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October 26, 2009

No new measures were added to NQMC during the week of October 26, 2009.

October 19, 2009

No new measures were added to NQMC during the week of October 19, 2009.

October 12, 2009

No new measures were added to NQMC during the week of October 12, 2009.

October 5, 2009

Australian Council on Healthcare Standards

Cataract surgery: percentage of patients having a discharge intention of 1 day, who had an overnight admission following cataract surgery, during the 6 month time period. This updates a previously published measure summary.

Cataract surgery: percentage of patients having a readmission within 28 days of discharge following cataract surgery, due to endophthalmitis in the operated eye, during the 6 month time period. This updates a previously published measure summary.

Cataract surgery: percentage of patients having an anterior vitrectomy at the time of cataract surgery, during the 6 month time period. This updates a previously published measure summary.

Cataract surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following cataract surgery, during the 6 month time period. This updates a previously published measure summary.

Glaucoma surgery: percentage of patients having a readmission within 28 days of discharge following glaucoma surgery, due to endophthalmitis in the operated eye, during the 6 month time period. This updates a previously published measure summary.

Glaucoma surgery: percentage of patients with a total length of stay (LOS) greater than 3 days following glaucoma surgery, during the 6 month time period. This updates a previously published measure summary.

Glaucoma surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following glaucoma surgery, during the 6 month time period. This updates a previously published measure summary.

Refractive surgery: percentage of patients having a complication (medical or surgical) within 28 days following excimer laser surgery, during the 6 month time period. This updates a previously published measure summary.

Refractive surgery: percentage of patients having a discharge intention of 1 day, who had an overnight admission following refractive surgery, during the 6 month time period. This updates a previously published measure summary.

Refractive surgery: percentage of patients having a readmission within 28 days of discharge, following refractive surgery, due to endophthalmitis in the operated eye, during the 6 month time period. This updates a previously published measure summary.

Refractive surgery: percentage of patients having an anterior vitrectomy at the time of refractive surgery, during the 6 month time period. This updates a previously published measure summary.

Refractive surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following refractive surgery, during the 6 month time period. This updates a previously published measure summary.

Retinal detachment surgery: percentage of patients having an unplanned readmission within 28 days of discharge, following retinal detachment surgery, due to endophthalmitis in the operated eye, during the 6 month time period. This updates a previously published measure summary.

Retinal detachment surgery: percentage of patients having an unplanned reoperation on the same eye within 28 days, following retinal detachment surgery, during the 6 month time period. This updates a previously published measure summary.

Retinal detachment surgery: percentage of patients with a total length of stay (LOS) greater than 4 days, following retinal detachment surgery, during the 6 month time period. This updates a previously published measure summary.

Retinal detachment surgery: percentage of unplanned readmissions within 28 days of discharge, following retinal detachment surgery, during the 6 month time period. This updates a previously published measure summary.

Institute for Clinical Systems Improvement

Venous thromboembolism (VTE) diagnosis and treatment: percentage of adult patients suspected of deep vein thrombosis (DVT) who have leg duplex ultrasound with compression performed despite a low clinical pretest probability and a negative D-dimer test. This updates a previously published measure summary.

Venous thromboembolism (VTE) diagnosis and treatment: percentage of adult patients treated for VTE who have been assessed for the need for graded compression stockings (not Teds). This updates a previously published measure summary.

Venous thromboembolism (VTE) diagnosis and treatment: percentage of adult patients who have a high clinical pretest probability for pulmonary embolism (PE) who received low molecular weight heparin (LMWH) during evaluation. This updates a previously published measure summary.

Venous thromboembolism (VTE) diagnosis and treatment: percentage of low-molecular-weight heparin (LMWH)-eligible patients with deep vein thrombosis (DVT) treated in an outpatient setting. This updates a previously published measure summary.

Venous thromboembolism (VTE) diagnosis and treatment: percentage of patients diagnosed with VTE who meet the criteria for low-molecular-weight heparin (LMWH) and for whom LMWH is used. This updates a previously published measure summary.

Venous thromboembolism (VTE) diagnosis and treatment: percentage of patients with VTE receiving heparin therapy who have a baseline platelet count before starting heparin, and then a platelet count every other day for at least the first 3 days of therapy. This updates a previously published measure summary.

September 28, 2009

Australian Council on Healthcare Standards

Cardiothoracic surgery: percentage of elective patients who die in the same admission as having coronary artery graft surgery (CAGS), during the 6 month time period. This updates a previously published measure summary.

Cardiothoracic surgery: percentage of patients aged 71 years or greater who die in the same admission as having coronary artery graft surgery (CAGS), during the 6 month time period. This updates a previously published measure summary.

Cardiothoracic surgery: percentage of patients who die in the same admission as having coronary artery graft surgery (CAGS), during the 6 month time period. This updates a previously published measure summary.

General surgery: percentage of patients having a laparoscopic cholecystectomy with a bile duct injury requiring operative intervention, during the 6 month time period. This updates a previously published measure summary.

Neurosurgery: percentage of patients having a neurosurgical infection in hospital, excluding superficial wound infections, requiring nothing more than a single short course of antibiotics, during the 6 month time period. This updates a previously published measure summary.

Neurosurgery: percentage of patients with a new neurological deficit following a neurosurgery procedure, during the 6 month time period. This updates a previously published measure summary.

Oral health - children: percentage of deciduous teeth extracted (for pathological reasons) within 6 months following pulpotomy treatment, during the time period under study. This updates a previously published measure summary.

Oral health - children: percentage of teeth requiring re-treatment (restoration, endodontic or extraction, but not including Pit & Fissure Sealants) within 24 months of the initial fissure sealant treatment. This updates a previously published measure summary.

Oral health - children: percentage of teeth requiring repeat fissure sealant treatment within 24 months of the initial fissure sealant treatment. This updates a previously published measure summary.

Oral health: percentage of attendances for complications within 7 days of routine extraction, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of attendances for complications within 7 days of surgical extraction, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of completed courses of endodontic treatment on the same tooth within 6 months of initial treatment, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients aged 65 years and over who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients aged 65 years and over who had intraoral films taken as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients aged under 18 years who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients aged under 18 years who had intraoral films taken as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients in the age bracket 18 to 24 years who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients in the age bracket 18 to 24 years who had intraoral films taken as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients in the age bracket 25 to 64 years who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of new patients in the age bracket 25 to 64 years who had intraoral films taken as part of the first general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of patients with completed and updated medical history, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of patients with completed charting at initial assessment for general course of care, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of radiographs (bite-wing) that meet all of the 6 criteria (as outlined), during the time period under study. This updates a previously published measure summary.

Oral health: percentage of same denture type (full or partial) and same arch remade within 12 months, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of teeth extracted within 12 months of completing a course of endodontic treatment, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of teeth retreated between 1 and 6 months of completing a course of endodontic treatment, during the time period under study. This updates a previously published measure summary.

Oral health: percentage of teeth retreated within 6 months of an episode of restorative treatment, during the time period under study. This updates a previously published measure summary.

Orthopaedic surgery: percentage of patients undergoing primary total hip joint replacement (THJR) having a postoperative in hospital infection, during the 6 month time period. This updates a previously published measure summary.

Otolaryngology: percentage of patients who have a significant reactionary haemorrhage following tonsillectomy, during the 6 month time period. This updates a previously published measure summary.

Paediatric surgery: percentage of children with a pre-operative diagnosis of acute appendicitis, who undergo appendicectomy with normal histology, but significant other intra-abdominal pathology, during the 6 month time period. This updates a previously published measure summary.

Paediatric surgery: percentage of children with a pre-operative diagnosis of acute appendicitis, who undergo appendicectomy with normal histology, during the 6 month time period. This updates a previously published measure summary.

Paediatric surgery: percentage of patients having a pyloromyotomy in which mucosal perforation occurs and is detected at the time of the operation or later, during the 6 month time period. This updates a previously published measure summary.

Plastic surgery: percentage of completely excised malignant skin tumors, during the 6 month time period. This updates a previously published measure summary.

Urology: average number of patient days (from the first day after surgery) for all patients having a transurethral resection (TUR) for benign prostatomegaly (excluding patients having other procedures), during the 6 month time period. This updates a previously published measure summary.

Urology: average operating time (minutes) for all patients undergoing a transurethral resection (TUR) for benign prostatomegaly, during the 6 month time period. This updates a previously published measure summary.

Urology: percentage of patients having a transurethral resection (TUR) for benign prostatomegaly, who have a blood transfusion (intra-operatively or post-operatively) within the same admission, during the 6 month time period. This updates a previously published measure summary.

Urology: percentage of patients having an unplanned readmission within 28 days of discharge following transurethral resection (TUR) for benign prostatomegaly, during the 6 month time period. This updates a previously published measure summary.

Vascular surgery: percentage of patients having a carotid endarterectomy who have a stroke within the same admission, during the 6 month time period. This updates a previously published measure summary.

Vascular surgery: percentage of patients having an elective abdominal aortic aneurysm (AAA) repair, who die within the same admission, during the 6 month time period. This updates a previously published measure summary.

September 21, 2009

Agency for Healthcare Research and Quality

Hospital inpatients' experiences: percentage of adult inpatients who reported how often the area around their room was quiet at night.

Hospital inpatients' experiences: percentage of adult inpatients who reported how often their room and bathroom were kept clean.

Australian Council on Healthcare Standards

Aged care: percentage of general medical patients 65 years and over who have a documented vitamin D deficiency who are prescribed vitamin D, during the 6 month time period.

Aged care: percentage of medical patients 65 years and older who have had their cognition assessed using a validated tool such as the Abbreviated Mental Test Score (AMTS) or Mini Mental State Examination (MMSE), during the 6 month time period.

Aged care: percentage of patients admitted to geriatric medicine or geriatric rehabilitation unit for whom there is documented objective assessment of physical function on admission and at least once more during the inpatient stay, during the 6 month time period. This updates a previously published measure summary.

Cardiovascular disease: percentage of inpatients undergoing coronary artery bypass grafts within 24 hours of percutaneous transluminal coronary angioplasty (PCTA) (with or without stenting) in the same admission, during the 6 month time period. This updates a previously published measure summary.

Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure and atrial fibrillation who have no contraindication to the use of warfarin, who are prescribed warfarin, during the 6 month time period.

Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure who have no contraindications to the use of an ACE Inhibitor (ACEI) or Angiotensin II Receptor Antagonist (A2RA) who are prescribed an ACEI or A2RA, during the 6 month time period.

Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure who have no contraindications to the use of beta blockers and who are prescribed beta blocker therapy, during the 6 month time period.

Cardiovascular disease: percentage of patients discharged with any diagnosis of congestive heart failure who are referred for chronic disease management service that includes physical rehabilitation, during the 6 month time period.

Cardiovascular disease: percentage of patients with acute myocardial infarction (AMI) requiring thrombolysis who receive thrombolytic therapy within 1 hour of presentation to the hospital, during the 6 month time period. This updates a previously published measure summary.

Cardiovascular disease: percentage of vessels in which percutaneous transluminal coronary angioplasty (PTCA) (with or without stenting) is undertaken where primary success, as defined, is achieved, during the 6 month time period. This updates a previously published measure summary.

Endocrine disease: percentage of insulin treated diabetic inpatients having an elective operation, and a length of stay greater than or equal to 48 hours, whose medical record shows at least 4 blood glucose measurements on the first post-operative day, during the 6 month time period. This updates a previously published measure summary.

Endocrine disease: percentage of insulin treated diabetic inpatients having an elective operation, and a length of stay greater than or equal to 48 hours, with a recorded blood glucose level less than 4 mmol/L in the post-operative period, during the 6 month time period. This updates a previously published measure summary.

Endocrine disease: percentage of patients admitted with diabetes having assessment of lower limbs according to guidelines, during the 6 month time period.

Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion and endoscopic therapy, who subsequently have an operation, during the 6 month time period. This updates a previously published measure summary.

Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion and have a gastroscopy within 24 hours of admission, during the 6 month time period. This updates a previously published measure summary.

Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion and subsequently die, during the 6 month time period. This updates a previously published measure summary.

Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion, and have an operation, during the same admission, during the 6 month time period. This updates a previously published measure summary.

Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion, for which there is documented evidence that a member of the surgical staff has been notified of their condition, during the 6 month time period. This updates a previously published measure summary.

Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion, who are discharged with a specific diagnosis that explains the cause of bleeding, during the 6 month time period. This updates a previously published measure summary.

Neurological disease: percentage of inpatients separated from hospital with a discharge diagnosis of stoke that had a documented CT scan, during the 6 month time period. This updates a previously published measure summary.

Obstetrics: percentage of deliveries with birth weight less than 2750g at 40 weeks gestation or beyond. This updates a previously published measure summary.

Obstetrics: percentage of high risk women undergoing caesarean section who receive appropriate pharmacological thromboprophylaxis. This updates a previously published measure summary.

Obstetrics: percentage of inborn term babies transferred/admitted to a neonatal intensive care nursery or special care nursery for reasons other than congenital abnormality. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara sustaining a perineal tear and NO episiotomy. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara undergoing caesarean section. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara undergoing episiotomy and NO perineal tear while giving birth vaginally. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara undergoing episiotomy AND sustaining a perineal tear while giving birth vaginally. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara undergoing surgical repair of the perineum for fourth degree tear. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara undergoing surgical repair of the perineum for third degree tear. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara who have a spontaneous vaginal birth. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara who undergo an instrumental vaginal birth. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara who undergo induction of labour. This updates a previously published measure summary.

Obstetrics: percentage of selected primipara with an intact perineum. This updates a previously published measure summary.

Obstetrics: percentage of serious adverse events that are addressed within a peer review process. This updates a previously published measure summary.

Obstetrics: percentage of term babies born with an Apgar score of less than 7 at five minutes post delivery. This updates a previously published measure summary.

Obstetrics: percentage of women delivering vaginally following a previous primary caesarean section. This updates a previously published measure summary.

Obstetrics: percentage of women having a general anaesthetic for caesarean section. This updates a previously published measure summary.

Obstetrics: percentage of women who give birth vaginally who require a blood transfusion during the same admission. This updates a previously published measure summary.

Obstetrics: percentage of women who receive an appropriate prophylactic antibiotic at the time of caesarean section. This updates a previously published measure summary.

Obstetrics: percentage of women who undergo a caesarean section who require a blood transfusion during the same admission. This updates a previously published measure summary.

Oncology: percentage of pre-menopausal patients with stage II carcinoma of the breast for whom there is documented evidence of treatment, or intention to treat, with polychemotherapy, during the 6 month time period. This updates a previously published measure summary.

Renal disease: percentage of inpatients having a renal biopsy who subsequently develop macroscopic haematuria in any of their voided urine specimens with 24 hours of the procedure, during the 6 month time period. This updates a previously published measure summary.

Respiratory disease: percentage of patients admitted to hospital with a diagnosis of acute asthma for whom there is documented evidence of an appropriate discharge plan, during the 6 month time period. This updates a previously published measure summary.

Respiratory disease: percentage of patients admitted to hospital with a diagnosis of acute asthma for whom there is documented objective assessment of severity in addition to the initial assessment, which facilitates ongoing inpatient management, during the 6 month time period. This updates a previously published measure summary.

Respiratory disease: percentage of patients admitted to hospital with a diagnosis of acute asthma for whom there is documented objective assessment of severity on initial presentation, during the 6 month time period. This updates a previously published measure summary.

Respiratory disease: percentage of patients discharged from a general medical unit with any diagnosis of COPD who are referred for a chronic disease management service that includes physical rehabilitation, during the 6 month time period.

September 14, 2009

Agency for Healthcare Research and Quality

Patients' experiences: percentage of adult primary care patients who reported how often it was easy for them to get appointments and needed care. This updates a previously published measure summary.

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.

Patients' experiences: percentage of adult primary care patients who reported how often their doctor's office staff was courteous and helpful. This updates a previously published measure summary.

Patients' experiences: percentage of adult primary care patients who reported how often their doctors communicated well. This updates a previously published measure summary.

Patients' experiences: percentage of adult specialty care patients who reported how often it was easy for them to get appointments and needed care. This updates a previously published measure summary.

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.

Patients' experiences: percentage of adult specialty care patients who reported how often their doctor's office staff was courteous and helpful. This updates a previously published measure summary.

Patients' experiences: percentage of adult specialty care patients who reported how often their doctors communicated well. This updates a previously published measure summary.

Patients' experiences: percentage of parents/guardians who reported how often it was easy for them to get appointments and needed care for their child. This updates a previously published measure summary.

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

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

Patients' experiences: percentage of parents/guardians who reported how often their child's doctor communicated well. This updates a previously published measure summary.

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.

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.

Patients' experiences: percentage of parents/guardians who reported how often their child's doctor's office staff was courteous and helpful. This updates a previously published measure summary.

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

Patients' experiences: percentage of parents/guardians who reported whether their child's doctor addressed their child's growth and development.

Patients' experiences: percentage of parents/guardians who reported whether their child's doctor gave advice on keeping their child safe and healthy.

Patients' satisfaction with care: adult primary care patient's overall rating of their doctor. This updates a previously published measure summary.

Patients' satisfaction with care: adult specialty care patient's overall rating of their doctor. This updates a previously published measure summary.

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

Patients' satisfaction with care: parent's/guardian's overall rating of their child's doctor. This updates a previously published measure summary.

Australian Council on Healthcare Standards

Rehabilitation medicine: percentage of inpatients for whom there is documented evidence of a functional assessment within 72 hours prior to cessation of an inpatient rehabilitation program, during the 6 month time period. This updates a previously published measure summary.

Rehabilitation medicine: percentage of patients admitted to a rehabilitation unit/facility for whom there is a documented established multidisciplinary rehabilitation plan within 7 days of patient admission, during the 6 month time period. This updates a previously published measure summary.

Rehabilitation medicine: percentage of patients admitted to a rehabilitation unit/facility for whom there is documented evidence of a functional assessment within 72 hours of patient admission, during the 6 month time period. This updates a previously published measure summary.

Rehabilitation medicine: percentage of patients who have completed a rehabilitation program and been discharged to their pre-episode form of accommodation, or a form of accommodation that allows greater independence, during the 6 month time period. This updates a previously published measure summary.

Rehabilitation medicine: percentage of patients who have completed a rehabilitation program and for whom there is documented evidence of functional gain, during the 6 month time period. This updates a previously published measure summary.

Rehabilitation medicine: percentage of separations for which there is an appropriate discharge plan for a patient, during the 6 month time period. This updates a previously published measure summary.

September 7, 2009

Australian Council on Healthcare Standards

Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients who have an unplanned extension to the time between entry into the post-anaesthesia care unit to the meeting of hospital/day surgery discharge criteria, during the time period under study. This updates a previously published measure summary.

Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients who have received a pre-anaesthesia assessment before the day of day surgery, during the time period under study. This updates a previously published measure summary.

Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients whose procedure is cancelled on the day of surgery for anaesthetic reasons other than an acute medical condition, during the time period under study. This updates a previously published measure summary.

Day surgery anaesthesia care: percentage of patients receiving anaesthesia care as day-stay surgery patients with unplanned overnight admissions for anaesthetic reasons, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of nurses involved in the care of patients with acute pain who have read acute pain protocols, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of nurses involved in the care of patients with acute pain who have received education regarding acute pain management, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients having neuraxial, or plexus block analgesic technique, demonstrating neurological dysfunction three months post-procedure secondary to neuraxial technique or plexus block. This updates a previously published measure summary.

Management of acute pain: percentage of patients receiving acute pain management developing severe hypotension, requiring an alteration to or change of analgesic technique, during acute pain management, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients receiving acute pain management developing severe respiratory depression requiring naloxone administration during acute pain management, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients receiving acute pain management who are satisfied with their current pain relief, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients receiving acute pain management with analgesia adequate to allow acute rehabilitation (e.g., effective cough, mobilisation), during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients receiving acute pain management with pain intensity scores regularly recorded by nursing staff, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients receiving neuraxial blockade as part of their acute pain management who develop an epidural abscess or epidural haematoma following neuraxial blockade, during the time period under study. This updates a previously published measure summary.

Management of acute pain: percentage of patients reporting nausea and vomiting whilst receiving acute pain management who are prescribed antiemetic treatment, during the time period under study. This updates a previously published measure summary.

Mental health inpatient: percentage of acute inpatients undergoing non-maintenance electroconvulsive therapy (ECT) of more than 12 treatments, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of episodes of seclusion among inpatient separations having seclusion, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations having physical restraint who experience major complications while under restraint, during the 6 month time period.

Mental health inpatient: percentage of inpatient separations having seclusion who experience major complications while in seclusion, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations having seclusion who were not reviewed by sight, by a medical practitioner or nurse on at least a half-hourly basis, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations who had seclusion for more than 4 hours in 1 episode, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations with a diagnosis on hospital discharge, which is recorded in the medical record, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations with an individual care plan, which is constructed and regularly reviewed with the consumer, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations with at least 1 episode of seclusion, in an admission, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations with at least 2 episodes of seclusion, in an admission or in a 1 month period of an extended admission, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatient separations with at least one episode of physical restraint, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients allocated a diagnosis within 24 hours of admission, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients experiencing major medical complications while undergoing electroconvulsive therapy (ECT) excluding maintenance ECT, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients in the acute unit with a length of stay greater than 30 days, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients on 3 or more psychotropic medications from 1 sub-group category specified, at the time of discharge, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients who have a discharge summary or letter, at the time of hospital discharge, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients who have a final discharge summary recorded in the medical record within 2 weeks of hospital discharge, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients who have a multidisciplinary review recorded every 3 months, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of inpatients with a complete documented physical examination within 48 hours of admission, during the 6 month time period. This updates a previously published measure summary.

Mental health inpatient: percentage of voluntary inpatient admissions, during the 6 month time period. This updates a previously published measure summary.

Obstetric anaesthesia care: percentage of obstetric patients receiving epidural/spinal/combined spinal-epidural procedures in the labour ward for whom there is documented evidence of informed consent for labour ward epidural/spinal analgesia, during the time period under study. This updates a previously published measure summary.

Obstetric anaesthesia care: percentage of obstetric patients receiving epidural/spinal/combined spinal-epidural procedures who experience a post-dural puncture headache, during the time period under study. This updates a previously published measure summary.

Obstetric anaesthesia care: percentage of patients requiring immediate lower segment Caesarean section (LSCS) who deliver within 30 minutes of request for immediate LSCS, during the time period under study. This updates a previously published measure summary.

Obstetric anaesthesia care: percentage of patients undergoing lower segment Caesarean section (LSCS) who receive a general anaesthetic for LSCS, during the time period under study. This updates a previously published measure summary.

Post-operative period: percentage of patients receiving anaesthesia care having an unplanned admission to an intensive care or high dependency unit within 24 hours of a procedure with an anesthetist in attendance, during the time period under study. This updates a previously published measure summary.

Post-operative period: percentage of patients who undergo a procedure with an anaesthetist in attendance, for which there is documented evidence of a post anaesthesia review, or other process as determined by the anaesthetic department, during the time period under study. This updates a previously published measure summary.

August 31, 2009

Australian Council on Healthcare Standards

Radiation oncology: percentage of curative megavoltage radiotherapy courses provided, where CT planning was utilised, during the 6 month time period. This updates a previously published measure summary.

Radiation oncology: percentage of patients receiving megavoltage radiotherapy using multi-leaf collimators (MLCs), during the 6 month time period. This updates a previously published measure summary.

Radiation oncology: percentage of patients receiving radiotherapy, who have a letter on file to the referring doctor and general practitioner, regarding the current radiotherapy course, during 1 week in May or November. This updates a previously published measure summary.

Radiation oncology: percentage of patients waiting more than 14 days from the date 'ready for care', to the date of commencing radiotherapy, during 1 week in May or November. This updates a previously published measure summary.

Radiation oncology: percentage of patients who had radiotherapy for breast conservation (pT_1-3, any nodal staging, M0), during the 6 month time period, who had complete follow-up. This updates a previously published measure summary.

Radiation oncology: percentage of patients who had radiotherapy for glottic cancer (T1-2 N0 M0), during the 6 month time period, who had complete follow-up. This updates a previously published measure summary.

Radiation oncology: percentage of patients who have informed consent recorded in the medical record before receiving radiotherapy, during 1 week in May or November. This updates a previously published measure summary.

Radiation oncology: percentage of patients who receive curative chemoradiotherapy for squamous cell carcinoma (SCC) of the cervix in the definitive or the post-operative setting, during the 6 month time period. This updates a previously published measure summary.

Radiation oncology: percentage of patients with squamous cell carcinoma (SCC) of the oral cavity, oropharynx, hypopharynx and larynx who wait longer than 6 weeks from their definitive surgery to commencing their radiotherapy, during the 6 month time period. This updates a previously published measure summary.

National Committee for Quality Assurance

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.

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.

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.

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.

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.

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.

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.

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 Stroke Foundation (Australia)

Acute stroke care: percentage of eligible carers of stroke patients who undertook documented training prior to discharge of hospital during audit period.

Acute stroke care: percentage of eligible stroke patients diagnosed with a ischaemic stroke with documented evidence of recombinant tissue-type plasminogen activator (rt-PA) administered during audit period.

Acute stroke care: percentage of ischaemic stroke patients with documented evidence that antithrombotic agent was prescribed and administered prior to discharge from the hospital during audit period.

Acute stroke care: percentage of stroke patients admitted to stroke unit during acute hospital stay during audit period.

Acute stroke care: percentage of stroke patients diagnosed with an ischemic stroke with documented evidence of aspirin administration administered within 48 hours of presentation to hospital during audit period.

Acute stroke care: percentage of stroke patients discharged from acute care with documented assessment of mood during audit period.

Acute stroke care: percentage of stroke patients with documented care plan developed and provided to patient/family prior to hospital discharge during audit period.

Acute stroke care: percentage of stroke patients with documented education provided during hospital stay during audit period.

Acute stroke care: percentage of stroke patients with documented evidence of CT conducted within 24 hours of presentation to hospital during audit period.

Acute stroke care: percentage of stroke patients with documented evidence of swallow screen conducted prior to documented evidence of food or fluid intake during audit period.

Acute stroke care: percentage of stroke patients with documented evidence that antihypertensive agent was prescribed and administered prior to discharge from the hospital during audit period.

Acute stroke care: percentage of stroke patients with documented occupational therapist assessment within 48 hours of admission to the hospital during audit period.

Acute stroke care: percentage of stroke patients with documented physiotherapy assessment within 48 hours of admission to hospital during audit period.

Acute stroke care: percentage of stroke patients with documented speech pathologist assessment within 48 hours of admission to hospital during audit period.

August 24, 2009

Australian Council on Healthcare Standards

Intra-operative period: percentage of patients receiving a blood transfusion in accordance with National Health and Medical Research Council (NH & MRC) guidelines during a surgical procedure with an anaesthetist in attendance, during the time period under study. This updates a previously published measure summary.

Intra-operative period: percentage of patients undergoing a procedure with an anaesthetist in attendance, who have documented evidence of intra-operative cardiac dysrhythmia/arrest, during the time period under study. This updates a previously published measure summary.

Intra-operative period: percentage of patients who undergo a procedure with an anaesthetist in attendance, where the anaesthesia records substantially complies with the Australian and New Zealand College of Anaesthetists (ANZCA) requirements for the anaesthetic record, during the time period under study. This updates a previously published measure summary.

Intra-operative period: percentage of patients who undergo a procedure with an anaesthetist in attendance, where there is an assistant to an anaesthetist, during the time period under study. This updates a previously published measure summary.

Morbidity of radiological procedures: percentage of patients experiencing iodinated contrast extravasation requiring medical review during an IV contrast enhanced CT procedure, during the 6 month period. This updates a previously published measure summary.

Morbidity of radiological procedures: percentage of patients undergoing percutaneous transpleural biopsy of the lung or mediastinum, for whom there is documented evidence of pneumothorax and/or haemothorax requiring intervention following the procedure, during the 6 month period. This updates a previously published measure summary.

Morbidity of radiological procedures: percentage of peripheral embolic complications during angioplasty of the arteries in upper or lower limbs, during the 6 month period. This updates a previously published measure summary.

Morbidity of radiological procedures: percentage of puncture site complications during or following angiography, during the 6 month period. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who are reviewed by an anaesthetist to manage severe pain, not responding to post-anaesthesia care unit (PACU) protocol, in the recovery period, during the time period under study. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who receive an intervention by an anaesthetist for a temperature recorded in the recovery period of less than 35 degrees Celsius, during the time period under study. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who receive an intervention by an anaesthetist for cardiovascular reasons, in the recovery period, during the time period under study. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who receive an intervention by an anaesthetist for post-operative nausea and vomiting not responding to post-anaesthesia care unit (PACU) protocol, in the recovery period, during the time period under study. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who receive an intervention by an anaesthetist for respiratory or cardiac arrest, in the recovery period, during the time period under study. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who receive an intervention by an anaesthetist to relieve respiratory distress, in the recovery period, during the time period under study. This updates a previously published measure summary.

Patient recovery period: percentage of patients undergoing a procedure who receive an intervention by an anaesthetist to treat inadequate reversal of neuro-muscular blockade, in the recovery period, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care in whom it is judged that there has been adequate peri-operative management of current medications (e.g., diabetic medication), during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care who have consent for the administration of anaesthesia or sedation documented in the patient chart, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care who have received information about the risks associated with the anaesthesia technique, as documented in the patient chart, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care who have received written information on the anaesthesia technique, as documented in the patient chart, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care who have received written, verbal, or visual information on the anaesthesia technique, as documented in the patient chart, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care who, according to the relevant protocol, qualify for preoperative ECG recording who have undergone an ECG tracing according to the departmental or established protocols, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients receiving anaesthesia care with a history of post operative nausea and vomiting (PONV) to whom a prophylactic anti-emetic has been administered, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients seen for pre-anaesthesia assessment before the day of surgery by an anaesthetist, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients seen for pre-anaesthesia assessment before the day of surgery by the anaesthetist who will be responsible for their anaesthesia care, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients who undergo a procedure with an anaesthetist in attendance who are seen by an anaesthetist before entering the operating theatre suite, anaesthetic room, or procedure room, during the time period under study. This updates a previously published measure summary.

Pre-anaesthesia period: percentage of patients who undergo a procedure with an anaesthetist in attendance who receive an anaesthesia assessment by an anaesthetist, of an appropriate duration, during the time period under study. This updates a previously published measure summary.

Report availability: percentage of reports on radiographic examinations not available to the referring doctor within 24 hours of completion, during the 7 day time period. This updates a previously published measure summary.

Institute for Clinical Systems Improvement

Diagnosis and management of chronic obstructive pulmonary disease (COPD): percentage of patients with COPD whose physician inquired about smoking cessation (if patient a smoker) at every visit. This updates a previously published measure summary.

Diagnosis and treatment of headache: percentage migraineurs with treatment plans for mild, moderate, and severe headaches. This updates a previously published measure summary.

Diagnosis and treatment of headache: percentage of migraineurs who have documentation in the medical record that they have received written educational materials on migraines at a clinic/office visit. This updates a previously published measure summary.

August 17, 2009

Australian Council on Healthcare Standards

Anatomical pathology: percentage of validated large biopsy results with a turnaround time (collected to validated time) less than 96 hours, during the 1 to 2 week time period. This updates a previously published measure summary.

Anatomical pathology: percentage of validated large biopsy results with a turnaround time (received to validated time) less than 92 hours, during the 1 to 2 week time period. This updates a previously published measure summary.

Anatomical pathology: percentage of validated small biopsy results with a turnaround time (collected to validated time) less than 48 hours, during the 1 to 2 week time period. This updates a previously published measure summary.

Anatomical pathology: percentage of validated small biopsy results with a turnaround time (received to validated time) less than 44 hours, during the 1 to 2 week time period. This updates a previously published measure summary.

Chemical pathology: percentage of serum/plasma potassium validated report results for ED (or requests specified as urgent) with a turnaround time (received to validated time) less than 60 minutes, during the 2 to 4 week time period. This updates a previously published measure summary.

Haematology: percentage of Coag validated report results from ED with a turnaround time (collected to validated time) less than 60 minutes, during the 2 to 4 week time period. This updates a previously published measure summary.

Haematology: percentage of Coag validated report results from ED with a turnaround time (received to validated time) less than 40 minutes, during the 2 to 4 week time period. This updates a previously published measure summary.

Haematology: percentage of haemoglobin validated report results from ED with a turnaround time (collected to validated time) less than 60 minutes, during the 2 to 4 week time period. This updates a previously published measure summary.

Haematology: percentage of haemoglobin validated report results from ED with a turnaround time (received to validated time) less than 40 minutes, during the 2 to 4 week time period. This updates a previously published measure summary.

Microbiology: percentage of validated CSF results from ED for microscopy (+/- gram stain) with a turnaround time (collected to validated time) less than 60 minutes, during the 1 to 2 month time period. This updates a previously published measure summary.

Microbiology: percentage of validated CSF results from ED with a microscopy (+/- gram stain) with a turnaround time (received to validated time) less than 40 minutes, during the 1 to 2 month time period. This updates a previously published measure summary.

Veterans Health Administration Parkinson's Disease Research, Education, and Clinical Center

Parkinson's disease (PD): percentage of veterans with idiopathic Parkinson's disease who have developed end-of-dose wearing-off and have impairments in activities of daily living who are offered within three months 1) addition of a dopamine agonist, 2) addition of a catechol o-methyltransferase (COMT) inhibitor, 3) more frequent dosing of levodopa, OR 4) addition of a selective MAO-B inhibitor or amantadine.

Parkinson's disease (PD): percentage of veterans with idiopathic PD being treated for depression with antidepressants for whom the antidepressants are prescribed at appropriate starting doses and have an appropriate titration schedule to a therapeutic dose, therapeutic blood level or remission of symptoms by 12 weeks.

Parkinson's disease (PD): percentage of veterans with idiopathic PD diagnosed with depression who are offered antidepressant treatment, psychotherapy, or electroconvulsive therapy (ECT) within 2 weeks after diagnosis.

Parkinson's disease (PD): percentage of veterans with idiopathic PD given a dopamine agonist as monotherapy who are started at a low dose and gradually titrated to the therapeutic range.

Parkinson's disease (PD): percentage of veterans with idiopathic PD having persistent medication-induced hallucinations or delirium not improved by PD medication adjustments for whom high-potency neuroleptics, olanzapine and risperidone are not used to manage symptoms.

Parkinson's disease (PD): percentage of veterans with idiopathic PD prescribed a new drug who have documentation of the response to therapy and occurrence of drug side-effects within 6 months.

Parkinson's disease (PD): percentage of veterans with idiopathic PD who have documentation that they were asked at least annually about the occurrence of depression.

Parkinson's disease (PD): percentage of veterans with idiopathic PD who have documentation that they were asked at least annually about the occurrence of hallucinations.

Parkinson's disease (PD): percentage of veterans with idiopathic PD who have documentation that they were asked at least annually about the occurrence of recent falls.

Parkinson's disease (PD): percentage of veterans with idiopathic PD who have documentation that they were asked at least annually about the occurrence of recent orthostatic hypotension.

August 10, 2009

Australian Council on Healthcare Standards

Asthma: the average length of stay for all episodes of children admitted with a primary diagnosis of asthma, during the 6 month time period, excluding same day admissions. This updates a previously published measure summary.

Asthma: the average length of stay for all episodes of children admitted with a primary diagnosis of asthma, during the 6 month time period. This updates a previously published measure summary.

Care planning: percentage of carers involved in developing care plans, during the 6 month time period. This updates a previously published measure summary.

Care planning: percentage of consumers with current completed care plans (including consumer involvement and signature) in the file, during the 6 month time period. This updates a previously published measure summary.

Mental health community: percentage of consumers or nominated carers with 3 or more face-to-face contacts within a 7 day period. This updates a previously published measure summary.

Mental health community: percentage of consumers or nominated carers with greater than 24 treatment days over a three month period. This updates a previously published measure summary.

Mental health community: percentage of consumers who were admitted to the hospital for psychiatric reasons (by that service) once or more in the first year of treatment. This updates a previously published measure summary.

Mental health community: percentage of registered consumers seen face-to-face by the community service, during the 6 month time period. This updates a previously published measure summary.

Paediatric immunisation: percentage of infants admitted as inpatients for whom there is documented current immunisation status, during the 6 month time period. This updates a previously published measure summary.

Paediatric immunisation: percentage of infants admitted as inpatients with not up to date immunisation status for whom there is documented evidence that they were either given catch up immunisations; or that such immunisation was planned, during the 6 month time period. This updates a previously published measure summary.

Paediatric intensive care unit (ICU) access: percentage of appropriate patients referred to an ICU, who are not admitted to the unit because of inadequate resources, during the 6 month time period. This updates a previously published measure summary.

Paediatric intensive care unit (ICU) access: percentage of elective surgical cases deferred or cancelled due to lack of ICU/HDU bed, during the 6 month time period. This updates a previously published measure summary.

Paediatric intensive care unit (ICU) access: percentage of patients discharged from the ICU between 6PM and 6AM, during the 6 month time period. This updates a previously published measure summary.

Paediatric intensive care unit (ICU) access: percentage of patients who were transferred to another facility/area/ICU due to unavailability of an ICU bed, during the 6 month time period. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Institute for Clinical Systems Improvement

Acute care prevention of falls: rate of inpatient falls per 1,000 patient days.

Acute care prevention of falls: rate of inpatient falls with injury per 1,000 patient days.

Foreign object retention: percentage of unintentionally retained foreign objects during labor and delivery.

Rapid response team: survival rate to discharge among coded patients.

Safe site invasive procedure -- non-operating room: percentage of appropriate invasive procedure patients who had their site marked by the provider performing the invasive radiological procedure.

Safe site invasive procedure -- non-operating room: percentage of cases in which a verbal, active Time Out is conducted by providers present with the patient prior to the start of the procedure.

Safe site invasive procedure -- non-operating room: percentage of invasive procedure patients with documentation of verification of correct patient, site/side and procedure.

Safe site invasive procedure -- non-operating room: percentage of wrong invasive or high-risk radiological procedure events outside of the operating room per month.

Skin safety protocol -- risk assessment and prevention of pressure ulcers: percentage of patients with documentation in the medical record that a head-to-toe skin inspection and palpation were completed within six hours of admission.

August 3, 2009

American Speech-Language-Hearing Association

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Alaryngeal Communication Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Attention Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Augmentative-Alternative Communication Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Fluency Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Memory Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Motor Speech Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Pragmatics Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Problem Solving Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Reading Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Spoken Language Comprehension Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Spoken Language Expression Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Swallowing Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Voice Following Tracheostomy Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Voice Functional Communication Measure (FCM).

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Writing Functional Communication Measure (FCM).

Australian Council on Healthcare Standards

Access and exit block to the ICU: percentage of appropriate patients referred to an intensive care unit, who are not admitted to the unit because of inadequate resources, during the 6 month time period. This updates a previously published measure summary.

Access and exit block to the ICU: percentage of elective surgical cases deferred or cancelled due to the lack of ICU/HDU bed, during the 6 month time period. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Access and exit block to the ICU: percentage of patients who were transferred to another facility/area/ICU due to unavailability of an ICU bed, during the 6 month time period. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Intensive care patient treatment: percentage of patients receiving thromboembolism prophylaxis treatment within 24 hours of admission to the intensive care unit (ICU), during the 6 month time period. This updates a previously published measure summary.

Monitoring of warfarin: percentage of non same-day separations receiving warfarin as an inpatient who die as a result of an adverse drug reaction, during the 6 month time period. This updates a previously published measure summary.

Monitoring of warfarin: percentage of non same-day separations receiving warfarin as an inpatient who experience a cerebral haemorrhage, during the 6 month time period. This updates a previously published measure summary.

Monitoring of warfarin: percentage of non same-day separations receiving warfarin as an inpatient who experience abnormal bleeding, during the 6 month time period. This updates a previously published measure summary.

Monitoring of warfarin: percentage of non same-day separations receiving warfarin as an inpatient with an international normalized ratio (INR)/prothrombin reading greater than 5, during the 6 month time period. This updates a previously published measure summary.

Monitoring of warfarin: percentage of patients on hospital initiated warfarin who receive written drug information on discharge, during the 6 month time period. This updates a previously published measure summary.

Monitoring of warfarin: percentage of patients with an international normalized ratio (INR) result above the therapeutic range who have had their dosage reviewed prior to the next warfarin administration, during the 6 month time period. This updates a previously published measure summary.

July 27, 2009

Australian Council on Healthcare Standards

Access block: percentage of mental health or critical care patients who waited greater than 4 hours in the emergency department (ED) after the time of decision to admit them, during the 6 month time period. This updates a previously published measure summary.

Access block: percentage of patients who were admitted or planned for admission but discharged from the emergency department (ED) without reaching an inpatient bed, transferred to another hospital for admission, or died in the ED whose total ED time exceeded 8 hours, during the 6 month time period. This updates a previously published measure summary.

Acute myocardial infarction (AMI): percentage of patients with an AMI requiring thrombolysis who receive thrombolytic therapy within 1 hour of presentation to the emergency department, as their primary treatment, during the 6 month time period. This updates a previously published measure summary.

Acute myocardial infarction (AMI): percentage of patients with an AMI who receive PTCA as their primary treatment and have balloon inflation within 1 hour of presentation to the emergency department, during the 6 month time period. This updates a previously published measure summary.

Colonoscopy: percentage of incomplete colonoscopies performed, during the 6 month time period. This updates a previously published measure summary.

Colonoscopy: percentage of patients treated for possible perforation NOT related to polypectomy, during the 6 month time period. This updates a previously published measure summary.

Colonoscopy: percentage of patients treated for possible perforation who have had a polypectomy performed, during the 6 month time period. This updates a previously published measure summary.

Colonoscopy: percentage of patients who have bleeding, during the 6 month time period. This updates a previously published measure summary.

Complications of sedation: percentage of patients who have an endoscopy procedure involving sedation who are transferred or admitted for an overnight stay as a result of aspiration, during the 6 month time period. This updates a previously published measure summary.

Gastroscopy: percentage of patients treated for possible perforation related to oesophageal dilatation, during the 6 month time period. This updates a previously published measure summary.

Gastroscopy: percentage of patients undergoing gastroscopies (without dilations or polypectomies) who were treated for possible perforation secondary to instrument related causes, during the 6 month time period. This updates a previously published measure summary.

Gastroscopy: percentage of patients undergoing upper gastrointestinal tract polypectomies treated for possible perforation related to polypectomy, during the 6 month time period. This updates a previously published measure summary.

Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 1 who are attended to immediately, during the 6 month time period. This updates a previously published measure summary.

Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 2 who are attended to within 10 minutes, during the 6 month time period. This updates a previously published measure summary.

Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 3 who are attended to within 30 minutes, during the 6 month time period. This updates a previously published measure summary.

Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 4 who are attended to within 60 minutes, during the 6 month time period. This updates a previously published measure summary.

Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 5 who are attended to within 120 minutes, during the 6 month time period. This updates a previously published measure summary.

Physician Consortium for Performance Improvement®

Chronic wound care: percentage of patient visits for those patients aged 18 years and older with a diagnosis of chronic skin ulcer without a prescription or recommendation to use wet to dry dressings.

Chronic wound care: percentage of patient visits for those patients aged 18 years and older with a diagnosis of chronic skin ulcer without the use of a wound surface culture technique.

Chronic wound care: percentage of patients aged 18 years and older with a diagnosis of chronic skin ulcer undergoing debridement with documentation of wound characteristics (including at a minimum: size, AND nature of wound base tissue, AND amount of drainage) prior to debridement.

Chronic wound care: percentage of patients aged 18 years and older with a diagnosis of diabetes and foot ulcer who received education regarding appropriate foot care AND daily inspection of the feet within the 12 month reporting period.

Chronic wound care: percentage of patients aged 18 years and older with a diagnosis of diabetes and foot ulcer who were prescribed an appropriate method of offloading (pressure relief) within the 12 month reporting period.

Chronic wound care: percentage of patients aged 18 years and older with a diagnosis of venous ulcer who received education regarding the need for long term compression therapy including interval replacement of compression stockings within the 12 month reporting period.

Chronic wound care: percentage of patients aged 18 years and older with a diagnosis of venous ulcer who were prescribed compression therapy within the 12 month reporting period.

July 20, 2009

Australian Council on Healthcare Standards

Antibiotic prophylaxis: percentage of patients who undergo hysterectomy who receive antibiotic prophylaxis prior to surgery, during the 6 month time period. This updates a previously published measure summary.

Blood transfusion: percentage of red blood cell (RBC) transfusion episodes when the HB reading is 100g/L or more, during the 6 month time period. This updates a previously published measure summary.

Blood transfusion: percentage of significant adverse transfusion events related to a blood transfusion episode, during the 6 month time period. This updates a previously published measure summary.

Blood transfusion: percentage of transfusion episodes where informed patient consent was not documented, during the 6 month time period. This updates a previously published measure summary.

Day of surgery admissions: percentage of elective surgery patients admitted to the organisation on the day of surgery, during the 6 month time period. This updates a previously published measure summary.

Injury to a major viscus: percentage of patients suffering injury to a major viscus with repair, during a gynaecological operative procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Laparoscopic management of an ectopic pregnancy: percentage of patients having laparoscopic management following an ectopic pregnancy, during the 6 month time period. This updates a previously published measure summary.

Laparoscopic surgery: percentage of patients receiving a bladder injury at the time of a laparoscopic hysterectomy with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Laparoscopic surgery: percentage of patients receiving a ureter injury at the time of a laparoscopic hysterectomy with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Laparoscopic surgery: percentage of patients receiving an injury to a major viscus with repair, during a laparoscopic gynaecological operative procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Medication safety: percentage of medication orders that include error-prone abbreviations.

Medication safety: percentage of patients whose known adverse drug reactions are documented on the current medication chart.

Patient deaths: percentage of patient deaths addressed within a clinical audit process, during the 6 month time period. This updates a previously published measure summary.

Thromboprophylaxis: percentage of high-risk medical patients admitted who receive venous thromboembolism (VTE) prophylaxis, during the 6 month time period. This updates a previously published measure summary.

Thromboprophylaxis: percentage of moderate to high-risk patients (as per guidelines) over 40 years who undergo hysterectomy who receive thromboprophylaxis, during the 6 month time period. This updates a previously published measure summary.

Thromboprophylaxis: percentage of moderate to high-risk patients (as per guidelines) over 40 years who undergo pelvic floor surgery who receive thromboprophylaxis, during the 6 month time period. This updates a previously published measure summary.

Urogynaecology: percentage of patients receiving a bladder injury at the time of a pelvic floor repair procedure with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Urogynaecology: percentage of patients receiving a ureter injury at the time of a pelvic floor repair procedure with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Urogynaecology: percentage of patients receiving injury to a major viscus with repair, during a pelvic floor repair procedure subsequently up to 2 weeks post-operatively, during the 6 month time period. This updates a previously published measure summary.

Physician Consortium for Performance Improvement®

Hepatitis C: percentage of female patients aged 18 to 44 years and all men aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving antiviral treatment who were counseled regarding contraception prior to the initiation of antiviral treatment.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving antiviral treatment for whom HCV genotype testing was performed prior to initiation of antiviral treatment.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving antiviral treatment for whom quantitative HCV RNA testing was performed at 12 weeks from initiation of antiviral treatment.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of chronic hepatitis C who are receiving antiviral treatment for whom quantitative HCV RNA testing was performed within 6 months prior to initiation of antiviral treatment.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of chronic hepatitis C who were prescribed peginterferon and ribavirin therapy within the 12 month reporting period.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of chronic hepatitis C with genotype 1 or 4 who are receiving antiviral treatment at week 24 for whom quantitative HCV RNA testing was performed at 24 weeks of treatment.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of hepatitis C seen for an initial evaluation who had HCV RNA testing ordered or previously performed.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of hepatitis C who have received at least one injection of hepatitis A vaccine, or who have documented immunity to hepatitis A.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of hepatitis C who have received at least one injection of hepatitis B vaccine, or who have documented immunity to hepatitis B.

Hepatitis C: percentage of patients aged 18 years and older with a diagnosis of hepatitis C who were counseled regarding the risks of alcohol consumption at least once within the 12 month reporting period.

July 13, 2009

Australian Council on Healthcare Standards

Dermatological consult: percentage of patients who receive a dermatological consult within 24 hours, greater than or equal to 1 day and less than 2 days, greater than or equal to 2 days and less than 5 working days, or longer than one week after the primary contact time to assessment visit, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving broad band UVB phototherapy, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving narrow band UVB phototherapy, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy for eczema, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy for other dermatoses, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy for psoriasis, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy where a protocol for dose and documentation of side effects were used, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy where there is documented evidence of the explanation of phototherapy and side effects, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy where there is documented evidence of the total UVB dose administered, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy where there is documented evidence of treatment outcome at the conclusion of the phototherapy course, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy where there is documented evidence of written informed consent, during the 6 month time period. This updates a previously published measure summary.

Phototherapy: percentage of patients receiving UVB phototherapy where there is documented evidence that contraindications were considered, during the 6 month time period. This updates a previously published measure summary.

Skin tumour pathology (biopsy book): percentage of histopathology specimens taken with a skin tumour working diagnosis, during the 6 month time period. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Boston University Health & Disability Research Institute

Post-acute care functional status: mean change score in applied cognitive function of patients in a post-acute care setting as assessed using the "Applied Cognition" domain of the Activity Measure for Post-acute Care (AM-PAC).

Post-acute care functional status: mean change score in basic mobility of patients in a post-acute care setting as assessed using the "Basic Mobility" domain of the Activity Measure for Post-acute Care (AM-PAC).

Post-acute care functional status: mean change score in daily activity of patients in a post-acute care setting as assessed using the "Daily Activities" domain of the Activity Measure for Post-acute Care (AM-PAC).

Casarett, David, MD, MA; VA Medical Center

Patients' experiences: percentage of veterans who die in an inpatient VA facility (intensive care, acute care, hospice unit, nursing home care unit or community living center) for whom a Bereaved Family Survey (BFS) is completed with at least 78% of items receiving an optimal response.

July 6, 2009

Agency for Healthcare Research and Quality

Health plan members' experiences: percentage of adult health plan members who reported how often it was easy for them 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 personal doctor communicated well. 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 satisfied with their health plan information and customer service. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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

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

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Health plan members' experiences: percentage of parents or guardians who reported their experiences with shared decision-making for their enrolled children with chronic conditions. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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

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

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

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

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

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

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

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

American Society of Clinical Oncology/National Comprehensive Cancer Network

Breast cancer: percentage of patients for whom combination chemotherapy is considered or administered within 4 months (120 days) of diagnosis for women under 70 with AJCC T1c, or stage II or III hormone receptor negative breast cancer.

Breast cancer: percentage of patients for whom radiation therapy is administered within 1 year (365 days) of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer.

Breast cancer: percentage of patients for whom tamoxifen or third generation aromatase inhibitor is considered or administered within 1 year (365 days) of diagnosis for women with AJCC T1c or stage II or III hormone receptor positive breast cancer.

Colon cancer: percentage of patients for whom adjuvant chemotherapy is considered or administered within 4 months (120 days) of diagnosis for patients under the age of 80 with AJCC stage III (lymph node positive) colon cancer.

Colon cancer: percentage of patients for whom at least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer.

Rectal cancer: percentage of patients for whom postoperative adjuvant chemotherapy is considered or administered within 9 months (270 days) of diagnosis for patients under the age 80 years with AJCC stage II or stage III rectal cancer.

Rectal cancer: percentage of patients for whom radiation therapy is considered or administered within 6 months (180 days) of diagnosis for patients under the age of 80 with clinical or pathologic AJCC T4N0M0 or stage III receiving surgical resection for rectal cancer.

June 29, 2009

Australian Council on Healthcare Standards

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

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

National Committee for Quality Assurance

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. This updates a previously published measure summary.

Adults' access to preventive/ambulatory health services: percentage of members 20 years and older who had an ambulatory or preventive care visit. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

Dental care: percentage of members 2 through 21 years of age who had at least one dental visit during the measurement year. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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.

Postpartum care: percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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. This updates a previously published measure summary.

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.

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.

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

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

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.

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

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.

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

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.

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.

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

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

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

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.

Atrial fibrillation: the percentage of patients with atrial fibrillation who are currently treated with anti-coagulation drug therapy or an anti-platelet therapy.

Atrial fibrillation: the practice can produce a register of patients with atrial fibrillation.

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.

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.

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).

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).

Learning disabilities: the practice can produce a register or patients with learning disabilities.

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.

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.

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.

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.

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.