National Quality Measures Clearinghouse (NQMC)

Diabetes Mellitus

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

Major Depressive Disorder

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

Ischemic Heart Disease: Primary Care Follow-up Post Acute Myocardial Infarction

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

Homeless: percent of homeless veterans entering a homeless program who receive timely MH or SUD specialty services.

Veterans Health Administration — Mon, 01 Nov 2004 00:00:00 EST

This measure is used to assess the percent of homeless veterans entering a homeless program who receive timely mental health (MH) or substance use disorder (SUD) specialty services.

Homeless: percent of homeless veterans entering a homeless residential program who receive timely primary care services.

Veterans Health Administration — Mon, 01 Nov 2004 00:00:00 EST

This measure is used to assess the percent of homeless veterans entering a homeless residential program who receive timely primary care services.

Mental Health Intensive Case Management (MHICM): percent of psychosis patients projected as requiring MHICM who receive outpatient care in MHICM.

Veterans Health Administration — Mon, 01 Nov 2004 00:00:00 EST

This measure is used to assess the percent of psychosis patients projected as requiring Mental Health Intensive Case Management (MHICM) who receive outpatient care in MHICM. This projection is based upon 4% of the number of patients in the Psychosis Registry seen at the facility.

Breast cancer screening: percent of women age 50 to 69 screened in the past two years for breast cancer.

Veterans Health Administration — Thu, 07 Dec 2000 00:00:00 EST

This measure is used to assess the percent of women age 50 to 69 screened in the past two years for breast cancer.

Acute coronary syndrome (ACS): percent of patients hospitalized for ACS with cardiac symptoms prior to or on arrival to the acute setting who had an ECG performed 15 minutes prior to arrival in acute setting or within 10 minutes after arrival.

Veterans Health Administration — Wed, 26 Nov 2003 00:00:00 EST

This measure is used to assess the percent of patients hospitalized for acute coronary syndrome (ACS) with cardiac symptoms prior to or on arrival to the acute setting who had an electrocardiogram (ECG) performed 15 minutes prior to arrival in acute setting or within 10 minutes after arrival.

Hypertension: percent of eligible patients with an active diagnosis of hypertension whose most recent blood pressure recording was less than 140/90 mm Hg.

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

This measure is used to assess the percent of eligible patients with an active diagnosis of hypertension whose most recent blood pressure recording was less than 140/90 mm Hg.

Ischemic heart disease (IHD): percent of patients discharged with AMI, CABG, PTCA (inpatient or outpatient), or with ischemic vascular disease who have had a full lipid panel in the past year and LDL-C less than 100 on most recent test in past year.

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

This measure is used to assess the percent of patients discharged with acute myocardial infarction (AMI), coronary artery bypass graft (CABG), percutaneous transluminal coronary angioplasty (PTCA) (inpatient or outpatient), or with ischemic vascular disease who have had a full lipid panel in the past year and low-density lipoprotein cholesterol (LDL-C) less than 100 on most recent test in past year.

Diabetes mellitus: percent of patients with a diagnosis of diabetes mellitus having hemoglobin A1c (HgbA1c) greater than 9 or not done during the past year.

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

This measure is used to assess the percent of patients with a diagnosis of diabetes mellitus having hemoglobin A1c (HgbA1c) greater than 9 or not done during the past year.

Mental health: percent of patients beginning a new episode of treatment for substance use disorder (SUD) who maintain continuous treatment involvement for at least 90 days after qualifying date.

Veterans Health Administration — Fri, 08 Nov 2002 00:00:00 EST

This measure is used to assess the percent of patients beginning a new episode of treatment for substance use disorder (SUD) who maintain continuous treatment involvement for at least 90 days after the qualifying date.

Effectiveness of Care -- Cardiovascular

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Infection Rate Reduction

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Appropriate screening: percent of eligible patients screened annually for alcohol misuse with AUDIT-C.

Veterans Health Administration — Fri, 08 Nov 2002 00:00:00 EST

This measure is used to assess the percent of eligible patients screened annually for alcohol misuse with the 3-item Alcohol Use Disorders Identification Test (AUDIT-C).

Hypertension: percent of outpatients with a diagnosis of hypertension (uncomplicated) on antihypertensive multi-drug therapy where the regimen includes a thiazide diuretic.

Veterans Health Administration — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of outpatients with a diagnosis of hypertension (uncomplicated) on antihypertensive multi-drug therapy where the regimen includes a thiazide diuretic.

Mental health: percent of eligible patients screened annually for depression.

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

This measure is used to assess the percent of eligible patients screened annually for depression.

Smoking cessation: percent of patients using tobacco who have been provided with brief counseling within the past year.

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of patients using tobacco who have been provided with brief counseling within the past year.

Smoking cessation: percent of patients using tobacco who have been offered medications to assist with cessation.

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of patients using tobacco who have been offered medications to assist with cessation.

Seamless Continuum of Care

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

Diabetes mellitus: percent of eligible patients with a diagnosis of diabetes mellitus having a nephropathy screening test during the past year or documented evidence of nephropathy.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of eligible patients with a diagnosis of diabetes mellitus having a nephropathy screening test during the past year or documented evidence of nephropathy.

Diabetes mellitus: percent of patients with diabetes mellitus having full lipid panel in the past year.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of patients with a diagnosis of diabetes mellitus having a full lipid panel in the past year.

Post-traumatic stress disorder (PTSD): percent of eligible patients screened at required intervals for PTSD and if positive PC-PTSD result, who have Suicide Ideation/Behavioral Evaluation completed within 24 hours.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of eligible patients screened at required intervals for post-traumatic stress disorder (PTSD) and if positive primary care PTSD (PC-PTSD) result, who have Suicide Ideation/Behavioral Evaluation completed within 24 hours.

Influenza immunization: percent of applicable patients age 50 to 64 years receiving influenza immunizations between September 1, 2007 and March 31, 2008 in accordance with defined VHA policy.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of applicable patients age 50 to 64 years receiving influenza immunizations between September 1, 2007 and March 31, 2008 in accordance with defined Veterans Health Administration (VHA) policy.

Alcohol misuse: percent of patients screened for alcohol misuse with AUDIT-C who meet or exceed a threshold score of 5 who have timely brief alcohol counseling.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of patients screened for alcohol misuse with Alcohol Use Disorders Test-Consumption (AUDIT-C) who meet or exceed a threshold score of 5 who have timely brief alcohol counseling.

Infection rate reduction: number of ventilator-associated pneumonia (VAP) infections per 1,000 ventilator days.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This indicator expresses the number of ventilator-associated pneumonia (VAP) infections in a facility in a given month using a standardized ratio of number of VAP infections per 1000 ventilator days. This indicator is useful in facilities with a high number of ventilator days.

Infection rate reduction: number of central line associated bloodstream (CLAB) infections per 1,000 central line patient days.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This indicator expresses the number of central line associated bloodstream (CLAB) infections in a facility in a given month in a standardized ratio of number of CLAB infections per 1,000 central line patient days. This indicator is useful in facilities with a high number of central line days.

Colon cancer screening: percent of patients receiving appropriate colorectal cancer screening.

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

This measure is used to assess the percent of patients receiving appropriate colorectal cancer screening.

Diabetes mellitus: percent of patients with a diagnosis of diabetes mellitus with blood pressure less than 140/90.

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

This measure is used to assess the percent of patients with a diagnosis of diabetes mellitus with blood pressure less than 140/90.

Diabetes mellitus: percent of patients with a diagnosis of diabetes mellitus who have had a full lipid panel during the past year and the most recent LDL-C is less than 100 mg/dL.

Veterans Health Administration — Fri, 08 Nov 2002 00:00:00 EST

This measure is used to assess the percent of patients with a diagnosis of diabetes mellitus who have had a full lipid panel during the past year and the most recent low-density lipoprotein-cholesterol (LDL-C) is less than 100 mg/dL.

Influenza immunization: percent of applicable patients 65 years and older receiving influenza immunizations between September 1, 2007 and March 31, 2008 in accordance with defined VHA policy.

Veterans Health Administration — Thu, 07 Dec 2000 00:00:00 EST

This measure is used to assess the percent of applicable patients 65 years and older receiving influenza immunizations from September 1, 2007 to March 31, 2008 in accordance with Veterans Health Administration (VHA) policy.

Effectiveness of Care -- Immunizations

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Appropriate Screening

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Hypertension: percent of outpatients with a diagnosis of hypertension (uncomplicated) on antihypertensive mono-drug therapy where the regimen includes a thiazide diuretic.

Veterans Health Administration — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of outpatients with a diagnosis of hypertension (uncomplicated) on antihypertensive mono-drug therapy where the regimen includes a thiazide diuretic.

Smoking cessation: percent of patients using tobacco who have been offered a referral to smoking cessation specialty program to assist with cessation within the past year.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of patients using tobacco who have been offered a referral to smoking cessation specialty program to assist with cessation within the past year.

Depression: percent of patients screened positive for depression symptoms with PHQ-2 or PHQ-9 or affirmative answer to Question 9 of the PHQ-9 who have timely triage.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of patients screened positive for depression symptoms with 2-item Personal Health Questionnaire (PHQ-2) or 9-item Personal Health Questionnaire (PHQ-9) or affirmative answer to Question 9 of the PHQ-9 who have timely triage.

Tobacco Use Cessation

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

Homeless: percent of eligible homeless veterans with an intake interview who receive timely MH or SUD specialty services.

Veterans Health Administration — Mon, 01 Nov 2004 00:00:00 EST

This measure is used to assess the percent of eligible homeless veterans with an intake interview who receive timely mental health (MH) or substance use disorder (SUD) specialty services.

Homeless: percent of veterans discharged from one of three types of homeless residential programs who receive timely MH or SUD specialty follow-up.

Veterans Health Administration — Mon, 01 Nov 2004 00:00:00 EST

This measure is used to assess the percent of veterans discharged from one of three types of homeless residential programs who receive timely mental health (MH) or substance use disorder (SUD) specialty follow-up.

Cervical cancer screening: percent of women age 21 to 64 screened for cervical cancer in the past three years.

Veterans Health Administration — Thu, 07 Dec 2000 00:00:00 EST

This measure is used to assess the percent of women age 21 to 64 screened for cervical cancer in the past three years.

Diabetes mellitus: percent of eligible patients with diabetes mellitus having a retinal exam by an Eye Care Specialist, timely, as indicated by disease.

Veterans Health Administration — Thu, 08 Nov 2001 00:00:00 EST

This measure is used to assess the percent of eligible patients with diabetes mellitus having a retinal exam by an Eye Care Specialist within specified time periods as indicated by disease.

Effectiveness of Care -- Diabetes

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Effectiveness of Care -- Tobacco Users

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Mental Health

Veterans Health Administration — Mon, 23 Jan 2006 00:00:00 EST

Fiscal Year (FY) 2008: Veterans Health Administration (VHA) Performance Measurement System

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

Mental health: percent of eligible patients screened at required intervals for PTSD.

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

This measure is used to assess the percent of eligible patients screened at regular intervals for post-traumatic stress disorder (PTSD).

Mental health: the percentage of patients who were diagnosed with a new episode of depression, and treated with antidepressant medication, and who remained an antidepressant drugs for at least 84 treatment days (12 weeks) after the Index Prescription Date.

Veterans Health Administration — Mon, 02 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of patients who were diagnosed with a new episode of depression, and treated with antidepressant medication, and who remained on an antidepressant drug for at least 84 treatment days (12 weeks) after the Index Prescription Date.

Diabetes mellitus: percent of patients with a diagnosis of diabetes mellitus having HbA1c testing performed during the past year.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of patients with a diagnosis of diabetes mellitus having hemoglobin A1c (HbA1c) testing performed during the past year.

Cardiovascular: percent of patients discharged with AMI, CABG, PTCA (inpatient or outpatient), or with ischemic vascular disease who have had a full lipid panel in the past year.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

Pneumococcal immunization: percent of applicable patients receiving pneumococcal immunization.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of applicable patients over age 65 receiving pneumococcal immunization.

Depression: percent of eligible patients screened annually for depression and if positive PHQ-2 or PHQ-9 result or affirmative response to Question 9, who have Suicide Ideation/Behavioral Evaluation completed within 24 hours.

Veterans Health Administration — Wed, 31 Oct 2007 00:00:00 EST

This measure is used to assess the percent of eligible patients screened annually for depression and if positive 2-item Personal Health Questionnaire (PHQ-2) or 9-item Personal Health Questionnaire (PHQ-9) result or affirmative response to Question 9 (PHQ-9), who have Suicide Ideation/Behavioral Evaluation completed within 24 hours.

Weight assessment and counseling for nutrition and physical activity for children and adolescents: percentage of members 2 to 17 years of age who had an outpatient visit with PCP or OB/GYN and who had evidence of BMI percentile documentation, counseling for nutrition and counseling for physical activity during the measurement year.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

This measure is used to assess the percentage of members 2 to 17 years of age who had an outpatient visit with primary care practitioner (PCP) or obstetrician/gynecologist (OB/GYN) and who had evidence of body mass index (BMI) percentile documentation, counseling for nutrition and counseling for physical activity during the measurement year.

Because BMI norms for youth vary with age and gender, this measure evaluates whether BMI percentile is assessed rather than an absolute BMI value.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative specification. Refer to the original measure documentation for details pertaining to the Hybrid specification.

Lead screening in children: percentage of children two years of age who had one or more capillary or venous lead blood tests for lead poisoning by their second birthday.

National Committee for Quality Assurance — Sun, 01 Jul 2007 00:00:00 EST

This measure is used to assess the percentage of children two years of age who had one or more capillary or venous lead blood tests for lead poisoning by their second birthday.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure, there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Colorectal cancer screening: percentage of adults 50 to 80 years of age who had appropriate screening for colorectal cancer.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of adults 50 through 80 years of age who had appropriate screening for colorectal cancer.

Care for older adults (COA): percentage of adults 65 years and older who had each of the following during the measurement year: advance care planning, medication review, functional status assessment and pain screening.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

This measure is used to assess the percentage of adults 65 years and older who had each of the following during the measurement year: advance care planning, medication review, functional status assessment and pain screening.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Avoidance of antibiotic treatment in adults with acute bronchitis: percentage of adults 18 to 64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of adults 18 to 64 years of age with a diagnosis of acute bronchitis who were not* dispensed an antibiotic prescription on or three days after the Index Episode Start Date.

*This measure is reported as an inverted rate [1 - (numerator/eligible population)]. A higher rate indicates appropriate treatment of adults with acute bronchitis (i.e., proportion for whom antibiotics were not prescribed).

Hypertension: percentage of members 18 to 85 years of age who had a diagnosis of hypertension and whose blood pressure (BP) was adequately controlled (BP less than or equal to 140/90 mm Hg) during the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the percentage of members 18 to 85 years of age who had a diagnosis of hypertension and whose blood pressure (BP) was adequately controlled (BP less than or equal to 140/90 mm Hg) during the measurement year.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) whose most recent hemoglobin A1c (HbA1c) level is greater than 9.0% (poorly controlled).

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes mellitus (Type 1 and Type 2) whose most recent hemoglobin A1c (HbA1c) level is greater than 9.0% (poorly controlled).

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) who had low-density lipoprotein cholesterol (LDL-C) test performed.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 to 75 years with diabetes (Type 1 and Type 2) who were continuously enrolled during the measurement year and who had low-density lipoprotein cholesterol (LDL-C) test performed during the measurement year.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) whose most recent blood pressure reading is less than 130/80 mm Hg.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure is used to assess the percentage of members 18 to 75 years of age with diabetes (Type 1 and Type 2) who were continuously enrolled during the measurement year and whose most recent blood pressure reading is less than 130/80 mm Hg during the measurement year.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Musculoskeletal Conditions

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Attention-deficit/hyperactivity disorder (ADHD) (continuation and maintenance phase): percentage of members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who remained on the medication for at least 210 days and who, in addition to the visit in the initiation phase, had at least two follow-up visits with a practitioner within 270 days (9 months) after the initiation phase ended.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who remained on the medication for at least 210 days and who, in addition to the visit in the initiation phase, had at least two follow-up visits with a practitioner within 270 days (9 months) after the initiation phase ended (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Attention-deficit/hyperactivity disorder (ADHD) (initiation phase): percentage of members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who had one follow-up visit with a practitioner with prescribing authority during the 30-day initiation phase).

Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for ACEIs or ARBs during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.

This measure is a component of a composite measure. For each product line, four separate rates and a combined rate are reported. The other three rates pertain to:

Annual monitoring for members on digoxin (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for digoxin during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on diuretics (see the related NQMC summary of the NCQA measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for diuretics during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on anticonvulsants (phenytoin, phenobarbital, valproic acid, carbamazepine) (see the related NQMC summary of the NCQA measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for anticonvulsants during the measurement year and at least one drug serum concentration level monitoring test for the prescribed drug in the measurement year)

Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for anticonvulsants during the measurement year and at least one drug serum concentration level monitoring test for the prescribed drug in the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for anticonvulsants (phenobarbital, carbamazepine, phenytoin, divalproex sodium, valproic acid) during the measurement year and at least one drug serum concentration level monitoring test for the prescribed drug in the measurement year.

This measure is a component of a composite measure. For each product line, four separate rates and a combined rate are reported. The other three rates pertain to:

Annual monitoring for members on angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for ACEIs or ARBs during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on digoxin (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for digoxin during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on diuretics (see the related NQMC summary of the NCQA measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for diuretics during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)

Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a history of falls and a prescription for tricyclic antidepressants, antipsychotics or sleep agents.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who have a history of falls and a prescription for tricyclic antidepressants, antipsychotics or sleep agents concurrent with or after the diagnosis.

This measure is a component of a composite measure. Three separate rates and a combined rate are reported. The other two rates pertain to:

Dementia and a prescription for tricyclic antidepressants or anticholinergic agents (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a diagnosis of dementia and a prescription for tricyclic antidepressants or anticholinergic agents).
Chronic renal failure and prescription for non-aspirin NSAIDs or Cox-2 Selective NSAIDs (see the related NQMC summary of the NCQA measure Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a diagnosis of chronic renal failure and prescription for non-aspirin NSAIDs or Cox-2 Selective NSAIDs).

Note: Members with more than one disease or condition can appear in the measure multiple times (i.e., in each indicator for which they qualify).

Use of high-risk medications in the elderly: percentage of Medicare members 65 years of age and older who received at least one high-risk medication.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who received at least one high risk medication (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Use of high-risk medications in the elderly: percentage of Medicare members 65 years of age and older who received at least two different high-risk medications).

Physical activity in older adults: percentage of Medicare members 65 years of age and older who had a doctor's visit in the past 12 months and who spoke with a doctor or other health provider about their level of exercise or physical activity.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who had a doctor's visit in the past 12 months and who spoke with a doctor or other health provider about their level of exercise or physical activity.

This measure is collected using the Medicare Health Outcomes Survey (HOS).

Measures Collected Through CAHPS Health Plan Survey

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Smoking cessation: percentage of members 18 years of age and older who are current smokers, who were seen by a health plan practitioner during the measurement year and who received advice to quit smoking.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is one component of a three-part survey measure that looks at the health care provider's role in curbing tobacco use. The measure uses survey data to assess the percentage of members (commercial, Medicaid, Medicare) 18 years of age and older who are current smokers, who were seen by a health plan practitioner during the measurement year and who received advice to quit smoking.

For commercial and Medicaid members, survey data is also used to assess the percentage of current smokers whose practitioner recommended or discussed smoking cessation medications and other smoking cessation methods or strategies. See the related National Quality Measures Clearinghouse (NQMC) summaries of the National Committee for Quality Assurance (NCQA) measures Smoking cessation: percentage of members 18 years of age and older and who were current smokers, who were seen by a health plan practitioner during the measurement year and whom smoking cessation medications were recommended or discussed and Smoking cessation: percentage of members 18 years and older and were current smokers, who were seen by a health plan practitioner during the measurement year and whom smoking cessation methods or strategies were recommended or discussed.

Pneumonia vaccination status: percentage of Medicare members 65 years of age and older who have ever received a pneumococcal vaccination.

National Committee for Quality Assurance — Mon, 01 Jan 2001 00:00:00 EST

This measure uses survey data to assess the percentage of Medicare members 65 years of age and older as of January 1 of the measurement year who have ever received a pneumococcal vaccination.

Adults' access to preventive/ambulatory health services: percentage of members 20 years and older who had an ambulatory or preventive care visit.

National Committee for Quality Assurance — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the percentage of members 20 through 44 years, 45 through 64 years, and 65 years and older who had an ambulatory or preventive care visit. The organization reports three separate percentages for each product line:

Medicaid and Medicare members who had an ambulatory or preventive care visit during the measurement year
Commercial members who had an ambulatory or preventive care visit during the measurement year or the two years prior to the measurement year

Initiation of alcohol and other drug (AOD) treatment: percentage of adolescent and adult members who initiate treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter, or partial hospitalization within 14 days of diagnosis.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of adolescent and adult members with a new episode of alcohol or other drug (AOD) dependence who initiate treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter, or partial hospitalization within 14 days of the diagnosis.

See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Engagement of alcohol and other drug (AOD) treatment: percentage of members who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.

CAHPS Health Plan Survey 4.0H, Child Version

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Health plan members' satisfaction with care: adult health plan members' ratings of the specialist they saw most often.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

The CAHPS Health Plan Survey 4.0H, Adult Version provides information on the experiences of commercial and Medicaid members with the health plan and gives a general indication of how well the health plan meets members' expectations. Results summarize member satisfaction through ratings, composites and question summary rates.

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of Specialist Seen Most Often" measure, members rate the specialist they saw most often on a scale from 0 to 10, where 0 is the "worst specialist possible" and 10 is the "best specialist possible".

Health plan members' experiences: percentage of adult health plan members who reported how often they were satisfied with their health plan's customer service.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "Customer Service" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") their health plan's customer service gave them needed information or help and treated them with courtesy and respect. The "Customer Service" composite measure is based two questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' experiences: percentage of adult health plan members who reported how often their doctors communicated well.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "How Well Doctors Communicate" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") their doctors communicated well with them. The "How Well Doctors Communicate" composite measure is based on four questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' experiences: percentage of adult health plan members who reported how often their doctor and other health provider talked about specific things they could do to prevent illness.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

Question summary rates are reported individually for two items summarizing the following concepts:

Health Promotion and Education
Coordination of Care

For this "Health Promotion and Education" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") their doctor or other health provider talked about specific things they could do to prevent illness.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often it was easy to get needed care for their child.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

The CAHPS Health Plan Survey 4.0H, Child Version provides information on parents' or guardians' experiences with their child's health plan. Results summarize member experiences through ratings, composites and individual question summary rates.

Five composite scores summarize responses in key areas.

Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making

For this "Getting Needed Care" measure, parents or guardians indicate how often ("Never," "Sometimes," "Usually," or "Always") it was easy to get needed care for their children. The "Getting Needed Care" composite measure is based on two questions in the CAHPS 4.0H Child Questionnaire.

Health plan members' experiences: percentage of parents or guardians who reported how often they and their child's doctor or other health provider talked about specific things they could do to prevent illness in their child.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Question summary rates are reported individually for two items summarizing the following concepts:

Health Promotion and Education
Coordination of Care

For this "Health Promotion and Education" measure, parents or guardians indicate how often ("Never," "Sometimes," "Usually," or "Always") their child's doctor or other health provider talked about specific things they could do to prevent illness in their child.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often it was easy to get specialized services for their children with chronic conditions.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

The CAHPS Health Plan Survey 4.0H, Child Version provides information on parents' or guardians' experience with their child's health plan for the population of children with chronic conditions (CCC). Results include the same ratings, composites and individual question summary rates as those reported for the CAHPS Health Plan Survey 4.0H, Child Version.

In addition, five CCC composites summarize satisfaction with basic components of care essential for successful treatment, management and support of children with chronic conditions.

Access to Prescription Medicines
Access to Specialized Services
Family Centered Care: Personal Doctor Who Knows Child
Family Centered Care: Getting Needed Information
Coordination of Care for Children with Chronic Conditions

For this "Access to Specialized Services" measure, parents or guardians of children with chronic conditions report how often it was easy to get specialized care for their child. The "Access to Specialized Services" composite measure is based on three questions in the CAHPS 4.0H Child Questionnaire.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported whether they received assistance with coordination of care and services for their children with chronic conditions.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

In addition, five CCC composites summarize satisfaction with basic components of care essential for successful treatment, management and support of children with chronic conditions.

Access to Prescription Medicines
Access to Specialized Services
Family Centered Care: Personal Doctor Who Knows Child
Family Centered Care: Getting Needed Information
Coordination of Care for Children with Chronic Conditions

For this "Coordination of Care for Children with Chronic Conditions" measure, parents or guardians of children with chronic conditions indicate whether ("Yes" or "No") they received assistance with coordination of care and services regarding their child. The "Coordination of Care for Children with Chronic Conditions" composite measure is based on two questions in the CAHPS 4.0H Child Questionnaire.

Identification of alcohol and other drug services: summary of the number and percentage of members with an alcohol and other drug (AOD) claim who received the following chemical dependency services during the measurement year: any services, inpatient, intensive outpatient or partial hospitalization, and outpatient or emergency department (ED).

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure summarizes the number and percentage of members with an alcohol and other drug (AOD) claim who received the following chemical dependency services during the measurement year:

Any services
Inpatient
Intensive outpatient or partial hospitalization
Outpatient or emergency department (ED)

Health plan members' satisfaction with care: adult health plan members' ratings of all health care received from their health plan in the last 12 months.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of All Health Care" measure, members rate all health care received on a scale from 0 to 10, where 0 is the "worst health care possible" and 10 is the "best health care possible".

Health plan members' satisfaction with care: adult health plan members' ratings of their health plan.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of Health Plan" measure, members rate their health plan on a scale from 0 to 10, where 0 is the "worst health plan possible" and 10 is the "best health plan possible".

Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "Getting Care Quickly" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") they obtained the care they needed without long waits. The "Getting Care Quickly" composite measure is based on two questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' satisfaction with care: parents' or guardians' ratings of their child's personal doctor.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of Personal Doctor" measure, parents or guardians rate their child's personal doctor on a scale from 0 to 10, where 0 is the "worst personal doctor possible" and 10 is the "best personal doctor possible".

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often they were satisfied with their child's health plan customer service.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Five composite scores summarize responses in key areas.

Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making

For this "Customer Service" measure, parents or guardians indicate how often ("Never," "Sometimes," "Usually," or "Always") their child's health plan customer service gave them needed information or help and treated them with courtesy and respect. The "Customer Service" composite measure is based on two questions in the CAHPS 4.0H Child Questionnaire.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often their child's doctors communicated well.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Five composite scores summarize responses in key areas.

Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making

For this "How Well Doctors Communicate" measure, parents or guardians indicate how often ("Never," "Sometimes," "Usually," or "Always") their children's doctors communicated well with them. The "How Well Doctors Communicate" composite measure is based on four questions in the CAHPS 4.0H Child Questionnaire.

Health plan members' experiences: percentage of parents or guardians who reported how often their child's personal doctor seemed informed and up-to-date about the care their child got from other doctors or health providers.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Question summary rates are reported individually for two items summarizing the following concepts:

Health Promotion and Education
Coordination of Care

For this "Coordination of Care" measure, parents or guardians indicate how often ("Never," "Sometimes," "Usually," or "Always") their child's personal doctor seemed informed and up-to-date about the care their child got from other doctors or other health providers.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported their experiences with their children's personal doctor for their children with chronic conditions.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

In addition, five CCC composites summarize satisfaction with basic components of care essential for successful treatment, management and support of children with chronic conditions.

Access to Prescription Medicines
Access to Specialized Services
Family Centered Care: Personal Doctor Who Knows Child
Family Centered Care: Getting Needed Information
Coordination of Care for Children with Chronic Conditions

For this "Family Centered Care: Personal Doctor Who Knows Child" measure, parents or guardians of children with chronic conditions indicate whether ("Yes" or "No") their child's personal doctor made it easy for them to discuss their questions or concerns regarding their child. The "Family Centered Care: Personal Doctor Who Knows Child" composite measure is based on three questions in the CAHPS 4.0H Child Questionnaire.

Effectiveness of Care

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Childhood immunization status: percentage of enrolled children who had four diphtheria, tetanus, and acellular pertussis (DTaP), three injectable polio virus (IPV), one measles, mumps, and rubella (MMR), two haemophilus influenza type B (HiB), three hepatitis B and one chicken pox vaccination (VZV) by their second birthday (combination #2).

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

For Childhood Immunization Status (CIS), two separate combination rates are calculated. This measure (combination #2) is used to assess the percentage of enrolled children who turned two years of age during the measurement year who were continuously enrolled for 12 months prior to the child's second birthday and who had four diphtheria, tetanus, and acellular pertussis (DTaP), three injectable polio virus (IPV), one measles, mumps, and rubella (MMR), two haemophilus influenza type B (HiB), three hepatitis B and one chicken pox vaccination (VZV) on or before the child's second birthday. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure, Childhood immunization status: percentage of enrolled children who had four diphtheria, tetanus, and acellular pertussis (DTaP), three injectable polio virus (IPV), one measles-mumps-rubella (MMR), two haemophilus influenza type B (HiB), three hepatitis B, one chicken pox vaccination (VZV) and four pneumococcal conjugate vaccinations by their second birthday (combination #3).

Breast cancer screening: percentage of women 40 to 69 years of age who had one or more mammograms during the measurement year or the year prior to the measurement year.

National Committee for Quality Assurance — Fri, 01 Jan 1993 00:00:00 EST

This measure is used to assess the percentage of women 40 through 69 years of age who had one or more mammograms during the measurement year or year prior to the measurement year.

Chlamydia screening: percentage of women 16 to 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the percentage of women 16 to 24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year.

Pharmacotherapy management of COPD exacerbation: percentage of chronic obstructive pulmonary disease (COPD) exacerbations for members 40 years of age and older who had an acute inpatient discharge or ED encounter between January 1 to November 30 of the measurement year and who were dispensed a bronchodilator within 30 days of the event.

National Committee for Quality Assurance — Sun, 01 Jul 2007 00:00:00 EST

This measure is used to assess the percentage of chronic obstructive pulmonary disease (COPD) exacerbations for members 40 years of age and older who had an acute inpatient discharge or emergency department (ED) encounter between January 1 to November 30 of the measurement year and who were dispensed a bronchodilator within 30 days of the event.

Cardiovascular Conditions

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Acute myocardial infarction (AMI): percentage of members 18 years of age and older during the measurement year who were hospitalized and discharged alive from July 1 of the year prior to the measurement year to June 30 of the measurement year with a diagnosis of AMI and who received persistent beta-blocker treatment for six months after discharge.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of adult members 18 years of age and older during the measurement year who were hospitalized and discharged alive from July 1 of the year prior to the measurement year to June 30 of the measurement year with a diagnosis of acute myocardial infarction (AMI) and who received persistent beta-blocker treatment for six months after discharge.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) whose most recent hemoglobin A1c (HbA1c) level is less than 7.0% (good control).

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes mellitus (Type 1 and Type 2) whose most recent hemoglobin A1c (HbA1c) level is less than 7.0% (good control).

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) whose most recent low-density lipoprotein cholesterol (LDL-C) level is less than 100 mg/dL.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes mellitus (Type 1 and Type 2) whose most recent low-density lipoprotein cholesterol (LDL-C) level is less than 100 mg/dL.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Use of imaging studies for low back pain: percentage of members with a primary diagnosis of low back pain who did not have an imaging study (plain x-ray, MRI, CT scan) within 28 days of the diagnosis.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess percentage of members with a primary diagnosis of low back pain who did not have an imaging study (plain X-ray, magnetic resonance imaging [MRI], computed tomography [CT] scan).

The measure is reported as an inverted rate [1 minus (numerator/denominator)]. A higher score indicates appropriate treatment of low back pain (i.e., the proportion for whom imaging studies did not occur).

Antidepressant medication management (effective continuation phase treatment): percentage of members who were diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication for at least 180 days (6 months).

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 years of age and older as of April 30 of the measurement year who were diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication for at least 180 days (6 months).

Mental health: percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 30 days of discharge.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

This measure is used to assess the percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 30 days of discharge. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Mental health: percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 7 days of discharge.

Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for digoxin during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for digoxin during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.

This measure is a component of a composite measure. For each product line, four separate rates and a combined rate are reported. The other three rates pertain to:

Annual monitoring for members on angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for ACEIs or ARBs during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on diuretics (see the related NQMC summary of the NCQA measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for diuretics during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on anticonvulsants (phenytoin, phenobarbital, valproic acid, carbamazepine) (see the related NQMC summary of the NCQA measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for anticonvulsants during the measurement year and at least one drug serum concentration level monitoring test for the prescribed drug in the measurement year)

Medication Management

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Fall risk management: the percentage of Medicare members 75 years of age and older or who are 65 to 74 years of age with balance or walking problems or a fall in the past 12 months who were seen by an MAO practitioner in the past 12 months and who discussed falls or problems with balance or walking with their current practitioner.

National Committee for Quality Assurance — Sat, 01 Jul 2006 00:00:00 EST

This measure is used to assess the percentage of Medicare members:

75 years of age and older, or
65 to 74 years of age with balance or walking problems or a fall in the past 12 months,

who were seen by a Medicare Advantage Organization (MAO) practitioner in the past 12 months and who discussed falls or problems with balance or walking with their current practitioner.

This measure is collected using the Medicare Health Outcome Survey (HOS).

Management of urinary incontinence in older adults: percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who received treatment for their current urine leakage problem.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who received treatment for their current urine leakage problem.

This is one component of a two-part survey measure that provides information on how well health plan physicians manage urinary incontinence (UI) in Medicare members 65 and older. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Management of urinary incontinence in older adults: percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who discussed their urinary leakage problem with their current practitioner.

This measure is collected using the Medicare Health Outcomes Survey (HOS).

Physical activity in older adults: percentage of Medicare members 65 years of age and older who had a doctor's visit in the past 12 months and who received advice to start, increase or maintain their level of exercise or physical activity.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who had a doctor's visit in the past 12 months and who received advice to start, increase or maintain their level of exercise or physical activity.

This measure is collected using the Medicare Health Outcome Survey (HOS).

Influenza immunization: percentage of commercial members 50 to 64 years of age who received an influenza vaccination between September 1 of the measurement year and the date on which the CAHPS® 4.0H Adult Survey was completed.

National Committee for Quality Assurance — Tue, 01 Jan 2002 00:00:00 EST

This measure uses survey data to assess the percentage of commercial members 50 to 64 years of age who received an influenza vaccination between September 1 of the measurement year and the date on which the CAHPS® 4.0H Adult Survey was completed.

Smoking cessation: percentage of members 18 years of age and older who are current smokers, who were seen by a health plan practitioner during the measurement year for whom smoking cessation medications were recommended or discussed.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is one component of a three-part survey measure that looks at the health care provider's role in curbing tobacco use. The measure uses survey data to assess the percentage of members (commercial, Medicaid) 18 years of age and older who are current smokers, who were seen by a health plan practitioner during the measurement year for whom discussed or were recommended smoking cessation medications.

For commercial, Medicaid, and Medicare members, survey data is also used to assess the percentage of current smokers who received advice to quit smoking from their practitioner. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Smoking cessation: percentage of members 18 years of age and older and who were current smokers, who were seen by a health plan practitioner during the measurement year and who received advice to quit smoking.

For commercial and Medicaid members, survey data is also used to assess the percentage of current smokers whose practitioner recommended or discussed smoking cessation methods and strategies. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Smoking cessation: percentage of members 18 years and older and were current smokers, who were seen by a health plan practitioner during the measurement year and whom smoking cessation methods or strategies were recommended or discussed.

Access/Availability of Care

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Timeliness of prenatal care: percentage of deliveries that received a prenatal care visit as a member of the organization in the first trimester or within 42 days of enrollment in the organization.

National Committee for Quality Assurance — Mon, 01 Jan 2001 00:00:00 EST

This measure is used to assess the timeliness of prenatal care among women who delivered a live birth between November 6 of the year prior to the measurement year and November 5 of the measurement year.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Well-child visits in the third, fourth, fifth and sixth years of life: percentage of members who were three to six years of age during the measurement year who received one or more well-child visits with a primary care practitioner (PCP) during the measurement year.

National Committee for Quality Assurance — Mon, 01 Jan 1996 00:00:00 EST

This measure is used to assess the percentage of members who were three to six years old during the measurement year who received one or more well-child visits with a primary care practitioner during the measurement year.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Outpatient drug utilization: summary of outpatient utilization of drug prescriptions, stratified by age, during the measurement year.

National Committee for Quality Assurance — Fri, 01 Jan 1993 00:00:00 EST

This measure summarizes data on outpatient utilization of drug prescriptions, stratified by age, during the measurement year. The following data are reported:

Total cost of prescriptions
Average cost of prescriptions per member per year (PMPY)
Total number of prescriptions
Average number of prescriptions PMPY

Inpatient utilization--general hospital/acute care: summary of utilization of acute inpatient care and services in the following categories: total inpatient, medicine, surgery, and maternity.

National Committee for Quality Assurance — Fri, 01 Jan 1993 00:00:00 EST

This measure summarizes utilization of acute inpatient services in the following categories:

Total inpatient
Medicine
Surgery
Maternity

HEDIS® 2009: Healthcare Effectiveness Data and Information Set

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Prevention and Screening

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Adult body mass index (BMI) assessment: percentage of members 18 to 74 years of age who had an outpatient visit and who had their BMI documented during the measurement year or the year prior to the measurement year.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

This measure is used to assess the percentage of members 18 to 74 years of age who had an outpatient visit and who had their body mass index (BMI) documented during the measurement year or the year prior to the measurement year.

Childhood immunization status: percentage of enrolled children who had four diphtheria, tetanus, and acellular pertussis (DTaP), three injectable polio virus (IPV), one measles, mumps, and rubella (MMR), two haemophilus influenza type B (HiB), three hepatitis B, one chicken pox vaccination (VZV) and four pneumococcal conjugate vaccinations by their second birthday (combination #3).

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

For Childhood Immunization Status (CIS), two separate combination rates are calculated. This measure (combination #3) is used to assess the percentage of enrolled children who turned two years of age during the measurement year who were continuously enrolled for 12 months prior to the child's second birthday and who had four diphtheria, tetanus, and acellular pertussis (DTaP), three injectable polio virus (IPV), one measles, mumps, and rubella (MMR), two haemophilus influenza type B (HiB), three hepatitis B, one chicken pox vaccination (VZV) and four pneumococcal conjugate vaccines by their second birthday. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure, Childhood immunization status: percentage of enrolled children who had four diphtheria, tetanus, and acellular pertussis (DTaP/DT), three injectable polio virus (IPV), one measles, mumps, and rubella (MMR), two haemophilus influenza type B (HiB), three hepatitis B and one chicken pox vaccination (VZV) by their second birthday (combination #2).

Cervical cancer screening: percentage of women 21 to 64 years of age who received one or more Pap tests during the measurement year or the two years prior to the measurement year.

National Committee for Quality Assurance — Mon, 01 Jan 1996 00:00:00 EST

This measure is used to assess the percentage of women 21 through 64 years of age who received one or more Pap tests during the measurement year or the two years prior to the measurement year.

Glaucoma screening: percentage of Medicare members 65 years and older without a prior diagnosis of glaucoma or glaucoma suspect, who received a glaucoma eye exam by an eye care professional for the early identification of glaucomatous conditions.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years and older without a prior diagnosis of glaucoma or glaucoma suspect, who received a glaucoma eye exam by an eye care professional (i.e., ophthalmologist, optometrist) for the early identification of glaucomatous conditions.

Appropriate testing for children with pharyngitis: percentage of children 2 to 18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of children 2 to 18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode*.

*Outpatient or emergency department (ED) visit with only a diagnosis of pharyngitis and a dispensed antibiotic for that episode of care during the Intake Period.

Appropriate treatment for children with upper respiratory infection (URI): percentage of children 3 months to 18 years of age who were given a diagnosis of URI and were not dispensed an antibiotic prescription.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of children 3 months to 18 years of age who were given a diagnosis of upper respiratory infection (URI) and were not* dispensed an antibiotic prescription on or three days after the Index Episode Start Date.

*This measure is reported as an inverted rate [1 - (numerator/eligible population)]. A higher rate indicates appropriate treatment of children with URI (i.e., proportion for whom antibiotics were not prescribed).

Chronic obstructive pulmonary disease (COPD): percentage of members 40 years of age and older with a new diagnosis or newly active COPD who received appropriate spirometry testing to confirm the diagnosis.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of health plan members 40 years of age and older with a new diagnosis or newly active chronic obstructive pulmonary disease (COPD) who received appropriate spirometry testing to confirm the diagnosis.

Pharmacotherapy management of COPD exacerbation: percentage of chronic obstructive pulmonary disease (COPD) exacerbations for members 40 years of age and older who had an acute inpatient discharge or ED encounter between January 1 to November 30 of the measurement year and who were dispensed a systemic corticosteroid within 14 days of the event.

National Committee for Quality Assurance — Sun, 01 Jul 2007 00:00:00 EST

Asthma: percentage of members 5 to 56 years of age during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication during the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the percentage of enrolled members 5 to 56 years of age during the measurement year who were identified as having persistent asthma and who were appropriately prescribed medication during the measurement year.

This process measure evaluates whether members with persistent asthma are being prescribed medications that are acceptable as primary therapy for long-term asthma control. The list of acceptable medications is derived from the National Heart, Lung and Blood Institute's (NHLBI) National Asthma Education Prevention Program (NAEPP) guidelines.

Respiratory Conditions

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Cholesterol management for patients with cardiovascular conditions: percentage of patients with a cardiovascular condition who had a low-density lipoprotein cholesterol (LDL-C) screening performed and the percentage of patients who have a documented LDL-C level less than 100 mg/dL.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG), or percutaneous transluminal coronary angioplasty (PTCA) from January 1 through November 1 of the year prior to the measurement year, or who had a diagnosis of ischemic vascular disease (IVD) during the measurement year or year prior to the measurement year, who had each of the following during the measurement year:

LDL-C screening performed
LDL-C controlled (less than 100 mg/dL)

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) who had a hemoglobin A1c (HbA1c) test during the measurement year.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes (Type 1 and Type 2) who were continuously enrolled during the measurement year and who had a hemoglobin A1c (HbA1c) blood test.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) who had an eye screening for diabetic retinal disease.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes mellitus (Type 1 and Type 2) who had an eye screening for diabetic retinal disease.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) who had a nephropathy screening test or evidence of nephropathy.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes mellitus (Type 1 and Type 2) who had a nephropathy screening test or evidence of nephropathy.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive diabetes care: percentage of members 18 through 75 years of age with diabetes mellitus (type 1 and type 2) whose most recent blood pressure reading is less than 140/90 mm Hg.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure is used to assess the percentage of members 18 through 75 years of age with diabetes mellitus (Type 1 and Type 2) who were continuously enrolled during the measurement year and whose most recent blood pressure reading is less than 140/90 mm Hg during the measurement year.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Comprehensive Diabetes Care

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Rheumatoid arthritis: percentage of members who were diagnosed with rheumatoid arthritis and who were dispensed at least one ambulatory prescription for a disease modifying anti-rheumatic drug (DMARD).

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members who were diagnosed with rheumatoid arthritis (RA) and who were dispensed at least one ambulatory prescription for a disease modifying anti-rheumatic drug (DMARD).

Osteoporosis management in women who had a fracture: percentage of women 67 years of age and older who suffered a fracture, and who had either a bone mineral density (BMD) test or prescription for a drug to treat or prevent osteoporosis in the six months after the fracture.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of women 67 years of age and older who suffered a fracture, and who had either a bone mineral density (BMD) test or prescription for a drug to treat or prevent osteoporosis in the six months after the fracture. Since women who suffer a fracture are at an increased risk of suffering additional fractures and are most likely to have osteoporosis, this measure assesses how well the organization manages women who are at high risk for a second fracture.

Behavioral Health

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Antidepressant medication management (effective acute phase treatment): percentage of members who were diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication for at least 84 days (12 weeks).

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is used to assess the percentage of members 18 years of age and older as of April 30 of the measurement year, who were diagnosed with a new episode of major depression, were treated with antidepressant medication, and remained on an antidepressant medication for at least 84 days (12 weeks).

Attention-deficit/hyperactivity disorder (ADHD) (initiation phase): percentage of members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who had one follow-up visit with a practitioner with prescribing authority during the 30-day initiation phase.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who had one follow-up visit with a practitioner with prescribing authority during the 30-day initiation phase (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Attention-deficit/hyperactivity disorder (ADHD) (continuation maintenance phase): percentage of members 6 to 12 years of age with an ambulatory prescription dispensed for ADHD medication who remained on the medication for at least 210 days and who, in addition to the visit in the initiation phase, had at least two follow-up visits with a practitioner within 9 months after the initiation phase ended).

Mental health: percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 7 days of discharge.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

This measure is used to assess the percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 7 days of discharge. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Mental health: percentage of discharges for members 6 years of age and older who were hospitalized for treatment of selected mental health disorders and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner within 30 days of discharge.

Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for diuretics during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for diuretics during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year.

This measure is a component of a composite measure. For each product line, four separate rates and a combined rate are reported. The other three rates pertain to:

Annual monitoring for members on angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for ACEIs or ARBs during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on digoxin (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for digoxin during the measurement year and at least one serum potassium and either a serum creatinine or a blood urea nitrogen therapeutic monitoring test in the measurement year)
Annual monitoring for members on anticonvulsants (phenytoin, phenobarbital, valproic acid, carbamazepine) (see the related NQMC summary of the NCQA measure Annual monitoring for patients on persistent medications: percentage of members 18 years of age and older who received at least a 180-days supply of ambulatory medication therapy for anticonvulsants during the measurement year and at least one drug serum concentration level monitoring test for the prescribed drug in the measurement year)

Medication reconciliation post-discharge: percentage of discharges from January 1 to December 1 of the measurement year for members 65 years of age and older for whom medications were reconciled on or within 30 days of discharge.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

This measure is used to assess the percentage of discharges from January 1 to December 1 of the measurement year for members 65 years of age and older for whom medications were reconciled on or within 30 days of discharge.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a diagnosis of dementia and a prescription for tricyclic antidepressants or anticholinergic agents.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who have a diagnosis of dementia and a prescription for tricyclic antidepressants or anticholinergic agents concurrent with or after the diagnosis.

This measure is a component of a composite measure. Three separate rates and a combined rate are reported. The other two rates pertain to:

History of falls and a prescription for tricyclic antidepressants, antipsychotics or sleep gents (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a history of falls and a prescription for tricyclic antidepressants, antipsychotics or sleep agents).
Chronic renal failure and prescription for non-aspirin NSAIDs or Cox-2 Selective NSAIDs (see the related NQMC summary of the NCQA measure Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a diagnosis of chronic renal failure and prescription for non-aspirin NSAIDs or Cox-2 Selective NSAIDs).

Note: Members with more than one disease or condition can appear in the measure multiple times (i.e., in each indicator for which they qualify).

Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a diagnosis of chronic renal failure and prescription for non-aspirin NSAIDs or Cox-2 Selective NSAIDs.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who have a diagnosis of chronic renal failure and prescription for non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) or cyclooxygenase-2 (Cox-2) Selective NSAIDs concurrent with or after the diagnosis.

This measure is a component of a composite measure. Three separate rates and a combined rate are reported. The other two rates pertain to:

History of falls and a prescription for tricyclic antidepressants, antipsychotics or sleep gents (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a history of falls and a prescription for tricyclic antidepressants, antipsychotics or sleep agents).
Dementia and a prescription for tricyclic antidepressants or anticholinergic agents (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Potentially harmful drug-disease interactions in the elderly: percentage of Medicare members 65 years of age and older who have a diagnosis of dementia and a prescription for tricyclic antidepressants or anticholinergic agents).

Note: Members with more than one disease or condition can appear in the measure multiple times (i.e., in each indicator for which they qualify).

Use of high-risk medications in the elderly: percentage of Medicare members 65 years of age and older who received at least two different high-risk medications.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who received at least two different high-risk medications (see the related National Quality Measures Clearinghouse [NQMC] summary of the National Committee for Quality Assurance [NCQA] measure Use of high-risk medications in the elderly: percentage of Medicare members 65 years of age and older who received at least one high-risk medication).

The Medicare Health Outcomes Survey: percentage of members whose health status was "better than expected," "the same as expected" or "worse than expected" at the end of a two-year period.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure provides a general indication of how well a Medicare Advantage Organization (MAO) manages the physical and mental health of its members. The survey measures physical and mental health status at the beginning and end of a two-year period, at the end of which a change score is calculated. Each member's health status is categorized as "better than expected," "the same as expected" or "worse than expected," taking into account death and risk-adjustment factors. MAO-specific results are assigned as percentages of members whose health status was better, the same or worse than expected.

Fall risk management: the percentage of Medicare members 65 years of age and older who had a fall or had problems with balance or walking in the past 12 months, who were seen by an MAO practitioner in the past 12 months and who received fall risk intervention from their current practitioner.

National Committee for Quality Assurance — Sat, 01 Jul 2006 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who had a fall or had problems with balance or walking in the past 12 months, who were seen by an Medicare Advantage Organization (MAC) practitioner in the past 12 months and who received fall risk intervention from their current practitioner.

This measure is collected using the Medicare Health Outcome Survey (HOS).

Management of urinary incontinence in older adults: percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who discussed their urinary leakage problem with their current practitioner.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who discussed their urinary leakage problem with their current practitioner.

This is one component of a two-part survey measure that provides information on how well health plan physicians manage urinary incontinence (UI) in Medicare members 65 and older. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Management of urinary incontinence in older adults: percentage of Medicare members 65 years of age and older who reported having a urine leakage problem in the past six months and who received treatment for their current urine leakage problem.

This measure is collected using the Medicare Health Outcomes Survey (HOS).

Osteoporosis testing in older women: the percentage of female Medicare members 65 years of age and over who report ever having received a bone density test to check for osteoporosis.

National Committee for Quality Assurance — Sat, 01 Jul 2006 00:00:00 EST

This measure is used to assess the percentage of women 65 years of age and over who report ever having received a bone density test to check for osteoporosis.

Measures Collected Through Medicare Health Outcomes Survey

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Influenza immunization: percentage of Medicare members 65 years of age and older who received an influenza vaccination between September 1 of the measurement year and the date on which the Medicare CAHPS survey was completed.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

This measure uses survey data to assess the percentage of Medicare members 65 years of age and older who received an influenza vaccination between September 1 of the measurement year and the date on which the Medicare CAHPS survey was completed.

Smoking cessation: percentage of members 18 years and older who were current smokers, who were seen by a health plan practitioner during the measurement year for whom smoking cessation methods or strategies were recommended or discussed.

National Committee for Quality Assurance — Fri, 01 Jan 1999 00:00:00 EST

This measure is one component of a three-part survey measure that looks at the health care provider's role in curbing tobacco use. The measure uses survey data to assess the percentage of members (commercial, Medicaid) 18 years of age and older who were current smokers, who were seen by a health plan practitioner during the measurement year for whom discussed or were recommended smoking cessation methods or strategies.

For commercial and Medicaid members, survey data is also used to assess the percentage of current smokers and recent quitters and whose practitioner recommended or discussed smoking cessation medications. See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Smoking cessation: percentage of members 18 years of age and older and who were current smokers, who were seen by a health plan practitioner during the measurement year and whom smoking cessation medications were recommended or discussed.

Use of Services

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Children and adolescents' access to primary care practitioners: percentage of members 12 months to 19 years of age who had a visit with a primary care practitioner.

National Committee for Quality Assurance — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the percentage of members 12 months through 24 months, 25 months through 6 years, 7 years through 11 years and 12 years through 19 years of age who had a visit with a primary care practitioner. The organization reports four separate percentages for each product line:

Children 12 months through 24 months and 25 months through 6 years who had a visit with a primary care practitioner during the measurement year
Children 7 years through 11 years and adolescents 12 years through 19 years who had a visit with a primary care practitioner during the measurement year or the year prior to the measurement year

Dental care: percentage of members 2 through 21 years of age who had at least one dental visit during the measurement year.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

This measure is used to assess the percentage of members 2 though 21 years of age who had at least one dental visit during the measurement year. This measure applies only if dental care is a covered benefit in the organization's Medicaid contract.

Engagement of alcohol and other drug (AOD) treatment: percentage of members who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of adolescent and adult members with a new episode of alcohol or other drug (AOD) dependence who initiated treatment and who had two or more inpatient admissions, outpatient visits, intensive outpatient encounters, or partial hospitalizations with any AOD diagnosis within 30 days after the date of initiation encounter.

See the related National Quality Measures Clearinghouse (NQMC) summary of the National Committee for Quality Assurance (NCQA) measure Initiation of alcohol and other drug (AOD) treatment: percentage of adolescent and adult members who initiate treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter, or partial hospitalization within 14 days of diagnosis.

Postpartum care: percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery.

National Committee for Quality Assurance — Mon, 01 Jan 2001 00:00:00 EST

This measure is used to assess postpartum care among women who delivered a live birth between November 6 of the year prior to the measurement year and November 5 of the measurement.

This measure is a component of a composite measure; it can also be used on its own.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Frequency of ongoing prenatal care: percentage of Medicaid deliveries between November 6 of the year prior to the measurement year and November 5 of the measurement year that received less than 21%, 21% to 40%, 41% to 60%, 61% to 80%, or greater than or equal to 81% of the expected number of prenatal care visits.

National Committee for Quality Assurance — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the percentage of Medicaid deliveries between November 6 of the year prior to the measurement year and November 5 of the measurement year that received the following number of expected prenatal visits.

Less than 21% of expected visits
21% to 40% of expected visits
41% to 60% of expected visits
61% to 80% of expected visits
Greater than or equal to 81% of expected visits

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Well-child visits in the first 15 months of life: percentage of members who turned 15 months old during the measurement year and who had the following number of well-child visits with a primary care practitioner (PCP) during their first 15 months of life: zero, one, two, three, four, five, six or more.

National Committee for Quality Assurance — Mon, 01 Jan 1996 00:00:00 EST

This measure is used to assess the percentage of enrolled members who turned 15 months old during the measurement year who had the following number of well-child visit with a primary care practitioner (PCP) during their first 15 months of life.

No well-child visits
One well-child visit
Two well-child visits
Three well-child visits
Four well-child visits
Five well-child visits
Six or more well-child visits

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Adolescent well-care visits: percentage of members 12 through 21 years of age who had at least one comprehensive well-care visit with a primary care practitioner (PCP) or an obstetrics and gynecology (OB/GYN) practitioner during the measurement year.

National Committee for Quality Assurance — Mon, 01 Jan 1996 00:00:00 EST

This measure is used to assess the percentage of enrolled members 12 through 21 years of age who had at least one comprehensive well-care visit with a primary care practitioner (PCP) or an obstetrics and gynecology (OB/GYN) practitioner during the measurement year.

Note from the National Quality Measures Clearinghouse (NQMC): For this measure there is both Administrative and Hybrid Specifications. This NQMC measure summary is based on the Administrative Specification. Refer to the original measure documentation for details pertaining to the Hybrid Specification.

Prenatal and Postpartum Care

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Health plan members' satisfaction with care: adult health plan members' ratings of their personal doctor.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of Personal Doctor" measure, members rate their personal doctor on a scale from 0 to 10, where 0 is the "worst personal doctor possible" and 10 is the "best personal doctor possible".

Health plan members' experiences: percentage of adult health plan members who reported how often their health plans handled their claims quickly and correctly.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "Claims Processing" measure, members indicate how often ("Never," "Sometimes," "Usually," "Always," or "Don't know") their health plan handled their claims quickly and correctly. The "Claims Processing" composite measure is based on two questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' experiences: percentage of adult health plan members who reported how often it was easy to get needed care.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "Getting Needed Care" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") it was easy to get the care they needed. The "Getting Needed Care" composite measure is based on two questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' experiences: percentage of adult health plan members who reported whether a doctor or other health provider included them in shared decision making.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "Shared Decision Making" measure, members indicate whether their doctors or other health providers discussed with them the pros and cons of each choice for their treatment or health care and which choice was best for them ("Definitely Yes," "Somewhat Yes," "Somewhat No," or "Definitely No"). The "Shared Decision Making" composite measure is based on two questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' experiences: percentage of adult health plan members who reported how often they were able to find out from their health plan how much they would have to pay for a healthcare service or equipment and specific prescription medicines.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

Seven composite scores summarize responses in key areas.

Claims Processing (commercial only)
Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making
Plan Information on Costs (commercial only)

For this "Plan Information on Costs" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") they were able to find out from their health plan how much they would have to pay for a health care service or equipment and specific prescription medicines. The "Plan Information on Costs" composite measure is based on two questions in the CAHPS 4.0H Adult Questionnaire.

Health plan members' experiences: percentage of adult health plan members who reported how often their personal doctor seemed informed and up-to-date about care they got from other doctors or other health providers.

National Committee for Quality Assurance — Sun, 01 Jan 2006 00:00:00 EST

Question summary rates are reported individually for two items summarizing the following concepts:

Health Promotion and Education
Coordination of Care

For this "Coordination of Care" measure, members indicate how often ("Never," "Sometimes," "Usually," or "Always") their personal doctor seemed informed and up-to-date about the care they got from other doctors or other health providers.

CAHPS Health Plan Survey 4.0H, Adult Version

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Satisfaction with the Experience of Care

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Health plan members' satisfaction with care: parents' or guardians' ratings of their child's health care.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of All Health Care" measure, parents or guardians rate their child's health care on a scale from 0 to 10, where 0 is the "worst health care possible" and 10 is the "best health care possible".

Health plan members' satisfaction with care: parents' or guardians' ratings of the specialist their child saw most often.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of Specialist Seen Most Often" measure, parents or guardians rate their child's specialist on a scale from 0 to 10, where 0 is the "worst specialist possible" and 10 is the "best specialist possible".

Health plan members' satisfaction with care: parents' or guardians' ratings of their child's health plan.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Four global rating questions reflect overall satisfaction.

Rating of All Health Care
Rating of Personal Doctor
Rating of Specialist Seen Most Often
Rating of Health Plan

For this "Rating of Health Plan" measure, parents or guardians rate their child's health plan on a scale from 0 to 10, where 0 is the "worst health plan possible" and 10 is the "best health plan possible".

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often their child got care quickly.

National Committee for Quality Assurance — Wed, 01 Jan 1997 00:00:00 EST

Five composite scores summarize responses in key areas.

Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making

For this "Getting Care Quickly" measure, parents or guardians indicate how often ("Never," "Sometimes," "Usually," or "Always") their children obtained the care they needed without long waits. The "Getting Care Quickly" composite measure is based on two questions in the CAHPS 4.0H Child Questionnaire.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often it was easy to get prescription medicines for their children with chronic conditions.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

In addition, five CCC composites summarize satisfaction with basic components of care essential for successful treatment, management and support of children with chronic conditions.

Access to Prescription Medicines
Access to Specialized Services
Family Centered Care: Personal Doctor Who Knows Child
Family Centered Care: Getting Needed Information
Coordination of Care for Children with Chronic Conditions

For this "Access to Prescription Medicines" measure, parents or guardians of children with chronic conditions report how often it was easy to get prescription medicine for their child through their child's health plan. The "Access to Prescription Medicines" composite measure is based on one question in the CAHPS 4.0H Child Questionnaire.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported their experiences in getting needed information for their children with chronic conditions.

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

In addition, five CCC composites summarize satisfaction with basic components of care essential for successful treatment, management and support of children with chronic conditions.

Access to Prescription Medicines
Access to Specialized Services
Family Centered Care: Personal Doctor Who Knows Child
Family Centered Care: Getting Needed Information
Coordination of Care for Children with Chronic Conditions

For this "Family Centered Care: Getting Needed Information" measure, parents or guardians of children with chronic conditions indicate how often ("Never," "Sometimes," "Usually," or "Always") their children's doctor or other health providers answered their questions regarding their child. The "Family Centered Care: Getting Needed Information" composite measure is based on one question in the CAHPS 4.0H Child Questionnaire.

CAHPS Health Plan Survey 4.0H, Child Version -- Children With Chronic Conditions

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Health plan members' experiences: percentage of parents or guardians of health plan members who reported their experience with shared decision making for their child.

National Committee for Quality Assurance — Tue, 01 Jul 2008 00:00:00 EST

Five composite scores summarize responses in key areas.

Customer Service
Getting Care Quickly
Getting Needed Care
How Well Doctors Communicate
Shared Decision Making

For this "Shared Decision Making" measure, parents or guardians indicate whether their child's doctors or other health providers discussed with them the pros and cons of each choice for their child's treatment or health care and which choice was best for them ("Definitely Yes," "Somewhat Yes," "Somewhat No," or "Definitely No"). The "Shared Decision Making" composite measure is based on two questions in the CAHPS 4.0H Child Questionnaire.

Frequency of selected procedures: summary of utilization of seventeen frequently performed procedures.

National Committee for Quality Assurance — Fri, 01 Jan 1993 00:00:00 EST

This measure summarizes the utilization of the following frequently performed procedures that often show wide regional variation and have generated concern regarding potentially inappropriate utilization:

Myringotomy
Tonsillectomy
Non-obstetric dilation and curettage (D&C)
Hysterectomy
Cholecystectomy
Back surgery
Coronary angioplasty (percutaneous transluminal coronary angioplasty [PTCA])
Cardiac catheterization
Coronary artery bypass graft (CABG)
Prostatectomy
Reduction of fraction of femur
Total hip replacement
Total knee replacement
Partial excision of large intestine
Carotid endarterectomy
Mastectomy
Lumpectomy

Ambulatory care: summary of utilization of ambulatory care in the following categories: outpatient visits, emergency department visits, ambulatory surgery/procedures, and observation room stays.

National Committee for Quality Assurance — Thu, 01 Jan 1998 00:00:00 EST

This measure summarizes utilization of ambulatory services in the following categories:

Outpatient visits
Emergency department (ED) visits
Ambulatory surgery/procedures performed at a hospital outpatient facility or at a freestanding surgical center
Observation room stays

Inpatient utilization--nonacute care: summary of utilization of nonacute inpatient care in hospice, nursing home, rehabilitation, skilled nursing facility (SNF), transitional care, and respite.

National Committee for Quality Assurance — Fri, 01 Jan 1993 00:00:00 EST

This measure summarizes utilization of nonacute inpatient care in the following categories: hospice, nursing home, rehabilitation, skilled nursing facility (SNF), transitional care and respite.

Mental health utilization: number and percentage of members receiving the following mental health services during the measurement year: any services, inpatient, intensive outpatient or partial hospitalization, and outpatient or emergency department (ED).

National Committee for Quality Assurance — Thu, 01 Jan 2004 00:00:00 EST

This measure assesses the percentage of members receiving the following inpatient mental health services during the measurement year:

Any services
Inpatient
Intensive outpatient or partial hospitalization
Outpatient or emergency department (ED)

Antibiotic utilization: summary of outpatient utilization of antibiotic prescriptions during the measurement year, stratified by age and gender.

National Committee for Quality Assurance — Sat, 01 Jan 2005 00:00:00 EST

This measure summarizes data on outpatient utilization of antibiotic prescriptions during the measurement year, stratified by age and gender.

Total number of antibiotic prescriptions
Average number of antibiotic prescriptions per member per year (PMPY)
Total days supplied for all antibiotic prescriptions
Average days supplied per antibiotic prescription
Total number of prescriptions for antibiotics of concern
Average number of prescriptions PMPY, reported by drug class
Percentage of antibiotics of concern for all antibiotic prescriptions
Average number of antibiotics PMPY, reported by drug class:
- For selected "antibiotics of concern"
- For all other antibiotics

Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

ECHO® Survey 3.0

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

ECHO® Survey 3.0 Adult Questionnaire

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

Behavioral health care patients' experiences: percentage of adult patients who reported how often their clinicians communicated well.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This composite measure indicates the percentage of adult patients who indicated how often ("Always," "Usually," "Sometimes," or "Never") their clinicians communicated well with them. The "How Well Clinicians Communicate" composite measure is based on six questions on the Experience of Care and Health Outcomes (ECHO) Survey.

Note: A composite score is calculated in which a higher score indicates better quality. Composite scores are intended for consumer-level reporting. Additionally, frequency distributions are available for plans or providers to use for quality improvement purposes.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were provided information about treatment options.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This composite measure indicates the percentage of adult patients who indicated ("Yes" or "No") whether they were provided information about treatment options. The "Information About Treatment Options" composite measure is based on two questions on the Experience of Care and Health Outcomes (ECHO) Survey.

Behavioral health care patients' experiences: percentage of adult patients who reported how often they were seen within 15 minutes of their appointment.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported how often ("Always," "Usually," "Sometimes," or "Never") they were seen within 15 minutes of their appointment.

Note: For consumer-level reporting, results may be reported as the percentage of the "Always" plus "Usually" responses or the percentage of the "Always" responses. Additionally, frequency distributions encompassing all response choices (i.e., "Always," "Usually," "Sometimes," or "Never") are available for plans or providers to use for quality improvement purposes.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were given enough information to manage their condition.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of patients who reported whether ("Yes" or "No") they were given enough information to manage their condition.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they felt they could refuse a specific type of medicine or treatment.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") they felt they could refuse a specific type of medicine or treatment.

Behavioral health care patients' experiences: percentage of adult patients who reported whether anyone shared information regarding their counseling or treatment that should have been kept private.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") anyone shared information regarding their counseling or treatment that should have been kept private.

Behavioral health care patients' experiences: percentage of adult patients who reported how much they were helped by the counseling or treatment they received.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported how much they were helped ("A lot," "Somewhat," "A little," or "Not at all") by the counseling or treatment they received.

Note: For consumer-level reporting, results may be reported as the percentage of the "A lot" plus "Somewhat" responses or the percentage of the "A lot" responses. Additionally, frequency distributions encompassing all response choices (i.e., "A lot," "Somewhat," "A little," or "Not at all") are available for plans or providers to use for quality improvement purposes.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were told about other ways to receive treatment after their benefits were used up.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") they were told about other ways to receive treatment after their benefits were used up.

CAHPS Health Plan Survey

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

Decubitus ulcer: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with decubitus ulcer per 1,000 eligible admissions with a length of stay of 5 or more days.

Iatrogenic pneumothorax in non-neonates: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with an iatrogenic pneumothorax per 1,000 eligible admissions.

Pediatric heart surgery mortality: number of in-hospital deaths in patients undergoing surgery for congenital heart disease per 1,000 patients.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of in-hospital deaths in patients undergoing surgery for congenital heart disease per 1,000 patients.

Postoperative hemorrhage and hematoma: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with postoperative hemorrhage or hematoma requiring a procedure per 1,000 eligible admissions.

Asthma admission rate (area level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients admitted for asthma per 100,000 population.

Gastroenteritis admission rate (area level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients admitted for gastroenteritis per 100,000 population.

Perforated appendix admission rate (area level): number of patients admitted for perforated appendix per 100 admissions for appendicitis within an area.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients admitted for perforated appendix per 100 admissions for appendicitis within an area.

Hospital inpatients' experiences: percentage of adult inpatients who reported how often their nurses communicated well.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," or "Never") their nurses communicated well. The "Communication with Nurses" composite measure is based on three questions on the CAHPS Hospital Survey.

Hospital inpatients' experiences: percentage of adult inpatients who reported how often their doctors communicated well.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," or "Never") their doctors communicated well. The "Communication with Doctors" composite measure is based on three questions on the CAHPS Hospital Survey.

Hospital inpatients' experiences: percentage of adult inpatients who reported how often the hospital staff was responsive to their needs.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," "Never," or "I never pressed the call button") the hospital staff was responsive to their needs. The "Responsiveness of Hospital Staff" composite measure is based on two questions on the CAHPS Hospital Survey.

Hospital inpatients' experiences: percentage of adult inpatients who reported whether they were provided specific discharge information.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported whether ("Yes" or "No") they were provided specific discharge information. The "Discharge Information" composite measure is based on two questions on the CAHPS Hospital Survey.

Hospital inpatients' experiences: adult inpatients' ratings of this hospital.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess adult inpatients' perception of their hospital. Patients rate their hospital on a scale from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospital possible. Responses are grouped by rating: percentages are reported for ratings of 10 and 9, 8 and 7, and 0-6.

Note: The percentage of ratings for the group 9 and 10 (or sometimes 8, 9, and 10) is used for consumer-level reporting; higher percentages indicate better quality. Additionally, frequency distributions encompassing all groups of ratings (i.e., 9 and 10, 7 and 8, 6 or lower) are available for plans or providers to use for quality improvement purposes.

CAHPS In-Center Hemodialysis Survey

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

In-center hemodialysis patients' experiences: percentage of in-center hemodialysis patients who reported how often their nephrologist cared and communicated well.

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") their nephrologist:

listened carefully to them.
explained things in a way that was easy to understand.
showed respect for what they had to say.
spent enough time with them.
really cared about them as a person.

AND

The percentage of respondents who indicated whether ("Yes" or "No") their nephrologist:

seemed informed and up-to-date about the health care they received from other doctors.

The "Nephrologists' Communication and Caring" composite measure is based on six questions in the CAHPS In-Center Hemodialysis Survey.

In-center hemodialysis patients' experiences: percentage of in-center hemodialysis patients who reported whether specified information was provided to them.

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated whether ("Yes" or "No"):

they know how to take care of their graft, fistula or catheter.
the dialysis center ever gave them any written information about their rights as a patient.
the dialysis center staff at the center ever reviewed their rights as a patient with them.
the dialysis center staff ever told them what to do if they experienced a health problem at home.
any dialysis center staff ever told them how to get off the machine if there is an emergency at the center.
their kidney doctors or dialysis center staff talked to them as much as they wanted about which treatment is right for them.
their doctor or dialysis center staff explained to them why they are not eligible for a kidney transplant.
their kidney doctors or dialysis center staff talked to them about peritoneal dialysis.
they were as involved as much as they wanted in choosing the treatment for kidney disease that is right for them.

The "Providing Information to Patients" composite measure is based on nine questions in the CAHPS In-Center Hemodialysis Survey.

In-center hemodialysis patients' satisfaction with care: in-center hemodialysis patients' overall ratings of their kidney doctors.

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess adult in-center hemodialysis patients' perceptions of their kidney doctor. Patients rate their kidney doctor on a scale from 0 to 10, where 0 is the worst kidney doctor possible and 10 is the best kidney doctor possible. Responses are grouped by rating: percentages are reported for either ratings of 9 and 10, 7 and 8, and 6 and lower OR ratings of 10, 8 and 9, and 7 and lower.

Note: The percentage of ratings for the group 9 and 10 (or sometimes 10) is used for consumer-level reporting; higher percentages indicate better quality. Additionally, frequency distributions encompassing all groups of ratings (i.e., 9 and 10, 7 and 8, 6 or lower OR 10, 8 and 9, and 7 or lower) are available for plans or providers to use for quality improvement purposes.

In-center hemodialysis patients' satisfaction with care: in-center hemodialysis patients' overall ratings of their dialysis center.

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess adult in-center hemodialysis patients' perceptions of their dialysis center. Patients rate their dialysis center on a scale from 0 to 10, where 0 is the worst dialysis center possible and 10 is the best dialysis center possible. Responses are grouped by rating: percentages are reported for either ratings of 9 and 10, 7 and 8, and 6 and lower OR ratings of 10, 8 and 9, and 7 and lower.

CAHPS Health Plan Survey 4.0, Adult Questionnaire

Agency for Healthcare Research and Quality — Wed, 01 Nov 2006 00:00:00 EST

CAHPS Clinician & Group Survey, Adult Specialty Care Questionnaire 1.0

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

Patients' experiences: percentage of adult primary care patients who reported how often it was easy for them to get appointments and needed care.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess the percentage of adult primary care patients who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") it was easy for them to get appointments and needed care.

This measure summarizes answers to survey questions that asked people how often they:

Got an appointment for urgent care soon as they thought they needed.
Got an appointment for a check-up or routine care soon as they thought they needed.
Got an answer to their medical question that same day when they phoned the doctor's office during regular office hours.
Got an answer to their medical question as soon as they thought they needed when they phoned the doctor's office after regular office hours.
Saw their doctor within 15 minutes of their appointment time.

The "Getting Appointments and Health Care When Needed" composite measure is based on five questions in the CAHPS Clinician & Group Survey Adult Primary Care Questionnaire.

Patients' satisfaction with care: adult primary care patient's overall rating of their doctor.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess adult primary care patients' perceptions of their doctor. Patients rate their doctors on a scale from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Note: Typically, the percentage of ratings for the group 9 and 10 is used for consumer-level reporting; higher percentages indicate better quality. Additionally, frequency distributions encompassing all groups of ratings (i.e., 9 and 10, 7 and 8, 6 or lower) are available for plans or providers to use for quality improvement purposes.

Patients' experiences: percentage of adult specialty care patients who reported how often their doctors communicated well.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure summarizes answers to survey questions that asked people how often their doctor:

Explained things in a way that was easy for them to understand.
Listened carefully to them.
Gave easy-to-understand instructions about taking care of health problems or concerns.
Seemed to know the important information about their medical history.
Showed respect for what they had to say.
Spent enough time with them.

The "How Well Doctors Communicate" composite measure is based on six questions in the CAHPS Clinician & Group Survey Adult Specialty Care Questionnaire.

Patients' satisfaction with care: adult specialty care patient's overall rating of their doctor.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess adult specialty care patients' perceptions of their doctor. Patients rate their doctors on a scale from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Patients' experiences: percentage of parents/guardians who reported how often their child's doctor communicated well.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") their child's doctors communicated well.

This measure summarizes answers to survey questions that asked parents/guardians how often their child's doctor:

Explained things in a way that was easy for them to understand.
Listened carefully to them.
Gave easy-to-understand instructions about taking care of health problems or concerns.
Seemed to know the important information about their medical history.
Showed respect for what they had to say.
Spent enough time with them.

The "How Well Doctors Communicate" composite measure is based on six questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office staff was courteous and helpful.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure summarizes answers to survey questions that asked parents/guardians how often:

Clerks and receptionists at their child's doctor's office service staff were as helpful as they thought they should be.
Clerks and receptionists at their child's doctor's office service staff treated them with courtesy and respect.

The "Courteous and Helpful Office Staff" composite measure is based on two questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

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.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of adult specialty care patients who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") someone from the doctor's office followed up to give them test results when the doctor ordered a blood test, x-ray or other test.

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.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") someone from the doctor's office followed up to give them test results when the doctor ordered a blood test, x-ray or other test for their child on the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

Patients' experiences: percentage of parents/guardians who reported how often it was easy for them to get appointments and needed care for their child.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Sometimes," "Usually," or "Always") it was easy for them to get appointments and needed care for their child.

This measure summarizes answers to survey questions that asked parents/guardians how often their child:

Got an appointment for urgent care soon as they thought they needed.
Got an appointment for a check-up or routine care soon as they thought they needed.
Got an answer to their medical question that same day when they phoned the doctor's office during regular office hours.
Got an answer to their medical question as soon as they thought they needed when they phoned the doctor's office after regular office hours.
Saw their doctor within 15 minutes of their appointment time.

The "Getting Appointments and Health Care When Needed" composite measure is based on five questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0.

Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office staff was courteous and helpful.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Sometimes," "Usually," or "Always") their child's doctor's office staff was courteous and helpful.

This measure summarizes answers to survey questions that asked parents/guardians how often:

Clerks and receptionists at their child's doctor's office service staff were as helpful as they thought they should be.
Clerks and receptionists at their child's doctor's office service staff treated them with courtesy and respect.

The "Courteous and Helpful Office Staff" composite measure is based on two questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0.

Patients' satisfaction with care: parent's/guardian's overall rating of their child's doctor.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess parents'/guardians' perceptions of their child's doctor. Parents rate their child's doctor on a scale from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible on the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

Note: The percentage of ratings for the group 9 and 10 is used for consumer-level reporting; higher percentages indicate better quality. Additionally, frequency distributions encompassing all groups of ratings (i.e., 9 and 10, 7 and 8, 6 or lower) are available for plans or providers to use for quality improvement purposes.

Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") they:

Got care as soon as they needed when they were sick or injured
Got an appointment as soon as they needed when they weren't sick or injured

The "Getting Care Quickly" composite measure is based on two questions in the CAHPS Health Plan Survey 4.0 (Adult Questionnaire).

Health plan members' experiences: percentage of adult health plan members who reported how often they were satisfied with their health plan information and customer service.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always"):

They got the information or help they needed from their health plan's customer service
Their health plan's customer service staff treated them with courtesy and respect

The "Health Plan Information and Customer Service" composite measure is based on two questions in the CAHPS Health Plan Survey 4.0 (Adult Questionnaire).

Health plan members' satisfaction with care: adult health plan members' overall ratings of their health care.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess adult enrollees' perceptions of all the health care they received from their health plan. Enrollees rate care on a scale from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' satisfaction with care: adult health plan members' overall ratings of their specialist.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess adult enrollees' perceptions of their specialist. Enrollees rate the specialist they saw most often on a scale from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' satisfaction with care: adult health plan members' overall ratings of their health plan.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess adult enrollees' perceptions of their health plan. Enrollees rate their health plan on a scale from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' experiences: percentage of parents or guardians who reported how often their enrolled child got care quickly.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") their child:

Got care as soon as they needed when they were sick or injured
Got an appointment as soon as they needed when they weren't sick or injured

The "Getting Care Quickly" composite measure is based on two questions in the CAHPS Health Plan Survey 4.0 (Child Questionnaire).

Health plan members' experiences: percentage of parents or guardians who reported how often their enrolled child's personal doctor communicated well.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") their child's personal doctor:

Explained things in a way that was easy for them to understand
Listened carefully to them
Showed respect for what they had to say
Explained things in a way that was easy for their child to understand
Spent enough time with them

The "How Well Doctors Communicate" composite measure is based on five questions in the CAHPS Health Plan Survey 4.0 (Child Questionnaire).

Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's health care.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess parents' or guardians' perceptions of all the health care their child received from their health plan. Parents rate their child's care on a scale from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's health plan.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess parents' or guardians' perceptions of their child's health plan. Parents rate their child's health plan on a scale from 0 to 10, where 0 is the worst health plan possible and 10 is the best health plan possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' experiences: percentage of parents or guardians who reported their experiences with their children's personal doctor or nurse for their enrolled children with chronic conditions.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who reported their experiences with their children's personal doctor or nurse for their children with chronic conditions*.

The "Parents' Experience with the Child's Personal Doctor or Nurse" composite measure is based on three questions on the CAHPS 4.0 Health Plan Survey (Child Questionnaire).

*Children with special health care needs are those who have a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that generally required by children.

Health plan members' experiences: percentage of parents or guardians who reported they received assistance with coordination of care and services for their enrolled children with chronic conditions.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who reported they received assistance with coordination of care for their children with chronic conditions*.

The "Parents' Experiences with Coordination of Their Child's Care" composite measure is based on two questions in the CAHPS 4.0 Health Plan Survey (Child Questionnaire).

Complications of anesthesia: rate per 1,000 surgery discharges with an operating room procedure.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of anesthetic overdose, reaction, or endotracheal tube misplacement per 1,000 surgery discharges with an operating room procedure.

Death in low-mortality DRGs: in-hospital deaths per 1,000 discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of in-hospital deaths per 1,000 patients in Diagnosis-Related Groups (DRGs) with less than 0.5% mortality.

Death among surgical inpatients with serious treatable complications: deaths per 1,000 discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of deaths per 1,000 patients having developed specified complications of care during hospitalization.

Selected infections due to medical care (provider level): rate per 1,000 discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 999.3, 999.31, or 996.62 per 1,000 discharges.

Postoperative hemorrhage or hematoma requiring a procedure (provider level): rate per 1,000 surgical discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of hematoma or hemorrhage requiring a procedure per 1,000 surgical discharges with an operating room procedure.

Postoperative respiratory failure: rate per 1,000 elective surgical discharges with an operating room procedure.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of acute respiratory failure per 1,000 elective surgical discharges with an operating room procedure.

Postoperative sepsis: rate per 1,000 elective surgery discharges with an operating room procedure and a length of stay of 4 days or more.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of sepsis per 1,000 elective surgery patients with an operating room procedure and a length of stay of 4 days or more.

Postoperative wound dehiscence (provider-level): rate of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic surgery.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic surgery.

Accidental puncture or laceration (provider level): rate per 1,000 discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of technical difficulty (e.g., accidental cut or laceration during procedure) per 1,000 discharges.

Accidental puncture or laceration (area-level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of technical difficulty (e.g., accidental cut or laceration during procedure) per 100,000 population.

Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 instrument-assisted vaginal deliveries.

Agency for Healthcare Research and Quality — Fri, 22 Oct 2004 00:00:00 EST

This measure is used to assess the number of cases of obstetric trauma (3rd or 4th degree lacerations) per 1,000 instrument-assisted vaginal deliveries.

Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 vaginal deliveries without instrument assistance.

Agency for Healthcare Research and Quality — Fri, 22 Oct 2004 00:00:00 EST

This measure is used to assess the number of cases of obstetric trauma (3rd or 4th degree lacerations) per 1,000 vaginal deliveries without instrument assistance.

Esophageal resection: volume.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the raw volume of provider-level esophageal resection (surgical procedure).

As a volume indicator, esophageal resection is a proxy measure for quality and should be used with other indicators.

Coronary artery bypass graft (CABG): volume.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the raw volume of provider-level coronary artery bypass graft (CABG) (surgical procedure).

As a volume indicator, CABG is a proxy measure for quality and should be used with other indicators.

Esophageal cancer: esophageal resection mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 patients with discharge procedure code of esophageal resection.

Risk adjustment for clinical factors is recommended because of the confounding bias for esophageal resection. In addition, little evidence exists supporting the construct validity of this indicator.

Coronary artery disease: coronary artery bypass graft (CABG) mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with a procedure code of coronary artery bypass graft (CABG).

Some selection of the patient population may lead to bias; providers may perform more CABG procedures on less clinically complex patients with questionable indications. Risk adjustment for clinical factors, or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups (APR-DRGs), is recommended because of the confounding bias of this indicator. Finally, the evidence for the construct validity of this indicator is limited.

Carotid endarterectomy (CEA): mortality rate.

Agency for Healthcare Research and Quality — Wed, 21 Jul 2004 00:00:00 EST

This measure is used to assess the number of deaths per 100 carotid endarterectomies (CEAs).

This CEA mortality measure is not recommended as a stand-alone measure, but is suggested as a companion measure to the corresponding CEA volume measure (see the related National Quality Measures Clearinghouse (NQMC) summary of the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicator Carotid endarterectomy (CEA): volume).

Craniotomy: mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with a diagnosis-related group (DRG) code for craniotomy (DRG 001, 002, 528, 529, 530, and 543), with and without comorbidities and complications.

Risk adjustment for clinical factors, or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups (APR-DRGs), is recommended because of the confounding bias for craniotomy. In addition, little evidence exists supporting the construct validity of this indicator.

Acute myocardial infarction (AMI): mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with a principal diagnosis code of acute myocardial infarction (AMI).

Thirty-day mortality may be significantly different than in-hospital mortality, leading to information bias. This indicator should be considered in conjunction with length-of-stay and transfer rates. Risk adjustment for clinical factors (or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups [APR-DRGs]) is recommended. See the related National Quality Measures Clearinghouse (NQMC) summary of the Agency for Healthcare Research and Quality (AHRQ) measure Acute myocardial infarction (AMI): mortality rate, without transfer cases.

Acute myocardial infarction (AMI): mortality rate, without transfer cases.

Agency for Healthcare Research and Quality — Wed, 21 Jul 2004 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with a principal diagnosis code of acute myocardial infarction (AMI), excluding cases transferred into or out of the hospital.

Acute stroke: mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with principal diagnosis code of stroke.

Some stroke care occurs in an outpatient setting, and selection bias may be a problem for this indicator. In addition, 30-day mortality may be somewhat different than in-hospital mortality, leading to information bias. Risk adjustment for clinical factors (or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups [APR-DRGs]) is recommended. Coding appears suboptimal for acute stroke and may lead to bias.

Gastrointestinal (GI) hemorrhage: mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with principal diagnosis code of gastrointestinal (GI) hemorrhage.

Limited evidence supports the construct validity of this indicator. Risk adjustment for clinical factors, or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups (APR-DRGs), is recommended because of the substantial confounding bias for this indicator.

Pneumonia: mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess mortality in discharges with principal diagnosis code of pneumonia.

Pneumonia care occurs in an outpatient setting, and selection bias may be a problem for this indicator. In addition, 30-day mortality may be somewhat different than in-hospital mortality, leading to information bias. Risk adjustment for clinical factors (or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups [APR-DRGs]) is recommended.

Maternity care: vaginal birth after Cesarean (VBAC) rate, uncomplicated.

Agency for Healthcare Research and Quality — Wed, 21 Jul 2004 00:00:00 EST

This measure is used to assess the number of provider-level vaginal births per 100 discharges with a diagnosis of previous Cesarean delivery.

Selection bias due to patient preferences and other factors may impact performance on this indicator. Supplemental adjustment with linked birth records or other clinical data may be desirable to address bias from clinical differences not identifiable in administrative data.

Incidental appendectomy: incidental appendectomy among the elderly rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of incidental appendectomies per 100 elderly with intra-abdominal procedure.

As a utilization indicator, the construct validity relies on the actual inappropriate use of procedures in hospitals with high rates, which should be investigated further.

Coronary artery disease: percutaneous transluminal coronary angioplasty (PTCA) area rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of percutaneous transluminal coronary angioplasty (PTCA) procedures per 100,000 population.

Laminectomy or spinal fusion: laminectomy or spinal fusion area rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of laminectomies or spinal fusions per 100,000 population.

Diabetes mellitus: hospital admission rate for short-term complications.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for diabetes short-term complications per 100,000 population.

As a Prevention Quality Indicator (PQI), short-term diabetes complication rate is not a measure of hospital quality, but rather one measure of outpatient and other health care. Rates of diabetes may vary systematically by area, creating bias for this indicator. Examination of both inpatient and outpatient data may provide a more complete picture of diabetes care.

Diabetes mellitus: hospital admission rate for long-term complications.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for diabetic long-term complications per 100,000 population.

As a Prevention Quality Indicator (PQI), diabetes long-term complication rate is not a measure of hospital quality, but rather one measure of outpatient and other health care. Rates of diabetes may vary systematically by area, creating bias for this indicator. Examination of both inpatient and outpatient data may provide a more complete picture of diabetes care.

Chronic obstructive pulmonary disease (COPD): hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for chronic obstructive pulmonary disease (COPD) per 100,000 population.

As a Prevention Quality Indicator (PQI), COPD is not a measure of hospital quality, but rather one measure of outpatient and other health care. This indicator has unclear construct validity, because it has not been validated except as part of a set of indicators. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting. Some COPD care takes place in emergency rooms, so combining inpatient and emergency room data may give a more accurate picture.

Congestive heart failure (CHF): hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for congestive heart failure (CHF) per 100,000 population.

As a Prevention Quality Indicator (PQI), CHF is not a measure of hospital quality, but rather one measure of outpatient and other health care. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting.

Some CHF care takes place in emergency rooms. As such, combining inpatient and emergency room data may give a more accurate picture of this indicator.

Low birth weight: rate of infants with low birth weight.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of low birth weight infants per 100 births.

As a Prevention Quality Indicator (PQI), low birth weight is not a measure of hospital quality, but rather one measure of outpatient and other health care. This indicator could have substantial bias that would require additional risk adjustment from birth records or clinical data.

Bacterial pneumonia: hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for bacterial pneumonia per 100,000 population.

As a Prevention Quality Indicator (PQI), admission for bacterial pneumonia is not a measure of hospital quality, but rather one measure of outpatient and other health care.

This indicator has unclear construct validity, because it has not been validated except as part of a set of indicators. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting. Because some pneumonia care takes place in an emergency room setting, combining inpatient and emergency room data may give a more accurate picture of this indicator.

Diabetes mellitus: hospital admission rate for uncontrolled diabetes.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for uncontrolled diabetes per 100,000 population.

As a Prevention Quality Indicator (PQI), uncontrolled diabetes is not a measure of hospital quality, but rather one measure of outpatient and other health care. Rates of diabetes may vary systematically by area, creating bias for this indicator.

Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

Hospital inpatients' experiences: percentage of adult inpatients who reported how often their room and bathroom were kept clean.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," or "Never") their room and bathroom were kept clean. The "Cleanliness of the Hospital Environment" measure is based on one question on the CAHPS Hospital Survey.

Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

Postoperative respiratory failure: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with respiratory failure per 1,000 eligible admissions.

Postoperative sepsis: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with sepsis per 1,000 eligible admissions with a length of stay of 4 days or more.

Postoperative wound dehiscence: number of abdominopelvic surgery patients with disruption of abdominal wall per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of abdominopelvic surgery patients with disruption of abdominal wall per 1,000 eligible admissions.

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

Behavioral health care patients' experiences: percentage of adult patients who reported how often they get treatment quickly.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This composite measure indicates the percentage of adult patients who indicated how often ("Always," "Usually," "Sometimes," or "Never") they obtained treatment without long waits. The "Getting Treatment Quickly" composite measure is based on three questions on the Experience of Care and Health Outcomes (ECHO) Survey.

Behavioral health care patients' experiences: percentage of adult patients who rated how much improvement they perceived in themselves.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This composite measure indicates the percentage of adult patients who rated how much improvement they perceived in themselves ("Much better," "A little better," "About the same," "A little worse," or "Much worse"). The "Perceived Improvement" composite measure is based on four questions on the Experience of Care and Health Outcomes (ECHO) Survey.

Behavioral health care patients' satisfaction: adult patients' overall rating of their health plan for counseling or treatment.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This measure indicates adult patients' perceptions of their health plan for counseling or treatment. Patients rate the health plan on a scale from 0 to 10, where 0 is the worst plan possible and 10 is the best plan possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Behavioral health care patients' experiences: percentage of adult patients who reported whether someone talked to them about including family or friends in their counseling or treatment.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") someone talked to them about including family or friends in their counseling or treatment.

Hospital inpatients' experiences: percentage of adult inpatients who reported how often their pain was controlled.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," or "Never") their pain was controlled well. The "Pain Control" composite measure is based on two questions on the CAHPS Hospital Survey.

Hospital inpatients' experiences: percentage of adult inpatients who reported whether they would recommend this hospital to their friends and family.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported whether ("Definitely No," "Probably No," "Probably Yes," or "Definitely Yes") they were willing to recommend this hospital to their family and friends.

In-center hemodialysis patients' satisfaction with care: in-center hemodialysis patients' overall ratings of their dialysis center staff.

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess adult in-center hemodialysis patients' perceptions of their dialysis center staff. Patients rate their dialysis center staff on a scale from 0 to 10, where 0 is the worst dialysis center staff possible and 10 is the best dialysis center staff possible. Responses are grouped by rating: percentages are reported for either ratings of 9 and 10, 7 and 8, and 6 and lower OR ratings of 10, 8 and 9, and 7 and lower.

Decubitus ulcer: rate per 1,000 discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of decubitus ulcer per 1,000 discharges with a length of stay greater than 4 days.

Iatrogenic pneumothorax (area-level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of iatrogenic pneumothorax per 100,000 population.

Postoperative hip fracture: rate per 1,000 surgical discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of in-hospital hip fracture per 1,000 surgical discharges with an operating room procedure.

Postoperative physiologic and metabolic derangement: rate per 1,000 elective surgical discharges with an operating room procedure.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of specified physiological or metabolic derangement per 1,000 elective surgical discharges with an operating room procedure.

Birth trauma -- injury to neonate: rate per 1,000 liveborn births.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of birth trauma, injury to neonate, per 1,000 liveborn births.

Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 Cesarean deliveries.

Agency for Healthcare Research and Quality — Fri, 22 Oct 2004 00:00:00 EST

This measure is used to assess the number of cases of obstetric trauma (3rd or 4th degree lacerations) per 1,000 Cesarean deliveries.

Abdominal aortic aneurysm (AAA) repair: volume.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the raw volume of provider-level abdominal aortic aneurysm (AAA) repair (surgical procedure).

As a volume indicator, AAA repair is a proxy measure for quality and should be used with other indicators.

Carotid endarterectomy (CEA): volume.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the raw volume of provider-level carotid endarterectomy (CEA) (surgical procedure).

As a volume indicator, CEA is a proxy measure for quality and should be used with other indicators (see the related National Quality Measures Clearinghouse [NQMC] summary of the Agency for Healthcare Research and Quality [AHRQ] measure Carotid endarterectomy (CEA): mortality rate).

Abdominal aortic aneurysm (AAA) repair: mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with procedure code of abdominal aortic aneurysm (AAA) repair.

Risk adjustment for clinical factors is recommended because of the confounding bias for AAA repair mortality rate. In addition, little evidence exists supporting the construct validity of this indicator.

Congestive heart failure (CHF): mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with principal diagnosis code of congestive heart failure (CHF).

CHF care occurs in an outpatient setting, and selection bias may be a problem for this indicator. In addition, 30-day mortality may be significantly different than in-hospital mortality, leading to information bias. Risk adjustment for clinical factors (or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups [APR-DRGs]) is recommended.

Hip fracture: mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 discharges with principal diagnosis code of hip fracture.

Thirty-day mortality may be somewhat different than in-hospital mortality, leading to information bias. Mortality rates should be considered in conjunction with length of stay and transfer rates. Risk adjustment for clinical factors (or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups [APR-DRGs]) is recommended. Limited evidence exists for the construct validity of this indicator.

Maternity care: primary Cesarean delivery rate.

Agency for Healthcare Research and Quality — Wed, 21 Jul 2004 00:00:00 EST

This measure is used to assess the number of provider-level primary Cesarean deliveries per 100 deliveries.

Potential additional bias may result from clinical differences not identifiable in administrative data, so supplemental risk adjustment with linked birth records or other clinical data may be desirable. As a utilization indicator, the construct validity relies on the actual inappropriate use of procedures in hospitals with high rates, which should be investigated further.

Cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of laparoscopic cholecystectomies per 100 cholecystectomies.

Up to one-half or more of all cholecystectomies are performed on an outpatient basis, and providers should incorporate outpatient data if possible when interpreting this indicator. Additional bias may result from clinical differences not identifiable in administrative data, so supplemental risk adjustment using other clinical data may be desirable. As a utilization indicator, the construct validity relies on the actual appropriate use of procedures in hospitals with high rates, which should be investigated further.

Coronary artery disease: coronary artery bypass graft (CABG) area rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of coronary artery bypass grafts (CABGs) per 100,000 population.

Hypertension: hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for hypertension per 100,000 population.

As a Prevention Quality Indicator (PQI), hypertension is not a measure of hospital quality, but rather one measure of outpatient and other health care. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting.

Dehydration: hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for dehydration per 100,000 population.

As a Prevention Quality Indicator (PQI), dehydration is not a measure of hospital quality, but rather one of the measures of outpatient and other health care.

This indicator has unclear construct validity, because it has not been validated except as part of a set of indicators. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting. Some dehydration care takes place in emergency rooms. As such, combining inpatient and emergency room data may give a more accurate picture of this indicator.

Coronary artery disease: angina without procedure hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for angina (without procedures) per 100,000 population.

As a Prevention Quality Indicator (PQI), angina without procedure is not a measure of hospital quality, but rather one measure of outpatient and other health care. This indicator has unclear construct validity, because it has not been validated except as part of a set of indicators. Providers may reduce admission rates without actually improving quality of care by shifting care to an outpatient setting. Some angina care takes place in emergency rooms. Combining inpatient and emergency room data may give a more accurate picture.

Diabetes mellitus: lower-extremity amputation rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for lower-extremity amputation among patients with diabetes per 100,000 population.

As a Prevention Quality Indicator (PQI), lower-extremity amputations among patients with diabetes is not a measure of hospital quality, but rather one measure of outpatient and other health care. PQIs are correlated with each other and may be used in conjunction as an overall examination of outpatient care.

Health plan members' experiences: percentage of adult health plan members who reported how often it was easy for them to get needed care.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") it was easy for them to:

Get appointments with specialists
Get the care, tests, or treatment they needed through their health plan

The "Getting Needed Care" composite measure is based on two questions in the CAHPS Health Plan Survey 4.0 (Adult Questionnaire).

Health plan members' experiences: percentage of parents or guardians who reported how often it was easy for them to get needed care for their enrolled child.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") it was easy for their child to:

Get appointments with specialists
Get the care, tests, or treatment they needed through their health plan

The "Getting Needed Care" composite measure is based on two questions in the CAHPS Health Plan Survey 4.0 (Child Questionnaire).

Health plan members' experiences: percentage of parents or guardians who reported how often they were satisfied with their enrolled child's health plan information and customer service.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always"):

They got the information or help they needed from their child's health plan's customer service
Their child's health plan's customer service staff treated them with courtesy and respect

The "Health Plan Information and Customer Service" composite measure is based on two questions in the CAHPS Health Plan Survey 4.0 (Child Questionnaire).

Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's specialist.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess parents' or guardians' perceptions of their child's specialist. Parents rate their child's specialist on a scale from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' experiences: percentage of parents or guardians who reported how often it was easy to get specialized services for their enrolled children with chronic conditions.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") it was easy to get specialized services for their enrolled children with chronic conditions*.

The "Parents' Experience Getting Specialized Services for Their Child" composite measure is based on three questions in the CAHPS 4.0 Health Plan Survey (Child Questionnaire).

Health plan members' experiences: percentage of parents or guardians who reported their experiences with getting needed information about their children's care for their enrolled children with chronic conditions.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who reported their experiences with getting needed information about their children's care for their children with chronic conditions*.

The "Parents' Experience with Getting Needed Information about Their Child's Care" measure is based on one question on the CAHPS 4.0 Health Plan Survey (Child Questionnaire).

Transfusion reaction (area-level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of transfusion reaction per 100,000 population.

CAHPS Clinician & Group Survey, Adult Primary Care Questionnaire 1.0

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

CAHPS Clinician & Group Survey, Child Primary Care Questionnaire 2.0

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

Patients' experiences: percentage of adult primary care patients who reported how often their doctor's office staff was courteous and helpful.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess the percentage of adult primary care patients who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") their doctor's office staff was courteous and helpful.

This measure summarizes answers to survey questions that asked people how often:

Clerks and receptionists at the doctor's office service staff were as helpful as they thought they should be.
Clerks and receptionists at the doctor's office service staff treated them with courtesy and respect.

The "Courteous and Helpful Office Staff" composite measure is based on two questions in the CAHPS Clinician & Group Survey Adult Primary Care Questionnaire.

Patients' experiences: percentage of adult specialty care patients who reported how often it was easy for them to get appointments and needed care.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess the percentage of adult specialty care patients who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") it was easy for them to get appointments and needed care.

This measure summarizes answers to survey questions that asked people how often they:

Got an appointment for urgent care soon as they thought they needed.
Got an appointment for a check-up or routine care soon as they thought they needed.
Got an answer to their medical question that same day when they phoned the doctor's office during regular office hours.
Got an answer to their medical question as soon as they thought they needed when they phoned the doctor's office after regular office hours.
Saw their doctor within 15 minutes of their appointment time.

The "Getting Appointments and Health Care When Needed" composite measure is based on five questions in the CAHPS Clinician & Group Survey Adult Specialty Care Questionnaire.

Patients' satisfaction with care: parent's/guardian's overall rating of their child's doctor.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess parents'/guardians' perceptions of their child's doctor. Parents rate their child's doctor on a scale from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible on the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

Patients' experiences: percentage of parents/guardians who reported how often their child's doctor communicated well.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Sometimes," "Usually," or "Always") their child's doctors communicated well.

This measure summarizes answers to survey questions that asked parents/guardians how often their child's doctor:

Explained things in a way that was easy for them to understand.
Listened carefully to them.
Gave easy-to-understand instructions about taking care of health problems or concerns.
Seemed to know the important information about their medical history.
Showed respect for what they had to say.
Spent enough time with them.

The "How Well Doctors Communicate" composite measure is based on six questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0.

Patients' experiences: percentage of parents/guardians who reported whether their child's doctor gave advice on keeping their child safe and healthy.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who reported ("Yes" or "No") whether their child's doctor gave advice on keeping their child safe and healthy.

This measure summarizes answers to survey questions that asked parents/guardians whether the doctor:

Talked about things they can do to keep the child from getting injured.
Gave them any printed handouts or booklets with information about how to keep the child from getting injured.
Talked with them about how much or what kind of food the child eats.
Talked with them about how much or what kind of exercise the child gets.
Talked with them about whether there are any problems in the household that might affect the child.

The "Doctor's Advice on Keeping Your Child Safe and Healthy" composite measure is based on five questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0.

Agency for Healthcare Research and Quality (AHRQ) Quality Indicators

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

Behavioral health care patients' experiences: percentage of adult patients who reported how much of a problem they had getting treatment and information from their health plan or managed behavior health organization.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This composite measure indicates the percentage of adult patients who indicated how much of a problem ("Not a problem," "A small problem," or "A big problem") they had getting treatment and information from their health plan or managed behavior health organization (MBHO). The "Getting Treatment and Information from the Plan or MBHO" composite measure is based on six questions for patients enrolled in managed care organizations and two questions for patient's enrolled in MBHOs on the Experience of Care and Health Outcomes (ECHO) Survey.

Behavioral health care patients' satisfaction: adult patients' overall rating of the counseling or treatment they received.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This measure indicates adult patients' perceptions of the counseling or treatment they received. Patients rate the counseling and treatment they received on a scale from 0 to 10, where 0 is the worst counseling or treatment possible and 10 is the best counseling or treatment possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were told about medication side effects.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") they were told about medication side effects.

Behavioral health care patients' experiences: percentage of adult patients who reported whether they were given information about patient rights.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") they were given information about patient rights.

Behavioral health care patients' experiences: percentage of adult patients who reported whether the care they received was responsive to their cultural needs.

Agency for Healthcare Research and Quality — Fri, 01 Feb 2002 00:00:00 EST

This single-item measure indicates the percentage of adult patients who reported whether ("Yes" or "No") the care they received was responsive to their cultural needs.

CAHPS Hospital Survey

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

Hospital inpatients' experiences: percentage of adult inpatients who reported how often the hospital staff communicated well about medications.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," or "Never") the medical staff communicated well about new medications. The "Communication about Medications" composite measure is based on two questions on the CAHPS Hospital Survey.

Accidental puncture or laceration: rate per 1,000 eligible discharges.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of cases of technical difficulty (e.g., accidental cut or laceration during procedure) per 1,000 eligible discharges.

Iatrogenic pneumothorax in neonates at risk: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with an iatrogenic pneumothorax per 1,000 eligible admissions.

Pediatric heart surgery: volume.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients undergoing surgery for congenital heart disease.

Selected infection due to medical care: rate per 1,000 eligible admissions.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients with specific infection codes* per 1,000 eligible admissions.

*International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 999.3 or 996.62 in any secondary diagnosis field.

Diabetes short-term complications admission rate (area level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients admitted for diabetes short-term complications (ketoacidosis, hyperosmolarity, coma) per 100,000 population.

Urinary tract infection (UTI) admission rate (area level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of patients admitted for urinary tract infection per 100,000 population.

In-center hemodialysis patients' experiences: percentage of in-center hemodialysis patients who reported how often they were satisfied with the quality of dialysis center care and operations.

Agency for Healthcare Research and Quality — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") the dialysis center staff:

listened carefully to them.
explained things in a way that was easy to understand.
showed respect for what they had to say.
spent enough time with them.
really cared about them as a person.
made them as comfortable as possible during dialysis.
inserted their needles with as little pain as possible.
checked them as closely as they wanted while they were on the dialysis machine.
were able to manage problems during their dialysis.
behaved in a professional manner.
explained blood test results in a way that was easy to understand.

AND

The percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always"):

they were put on the dialysis machine within 15 minutes of their appointment or shift time.
the dialysis center was as clean as it could be.
they were satisfied with the way the dialysis facility staff handled problems.

AND

The percentage of respondents who indicated whether ("Yes" or "No"):

the dialysis center staff kept information about them and their health as private as possible from other patients.
they felt comfortable asking dialysis center staff everything they wanted about dialysis care.
the dialysis center staff talked about to them about what they should eat and drink.

The "Quality of Dialysis Center Care and Operations" composite measure is based on seventeen questions in the CAHPS In-Center Hemodialysis Survey.

CAHPS Health Plan Survey 4.0, Child Questionnaire

Agency for Healthcare Research and Quality — Wed, 01 Nov 2006 00:00:00 EST

Foreign body left during procedure (area level): discharges per 100,000 population.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of discharges with foreign body accidentally left in during procedure per 100,000 population.

CAHPS Clinician & Group Survey

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

CAHPS Clinician & Group Survey, Child Primary Care Questionnaire 1.0

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

Patients' experiences: percentage of adult primary care patients who reported how often their doctors communicated well.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure summarizes answers to survey questions that asked people how often their doctor:

Explained things in a way that was easy for them to understand.
Listened carefully to them.
Gave easy-to-understand instructions about taking care of health problems or concerns.
Seemed to know the important information about their medical history.
Showed respect for what they had to say.
Spent enough time with them.

The "How Well Doctors Communicate" composite measure is based on six questions in the CAHPS Clinician & Group Survey Adult Primary Care Questionnaire.

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.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of adult primary care patients who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") someone from the doctor's office followed up to give them test results when the doctor ordered a blood test, x-ray or other test.

Patients' experiences: percentage of adult specialty care patients who reported how often their doctor's office staff was courteous and helpful.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess the percentage of adult specialty care patients who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") their doctor's office staff was courteous and helpful.

This measure summarizes answers to survey questions that asked people how often:

Clerks and receptionists at the doctor's office service staff were as helpful as they thought they should be.
Clerks and receptionists at the doctor's office service staff treated them with courtesy and respect.

The "Courteous and Helpful Office Staff" composite measure is based on two questions in the CAHPS Clinician & Group Survey Adult Specialty Care Questionnaire.

Patients' experiences: percentage of parents/guardians who reported how often it was easy for them to get appointments and needed care for their child.

Agency for Healthcare Research and Quality — Sun, 20 May 2007 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Almost Never," "Sometimes," "Usually," "Almost Always," or "Always") it was easy for them to get appointments and needed care for their child.

This measure summarizes answers to survey questions that asked parents/guardians how often their child:

Got an appointment for urgent care soon as they thought they needed.
Got an appointment for a check-up or routine care soon as they thought they needed.
Got an answer to their medical question that same day when they phoned the doctor's office during regular office hours.
Got an answer to their medical question as soon as they thought they needed when they phoned the doctor's office after regular office hours.
Saw their doctor within 15 minutes of their appointment time.

The "Getting Appointments and Health Care When Needed" composite measure is based on five questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

Patients' experiences: percentage of parents/guardians who reported whether their child's doctor addressed their child's growth and development.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who reported ("Yes" or "No") whether their child's doctor addressed their child's growth and development.

This measure summarizes answers to survey questions that asked parents/guardians whether the doctor talked with them about:

The child's learning ability.
The kinds of behaviors that are normal for the child at this age.
How the child's body is growing.
The child's moods and emotions.
How the child gets along with others.

The "Doctor's Attention to Your Child's Growth and Development" composite measure is based on five questions in the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 1.0.

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.

Agency for Healthcare Research and Quality — Mon, 01 Sep 2008 00:00:00 EST

This measure is used to assess the percentage of parents/guardians who indicated how often ("Never," "Sometimes," "Usually," or "Always") someone from the doctor's office followed up to give them test results when the doctor ordered a blood test, x-ray or other test for their child on the CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0. Please note that there is another version of the survey: CAHPS Clinician & Group Survey Child Primary Care Questionnaire 2.0 (Beta).

Health plan members' experiences: percentage of adult health plan members who reported how often their personal doctor communicated well.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") their personal doctor:

Explained things in a way that was easy for them to understand
Listened carefully to them
Showed respect for what they had to say
Spent enough time with them

The "How Well Doctors Communicate" composite measure is based on four questions in the CAHPS Health Plan Survey 4.0 (Adult Questionnaire).

Health plan members' satisfaction with care: adult health plan members' overall ratings of their personal doctor.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess adult enrollees' perceptions of their personal doctor. Enrollees rate their personal doctor on a scale from 0 to 10, where 0 is the worst personal doctor possible and 10 is the best personal doctor possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's personal doctor.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess parents' or guardians' perceptions of their child's personal doctor. Parents rate their child's personal doctor on a scale from 0 to 10, where 0 is the worst personal doctor possible and 10 is the best personal doctor possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower.

Health plan members' experiences: percentage of parents or guardians who reported how often it was easy to get prescription medicines for their enrolled children with chronic conditions through their health plan.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who indicated how often ("Never," "Sometimes," "Usually," or "Always") it was easy to get prescription medicines for their children with chronic conditions* through their health plan.

The "Parents' Experience with Prescription Medicines" measure is based on one question in the CAHPS Health Plan Survey 4.0 (Child Questionnaire).

Health plan members' experiences: percentage of parents or guardians who reported their experiences with shared decision-making for their enrolled children with chronic conditions.

Agency for Healthcare Research and Quality — Sat, 01 Mar 1997 00:00:00 EST

This measure is used to assess the percentage of respondents who reported their experiences with shared decision-making for their children with chronic conditions*.

The "Parents' Experience with Shared Decision-making" composite measure is based on three questions on the CAHPS 4.0 Health Plan Survey (Child Questionnaire).

Iatrogenic pneumothorax (provider-level): rate per 1,000 discharges.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of iatrogenic pneumothorax per 1,000 discharges.

Selected infections due to medical care (area-level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 9993 or 99662 per 100,000 population.

Postoperative hemorrhage or hematoma requiring a procedure (area-level): rate per 100,000 population.

Agency for Healthcare Research and Quality — Mon, 20 Feb 2006 00:00:00 EST

This measure is used to assess the number of cases of hematoma or hemorrhage requiring a procedure per 100,000 population.

Postoperative pulmonary embolism or deep vein thrombosis: rate per 1,000 surgical discharges with an operating room procedure.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of deep vein thrombosis (DVT) or pulmonary embolism (PE) per 1,000 surgical discharges with an operating room procedure.

Postoperative wound dehiscence (area-level): rate of reclosure of post operative disruption of abdominal wall per 100,000 population.

Agency for Healthcare Research and Quality — Thu, 13 Mar 2003 00:00:00 EST

This measure is used to assess the number of cases of reclosure of postoperative disruption of abdominal wall per 100,000 population.

Pancreatic resection: volume.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the raw volume of provider-level pancreatic resection (surgical procedure).

As a volume indicator, pancreatic resection is a proxy measure for quality and should be used with other indicators.

Percutaneous transluminal coronary angioplasty (PTCA): volume.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the raw volume of provider-level percutaneous transluminal coronary angioplasty (PTCA) (surgical procedure).

As a volume indicator, PTCA is a proxy measure for quality and should be used with other indicators (see the related National Quality Measures Clearinghouse [NQMC] summary of the Agency for Healthcare Research and Quality [AHRQ] measure Percutaneous transluminal coronary angioplasty (PTCA): mortality rate).

Pancreatic cancer: pancreatic resection mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 patients with discharge procedure code of pancreatic resection.

Risk adjustment for clinical factors is recommended because of the confounding bias for pancreatic resection. In addition, little evidence exists supporting the construct validity of this indicator.

Percutaneous transluminal coronary angioplasty (PTCA): mortality rate.

Agency for Healthcare Research and Quality — Wed, 21 Jul 2004 00:00:00 EST

This measure is used to assess the number of deaths per 100 percutaneous transluminal coronary angioplasties (PTCAs).

This PTCA mortality measure is not recommended as a stand-alone measure, but is suggested as a companion measure to the corresponding PTCA volume measure (see the related National Quality Measures Clearinghouse (NQMC) summary of the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicator Percutaneous transluminal coronary angioplasty (PTCA): volume).

Hip osteoarthrosis: hip replacement mortality rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of deaths per 100 patients with discharge procedure code of partial or full hip replacement.

Because hip replacement is an elective procedure, some selection of patient population may create bias. Risk adjustment for clinical factors, or at a minimum 3M™ All-Patient Refined Diagnosis-Related Groups (APR-DRGs), is recommended because of the confounding bias for hip replacement. In addition, little evidence exists supporting the construct validity of this indicator.

Maternity care: Cesarean delivery rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of provider-level Cesarean deliveries per 100 deliveries.

Maternity care: vaginal birth after Cesarean (VBAC) rate, all.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of provider-level vaginal births per 100 discharges with a diagnosis of previous Cesarean delivery.

Coronary artery disease: bilateral cardiac catheterization rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of provider-level bilateral cardiac catheterizations per 100 discharges with procedure code of heart catheterization.

Outpatient procedures may result in selection bias for this indicator and should be examined. In addition, as a utilization indicator, the construct validity relies on the actual inappropriate use of procedures in hospitals with high rates, which should be investigated further.

Hysterectomy: hysterectomy area rate.

Agency for Healthcare Research and Quality — Sat, 01 Jun 2002 00:00:00 EST

This measure is used to assess the number of hysterectomies per 100,000 female population.

Perforated appendix: hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for perforated appendix per 100 admissions for appendicitis within Metro Area or county.

As a Prevention Quality Indicator (PQI), admission for perforated appendix is not a measure of hospital quality, but rather one measure of outpatient and other health care.

Urinary tract infection: hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for urinary tract infection per 100,000 population.

As a Prevention Quality Indicator (PQI), admission for urinary tract infection is not a measure of hospital quality, but rather one measure of outpatient and other health care. This indicator has unclear construct validity, because it has not been validated except as part of a set of indicators. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting. Some urinary tract infection care takes place in emergency rooms. As such, combining inpatient and emergency room data may give a more accurate picture of this indicator.

Adult asthma: hospital admission rate.

Agency for Healthcare Research and Quality — Mon, 01 Oct 2001 00:00:00 EST

This measure is used to assess the number of admissions for asthma in adults per 100,000 population.

As a Prevention Quality Indicator (PQI), adult asthma is not a measure of hospital quality, but rather one measure of outpatient and other health care. Providers may reduce admission rates without actually improving quality by shifting care to an outpatient setting.

Admission rates that are drastically below or above the average or recommended rates should be further examined.

Hospital inpatients' experiences: percentage of adult inpatients who reported how often the area around their room was quiet at night.

Agency for Healthcare Research and Quality — Sun, 01 May 2005 00:00:00 EST

This measure is used to assess the percentage of respondents who reported how often ("Always," "Usually," "Sometimes," or "Never") the area around their room was quiet at night. The "Quietness of the Hospital Environment" measure is based on one question on the CAHPS Hospital Survey.

Hospital-based inpatient psychiatric services: the percentage of patients admitted to a hospital-based inpatient psychiatric setting who are screened within the first three days of admission for all of the following: risk of violence to self or others, substance use, psychological trauma history and patient strengths.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the percentage of patients admitted to a hospital-based inpatient psychiatric setting who are screened within the first three days of admission for all of the following: risk of violence to self or others, substance use, psychological trauma history and patient strengths.

Hospital-based inpatient psychiatric services: the percentage of patients discharged from a hospital-based inpatient psychiatric setting on two or more antipsychotic medications.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the percentage of patients discharged from a hospital-based inpatient psychiatric setting on two or more antipsychotic medications.

Hospital-based inpatient psychiatric services: the percentage of patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan provided to the next level of care clinician or entity.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the percentage of patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan provided to the next level of care clinician or entity.

Surgical Care Improvement Project (SCIP)

Joint Commission, The — Wed, 01 Oct 2008 00:00:00 EST

Pregnancy and related conditions: percent of patients who have vaginal deliveries with third or fourth degree perineal laceration.

Joint Commission, The — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the percent of patients who have vaginal deliveries with third or fourth degree perineal laceration.

*This is a Joint Commission only measure.

Children's asthma care: percent of pediatric asthma inpatients who received systemic corticosteroids during hospitalization.

Joint Commission, The — Sun, 01 Apr 2007 00:00:00 EST

This measure* is used to assess the percent of pediatric patients admitted for inpatient treatment of asthma who received systemic corticosteroids during hospitalization.

*This is a Joint Commission only measure.

Pneumonia: median time from arrival at the hospital to the administration of the first dose of antibiotic at the hospital.

Joint Commission, The — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the median time from arrival at the hospital to the administration of the first dose of antibiotic at the hospital for patients with pneumonia.

*This is a Joint Commission only measure.

Intensive care - ventilator-associated pneumonia (VAP) prevention: number of ventilator days where the patient's head of bed (HOB) is elevated equal to or greater than 30 degrees.

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

This measure is used to assess the number of ventilator days where the patient's head of bed (HOB) is elevated (two times per day) equal to or greater than 30 degrees.

The results of this measure should also be analyzed in conjunction with ICU-3: Deep Vein Thrombosis (DVT) Prophylaxis, as elevation of the head of the bed may contribute to venous stasis and DVT. See the related National Quality Measures Clearinghouse (NQMC) measure summary Intensive care: number of ventilator days where the patients received deep vein thrombolysis (DVT) prophylaxis.

Intensive care: percent of central line-associated primary bloodstream infections (BSIs) by unit of attribution.

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

This measure is used to assess the percent of central line-associated primary bloodstream infections (BSIs) per 1,000 central line-days by unit of attribution.

Hospital-based inpatient psychiatric services: the total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were maintained in physical restraint.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were maintained in physical restraint.

Hospital-based inpatient psychiatric services: the percentage of patients discharged from a hospital-based inpatient psychiatric setting on two or more antipsychotic medications with appropriate justification.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the percentage of patients discharged from a hospital-based inpatient psychiatric setting on two or more antipsychotic medications with appropriate justification.

Pregnancy and related conditions: percent of patients with vaginal birth after cesarean section (VBAC).

Joint Commission, The — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess prenatal patient evaluation, management, and treatment selection concerning vaginal deliveries in patients who have a history of previous cesarean section.

*This is a Joint Commission only measure.

Pregnancy and Related Conditions

Joint Commission, The — Wed, 01 Oct 2008 00:00:00 EST

Intensive care: number of ventilator days where the patients received stress ulcer disease (SUD) prophylaxis.

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

This measure is used to assess the number of ventilator days where patients received stress ulcer disease (SUD) prophylaxis.

Hospital-Based Inpatient Psychiatric Services (HBIPS)

Joint Commission, The — Fri, 01 Feb 2008 00:00:00 EST

Hospital-based inpatient psychiatric services: the total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were held in seclusion.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were held in seclusion.

Hospital-based inpatient psychiatric services: the percentage of patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan created.

Joint Commission, The — Sun, 01 Jun 2008 00:00:00 EST

This measure is used to assess the percentage of patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan created.

Pregnancy and related conditions: percent of live-born neonates who expire before the neonate becomes age 28 days.

Joint Commission, The — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the percent of live-born neonates who expire before the neonate becomes age 28 days.

*This is a Joint Commission only measure.

Children's asthma care: percent of pediatric asthma inpatients who received relievers during hospitalization.

Joint Commission, The — Sun, 01 Apr 2007 00:00:00 EST

This measure* is used to assess the percent of pediatric patients admitted for inpatient treatment of asthma who received relievers during hospitalization.

*This is a Joint Commission only measure.

Children's asthma care: percent of pediatric asthma inpatients with documentation that they or their caregivers were given a written Home Management Plan of Care (HMPC) document.

Joint Commission, The — Sun, 01 Apr 2007 00:00:00 EST

This measure* is used to assess whether there is documentation in the medical record that a Home Management Plan of Care (HMPC) document was given to the pediatric asthma patient/care giver.

*This is a Joint Commission only measure.

Children's Asthma Care

Joint Commission, The — Wed, 01 Oct 2008 00:00:00 EST

Pneumonia: percent of immunocompetent intensive care unit (ICU) patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

Joint Commission, The — Mon, 01 Nov 2004 00:00:00 EST

This measure* is used to assess the percent of immunocompetent intensive care unit (ICU) patients with community-acquired pneumonia (CAP) who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

*This is a Joint Commission only measure.

Pneumonia: percent of immunocompetent non-intensive care unit (ICU) patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

Joint Commission, The — Mon, 01 Nov 2004 00:00:00 EST

This measure* is used to assess the percent of immunocompetent non-intensive care unit (ICU) patients with community-acquired pneumonia (CAP) who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

*This is a Joint Commission only measure.

Pneumonia

Joint Commission, The — Wed, 01 Oct 2008 00:00:00 EST

Acute myocardial infarction: percent of patients who expired during hospital stay.

Joint Commission, The — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the percent of acute myocardial infarction (AMI) patients who expired during hospital stay.

*This is a Joint Commission only measure.

National Hospital Inpatient Quality Measures

Joint Commission, The — Wed, 01 Oct 2008 00:00:00 EST

Intensive care: number of ventilator days where the patients received deep vein thrombolysis (DVT) prophylaxis.

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

This measure is used to assess the number of ventilator days where patients received deep vein thrombosis (DVT) prophylaxis.

The results of this measure should also be analyzed in conjunction with ICU-1: Ventilator-associated Pneumonia (VAP) Prevention - Patient Positioning, as elevation of the head of the bed may contribute to venous stasis and deep vein thrombosis. See the related National Quality Measures Clearinghouse (NQMC) measure summary Intensive care - ventilator-associated pneumonia (VAP) prevention: number of ventilator days where the patient's head of bed (HOB) is elevated equal to or greater than 30 degrees.

Intensive care: mean length of stay (LOS) for intensive care unit (ICU) by type of unit.

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

This measure is used to assess the risk-adjusted mean for intensive care unit (ICU) length of stay (LOS) stratified by type of ICU.

Note: Both observed and predicted rates are reported.

The measure rates for risk-adjusted ICU LOS should be analyzed in conjunction with the risk-adjusted hospital mortality for ICU patients. See the related National Quality Measures Clearinghouse (NQMC) measure summary Intensive care: percentage of adult patients having had an intensive care unit (ICU) stay whose hospital outcome is death.

Intensive care: percentage of adult patients having had an intensive care unit (ICU) stay whose hospital outcome is death.

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

This measure is used to assess risk adjusted hospital mortality for intensive care unit (ICU) patients utilizing the Acute Physiology And Chronic Health Evaluation (APACHE) IV® predictive methodology, version IV, now in the public domain. Note: both the predicted and the observed rate are reported.

Measure rates for risk adjusted hospital mortality of ICU patients should be analyzed in conjunction with the risk adjusted ICU length of stay. See the related National Quality Measures Clearinghouse (NQMC) measure summary Intensive care: intensive care unit (ICU) length of stay (LOS) by type of unit.

Joint Commission Intensive Care Unit Measure Set

Joint Commission, The — Tue, 01 Feb 2005 00:00:00 EST

Nursing facility chronic care: percent of residents whose need for help with daily activities has increased.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of residents whose need for help with daily activities has increased.

Nursing facility chronic care: percent of residents who have moderate to severe pain.

Centers for Medicare & Medicaid Services — Fri, 01 Nov 2002 00:00:00 EST

This measure is used to assess the percentage of residents who have pain occurring daily over the last seven days, reaching a moderate level at least once during the assessment period or severe pain at any frequency.

Nursing facility chronic care: percent of low-risk residents who have pressure sores.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of low-risk residents who have pressure sores.

This is one of a pair of quality measures that the National Quality Forum (NQF) believes should only be reported in conjunction with each other. If this measure is selected, the "Percent of high-risk residents who have pressure sores" measure will also be displayed on the Nursing Home Compare Web site. See the National Quality Measures Clearinghouse (NQMC) summary of the paired National Nursing Home Quality Measure, Percent of high-risk residents who have pressure sores.

Nursing facility chronic care: percent of residents who were physically restrained.

Centers for Medicare & Medicaid Services — Fri, 01 Nov 2002 00:00:00 EST

This measure is used to assess the percentage of residents who were physically restrained.

Nursing facility chronic care: percent of low-risk residents who lose control of their bowels or bladder.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of low-risk residents who lose control of their bowels or bladder.

This is one of a pair of quality measures that the National Quality Forum (NQF) believes should only be reported in conjunction with each other. If one of the measures in the pair is selected, the other will also be displayed on the Nursing Home Compare Web site. See the National Quality Measures Clearinghouse (NQMC) summary of the paired National Nursing Home Quality Measure, Percent of residents who have/had a catheter inserted and left in their bladder.

Nursing facility chronic care: percent of residents who spent most of their time in bed or in a chair during the assessment period.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of residents who spent most of their time in bed or in a chair during the assessment period.

Nursing facility chronic care: percent of residents with a urinary tract infection.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of residents with a urinary tract infection.

Nursing facility post-acute care: percent of short-stay residents with delirium.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of short-stay residents with delirium.

Nursing facility post-acute care: percent of short-stay residents who had moderate to severe pain.

Centers for Medicare & Medicaid Services — Fri, 01 Nov 2002 00:00:00 EST

This measure is used to assess the percentage of short-stay residents who have pain occurring daily over the last seven days, reaching a moderate level at least once during the assessment period or severe pain at any frequency.

Nursing facility post-acute care: percent of short-stay residents who have pressure sores.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of short-stay residents who have developed pressure sores or who had pressure sores that did not get better between 5-day and 14-day assessments of their skilled nursing stay.

Post Acute Care Quality Measures

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

Acute myocardial infarction: percent of patients with elevated low-density lipoprotein cholesterol (LDL-c greater than or equal to 100 mg/dL or narrative equivalent) who are prescribed a lipid-lowering medication at hospital discharge.

Centers for Medicare & Medicaid Services — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the percent of acute myocardial infarction (AMI) patients with elevated low-density lipoprotein cholesterol (LDL-c greater than or equal to 100 mg/dL or narrative equivalent) who are prescribed a lipid-lowering medication at hospital discharge.

*This is a Centers for Medicare & Medicaid Services (CMS) only measure.

Nursing facility chronic care: percent of eligible and willing long-stay residents given the influenza vaccination during the flu season.

Centers for Medicare & Medicaid Services — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of eligible and willing long-stay (chronic care) nursing home residents who were vaccinated for influenza during the flu season (October 1 through March 31).

Nursing facility post acute care: percent of eligible and willing short-stay residents given the influenza vaccination during the flu season.

Centers for Medicare & Medicaid Services — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of eligible and willing short-stay (post-acute care) nursing home residents who were vaccinated for influenza during the flu season (October 1 through March 31).

Nursing facility post acute care: percent of eligible and willing short-stay residents who were assessed and given pneumococcal vaccination.

Centers for Medicare & Medicaid Services — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of eligible and willing short-stay (post-acute care) nursing home residents with an up-to-date pneumococcal vaccination.

Hospital Outpatient Department Quality Measures

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

Hospital Outpatient Surgery

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

Acute myocardial infarction: median time to transfer to another facility for acute coronary intervention.

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess the median time (in minutes) from emergency department (ED) arrival to time of transfer to another facility for acute coronary intervention in acute myocardial infarction (AMI) patients 18 years and older.

Acute myocardial infarction/chest pain: median time from emergency department (ED) arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or chest pain patients (with probable cardiac chest pain).

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess the time (in minutes) from emergency department (ED) arrival to electrocardiogram (ECG) (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or chest pain patients (with Probable Cardiac Chest Pain).

Hospital outpatient surgery: percentage of surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision.

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess the percentage of surgical patients with prophylactic antibiotics initiated within one hour* prior to surgical incision.

*Patients who received vancomycin or a fluoroquinolone for prophylaxis should have the antibiotic initiated within two hours prior to surgical incision. Due to the longer infusion time required for vancomycin or a fluoroquinolone, it is acceptable to start these antibiotics within two hours prior to incision time.

Nursing Home Quality Initiative: National Nursing Home Quality Measures

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

Chronic Care Quality Measures

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

Nursing facility chronic care: percent of high-risk residents who have pressure sores.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of high-risk residents who have pressure sores.

This is one of a pair of quality measures that the National Quality Forum (NQF) believes should only be reported in conjunction with each other. If this measure is selected, than the "Percent of low-risk residents who have pressure sores" measure will also be displayed on the Nursing Home Compare Web site. See the National Quality Measures Clearinghouse (NQMC) summary of the paired National Nursing Home Quality Measure, Percent of low-risk residents who have pressure sores.

Nursing facility chronic care: percent of residents who have/had a catheter inserted and left in their bladder.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of residents who have/had a catheter inserted and left in their bladder.

This is one of a pair of quality measures that the National Quality Forum (NQF) believes should only be reported in conjunction with each other. If one of the measures in the pair is selected, the other will also be displayed on the Nursing Home Compare Web site. See the National Quality Measures Clearinghouse (NQMC) summary of the paired National Nursing Home Quality Measure, Percent of low-risk residents who lose control of their bowels or bladder.

Nursing facility chronic care: percent of residents whose ability to move about in and around their room got worse.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of residents whose ability to move about in and around their room got worse.

Hospital Outpatient Acute Myocardial Infarction

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

Acute myocardial infarction: percentage of emergency department (ED) acute myocardial infarction (AMI) patients receiving fibrinolytic therapy during the ED stay and having a time from ED arrival to fibrinolysis of 30 minutes or less.

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess percentage of emergency department (ED) acute myocardial infarction (AMI) patients receiving fibrinolytic therapy during the ED stay and having a time from ED arrival to fibrinolysis of 30 minutes or less.

Nursing facility chronic care: percent of residents who have become more depressed or anxious.

Centers for Medicare & Medicaid Services — Thu, 01 Jan 2004 00:00:00 EST

This measure is used to assess the percentage of residents who have become more depressed or anxious.

Nursing facility chronic care: percent of residents who lose too much weight.

Centers for Medicare & Medicaid Services — Mon, 01 Nov 2004 00:00:00 EST

This measure is used to assess the percentage of residents who lose too much weight.

Pneumonia: percent of immunocompetent patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

Centers for Medicare & Medicaid Services — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the percent of immunocompetent patients with community-acquired pneumonia (CAP) who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.

*This is a Centers for Medicare & Medicaid Services (CMS) only measure.

Acute myocardial infarction: percent of patients with documentation of low-density lipoprotein cholesterol (LDL-c) level in the hospital record or documentation that LDL-c testing was done during the hospital stay or is planned for after discharge.

Centers for Medicare & Medicaid Services — Tue, 01 Aug 2000 00:00:00 EST

This measure* is used to assess the percent of acute myocardial infarction (AMI) patients with documentation of low-density lipoprotein cholesterol (LDL-c) level in the hospital record or documentation that LDL-c testing was done during the hospital stay or is planned for after discharge.

*This is a Centers for Medicare & Medicaid Services (CMS) only measure.

Acute myocardial infarction: median time from emergency department (ED) arrival to administration of fibrinolytic therapy in ED patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to ED arrival and prior to transfer.

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess the time (in minutes) from emergency department (ED) arrival to administration of fibrinolytic therapy in ED patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to ED arrival and prior to transfer.

Acute myocardial infarction/chest pain: percentage of emergency department (ED) acute myocardial infarction (AMI) patients or chest pain patients (with probable cardiac chest pain) who received aspirin within 24 hours before ED arrival or prior to transfer.

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess the percentage of emergency department (ED) acute myocardial infarction (AMI) patients or chest pain patients (with Probable Cardiac Chest Pain) who received aspirin within 24 hours before ED arrival or prior to transfer.

Hospital outpatient surgery: percentage of surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

Centers for Medicare & Medicaid Services — Tue, 01 Apr 2008 00:00:00 EST

This measure is used to assess the percentage of surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

Nursing facility chronic care: percent of eligible and willing long-stay residents who were assessed and given pneumococcal vaccination.

Centers for Medicare & Medicaid Services — Sun, 01 Oct 2006 00:00:00 EST

This measure is used to assess the percentage of eligible and willing long-stay (chronic care) nursing home residents with an up-to-date pneumococcal vaccination.

Comfort: score on General Comfort Questionnaire.

Kolcaba, Katharine Ph.D. — Wed, 01 Jan 2003 00:00:00 EST

This measure assesses quality in terms of comfort using the General Comfort Questionnaire. The questionnaire, given to either patients or family members, measures the extent to which the responder is experiencing comfort at that point in time.

Delirium: proportion of patients meeting diagnostic criteria on the Confusion Assessment Method (CAM).

Inouye, Sharon K. M.D., M.P.H. — Sat, 15 Dec 1990 00:00:00 EST

This measure assesses the proportion of patients meeting the diagnostic criteria for delirium as measured by the Confusion Assessment Method (CAM) instrument.

Medical practice satisfaction: overall facility rating score on Medical Practice Survey

Press Ganey Associates, Inc. — Mon, 01 Jan 1990 00:00:00 EST

Emergency department satisfaction: mean section score for "Arrival" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Arrival" section of the Emergency Department Survey.

The "Arrival" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Emergency department satisfaction: mean section score for "Nurses" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Nurses" section of the Emergency Department Survey.

The "Nurses" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Emergency department satisfaction: mean section score for "Tests" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Tests" section of the Emergency Department Survey.

The "Tests" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Emergency department satisfaction: mean section score for "Family or Friends" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Family or Friends" section of the Emergency Department Survey.

The "Family or Friends" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Emergency department satisfaction: mean section score for "Personal Issues" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Personal Issues" section of the Emergency Department Survey.

The "Personal Issues" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Emergency department satisfaction: mean section score for "Overall Assessment" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Overall Assessment" section of the Emergency Department Survey.

The "Overall Assessment" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Medical practice satisfaction: mean section score for "During Your Visit" questions on Medical Practice Survey.

Press Ganey Associates, Inc. — Mon, 01 Jan 1990 00:00:00 EST

This measure assesses the mean score for the questions in the "During Your Visit" section of the Medical Practice Survey.

The "During Your Visit" section is one of five sections that comprise the Medical Practice Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Medical practice satisfaction: mean section score for "Overall Assessment" questions on Medical Practice Survey.

Press Ganey Associates, Inc. — Mon, 01 Jan 1990 00:00:00 EST

This measure assesses the mean score for the questions in the "Overall Assessment" section of the Medical Practice Survey.

The "Overall Assessment" section is one of five sections that comprise the Medical Practice Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: overall facility rating score on the Inpatient Survey.

Press Ganey Associates, Inc. — Wed, 01 Jan 1997 00:00:00 EST

Inpatient satisfaction: mean section score for "Admission" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Admission" section of the Inpatient Survey.

The "Admission" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Room" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Room" section of the Inpatient Survey.

The "Room" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Nurses" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Nurses" section of the Inpatient Survey.

The "Nurses" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Tests and Treatments" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Tests and Treatments" section of the Inpatient Survey.

The "Tests and Treatments" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Physician" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Physician" section of the Inpatient Survey.

The "Physician" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Discharge" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Discharge" section of the Inpatient Survey.

The "Discharge" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Overall Assessment" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Overall Assessment" section of the Inpatient Survey.

The "Overall Assessment" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: overall facility rating score on the Inpatient Pediatric Survey

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

Inpatient pediatric satisfaction: mean section score for "Personal Issues" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Personal Issues" section of the Inpatient Pediatric Survey.

The "Personal Issues" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Discharge" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Discharge" section of the Inpatient Pediatric Survey.

The "Discharge" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Family and Visitors" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Family and Visitors" section of the Inpatient Pediatric Survey.

The "Family and Visitors" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Tests and Treatments" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Tests and Treatments" section of the Inpatient Pediatric Survey.

The "Tests and Treatments" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Meals" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Meals" section of the Inpatient Pediatric Survey.

The "Meals" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Hospice services satisfaction: mean section score for "Arranging Hospice Care" questions on Hospice Services Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Arranging Hospice Care" section of the Hospice Services Survey.

The "Arranging Hospice Care" section is one of five sections that comprise the Hospice Services Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Hospice services satisfaction: mean section score for "Personal Issues" questions on Hospice Services Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Personal Issues" section of the Hospice Services Survey.

The "Personal Issues" section is one of five sections that comprise the Hospice Services Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Admission" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Admission" section of the Nursing Home Resident Survey.

The "Admission" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Maintenance" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Maintenance" section of the Nursing Home Resident Survey.

The "Maintenance" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Certified Nursing Assistants" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Certified Nursing Assistants" section of the Nursing Home Resident Survey.

The "Certified Nursing Assistants" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Housekeeping Services" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Housekeeping Services" section of the Nursing Home Resident Survey.

The "Housekeeping Services" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Finances" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Finances" section of the Nursing Home Resident Survey.

The "Finances" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Final Ratings" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Final Ratings" section of the Nursing Home Resident Survey.

The "Final Ratings" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Admission" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Admission" section of the Nursing Home Family Survey.

The "Admission" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Room" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Room" section of the Nursing Home Family Survey.

The "Room" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Maintenance" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Maintenance" section of the Nursing Home Family Survey.

The "Maintenance" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Housekeeping Services" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Housekeeping Services" section of the Nursing Home Family Survey.

The "Housekeeping Services" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Final Ratings" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Final Ratings" section of the Nursing Home Family Survey.

The "Final Ratings" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Medical practice satisfaction: mean section score for "Access to Care" questions on Medical Practice Survey.

Press Ganey Associates, Inc. — Mon, 01 Jan 1990 00:00:00 EST

This measure assesses the mean score for the questions in the "Access to Care" section of the Medical Practice Survey.

The "Access to Care" section is one of five sections that comprise the Medical Practice Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Medical practice satisfaction: mean section score for "Personal Issues" questions on Medical Practice Survey.

Press Ganey Associates, Inc. — Mon, 01 Jan 1990 00:00:00 EST

This measure assesses the mean score for the questions in the "Personal Issues" section of the Medical Practice Survey.

The "Personal Issues" section is one of five sections that comprise the Medical Practice Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Emergency department satisfaction: mean section score for "Personal/Insurance Information" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Personal/Insurance Information" section of the Emergency Department Survey.

The "Personal/Insurance Information" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Your Child's Room" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Your Child's Room" section of the Inpatient Pediatric Survey.

The "Your Child's Room" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Overall Assessment" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Overall Assessment" section of the Inpatient Pediatric Survey.

The "Overall Assessment" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Home health care satisfaction: mean section score for "Nurses" questions on Home Health Care Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 1994 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Nurses" section of the Home Health Care Survey.

The "Nurses" section is one of five sections that comprise the Home Health Care Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Home health care satisfaction: mean section score for "Arranging Your Home Health Care" questions on Home Health Care Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 1994 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Arranging Your Home Health Care" section of the Home Health Care Survey.

The "Arranging Your Home Health Care" section is one of five sections that comprise the Home Health Care Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Home health care satisfaction: mean section score for "Overall Ratings" questions on Home Health Care Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 1994 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Overall Ratings" section of the Home Health Care Survey.

The "Overall Ratings" section is one of five sections that comprise the Home Health Care Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Meals" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Meals" section of the Inpatient Survey.

The "Meals" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Hospice services satisfaction: mean section score for "Dealing with the Hospice Office" questions on Hospice Services Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Dealing with the Hospice Office" section of the Hospice Services Survey.

The "Dealing with the Hospice Office" section is one of five sections that comprise the Hospice Services Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Hospice services satisfaction: mean section score for "Overall Assessment" questions on Hospice Services Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Overall Assessment" section of the Hospice Services Survey.

The "Overall Assessment" section is one of five sections that comprise the Hospice Services Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Room" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Room" section of the Nursing Home Resident Survey.

The "Room" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Nurses" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Nurses" section of the Nursing Home Resident Survey.

The "Nurses" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: mean section score for "Activities" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Activities" section of the Nursing Home Resident Survey.

The "Activities" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Nurses" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Nurses" section of the Nursing Home Family Survey.

The "Nurses" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Activities" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Activities" section of the Nursing Home Family Survey.

The "Activities" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Admission" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Admission" section of the Inpatient Pediatric Survey.

The "Admission" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Nursing Care" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Nursing Care" section of the Inpatient Pediatric Survey.

The "Nursing Care" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient pediatric satisfaction: mean section score for "Your Child's Physician" questions on Inpatient Pediatric Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1998 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Your Child's Physician" section of the Inpatient Pediatric Survey.

The "Your Child's Physician" section is one of ten sections that comprise the Inpatient Pediatric Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Medical practice satisfaction: mean section score for "Your Care Provider" questions on Medical Practice Survey.

Press Ganey Associates, Inc. — Mon, 01 Jan 1990 00:00:00 EST

This measure assesses the mean score for the questions in the "Your Care Provider" section of the Medical Practice Survey.

The "Your Care Provider" section is one of five sections that comprise the Medical Practice Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Home health care satisfaction: overall facility rating score on Home Health Care Survey

Press Ganey Associates, Inc. — Sat, 01 Jan 1994 00:00:00 EST

Emergency Department satisfaction: overall facility rating score on Emergency Department Survey

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

Emergency department satisfaction: mean section score for "Doctors" questions on Emergency Department Survey.

Press Ganey Associates, Inc. — Fri, 01 Jan 1988 00:00:00 EST

This measure assesses the mean score for the questions in the "Doctors" section of the Emergency Department Survey.

The "Doctors" section is one of eight sections that comprise the Emergency Department Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Visitors and Family" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Visitors and Family" section of the Inpatient Survey.

The "Visitors and Family" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Inpatient satisfaction: mean section score for "Personal Issues" questions on Inpatient Survey.

Press Ganey Associates, Inc. — Thu, 01 Jan 1987 00:00:00 EST

This measure assesses the mean score for the questions in the "Personal Issues" section of the Inpatient Survey.

The "Personal Issues" section is one of ten sections that comprise the Inpatient Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Home health care satisfaction: mean section score for "Managing Your Home Health Care" questions on Home Health Care Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 1994 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Managing Your Home Health Care" section of the Home Health Care Survey.

The "Managing Your Home Health Care" section is one of five sections that comprise the Home Health Care Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Home health care satisfaction: mean section score for "Personal Issues" questions on Home Health Care Survey.

Press Ganey Associates, Inc. — Tue, 01 Jan 2008 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Personal Issues" section of the Home Health Care Survey.

The "Personal Issues" section is one of five sections that comprise the Home Health Care Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Hospice services satisfaction: overall facility rating score on the Hospice Services Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 2000 00:00:00 EST

Hospice services satisfaction: mean section score for "Hospice Team" questions on Hospice Services Survey.

Press Ganey Associates, Inc. — Sat, 01 Jan 2000 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Hospice Team" section of the Hospice Services Survey.

The "Hospice Team" section is one of five sections that comprise the Hospice Services Survey. Mean section scores are reported for each section of the survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home resident satisfaction: overall facility rating score on the Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

Nursing home resident satisfaction: mean section score for "Dining" questions on Nursing Home Resident Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Dining" section of the Nursing Home Resident Survey.

The "Dining" section is one of ten sections that comprise the Nursing Home Resident Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: overall facility rating score on the Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

Nursing home family satisfaction: mean section score for "Dining" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Dining" section of the Nursing Home Family Survey.

The "Dining" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Certified Nursing Assistants" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Certified Nursing Assistants" section of the Nursing Home Family Survey.

The "Certified Nursing Assistants" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Nursing home family satisfaction: mean section score for "Finances" questions on Nursing Home Family Survey.

Press Ganey Associates, Inc. — Sun, 01 Jan 1995 00:00:00 EST

This measure is used to assess the mean score for the questions in the "Finances" section of the Nursing Home Family Survey.

The "Finances" section is one of ten sections that comprise the Nursing Home Family Survey. Mean section scores are reported for each section of this survey. In addition, an "Overall Facility Rating" score is reported.

Schizophrenia: percent of patients with severe symptoms or side effects and no recent medication treatment change to address these problems.

Mon, 01 Sep 1997 00:00:00 EST

This measure is used to assess the percent of patients who have severe symptoms or side effects and no change in medication treatment change to address these problems.

Method for Assessing Quality in Schizophrenia (MAQS)

Mon, 01 Sep 1997 00:00:00 EST

Schizophrenia: percent of patients with family members or caregivers who have had no contact with clinic providers during the past year.

Mon, 01 Sep 1997 00:00:00 EST

This measure is used to assess the percent of patients with family members or caregivers (with whom they have contact at least twice a week) who have had no contact with clinical providers during the past year.

Heart failure: percent of patients discharged home with written instructions or educational material given to patient or caregiver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of heart failure patients discharged home with written discharge instructions or educational material given to patient or caregiver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.

Heart failure: percent of patients with documentation in the hospital record that LVS function was evaluated before arrival, during hospitalization, or is planned for after discharge.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of heart failure patients with documentation in the hospital record that left ventricular systolic (LVS) function was evaluated before arrival, during hospitalization, or is planned for after discharge.

Heart failure: percent of patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during hospital stay.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of heart failure patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay. For purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

Pneumonia: percent of patients aged 65 and older who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated.

Pneumonia: percent of patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of pneumonia patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during the hospital stay. For the purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

Pneumonia: percent of patients who receive their first dose of antibiotics within 6 hours after arrival at the hospital.

Centers for Medicare & Medicaid Services/The Joint Commission — Sun, 01 Apr 2007 00:00:00 EST

This measure is used to assess the percent of pneumonia patients who receive their first dose of antibiotics within 6 hours after arrival at the hospital.

Acute myocardial infarction: percent of patients without aspirin contraindications who are prescribed aspirin at hospital discharge.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients without aspirin contraindications who are prescribed aspirin at hospital discharge.

Acute myocardial infarction: percent of patients without beta-blocker contraindications who are prescribed a beta-blocker at hospital discharge.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients without beta-blocker contraindications who are prescribed a beta-blocker at hospital discharge.

Acute myocardial infarction: percent of patients receiving fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients receiving fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less.

Acute myocardial infarction: percent of patients receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients receiving primary percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less.

Surgical care improvement project: percent of patients who received prophylactic antibiotics within one hour prior to surgical incision.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of surgical patients who received prophylactic antibiotics within one hour prior to surgical incision. Patients who received vancomycin or a fluoroquinolone for prophylactic antibiotics should have the antibiotics administered within two hours prior to surgical incision. Due to the longer infusion time required for vancomycin or a fluoroquinolone, it is acceptable to start these antibiotics within two hours prior to incision time.

Surgical care improvement project: percent of patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of surgical patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time (within 48 hours for coronary artery bypass graft [CABG] or other cardiac surgery).

Surgical care improvement project: percent of cardiac surgery patients with controlled 6 A.M. postoperative blood glucose.

Centers for Medicare & Medicaid Services/The Joint Commission — Thu, 01 Jun 2006 00:00:00 EST

This measure is used to assess the percent of cardiac surgery patients with controlled 6 A.M. blood glucose (less than or equal to 200 mg/dL) on postoperative day one (POD 1) and postoperative day two (POD 2) with Surgery End Date being postoperative day zero (POD 0).

Surgical care improvement project: percent of surgery patients who received appropriate VTE prophylaxis within 24 hours prior to surgery to 24 hours after surgery.

Centers for Medicare & Medicaid Services/The Joint Commission — Thu, 01 Jun 2006 00:00:00 EST

This measure is used to assess the percent of surgery patients who receive appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to Surgical Incision Time to 24 hours after Surgery End Time.

Acute myocardial infarction: percent of patients with a history of smoking cigarettes who receive smoking cessation advice or counseling during the hospital stay.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during the hospital stay. For the purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

Acute myocardial infarction: median time from hospital arrival to administration of fibrinolytic agent in patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival time.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the median time from hospital arrival to administration of fibrinolytic therapy in patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.

Acute Myocardial Infarction

Centers for Medicare & Medicaid Services/The Joint Commission — Wed, 01 Oct 2008 00:00:00 EST

Heart failure: percent of patients with LVSD and without both ACEI and ARB contraindications who are prescribed an ACEI or ARB at hospital discharge.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of heart failure patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge. For purposes of this measure, LVSD is defined as chart documentation of a left ventricular ejection fraction (LVEF) less than 40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction.

Pneumonia: percent of patients whose initial emergency room blood culture specimen was collected prior to first hospital dose of antibiotics.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of pneumonia patients whose initial emergency room blood culture specimen was collected prior to the administration of the first hospital dose of antibiotics. This measure focuses on the treatment provided to emergency department patients prior to admission orders.

Surgical care improvement project: percent of patients who received prophylactic antibiotics consistent with current guidelines.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

Surgical care improvement project: percent of surgery patients with appropriate hair removal.

Centers for Medicare & Medicaid Services/The Joint Commission — Thu, 01 Jun 2006 00:00:00 EST

This measure is used to assess the percent of surgery patients with appropriate* surgical site hair removal.

*No hair removal, or hair removal with clippers or depilatory is considered appropriate. Shaving is considered inappropriate.

Surgical care improvement project: percent of surgery patients with recommended VTE prophylaxis ordered anytime from hospital arrival to 48 hours after Surgery End Time.

Centers for Medicare & Medicaid Services/The Joint Commission — Thu, 01 Jun 2006 00:00:00 EST

This measure is used to assess the percent of surgery patients with recommended venous thromboembolism (VTE) prophylaxis ordered anytime from hospital arrival to 48 hours after Surgery End Time.

Heart Failure

Centers for Medicare & Medicaid Services/The Joint Commission — Wed, 01 Oct 2008 00:00:00 EST

Pneumonia: percent of patients who were transferred or admitted to the intensive care unit (ICU) within 24 hours of hospital arrival, who had blood cultures performed within 24 hours prior to or 24 hours after hospital arrival.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of pneumonia patients transferred or admitted to the intensive care unit (ICU) within 24 hours of hospital arrival, who had blood cultures performed within 24 hours prior to or 24 hours after hospital arrival.

Pneumonia: percent of patients age 50 years and older, hospitalized during October, November, December, January, February, or March who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of pneumonia patients age 50 years and older, hospitalized during October, November, December, January, February, or March who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated.

Surgical care improvement project: percent of surgery patients on beta-blocker therapy prior to admission who received a beta-blocker during the perioperative period.

Centers for Medicare & Medicaid Services/The Joint Commission — Thu, 01 Jun 2006 00:00:00 EST

This measure is used to assess the percent of surgery patients on beta-blocker therapy prior to admission who received a beta-blocker during the perioperative period. The perioperative period for the Surgical Care Improvement Project (SCIP) cardiac measures is defined as 24 hours prior to surgical incision through discharge from post-anesthesia care/recovery area.

Acute myocardial infarction: percent of patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival.

Acute myocardial infarction: percent of patients with LVSD and without both ACEI and ARB contraindications who are prescribed an ACEI or ARB at hospital discharge.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the percent of acute myocardial infarction (AMI) patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge. For purposes of this measure, LVSD is defined as chart documentation of a left ventricular ejection fraction (LVEF) less than 40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction.

Acute myocardial infarction: median time from hospital arrival to primary PCI in patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival time.

Centers for Medicare & Medicaid Services/The Joint Commission — Tue, 01 Aug 2000 00:00:00 EST

This measure is used to assess the median time from hospital arrival to primary percutaneous coronary intervention (PCI) in patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.

Renal Physicians Association Clinical Performance Measures for Anemia Recommendations