acute myocardial infarction (AMI): percentage of patients with an AMI requiring thrombolysis who receive thrombolytic therapy within 30 minutes of presentation to the ED, as their primary treatment, during the 6 month time period. NQMC:007665
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
11.  
Acute myocardial infarction (AMI): percentage of patients with an AMI who receive PTCA as their primary treatment and have balloon inflation within 1 hour of presentation to the emergency department, during the 6 month time period. NQMC:006544
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2011. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2011 Jan.
12.  
Acute stroke management: percentage of inpatients with a diagnosis of ischaemic stroke receiving aspirin within 48 hours of presentation to hospital. NQMC:007786
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
13.  
Acute stroke management: percentage of inpatients with a diagnosis of ischaemic stroke, presenting to the hospital within 4.5 hours of stroke onset, with documented evidence that an intravenous thrombolysis agent was administered. NQMC:007787
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
14.  
Acute stroke management: percentage of inpatients with a primary diagnosis of acute stroke who are prescribed and administered antihypertensive medication prior to discharge. NQMC:007789
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
15.  
Acute stroke management: percentage of inpatients with a primary diagnosis of acute stroke who had a documented scan (CT or MRI) of their brain within 24 hours of presentation to hospital. NQMC:007784
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
16.  
Acute stroke management: percentage of inpatients with a primary diagnosis of acute stroke who have documented treatment in a stroke unit at any time during their hospital stay. NQMC:007790
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
17.  
Acute stroke management: percentage of inpatients with a primary diagnosis of acute stroke with documented evidence of a swallowing screen conducted prior to documented evidence of food or fluid intake. NQMC:007783
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
18.  
Acute stroke management: percentage of inpatients with a primary diagnosis of acute stroke with documented physiotherapy assessment within 48 hours of presentation to hospital. NQMC:007785
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
19.  
Acute stroke management: percentage of inpatients with a primary diagnosis of acute stroke with evidence that a documented plan for their ongoing care in the community was developed and provided to the patient/family prior to discharge. NQMC:007788
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
20.  
Aged care: percentage of general medical patients 65 years and over who have a documented vitamin D deficiency who are prescribed vitamin D, during the 6 month time period. NQMC:007793
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
21.  
Aged care: percentage of medical patients 65 years and older who have had their cognition assessed using a validated tool such as the Abbreviated Mental Test Score (AMTS) or Mini Mental State Examination (MMSE), during the 6 month time period. NQMC:007791
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
22.  
Aged care: percentage of patients admitted to geriatric medicine or geriatric rehabilitation unit for whom there is documented objective assessment of physical function on admission and at least once more during the inpatient stay, during the 6 month time period. NQMC:007792
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
23.  
Aminoglycoside monitoring: percentage of patients with a toxic aminoglycoside concentration whose dosage has been adjusted prior to the next aminoglycoside dose, during the 6 month time period. NQMC:007813
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
24.  
Anatomical pathology: percentage of validated large biopsy results with a turnaround time (collected to validated time) less than 96 hours, during the 1 to 2 week time period. NQMC:007903
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
25.  
Anatomical pathology: percentage of validated large biopsy results with a turnaround time (received to validated time) less than 92 hours, during the 1 to 2 week time period. NQMC:007901
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
26.  
Anatomical pathology: percentage of validated small biopsy results with a turnaround time (collected to validated time) less than 48 hours, during the 1 to 2 week time period. NQMC:007902
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
27.  
Anatomical pathology: percentage of validated small biopsy results with a turnaround time (received to validated time) less than 44 hours, during the 1 to 2 week time period. NQMC:007900
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
28.  
Antibiotic prophylaxis: percentage of patients who undergo hysterectomy who receive antibiotic prophylaxis prior to surgery, during the 6 month time period. NQMC:007699
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
29.  
Asthma: percentage of children with a primary diagnosis of asthma, who have a readmission to hospital for asthma within 28 days of discharge, during the 6 month time period. NQMC:006791
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
30.  
Asthma: the average length of stay for all episodes of children admitted with a primary diagnosis of asthma, during the 6 month time period, excluding same day admissions. NQMC:007889
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
31.  
Asthma: the average length of stay for all episodes of children admitted with a primary diagnosis of asthma, during the 6 month time period. NQMC:007888
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
32.  
Blood transfusion: percentage of patients receiving an unplanned blood transfusion during their hospital admission for any type of gynaecological surgery for benign disease, during the 6 month time period. NQMC:007689
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
33.  
Blood transfusion: percentage of patients receiving an unplanned blood transfusion during their hospital admission for any type of gynaecological surgery for malignant disease, during the 6 month time period. NQMC:007690
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
34.  
Blood transfusion: percentage of red blood cell (RBC) transfusion episodes when the hemoglobin (HB) reading is 100g/L or more, during the 6 month time period. NQMC:007714
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
35.  
Blood transfusion: percentage of significant adverse transfusion events related to a blood transfusion episode, during the 6 month time period. NQMC:007712
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
36.  
Blood transfusion: percentage of transfusion episodes where informed patient consent was not documented, during the 6 month time period. NQMC:007713
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
37.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility who fail to arrive, during the 6 month time period. NQMC:007656
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
38.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility whose procedure is cancelled after their arrival at the facility due to a pre-existing medical condition, during the 6 month time period. NQMC:007657
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
39.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility whose procedure is cancelled after their arrival at the facility due to administrative/organisational reasons, during the 6 month time period. NQMC:007659
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
40.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility whose procedure is cancelled after their arrival at the facility due to an acute medical condition, during the 6 month time period. NQMC:007658
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
41.  
Cardiothoracic surgery: percentage of elective patients who die in the same admission as having CAGS, during the 6 month time period. NQMC:007936
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
42.  
Cardiothoracic surgery: percentage of patients aged 71 years or older who die in the same admission as having CAGS, during the 6 month time period. NQMC:007937
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
43.  
Cardiothoracic surgery: percentage of patients who die in the same admission as having CAGS, during the 6 month time period. NQMC:007935
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
44.  
Cardiovascular disease: percentage of inpatients undergoing coronary artery bypass graft (CABG) within 24 hours of percutaneous transluminal coronary angioplasty (PCTA) (with or without stenting) in the same admission, during the 6 month time period. NQMC:007779
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
45.  
Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure (CHF) and atrial fibrillation (AF) who have no contraindication to the use of warfarin, who are prescribed warfarin, during the 6 month time period. NQMC:007775
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
46.  
Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure (CHF) who have no contraindications to the use of an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor antagonist (A2RA) who are prescribed an ACEI or A2RA, during the 6 month time period. NQMC:007773
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
47.  
Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure (CHF) who have no contraindications to the use of beta-blockers and who are prescribed beta-blocker therapy, during the 6 month time period. NQMC:007774
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
48.  
Cardiovascular disease: percentage of patients discharged with any diagnosis of congestive heart failure (CHF) who are referred for chronic disease management service that includes physical rehabilitation, during the 6 month time period. NQMC:007776
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
49.  
Cardiovascular disease: percentage of patients with acute myocardial infarction (AMI) requiring thrombolysis who receive thrombolytic therapy within 1 hour of presentation to the hospital, during the 6 month time period. NQMC:007777
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
50.  
Cardiovascular disease: percentage of vessels in which percutaneous transluminal coronary angioplasty (PTCA) (with or without stenting) is undertaken where primary success, as defined, is achieved, during the 6 month time period. NQMC:007778
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
51.  
Care planning: percentage of carers involved in developing care plans, during the 6 month time period. NQMC:007819
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
52.  
Care planning: percentage of consumers with current completed care plans (including consumer involvement and signature) in the file, during the 6 month time period. NQMC:007818
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
53.  
Cataract surgery: percentage of patients having a discharge intention of 1 day, who had an overnight admission following cataract surgery, during the 6 month time period. NQMC:007862
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
54.  
Cataract surgery: percentage of patients having a readmission within 28 days of discharge following cataract surgery, due to endophthalmitis in the operated eye, during the 6 month time period. NQMC:007861
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
55.  
Cataract surgery: percentage of patients having an anterior vitrectomy at the time of cataract surgery, during the 6 month time period. NQMC:007863
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
56.  
Cataract surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following cataract surgery, during the 6 month time period. NQMC:007860
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
57.  
Central line-associated blood stream infection (CLAB) rate: percentage of adult intensive care units (ICU)-associated centrally-inserted central line-associated blood stream infection (CI-CLAB), during the 6 month time period. NQMC:005781
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
58.  
Central line-associated blood stream infection (CLAB) rate: percentage of adult intensive care units (ICU)-associated peripherally-inserted central line-associated blood stream infection (PI-CLAB), during the 6 month time period. NQMC:005783
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
59.  
Central line-associated blood stream infection (CLABSI) rate: percentage of haematology unit-related centrally-inserted central line-associated blood stream infections (CI-CLABSIs), during the 6 month time period. NQMC:007741
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
60.  
Central line-associated blood stream infection (CLABSI) rate: percentage of haematology unit-related peripherally-inserted central line-associated blood stream infections (PI-CLABSIs), during the 6 month time period. NQMC:007742
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
61.  
Central line-associated blood stream infection (CLABSI) rate: percentage of oncology unit-related centrally-inserted central line-associated blood stream infections (CI-CLABSIs), during the 6 month time period. NQMC:007743
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
62.  
Central line-associated blood stream infection (CLABSI) rate: percentage of oncology unit-related peripherally-inserted central line-associated blood stream infections (PI-CLABSIs), during the 6 month time period. NQMC:007744
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
63.  
Central line-associated blood stream infection (CLABSI) rate: percentage of outpatient intravenous therapy (OPIV) unit-related centrally-inserted central line-associated blood stream infections (CI-CLABSIs), during the 6 month time period. NQMC:007745
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
64.  
Central line-associated blood stream infection (CLABSI) rate: percentage of outpatient intravenous therapy (OPIV) unit-related peripherally-inserted central line-associated blood stream infections (PI-CLABSIs), during the 6 month time period. NQMC:007746
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
65.  
Central line-associated blood stream infection (CLABSI) rate: percentage of paediatric intensive care unit (ICU)-associated centrally-inserted central line-associated blood stream infections (CI-CLABSIs), during the 6 month time period. NQMC:007737
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
66.  
Central line-associated blood stream infection (CLABSI) rate: percentage of paediatric intensive care unit (ICU)-associated peripherally-inserted central line-associated blood stream infections (PI-CLABSIs), during the 6 month time period. NQMC:007739
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
67.  
Central line-utilisation ratio (CLUR): number of centrally-inserted (CI) central line-days per patient-days in adult intensive care unit (ICU), during the 6 month time period. NQMC:007735
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
68.  
Central line-utilisation ratio (CLUR): number of centrally-inserted (CI) central line-days per patient-days in paediatric intensive care unit (ICU), during the 6 month time period. NQMC:007738
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
69.  
Central line-utilisation ratio (CLUR): number of peripherally-inserted (PI) central line-days per patient-days in adult intensive care unit (ICU), during the 6 month time period. NQMC:007736
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
70.  
Central line-utilisation ratio (CLUR): number of peripherally-inserted (PI) central line-days per patient-days in paediatric intensive care unit (ICU), during the 6 month time period. NQMC:007740
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
71.  
Chemical pathology: percentage of serum/plasma potassium validated report results for ED (or requests specified as urgent) with a turnaround time (received to validated time) less than 60 minutes, during the 2 to 4 week time period. NQMC:007895
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
72.  
Children's dental care: percentage of deciduous teeth extracted (for pathological reasons) within 6 months following pulpotomy/pulpectomy treatment, during the time period under study. NQMC:007884
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
73.  
Children's dental care: percentage of teeth requiring retreatment (restoration, endodontic or extraction, but not including pit & fissure sealants) within 24 months of the initial fissure sealant treatment. NQMC:007885
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
74.  
Children's dental care: percentage of teeth retreated within 6 months of an episode of restorative treatment, during the time period under study. NQMC:007882
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
75.  
Colonoscopy: percentage of incomplete colonoscopies performed, during the 6 month time period. NQMC:007681
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
76.  
Colonoscopy: percentage of patients treated for possible perforation NOT related to polypectomy, during the 6 month time period. NQMC:007683
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
77.  
Colonoscopy: percentage of patients treated for possible perforation who have had a polypectomy performed, during the 6 month time period. NQMC:007682
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
78.  
Colonoscopy: percentage of patients who have bleeding, during the 6 month time period. NQMC:007684
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
79.  
Complications of sedation: percentage of patients who have an endoscopy procedure involving sedation who are transferred or admitted for an overnight stay as a result of aspiration, during the 6 month time period. NQMC:007688
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
80.  
Day of surgery admissions: percentage of elective surgery patients admitted to the organisation on the day of surgery, during the 6 month time period. NQMC:007715
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
81.  
Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients who have an unplanned extension to the time between entry into the post-anaesthesia care unit to the meeting of hospital/day surgery discharge criteria, during the time period under study. NQMC:004592
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
82.  
Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients who have received a pre-anaesthesia assessment before the day of day surgery, during the time period under study. NQMC:004589
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
83.  
Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients whose procedure is cancelled on the day of surgery for anaesthetic reasons other than an acute medical condition, during the time period under study. NQMC:004590
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
84.  
Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients with unplanned overnight admissions for anaesthetic reasons, during the time period under study. NQMC:004591
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
85.  
Delayed patient discharge: percentage of patients who have an unplanned delayed discharge greater than 1 hour beyond that expected for the procedure, during the 6 month time period. NQMC:006537
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
86.  
Dermatological consult: percentage of patients who receive a dermatological consult within 24 hours, greater than or equal to 1 day and less than 2 days, greater than or equal to 2 days and less than 5 working days, or longer than one week after the primary contact time to assessment visit, during the 6 month time period. NQMC:005690
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
87.  
Discharge communication: percentage of patients 65 years or older discharged from the ED to home or residential accommodation with discharge communication provided to a primary care provider, during the 6 month time period. NQMC:007673
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
88.  
Discharge communication: percentage of patients 65 years or older who have had a documented risk assessment prior to discharge from the ED to home or residential accommodation, during the 6 month time period. NQMC:007674
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
89.  
Documentation of known adverse drug reactions (ADRs): percentage of patients whose known ADRs are documented on the current medication chart. NQMC:007806
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
90.  
Endocrine disease: percentage of insulin treated diabetic inpatients having an elective operation, and a length of stay greater than or equal to 48 hours, whose medical record shows at least 4 blood glucose measurements on the first post-operative day, during the 6 month time period. NQMC:007781
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
91.  
Endocrine disease: percentage of insulin treated diabetic inpatients having an elective operation, and a length of stay greater than or equal to 48 hours, with a recorded blood glucose level less than 4 mmol/L in the post-operative period, during the 6 month time period. NQMC:007782
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
92.  
Endocrine disease: percentage of patients admitted with diabetes having assessment of lower limbs according to guidelines, during the 6 month time period. NQMC:007780
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
93.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena who receive a blood transfusion and endoscopic therapy who subsequently have an operation during the same admission, during the 6 month time period. NQMC:007802
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
94.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena who receive a blood transfusion and have a gastroscopy within 24 hours of admission, during the 6 month time period. NQMC:007798
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
95.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena who receive a blood transfusion and have an operation during the same admission, during the 6 month time period. NQMC:007801
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
96.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena who receive a blood transfusion and subsequently die, during the 6 month time period. NQMC:007803
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
97.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena who receive a blood transfusion who are discharged with a specific diagnosis that explains the cause of bleeding, during the 6 month time period. NQMC:007799
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
98.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena who receive a blood transfusion, for which there is documented evidence that a member of the surgical staff has been notified of their condition, during the 6 month time period. NQMC:007800
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
99.  
Gastroscopy: percentage of patients treated for possible perforation related to oesophageal dilatation, during the 6 month time period. NQMC:007685
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
100.  
Gastroscopy: percentage of patients undergoing gastroscopies (without dilatations or polypectomies) who were treated for possible perforation secondary to instrument related causes, during the 6 month time period. NQMC:007686
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
101.  
Gastroscopy: percentage of patients undergoing upper gastrointestinal tract polypectomies who were treated for possible perforation related to polypectomy, during the 6 month time period. NQMC:007687
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
102.  
General surgery: percentage of patients having a laparoscopic cholecystectomy with a bile duct injury requiring operative intervention, during the 6 month time period. NQMC:007940
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
103.  
Geriatric medicine: percentage of patients admitted to geriatric medicine or geriatric rehabilitation unit for whom there is documented assessment of mental function on admission or during admission when more appropriate, during the 6 month time period. NQMC:003518
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2008. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2007 Dec. 776 p.
104.  
Glaucoma surgery: percentage of patients having a readmission within 28 days of discharge following glaucoma surgery, due to endophthalmitis in the operated eye, during the 6 month time period. NQMC:007865
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
105.  
Glaucoma surgery: percentage of patients with a total length of stay (LOS) greater than 3 days following glaucoma surgery, during the 6 month time period. NQMC:007866
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
106.  
Glaucoma surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following glaucoma surgery, during the 6 month time period. NQMC:007864
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
107.  
Haematology: percentage of Coag validated report results from ED with a turnaround time (collected to validated time) less than 60 minutes, during the 2 to 4 week time period. NQMC:007899
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
108.  
Haematology: percentage of Coag validated report results from ED with a turnaround time (received to validated time) less than 40 minutes, during the 2 to 4 week time period. NQMC:007898
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
109.  
Haematology: percentage of haemoglobin validated report results from ED with a turnaround time (collected to validated time) less than 60 minutes, during the 2 to 4 week time period. NQMC:007897
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
110.  
Haematology: percentage of haemoglobin validated report results from ED with a turnaround time (received to validated time) less than 40 minutes, during the 2 to 4 week time period. NQMC:007896
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
111.  
Haemodialysis-associated blood stream infection surveillance: percentage of AV-fistula access-associated blood stream infections, during the 6 month time period. NQMC:007747
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
112.  
Haemodialysis-associated blood stream infection surveillance: percentage of centrally inserted cuffed line access-associated blood stream infections, during the 6 month time period. NQMC:007751
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
113.  
Haemodialysis-associated blood stream infection surveillance: percentage of centrally inserted non-cuffed line access-associated blood stream infections, during the 6 month time period. NQMC:007750
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
114.  
Haemodialysis-associated blood stream infection surveillance: percentage of native vessel graft access-associated blood stream infections, during the 6 month time period. NQMC:007749
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
115.  
Haemodialysis-associated blood stream infection surveillance: percentage of synthetic graft access-associated blood stream infections, during the 6 month time period. NQMC:007748
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
116.  
Healthcare-associated MRSA morbidity: percentage of ICU-associated new methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infections in a non-sterile site, during the 6 month time period. NQMC:007759
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
117.  
Healthcare-associated MRSA morbidity: percentage of ICU-associated new methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infections in a sterile site, during the 6 month time period. NQMC:007758
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
118.  
Healthcare-associated MRSA morbidity: percentage of non-ICU-associated new methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infections in a non-sterile site, during the 6 month time period. NQMC:007761
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2012. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2012 Jan. various p.
119.