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June 22, 2009

Australian Council on Healthcare Standards

Hospital in the home: percentage of patients having 1 unscheduled staff callout during their Hospital in the Home admission, during the 6 month time period. This updates a previously published measure summary.

Hospital in the home: percentage of patients having more than 1 unscheduled staff callout during their Hospital in the Home admission, during the 6 month time period. This updates a previously published measure summary.

Hospital in the home: percentage of patients making 1 unexpected telephone call during their Hospital in the Home admission, during the 6 month time period. This updates a previously published measure summary.

Hospital in the home: percentage of patients making more than 1 unexpected telephone call during their Hospital in the Home admission, during the 6 month time period. This updates a previously published measure summary.

National Committee for Quality Assurance

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). This updates a previously published measure summary.

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). This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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). This updates a previously published measure summary.

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). This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Pneumonia vaccination status: percentage of Medicare members 65 years of age and older who have ever received a pneumococcal vaccination. This updates a previously published measure summary.

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). This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

June 15, 2009

National Committee for Quality Assurance

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. This updates a previously published measure summary.

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.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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.

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. This updates a previously published measure summary.

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). This updates a previously published measure summary.

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). This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Colorectal cancer screening: percentage of adults 50 to 80 years of age who had appropriate screening for colorectal cancer. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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.

June 8, 2009

National Committee for Quality Assurance

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

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

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

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often their child got care quickly. This updates a previously published measure summary.

Health plan members' experiences: percentage of parents or guardians of health plan members who reported how often their child's doctors communicated well. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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.

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.

Health plan members' satisfaction with care: parents' or guardians' ratings of the specialist their child saw most often. This updates a previously published measure summary.

Health plan members' satisfaction with care: parents' or guardians' ratings of their child's health care. This updates a previously published measure summary.

Health plan members' satisfaction with care: parents' or guardians' ratings of their child's health plan. This updates a previously published measure summary.

Health plan members' satisfaction with care: parents' or guardians' ratings of their child's personal doctor. This updates a previously published measure summary.

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).

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.

Inpatient utilization--nonacute care: summary of utilization of nonacute inpatient care in 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).

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

Therapeutic Associates, Inc.

Physical functional health status: average percent change in patient functional status from initial to discharge visit among patients receiving outpatient rehabilitation services. This updates a previously published measure summary.

June 1, 2009

Centers for Medicare & Medicaid Services

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).

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.

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.

Acute myocardial infarction: median time to transfer to another facility for acute coronary intervention.

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.

Hospital outpatient surgery: percentage of surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

Hospital outpatient surgery: percentage of surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision.

May 25, 2009

National Committee for Quality Assurance

Health plan members' experiences: percentage of adult health plan members who reported how often it was easy to get needed care. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Health plan members' experiences: percentage of adult health plan members who reported how often their doctors communicated well. This updates a previously published measure summary.

Health plan members' experiences: percentage of adult health plan members who reported how often their health plans handled their claims quickly and correctly. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Health plan members' experiences: percentage of adult health plan members who reported how often they were satisfied with their health plan's customer service. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Health plan members' satisfaction with care: adult health plan members' ratings of the specialist they saw most often. This updates a previously published measure summary.

Health plan members' satisfaction with care: adult health plan members' ratings of their health plan. This updates a previously published measure summary.

Health plan members' satisfaction with care: adult health plan members' ratings of their personal doctor. This updates a previously published measure summary.

May 18, 2009

Physician Consortium for Performance Improvement®

Child and adolescent major depressive disorder: percentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with a plan for follow-up care documented.

Child and adolescent major depressive disorder: percentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with an assessment for suicide risk.

Child and adolescent major depressive disorder: percentage of patients aged 6 through 17 years with a diagnosis of major depressive disorder for whom an antidepressant medication was considered or prescribed during an episode of major depressive disorder.

Child and adolescent major depressive disorder: percentage of patients aged 6 through 17 years with a diagnosis of major depressive disorder who received or were referred for psychotherapy during an episode of major depressive disorder.

Child and adolescent major depressive disorder: percentage of patients aged 6 through 17 years with a diagnosis of major depressive disorder who were interviewed directly by the evaluating clinician on or before the date of diagnosis.

Child and adolescent major depressive disorder: percentage of patients aged 6 through 17 years with a diagnosis of major depressive disorder with documented evidence that they met the DSM-IV criteria [at least 5 elements with symptom duration of two weeks or longer, including 1) depressed mood (can be irritable mood in children and adolescents) or 2) loss of interest or pleasure] during the visit in which the new diagnosis or recurrent episode was identified.

Endoscopy and polyp surveillance: percentage of final colonoscopy reports for patients aged 18 years and older that include documentation of all of the following: pre-procedure risk assessment; depth of insertion; quality of the bowel prep; complete description of polyp(s) found, including location of each polyp, size, number and gross morphology; and recommendations for follow-up.

Endoscopy and polyp surveillance: percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior colonic polyp in previous colonoscopy findings who had a follow-up interval of 3 or more years since their last colonoscopy documented in the colonoscopy report.

Endoscopy and polyp surveillance: percentage of patients aged 50 years and older receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report.

May 11, 2009

Physician Consortium for Performance Improvement®

Nuclear medicine - radionuclide bone imaging: percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT) that were performed.

Nuclear medicine - radionuclide bone imaging: percentage of patients, regardless of age, undergoing bone scintigraphy, considered to be potentially at risk for fracture in a weight-bearing site for whom there is documentation of direct communication to the referring physician within 24 hours of completion of the imaging study.

Preventive care and screening: percentage of female patients aged 21 through 65 years who have documentation of the performance of current cervical cancer screening with results during the two-year measurement period.

Preventive care and screening: percentage of patients 18 years and older who were screened for tobacco use at least once during the two-year measurement period AND who received cessation counseling intervention if identified as a tobacco user. This updates a previously published measure summary.

Preventive care and screening: percentage of patients aged 18 years and older for whom body mass index (BMI) is documented at least once during the two-year measurement period.

Preventive care and screening: percentage of patients aged 18 years and older who were screened for unhealthy alcohol use at least once during the two-year measurement period using a systematic screening method AND who received brief counseling if identified as an unhealthy alcohol user.

Preventive care and screening: percentage of patients aged 18 years and older who were screened for unhealthy alcohol use at least once during the two-year measurement period using a systematic screening method. This updates a previously published measure summary.

Preventive care and screening: percentage of patients aged 65 years and older who have documentation of receiving pneumococcal immunization during the two-year measurement period.

May 4, 2009

Institute for Clinical Systems Improvement

Adult low back pain: percentage of patients with a diagnosis of back pain for whom the physician ordered imaging studies during the six weeks after pain onset, in the absence of "red flag." This updates a previously published measure summary.

Atrial fibrillation: percentage of patients (without contraindications to anticoagulation) with paroxysmal, persistent, or permanent atrial fibrillation/flutter with risk factors for thromboembolism who are taking warfarin. This updates a previously published measure summary.

Atrial fibrillation: percentage of patients with non-valvular atrial fibrillation/flutter with risk factors for thromboembolism having a CHADS2 score of 2 or greater (without contraindications to anticoagulation therapy) who are receiving warfarin.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with acute myocardial infarction (AMI) receiving beta-blockers within 24 hours of arrival and on discharge. This updates a previously published measure summary.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with acute myocardial infarction (AMI) receiving thrombolytics with a "door-to-drug time" (time from presentation to administration of drug) of less than 30 minutes. This updates a previously published measure summary.

Diagnosis and treatment of chest pain and acute coronary syndrome (ACS): percentage of patients with chest pain symptoms in the emergency department receiving early therapy including intravenous access, oxygen, nitroglycerin, morphine and a chewable aspirin on arrival. This updates a previously published measure summary.

Hypertension diagnosis and treatment: percentage of adult patients who have blood pressure less than 140/90 mmHg at their clinic visit. This updates a previously published measure summary.

Hypertension diagnosis and treatment: percentage of adult patients with hypertension, presenting in clinic within the last month, for whom patient education about modifiable risk factors has been documented in the medical record. This updates a previously published measure summary.

Venous thromboembolism prophylaxis: percentage of adult hospitalized patients who are assessed for venous thromboembolism risk within 24 hours of admission. This updates a previously published measure summary.

Venous thromboembolism prophylaxis: percentage of hospitalized adult patients who require hospital readmission within 30 days of discharge for conditions related to venous thromboembolism. This updates a previously published measure summary.

April 27, 2009

Joint Commission, The

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Hospital-based inpatient psychiatric services: the percentage of patients discharged from a hospital-based inpatient psychiatric setting on two or more antipsychotic medications. This updates a previously published measure summary.

Hospital-based inpatient psychiatric services: the percentage of patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan created. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

April 20, 2009

Asian Liver Center at Stanford University

Perinatal care: percentage of newborns delivered from mothers who tested positive for hepatitis B surface antigen (HBsAg) during pregnancy who receive birth doses of hepatitis B virus (HBV) vaccine and hepatitis B immune globulin (HBIG) within 12 hours of delivery.

Centers for Medicare & Medicaid Services/The Joint Commission

Surgical care improvement project: percent of cardiac surgery patients with controlled 6 A.M. postoperative blood glucose. This updates a previously published measure summary.

Surgical care improvement project: percent of colorectal surgery patients with immediate postoperative normothermia. This updates a previously published measure summary.

Surgical care improvement project: percent of patients who received prophylactic antibiotics consistent with current guidelines. This updates a previously published measure summary.

Surgical care improvement project: percent of patients who received prophylactic antibiotics within one hour prior to surgical incision. This updates a previously published measure summary.

Surgical care improvement project: percent of patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time. This updates a previously published measure summary.

Surgical care improvement project: percent of surgery patients on beta-blocker therapy prior to admission who received a beta-blocker during the perioperative period. This updates a previously published measure summary.

Surgical care improvement project: percent of surgery patients who received appropriate VTE prophylaxis within 24 hours prior to surgery to 24 hours after surgery. This updates a previously published measure summary.

Surgical care improvement project: percent of surgery patients with appropriate hair removal. This updates a previously published measure summary.

Surgical care improvement project: percent of surgery patients with recommended VTE prophylaxis ordered anytime from hospital arrival to 48 hours after Surgery End Time. This updates a previously published measure summary.

April 13, 2009

Canadian Institute for Health Information

Cardiac revascularization: age-standardized rate of CABG surgery performed on inpatients in acute care hospitals or PCI performed on patients in acute care hospitals, same day surgery facilities or catheterization laboratories, per 100,000 population age 20 years and over.

Coronary artery bypass graft (CABG) surgery: age-standardized rate of CABG surgery performed on inpatients in acute care hospitals, per 100,000 population age 20 years and over.

Hip replacement surgery: age-standardized rate of unilateral or bilateral hip replacement surgery performed on inpatients in acute care hospitals per 100,000 population age 20 years and over.

Hysterectomy: age-standardized rate of hysterectomy provided to patients in acute care hospitals or same-day surgery facilities, per 100,000 women age 20 years and over.

Hysterectomy: risk-adjusted rate of unplanned readmission following discharge for hysterectomy.

Inflow/outflow: ratio of the number of separations (discharges and deaths) from acute care/same day surgery facilities within a given region by the number of acute care/same day surgery separations generated by residents of that region.

Knee replacement surgery: age-standardized rate of unilateral or bilateral knee replacement surgery performed on patients in acute care hospitals or same-day surgery facilities, per 100,000 population age 20 years and over.

Percutaneous coronary interventions (PCI): age-standardized rate of PCI performed on inpatients in acute care hospitals, same day surgery facilities or catheterization laboratories, per 100,000 population age 20 years and over.

Physician to population ratio: total number of general physicians and family physicians per 100,000 population. This updates a previously published measure summary.

Physician to population ratio: total number of specialist physicians per 100,000 population. This updates a previously published measure summary.

Prostatectomy: risk-adjusted rate of unplanned readmission following discharge for prostatectomy.

April 6, 2009

Canadian Institute for Health Information

Acute myocardial infarction (AMI): risk-adjusted rate of all cause in-hospital death occurring within 30 days of first admission to an acute care hospital with a diagnosis of AMI.

Acute myocardial infarction (AMI): risk-adjusted rate of unplanned readmission following discharge for AMI.

Ambulatory care sensitive conditions: age-standardized acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for admission to the hospital, per 100,000 population under age 75 years.

Asthma: risk-adjusted rate of unplanned readmission following discharge for asthma.

Caesarean section: proportion of women delivering babies in acute care hospital by Caesarean section.

Hip fracture: age-standardized acute care hospitalization rate for fracture of the hip, per 100,000 population age 65 and over.

Hip fracture: risk adjusted rate of in-hospital hip fracture among acute care inpatients aged 65 years and over, per 1,000 discharges. This updates a previously published measure summary.

Hip fracture: risk-adjusted proportion of hip fracture patients aged 65 years and older who underwent hip fracture surgery in an acute care hospital on the day of admission or the next day.

Hip fracture: risk-adjusted proportion of hip fracture patients aged 65 years and older who underwent hip fracture surgery in an acute care hospital on the day of admission, the next day or the day after that.

Injury: the age-standardized rate of acute care hospitalization due to injury resulting from the transfer of energy (excluding poisoning and other non-traumatic injuries), per 100,000 population.

Stroke: risk-adjusted rate of all cause in-hospital death occurring within 30 days of first admission to an acute care hospital with a diagnosis of stroke.

March 30, 2009

British Medical Association

Atrial fibrillation: the percentage of patients with atrial fibrillation diagnosed after 1 April 2008 with electrocardiogram (ECG) or specialist confirmed diagnosis. This updates a previously published measure summary.

Atrial fibrillation: the percentage of patients with atrial fibrillation who are currently treated with anti-coagulation drug therapy or an anti-platelet therapy. This updates a previously published measure summary.

Atrial fibrillation: the practice can produce a register of patients with atrial fibrillation. This updates a previously published measure summary.

Chronic kidney disease (CKD): the percentage of patients on the CKD register in whom the last blood pressure reading, measured in the previous 15 months, is 140/85 or less. This updates a previously published measure summary.

Chronic kidney disease (CKD): the percentage of patients on the CKD register whose notes have a record of blood pressure in the previous 15 months. This updates a previously published measure summary.

Chronic kidney disease (CKD): the percentage of patients on the CKD register with hypertension and proteinuria who are treated with an angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB) (unless a contraindication or side effects are recorded). This updates a previously published measure summary.

Chronic kidney disease (CKD): the practice can produce a register of patients aged 18 years and over with CKD (US National Kidney Foundation: Stage 3 to 5 CKD). This updates a previously published measure summary.

Learning disabilities: the practice can produce a register or patients with learning disabilities. This updates a previously published measure summary.

Obesity: the practice can produce a register of patients aged 16 and over with a body mass index (BMI) greater than or equal to 30 in the previous 15 months. This updates a previously published measure summary.

Smoking: the percentage of patients with any or any combination of the following conditions: coronary heart disease (CHD), stroke or transient ischaemic attack (TIA), hypertension, diabetes, chronic obstructive pulmonary disease (COPD), chronic kidney disease (CKD), asthma, schizophrenia, bipolar affective disorder or other psychoses who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months. This updates a previously published measure summary.

Smoking: the percentage of patients with any or any combination of the following conditions: coronary heart disease (CHD), stroke or transient ischaemic attack (TIA), hypertension, diabetes, chronic obstructive pulmonary disease (COPD), chronic kidney disease (CKD), asthma, schizophrenia, bipolar affective disorder or other psychoses whose notes record smoking status in the previous 15 months. This updates a previously published measure summary.

Child Health Corporation of America

Neonatology: percentage of neonates (age in days less than or equal to 28) with a length of stay greater than 60 days who received each of six required immunizations during their inpatient stay. This updates a previously published measure summary.

March 23, 2009

Ambulatory Surgery Center (ASC) Quality Collaboration

Ambulatory surgery: percentage of ambulatory surgery center (ASC) admissions with surgical site hair removal with clippers or depilatory cream.

British Medical Association

Asthma: the percentage of patients aged eight and over diagnosed as having asthma from 1 April 2006 with measures of variability or reversibility. This updates a previously published measure summary.

Asthma: the percentage of patients with asthma between the ages of 14 and 19 in whom there is a record of smoking status in the previous 15 months. This updates a previously published measure summary.

Asthma: the percentage of patients with asthma who have had an asthma review in the previous 15 months. This updates a previously published measure summary.

Asthma: the practice can produce a register of patients with asthma, excluding patients with asthma who have been prescribed no asthma-related drugs in the previous twelve months. This updates a previously published measure summary.

Dementia: the percentage of patients diagnosed with dementia whose care has been reviewed in the previous 15 months. This updates a previously published measure summary.

Dementia: the practice can produce a register of patients diagnosed with dementia. This updates a previously published measure summary.

Depression: the percentage of patients with a new diagnosis of depression, recorded between the preceding 1 April to 31 March, who have had an assessment of severity at the outset of treatment using an assessment tool validated for use in primary care. This updates a previously published measure summary.

Depression: the percentage of patients with diabetes and/or coronary heart disease (CHD) for whom case finding for depression has been undertaken on one occasion during the previous 15 months using two standard screening questions. This updates a previously published measure summary.

Mental health: the percentage of patients on lithium therapy with a record of lithium levels in the therapeutic range within the previous 6 months. This updates a previously published measure summary.

Mental health: the percentage of patients on lithium therapy with a record of serum creatinine and TSH in the preceding 15 months. This updates a previously published measure summary.

Mental health: the percentage of patients on the mental health register who have a comprehensive care plan documented in the records agreed between individuals, their family and/or carers as appropriate. This updates a previously published measure summary.

Mental health: the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who do not attend the practice for their annual review who are identified and followed up by the practice team within 14 days of non-attendance. This updates a previously published measure summary.

Mental health: the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses with a review recorded in the preceding 15 months. This updates a previously published measure summary.

Mental health: the practice can produce a register of people with schizophrenia, bipolar disorder and other psychoses. This updates a previously published measure summary.

Palliative care: the practice has a complete register available of all patients in need of palliative care/support irrespective of age. This updates a previously published measure summary.

Palliative care: the practice has regular (at least 3 monthly) multidisciplinary case review meetings where all patients on the palliative care register are discussed. This updates a previously published measure summary.

March 16, 2009

British Medical Association

Cancer: the percentage of patients with cancer diagnosed within the last 18 months who have a patient review recorded as occurring within 6 months of the practice receiving confirmation of the diagnosis. This updates a previously published measure summary.

Cancer: the practice can produce a register of all cancer patients defined as a 'register of patients with a diagnosis of cancer excluding nonmelanotic skin cancers from 1 April 2003.' This updates a previously published measure summary.

Chronic obstructive pulmonary disease (COPD): the percentage of all patients with COPD diagnosed after 1st April 2008 in whom the diagnosis has been confirmed by post bronchodilator spirometry. This updates a previously published measure summary.

Chronic obstructive pulmonary disease (COPD): the percentage of patients with COPD receiving inhaled treatment in whom there is a record that inhaler technique has been checked in the preceding 15 months. This updates a previously published measure summary.

Chronic obstructive pulmonary disease (COPD): the percentage of patients with COPD who have had influenza immunisation in the preceding 1 September to 31 March. This updates a previously published measure summary.

Chronic obstructive pulmonary disease (COPD): the percentage of patients with COPD with a record of FeV1 in the previous 15 months. This updates a previously published measure summary.

Chronic obstructive pulmonary disease (COPD): the practice can produce a register of patients with COPD. This updates a previously published measure summary.

Epilepsy: the percentage of patients age 18 years and over on drug treatment for epilepsy who have a record of medication review involving the patient and/or carer in the previous 15 months. This updates a previously published measure summary.

Epilepsy: the percentage of patients age 18 years and over on drug treatment for epilepsy who have a record of seizure frequency in the previous 15 months. This updates a previously published measure summary.

Epilepsy: the percentage of patients age 18 years and over on drug treatment for epilepsy who have been seizure free for the last 12 months recorded in the previous 15 months. This updates a previously published measure summary.

Epilepsy: the practice can produce a register of patients age 18 years and over receiving drug treatment for epilepsy. This updates a previously published measure summary.

Hypothyroidism: the percentage of patients with hypothyroidism with thyroid function tests recorded in the previous 15 months. This updates a previously published measure summary.

Hypothyroidism: the practice can produce a register of patients with hypothyroidism. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of new patients with a stroke who have been referred for further investigation. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of patients with a history of TIA or stroke in whom the last blood pressure reading (measured in previous 15 months) is 150/90 or less. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA, who have a record that an anti-platelet agent (aspirin, clopidogrel, dipyridamole or a combination), or anti-coagulant is being taken (unless a contraindication or side-effects are recorded). This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of patients with TIA or stroke who have a record of blood pressure in the notes in the preceding 15 months. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of patients with TIA or stroke who have a record of total cholesterol in the last 15 months. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of patients with TIA or stroke who have had influenza immunisation in the preceding 1 September to 31 March. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the percentage of patients with TIA or stroke whose last measured total cholesterol (measured in previous 15 months) is 5 mmol/l or less. This updates a previously published measure summary.

Stroke and transient ischaemic attack (TIA): the practice can produce a register of patients with stroke or TIA. This updates a previously published measure summary.

March 9, 2009

British Medical Association

Diabetes mellitus: the percentage of patients with diabetes in whom the last blood pressure is 145/85 or less. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes in whom the last HbA1c is 10 or less (or equivalent test/reference range depending on local laboratory) in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes in whom the last HbA1c is 7.5 or less (or equivalent test/reference range depending on local laboratory) in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have a record of estimated glomerular filtration rate (eGFR) or serum creatinine testing in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have a record of HbA1c or equivalent in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have a record of micro-albuminuria testing in the previous 15 months and the percentage of patients with proteinuria. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have a record of retinal screening in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have a record of the blood pressure in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have a record of total cholesterol in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes who have had influenza immunisation in the preceding 1 September to 31 March. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes whose last measured total cholesterol within the previous 15 months is 5 mmol/l or less. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes whose notes record body mass index (BMI) in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes with a diagnosis of proteinuria or micro-albuminuria who are treated with angiotensin-converting enzyme (ACE) inhibitors (or angiotensin II [A2] antagonists). This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes with a record of neuropathy testing in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the percentage of patients with diabetes with a record of the presence or absence of peripheral pulses in the previous 15 months. This updates a previously published measure summary.

Diabetes mellitus: the practice can produce a register of all patients aged 17 years and over with diabetes mellitus, which specifies whether the patient has Type 1 or Type 2 diabetes. This updates a previously published measure summary.

March 2, 2009

British Medical Association

Coronary heart disease: the percentage of patients with a history of myocardial infarction (diagnosed after 1 April 2003) who are currently treated with an angiotensin-converting enzyme (ACE) inhibitor or Angiotensin II antagonist. This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease in whom the last blood pressure reading (measured in the last 15 months) is 150/90 mm Hg or less. This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease who are currently treated with a beta blocker (unless a contraindication or side-effects are recorded). This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease who have a record of influenza immunisation in the preceding 1 September to 31 March. This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease whose last measured total cholesterol (measured in last 15 months) is 5 mmol/l or less. This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease whose notes have a record of blood pressure in the previous 15 months. This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease whose notes have a record of total cholesterol in the previous 15 months. This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with coronary heart disease with a record in the previous 15 months that aspirin, an alternative anti-platelet therapy, or an anti-coagulant is being taken (unless a contraindication or side-effects are recorded). This updates a previously published measure summary.

Coronary heart disease: the percentage of patients with newly diagnosed angina (diagnosed after 1 April 2003) who are referred for exercise testing and/or specialist assessment. This updates a previously published measure summary.

Coronary heart disease: the practice can produce a register of patients with coronary heart disease. This updates a previously published measure summary.

Physician Consortium for Performance Improvement®

Pediatric end stage renal disease (ESRD): percentage of calendar months during the 12 month reporting period in which patients aged 17 years and younger with a diagnosis of ESRD receiving hemodialysis have a single-pool Kt/V greater than or equal to 1.2 or have a single-pool Kt/V less than 1.2 with a documented plan of care for inadequate hemodialysis.

Pediatric end stage renal disease (ESRD): percentage of patients aged 6 months through 17 years with a diagnosis of ESRD and receiving dialysis seen for a visit between November 1 and February 15 of the one-year measurement period who have documented administration of influenza immunization OR patient reported receipt of an influenza immunization from another provider.

February 23, 2009

British Medical Association

Heart failure: the percentage of patients with a current diagnosis of heart failure due to left ventricular dysfunction (LVD) who are currently treated with angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB), who can tolerate therapy and for whom there is no contraindication. This updates a previously published measure summary.

Heart failure: the percentage of patients with a diagnosis of heart failure (diagnosed after 1 April 2006) which has been confirmed by an echocardiogram or by specialist assessment. This updates a previously published measure summary.

Heart failure: the practice can produce a register of patients with heart failure. This updates a previously published measure summary.

Hypertension: the percentage of patients with hypertension in whom the last blood pressure (measured in the previous 9 months) is 150/90 or less. This updates a previously published measure summary.

Hypertension: the percentage of patients with hypertension in whom there is a record of the blood pressure in the previous 9 months. This updates a previously published measure summary.

Hypertension: the practice can produce a register of patients with established hypertension. This updates a previously published measure summary.

Centers for Medicare & Medicaid Services

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. This updates a previously published measure summary.

Centers for Medicare & Medicaid Services/The Joint Commission

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Pneumonia: percent of patients who had an assessment of arterial oxygenation by arterial blood gas (ABG) measurement or pulse oximetry within 24 hours prior to or after arrival at the hospital. This updates a previously published measure summary.

Pneumonia: percent of patients who receive their first dose of antibiotics within 4 hours after arrival at the hospital. This updates a previously published measure summary.

Pneumonia: percent of patients who receive their first dose of antibiotics within 6 hours after arrival at the hospital. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Pneumonia: percent of patients whose initial emergency room blood culture specimen was collected prior to first hospital dose of antibiotics. This updates a previously published measure summary.

Pneumonia: percent of patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay. This updates a previously published measure summary.

Joint Commission, The

Pneumonia: median time from arrival at the hospital to the administration of the first dose of antibiotic at the hospital. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

February 16, 2009

Centers for Medicare & Medicaid Services

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Centers for Medicare & Medicaid Services/The Joint Commission

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Acute myocardial infarction: percent of patients with a history of smoking cigarettes who receive smoking cessation advice or counseling during the hospital stay. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Acute myocardial infarction: percent of patients without aspirin contraindications who are prescribed aspirin at hospital discharge. This updates a previously published measure summary.

Acute myocardial infarction: percent of patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival. This updates a previously published measure summary.

Acute myocardial infarction: percent of patients without beta-blocker contraindications who are prescribed a beta-blocker at hospital discharge. This updates a previously published measure summary.

Acute myocardial infarction: percent of patients without beta-blocker contraindications who received a beta-blocker within 24 hours after hospital arrival. This updates a previously published measure summary.

Joint Commission, The

Acute myocardial infarction: percent of patients who expired during hospital stay. This updates a previously published measure summary.

National Primary Care Research and Development Centre

Patient assessment of general practice: mean scale score for the "Access" questions on the General Practice Assessment Questionnaire (GPAQ) Consultation Version 2.0.

Patient assessment of general practice: mean scale score for the "Access" questions on the General Practice Assessment Questionnaire (GPAQ) Postal Version 2.0.

Patient assessment of general practice: mean scale score for the "Communication" questions on the General Practice Assessment Questionnaire (GPAQ) Consultation Version 2.0.

Patient assessment of general practice: mean scale score for the "Communication" questions on the General Practice Assessment Questionnaire (GPAQ) Postal Version 2.0.

Patient assessment of general practice: mean scale score for the "Continuity" questions on the General Practice Assessment Questionnaire (GPAQ) Consultation Version 2.0.

Patient assessment of general practice: mean scale score for the "Continuity" questions on the General Practice Assessment Questionnaire (GPAQ) Postal Version 2.0.

Patient assessment of general practice: mean scale score for the "Enablement" questions on the General Practice Assessment Questionnaire (GPAQ) Consultation Version 2.0.

Patient assessment of general practice: mean scale score for the "Practice nursing" questions on the General Practice Assessment Questionnaire (GPAQ) Postal Version 2.0.

Patient assessment of general practice: mean scale score for the "Receptionists" question on the General Practice Assessment Questionnaire (GPAQ) Consultation Version 2.0.

Patient assessment of general practice: mean scale score for the "Receptionists" question on the General Practice Assessment Questionnaire (GPAQ) Postal Version 2.0.

February 9, 2009

Agency for Healthcare Research and Quality

Accidental puncture or laceration (area-level): rate per 100,000 population. This updates a previously published measure summary.

Accidental puncture or laceration (provider level): rate per 1,000 discharges. This updates a previously published measure summary.

Accidental puncture or laceration: rate per 1,000 eligible discharges.

Foreign body left during procedure (area level): discharges per 100,000 population. This updates a previously published measure summary.

Iatrogenic pneumothorax (area-level): rate per 100,000 population. This updates a previously published measure summary.

Iatrogenic pneumothorax (provider-level): rate per 1,000 discharges. This updates a previously published measure summary.

Postoperative hemorrhage or hematoma requiring a procedure (area-level): rate per 100,000 population. This updates a previously published measure summary.

Postoperative hemorrhage or hematoma requiring a procedure (provider level): rate per 1,000 surgical discharges. This updates a previously published measure summary.

Postoperative wound dehiscence (area-level): rate of reclosure of post operative disruption of abdominal wall per 100,000 population. This updates a previously published measure summary.

Postoperative wound dehiscence (provider-level): rate of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic surgery. This updates a previously published measure summary.

Selected infections due to medical care (area-level): rate per 100,000 population. This updates a previously published measure summary.

Selected infections due to medical care (provider level): rate per 1,000 discharges. This updates a previously published measure summary.

Transfusion reaction (area-level): rate per 100,000 population. This updates a previously published measure summary.

Centers for Medicare & Medicaid Services/The Joint Commission

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. This updates a previously published measure summary.

Heart failure: percent of patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during hospital stay. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Heart failure: percent of patients with LVSD and without both ACEI and ARB contraindications who are prescribed an ACEI or ARB at hospital discharge. This updates a previously published measure summary.

February 2, 2009

Institute for Clinical Systems Improvement

Immunizations: percentage of adolescents who are on time with recommended immunizations (Hep B, Hep A, HPV, MMR, MCV4, Tdap, VZV). This updates a previously published measure summary.

Immunizations: percentage of two-year-old patients who are on time with their primary series of immunizations (DTaP, IPV, MMR/MMRV, PCV7/PPV23, VZV, Hib, Hep B, Hep A, Rota, Influenza). This updates a previously published measure summary.

Initial management of abnormal cervical cytology (Pap smear) and human papillomavirus (HPV) testing: percentage of adult women diagnosed with initial abnormal cervical cytology of atypical squamous cells of undetermined significance (ASCUS) with high-risk HPV type who have follow-up colposcopy within six months of abnormality identified. This updates a previously published measure summary.

Menopause and hormone therapy (HT): collaborative decision-making and management: percentage of women in menopause who have had a bone mineral density (BMD) measurement a year after cessation of HT. This updates a previously published measure summary.

Preventive services for adults: percentage of patients with all Level I preventive services on time according to the guideline delivery schedule. This updates a previously published measure summary.

Preventive services for children and adolescents: the percentage of patients who are on time with recommended immunizations. This updates a previously published measure summary.

Joint Commission, The

Children's asthma care: percent of pediatric asthma inpatients who received relievers during hospitalization. This updates a previously published measure summary.

Children's asthma care: percent of pediatric asthma inpatients who received systemic corticosteroids during hospitalization. This updates a previously published measure summary.

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. This updates a previously published measure summary.

January 26, 2009

Australian Council on Healthcare Standards

Access and exit block to the ICU: percentage of patients discharged from the intensive care unit (ICU) between 6pm and 6am, during the 6 month time period.

Access and exit block to the ICU: percentage of patients whose discharge from the intensive care unit (ICU) was delayed more than 12 hours, during the 6 month time period.

Cancellation of booked procedures: percentage of patients booked into a day procedure facility who fail to arrive, during the 6 month time period.

Cancellation of booked procedures: percentage of patients booked into a day procedure facility, whose procedure is cancelled after their arrival at the facility, due to a pre-existing medical condition, during the 6 month time period.

Cancellation of booked procedures: percentage of patients booked into a day procedure facility, whose procedure is cancelled after their arrival at the facility, due to administrative/organisational reasons, during the 6 month time period.

Cancellation of booked procedures: percentage of patients booked into a day procedure facility, whose procedure is cancelled after their arrival at the facility, due to an acute medical condition, during the 6 month time period.

Paediatric intensive care unit (ICU) access: percentage of patients discharged from the ICU between 6PM and 6AM, during the 6 month time period.

Paediatric intensive care unit (ICU) access: percentage of patients whose discharge from the ICU was delayed more than 12 hours, during the 6 month time period.

Skin tumour pathology (biopsy book): percentage of patients for whom management lag time was less than 1 working day, greater than or equal to 1 working day and less than 5 working days, and greater than or equal to 5 working days and less than 2 weeks, during the 6 month time period.

Skin tumour pathology (biopsy book): percentage of patients for whom patient information lag time was less than 1 working day, greater than or equal to 1 working day and less than 5 working days, and greater than or equal to 5 working days and less than 2 weeks, during the 6 month time period.

Skin tumour pathology (biopsy book): percentage of patients for whom time to review was less than 2 working days, greater than or equal to 2 working days and less than 5 working days, and greater than or equal to 5 working days and less than 2 weeks, during the 6 month time period.

January 19, 2009

Agency for Healthcare Research and Quality

Adult asthma: hospital admission rate. This updates a previously published measure summary.

Bacterial pneumonia: hospital admission rate. This updates a previously published measure summary.

Chronic obstructive pulmonary disease (COPD): hospital admission rate. This updates a previously published measure summary.

Congestive heart failure (CHF): hospital admission rate. This updates a previously published measure summary.

Coronary artery disease: angina without procedure hospital admission rate. This updates a previously published measure summary.

Dehydration: hospital admission rate. This updates a previously published measure summary.

Diabetes mellitus: hospital admission rate for long-term complications. This updates a previously published measure summary.

Diabetes mellitus: hospital admission rate for short-term complications. This updates a previously published measure summary.

Diabetes mellitus: hospital admission rate for uncontrolled diabetes. This updates a previously published measure summary.

Diabetes mellitus: lower-extremity amputation rate. This updates a previously published measure summary.

Hypertension: hospital admission rate. This updates a previously published measure summary.

Low birth weight: rate of infants with low birth weight. This updates a previously published measure summary.

Perforated appendix: hospital admission rate. This updates a previously published measure summary.

Urinary tract infection: hospital admission rate. This updates a previously published measure summary.

January 12, 2009

Joint Commission, The

Pregnancy and related conditions: percent of live-born neonates who expire before the neonate becomes age 28 days. This updates a previously published measure summary.

Pregnancy and related conditions: percent of patients who have vaginal deliveries with third or fourth degree perineal laceration. This updates a previously published measure summary.

Pregnancy and related conditions: percent of patients with vaginal birth after cesarean section (VBAC). This updates a previously published measure summary.

Physician Consortium for Performance Improvement®

Prostate cancer: percentage of patients, regardless of age, with a diagnosis of clinically localized prostate cancer receiving external beam radiotherapy as primary therapy to the prostate with or without nodal irradiation (no metastases; no salvage therapy) who receive three-dimensional conformal radiotherapy (3D-CRT) or intensity modulated radiation therapy (IMRT).

Prostate cancer: percentage of patients, regardless of age, with a diagnosis of clinically localized prostate cancer receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who received counseling on, at a minimum, the following treatment options for clinically localized disease prior to initiation of treatment: active surveillance, AND interstitial prostate brachytherapy, AND external beam radiotherapy, AND radical prostatectomy.

Prostate cancer: percentage of patients, regardless of age, with a diagnosis of prostate cancer at high risk of recurrence, receiving external beam radiotherapy to the prostate who were prescribed adjuvant hormonal therapy (GnRH agonist or antagonist).

Prostate cancer: percentage of patients, regardless of age, with a diagnosis of prostate cancer receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy with documented evaluation of prostate-specific antigen (PSA), AND primary tumor (T) stage, AND Gleason score prior to initiation of treatment.

Prostate cancer: percentage of patients, regardless of age, with a diagnosis of prostate cancer, at low risk of recurrence, receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer.

Prostate cancer: percentage of patients, regardless of age, with a new diagnosis of prostate cancer with documented evaluation of prostate-specific antigen (PSA), AND primary tumor (T) stage, AND Gleason score.

January 5, 2009

Mercer, Stewart W., BSc, MSc, PhD, MBChB, MRCGP

Patients' experience with their general practice consultation: overall mean Consultation and Relational Empathy (CARE) score among patients who completed the CARE measure.

Physician Consortium for Performance Improvement®

Major depressive disorder (MDD): percentage of patients aged 18 years and older with a new diagnosis or recurrent episode of MDD who had a suicide risk assessment completed at each visit during the measurement period. This updates a previously published measure summary.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with a new diagnosis or recurrent episode of MDD who receive therapy appropriate to their classification during the measurement period. This updates a previously published measure summary.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with a new diagnosis or recurrent episode of MDD who were initially treated with antidepressant medication who had the antidepressant medication discontinued who were continued on antidepressant medication for a minimum of 16 weeks following remission of symptoms during the measurement period. This updates a previously published measure summary.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with a new diagnosis or recurrent episode of MDD whose severity of depressive disorder was assessed during the visit in which the new diagnosis or recurrent episode was identified during the measurement period. This updates a previously published measure summary.

Major depressive disorder (MDD): percentage of patients aged 18 years and older with a new diagnosis or recurrent episode of MDD, who met the DSM-IV criteria during the visit in which the new diagnosis or recurrent episode was identified. This updates a previously published measure summary.

Pathology: percentage of breast cancer resection pathology reports that include the pT category (primary tumor), the pN category (regional lymph nodes) and the histologic grade.

Pathology: percentage of colon and rectum cancer resection pathology reports that include the pT category (primary tumor), the pN category (regional lymph nodes) and the histologic grade.

 

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