The National Quality Measures Clearinghouse™ (NQMC) Web site,
sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S.
Department of Health and Human Services, is updated weekly. The "What's New Archive" contains each weekly update file,
organized by year since the release of the NQMC Web site. To view a measure summary, click on a title.
If the measure you select has been updated or withdrawn, you will be redirected to the
Measure Archive.
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December 29, 2003
National Committee for Quality Assurance
Adolescent immunization status: percentage of adolescents who had a second dose of MMR and three hepatitis B vaccinations by their 13th birthday (Combination #1).
Childhood immunization status: percentage of children who had four DTaP/DT, three IPV, one MMR, three haemophilus influenza type B and three hepatitis B vaccinations by the child's second birthday (Combination #1).
December 22, 2003
Agency for Healthcare Research and Quality
Health plan members' experiences: percentage of adult health plan members who reported how often their doctors or other health providers communicated well.
Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly.
Health plan members' experiences: percentage of parents of health plan members who reported how often their children get care quickly.
Health plan members' experiences: percentage of parents of health plan members who reported how often their children's doctors or other health providers communicated well.
Health plan members' satisfaction with care: adult health plan members ratings of the care they received from all doctors and other health providers.
December 15, 2003
Institute for Clinical Systems Improvement
Intrapartum fetal heart rate management: percentage of births with amnioinfusion when either of the following is present: thick meconium or repetitive severe variable decelerations or oligohydramnios.
Intrapartum fetal heart rate management: percentage of women who are assessed for risk status on entry to labor and delivery.
December 8, 2003
National Committee for Quality Assurance
Dental care: percentage of enrolled members ages 3 through 21 years who had at least one dental visit during the measurement year.
Influenza immunization: percentage of commercial members ages 50-64 who received an influenza vaccination since September 1 of the measurement year.
Influenza immunization: percentage of Medicare members age 65 years and older who received an influenza vaccination from September through December of the year prior to the measurement year.
December 1, 2003
National Committee for Quality Assurance
Adults' access to preventive/ambulatory health services: percentage of enrollees who had an ambulatory or preventive-care visit.
Children's and adolescents' access to primary care practitioners: percentage of enrollees who had a visit with a managed care organization (MCO) primary care practitioner.
November 24, 2003
National Committee for Quality Assurance
Smoking cessation: percentage of members who were either current smokers or recent quitters and who received advice to quit smoking.
November 17, 2003
Agency for Healthcare Research and Quality
Accidental puncture or laceration (area-level): rate per 100,000 population.
Accidental puncture or laceration (hospital-level): rate per 1,000 discharges.
Birth trauma: rate per 1,000 liveborn births.
Complications of anesthesia: rate per 1,000 surgery discharges.
Death in low-mortality Diagnosis-Related Groups (DRGs): in-hospital deaths per 1,000 discharges.
Decubitus ulcer: rate per 1,000 discharges.
Failure to rescue: deaths per 1,000 discharges.
Foreign body left during procedure (area-level): discharges per 100,000 population.
Foreign body left during procedure (hospital-level): rate per 1,000 discharges.
Iatrogenic pneumothorax (area-level): rate per 100,000 population.
Iatrogenic pneumothorax (hospital-level): rate per 1,000 discharges.
Obstetric trauma: rate per 1,000 Cesarean deliveries.
Obstetric trauma: rate per 1,000 instrument-assisted vaginal deliveries.
Obstetric trauma: rate per 1,000 vaginal deliveries without instrument.
Postoperative hemorrhage or hematoma: rate per 1,000 surgical discharges.
Postoperative hip fracture: rate per 1,000 surgical discharges.
Postoperative physiologic and metabolic derangement: rate per 1,000 elective surgical discharges.
Postoperative pulmonary embolism or deep vein thrombosis: rate per 1,000 surgical discharges.
Postoperative respiratory failure: rate per 1,000 elective surgical discharges.
Postoperative sepsis: rate per 1,000 elective surgery discharges.
Postoperative wound dehiscence (area-level): rate of reclosure of abdominal wall per 100,000 population.
Postoperative wound dehiscence (hospital-level): rate of reclosure per 1,000 cases of abdominopelvic surgery.
Selected infections (area-level): rate per 100,000 population.
Selected infections (hospital-level): rate per 1,000 discharges.
Transfusion reaction (area-level): rate per 100,000 population.
Transfusion reaction (hospital-level): rate per 1,000 discharges.
November 10, 2003
National Committee for Quality Assurance
Pneumonia vaccination status: percentage of Medicare members age 65 years and older who ever received a pneumococcal vaccination.
November 3, 2003
National Committee for Quality Assurance
Postpartum care: percentage of women who had a postpartum visit on or between 21 days and 56 days after delivery.
Prenatal care: percentage of women who had an unduplicated count of less than 21%, 21%-40%, 41%-60%, 61%-80%, or greater than or equal to 81% of the expected number of prenatal care visits, adjusted for the month of pregnancy at time of enrollment gestational age.
Prenatal care: percentage of women who received a prenatal care visit as a member of the managed care organization (MCO) in the first trimester or within 42 days of enrollment in the MCO.
October 27, 2003
State of Wisconsin, Department of Health and Family Services
Childhood immunizations (full coverage): percent of enrolled children who received all of the following by the measure end date: four DTaP, DT, or DTP with different dates of service, or some combination of DTaP, DTP or DTP/DT vaccines adding up to 4 doses, three polio (IPV/OPV) vaccinations with different dates of service, one measles vaccination, one mumps vaccination, one rubella vaccination or one MMR vaccination, one varicella (VZV) vaccination, three H influenza type B (Hib) vaccinations, three hepatitis B vaccinations (MEDDIC-MS).
Childhood immunizations (partial coverage): percent of enrolled children who received all of the following by the measure end date: three DTaP, DT, or DTP with different dates of service, or some combination of DTaP, DTP or DTP/DT vaccines adding up to 3 doses, three polio (IPV/OPV) vaccinations with different dates of service, one measles vaccination, one mumps vaccination, one rubella vaccination or one MMR vaccination, two H influenza type B (Hib) vaccinations, two hepatitis B vaccinations (MEDDIC-MS).
October 20, 2003
State of Wisconsin, Department of Health and Family Services
Ambulatory care management of diabetes: percent of patients with at least one hemoglobin A1c (HbA1c) test conducted in the measure look-back period (MEDDIC-MS).
Ambulatory care management of diabetes: percent of patients with at least one lipid profile test in the look-back period (MEDDIC-MS).
October 13, 2003
National Committee for Quality Assurance
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and 2) who had an eye exam (retinal) performed.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and 2) who had hemoglobin A1c (HbA1c) poorly controlled (greater than 9.0%).
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and 2) who had hemoglobin A1c (HbA1c) tested.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and 2) who had kidney disease (nephropathy) monitored.
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and 2) who had low-density lipoprotein cholesterol (LDL-C) controlled below certain specified thresholds (less than 130 mg/dL; less than 100 mg/dL).
Comprehensive diabetes care: percentage of members with diabetes mellitus (type 1 and 2) who had low-density lipoprotein cholesterol (LDL-C) screening performed.
October 6, 2003
National Committee for Quality Assurance
Adolescent immunization status: percentage of adolescents who had a second dose of MMR, three hepatitis B and one chicken pox vaccination by their 13th birthday (Combination #2).
Asthma: percentage of members with persistent asthma who had at least one dispensed prescription for inhaled corticosteroids, nedocromil, cromolyn sodium, leukotriene modifiers, or methylxanthines in the measurement year.
Childhood immunization status: percentage of children who had four DTaP/DT, three IPV, one MMR, three haemophilus influenza type B, three hepatitis B and one chicken pox vaccination by the child's second birthday (Combination #2).
September 29, 2003
National Committee for Quality Assurance
Beta-blocker treatment after heart attack: percentage of patients who received an ambulatory prescription for beta-blockers rendered within seven days after hospital discharge with a diagnosis of acute myocardial infarction (AMI).
Cholesterol management after acute cardiovascular events: percentage of patients who had a low-density lipoprotein cholesterol (LDL-C) screening and an LDL-C control below certain specified thresholds (less than 130 mg/dL; less than 100 mg/dL).
September 22, 2003
Physician Consortium for Performance Improvement®
Prenatal testing: percentage of patients aged 35 years and older at the time of expected delivery who are offered amniocentesis or chorionic villus sampling.
Prenatal testing: percentage of patients who are screened for HIV infection during the first or second prenatal care visit.
Prenatal testing: percentage of patients who have a cervical cytology smear performed during the preceding year or by the second prenatal care visit.
Prenatal testing: percentage of patients who have at least one test to screen for asymptomatic bacteriuria.
Prenatal testing: percentage of patients who have glucose challenge test or oral glucose tolerance test performed.
September 15, 2003
Physician Consortium for Performance Improvement®
Prenatal testing: percentage of D (Rh) negative, unsensitized patients who receive anti-D immune globulin at 26-30 weeks gestation.
Prenatal testing: percentage of patients less than 35 years of age at the time of expected delivery who are offered multiple marker testing for congenital anomalies.
Prenatal testing: percentage of patients who received antibody screening during the first or second prenatal care visit.
September 8, 2003
Physician Consortium for Performance Improvement®
Prenatal testing: percentage of patients who have a determination of blood group (ABO) and D (Rh) type by the second prenatal care visit.
Prenatal testing: percentage of patients with a prenatal flowsheet in use by the date of the first physician visit.
September 1, 2003
No new measures were added to NQMC during the week of September 01, 2003.
August 25, 2003
No new measures were added to NQMC during the week of August 25, 2003.
August 18, 2003
No new measures were added to NQMC during the week of August 18, 2003.
August 11, 2003
National Committee for Quality Assurance
Antidepressant medication management (effective acute treatment phase): percentage of members who remained on an antidepressant drug during the entire 84-day (12-week) acute treatment phase.
Antidepressant medication management (effective continuation phase treatment): percentage of members who remained on an antidepressant drug for at least 180 days (six months).
Antidepressant medication management (optimal
practitioner contacts for medication management): percentage of members who had
three or more outpatient follow-up visits or day/night treatment with a
non-mental health practitioner or mental health practitioner within 84 days (12 weeks) after new diagnosis of depression.
Mental illness: percentage of members who had an ambulatory or day/night mental health visit within 30 days of hospital discharge.
Mental illness: percentage of members who had an ambulatory or day/night mental health visit within 7 days of hospital discharge.
August 4, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients referred for surgery for construction of an arteriovenous (AV) fistula on index date.
Advanced chronic kidney disease (CKD): percent of patients who have been referred for a transplant evaluation.
Advanced chronic kidney disease (CKD): percent of patients with documentation regarding discussion of renal replacement therapy (RRT) modalities.
July 28, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients referred to vocational rehabilitation center.
Advanced chronic kidney disease (CKD): percent of patients with documentation about counseling for increasing physical activity.
Advanced chronic kidney disease (CKD): percent of patients with documentation that education was provided.
July 21, 2003
Young, Alexander S., M.D., M.S.H.S.; Veterans Administration Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC); and University of California Los Angeles
Schizophrenia: percent of patients with a Global Assessment of Functioning (GAF) score less than or equal to 40 and no contact with a case manager during the past 3 months.
Schizophrenia: percent of patients with family members or caregivers who have had no contact with clinic providers during the past year.
Schizophrenia: percent of patients with severe symptoms or side effects and no recent medication treatment change to address these problems.
July 14, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients on lipid lowering treatment.
Advanced chronic kidney disease (CKD): percent of patients screened for dyslipidemia within 1 year.
Advanced chronic kidney disease (CKD): percent of patients with low-density lipoprotein (LDL) less than 100 mg/dL.
July 7, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients on angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs).
Advanced chronic kidney disease (CKD): percent of patients with antihypertensive therapy intensified.
Advanced chronic kidney disease (CKD): percent of patients with blood pressure checked at least once within the last 3 months.
Advanced chronic kidney disease (CKD): percent of patients with blood pressure less than 130/80 mmHg on index date.
June 30, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients with measurement of body weight and serum albumin within the last 3 months.
Advanced chronic kidney disease (CKD): percent of patients with qualified nutritional counseling.
June 23, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients on a phosphate binder with iPTH measured within the last 3 months.
Advanced chronic kidney disease (CKD): percent of patients prescribed elemental calcium.
Advanced chronic kidney disease (CKD): percent of patients prescribed vitamin D2.
Advanced chronic kidney disease (CKD): percent of patients prescribed with calcitriol, alfacalcidol, or vitamin D analogues.
Advanced chronic kidney disease (CKD): percent of patients with 25(OH) vit D levels measured.
Advanced chronic kidney disease (CKD): percent of patients with iPTH greater than 100 pg/mL (or greater than 1.5 times the upper limit of normal for each assay used) and/or phosphorus greater than 4.5 mg/dL and are prescribed a low phosphorus diet for 1 month.
Advanced chronic kidney disease (CKD): percent of patients with iPTH greater than 100 pg/mL (or greater than 1.5 times the upper limit of normal for each assay used).
Advanced chronic kidney disease (CKD): percent of patients with one measurement of iPTH.
Advanced chronic kidney disease (CKD): percent of patients with phosphorus greater than 4.5 mg/dL after a low phosphorus diet for one month, now on a phosphate binder.
Advanced chronic kidney disease (CKD): percent of patients with phosphorus greater than 4.5 mg/dL.
Advanced chronic kidney disease (CKD): percent of patients with serum bicarbonate greater than or equal to 22 mmol/L.
Advanced chronic kidney disease (CKD): percent of patients with serum bicarbonate measured within the last 3 months.
Advanced chronic kidney disease (CKD): percent of patients with serum calcium and phosphorus measured within the last 3 months.
June 16, 2003
Veterans Health Administration
Blind rehabilitation: average functional change in self-reported level of independence from admission to discharge in patients discharged from blind rehabilitation program.
Pneumococcal immunization: percent of patients with chronic obstructive pulmonary disease (COPD) having pneumococcal immunization.
June 9, 2003
Renal Physicians Association
Advanced chronic kidney disease (CKD): percent of patients treated with an erythropoietin or analogue.
Advanced chronic kidney disease (CKD): percent of patients treated with erythropoietin analogue to a hemoglobin (Hb) of 12 g/dL in women and 13 g/dL in men.
Advanced chronic kidney disease (CKD): percent of patients who are anemic, iron deficient and on iron therapy.
Advanced chronic kidney disease (CKD): percent of patients with anemia work-up.
Advanced chronic kidney disease (CKD): percent of patients with blood pressure checked at every erythropoietin or analogue dose.
Advanced chronic kidney disease (CKD): percent of patients with blood pressure less than 130/80 mmHg and are receiving erythropoietin or analogue.
Advanced chronic kidney disease (CKD): percent of patients with hemoglobin measured at least every 3 months.
June 2, 2003
Veterans Health Administration
Breast cancer: percent of eligible patients screened every two years for breast cancer.
Cervical cancer: percent of patients screened every 3 years for cervical cancer.
Hyperlipidemia: percent of eligible patients screened at appropriate intervals for hyperlipidemia.
Influenza immunization: percent of patients receiving influenza immunizations between September 1st and the following Spring.
Pneumococcal immunization: percent of patients receiving pneumococcal immunizations.
May 26, 2003
Press Ganey Associates, Inc.
Assisted living resident satisfaction: mean section score for "Activities" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Aides" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Apartment" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Facility" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Management" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Meals" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Overall Assessment" questions on Assisted Living Resident Survey.
Assisted living resident satisfaction: mean section score for "Personal Issues" questions on Assisted Living Resident Survey.
May 19, 2003
Press Ganey Associates, Inc.
Medical practice satisfaction: mean section score for "Access to Care" questions on Medical Practice Survey.
Medical practice satisfaction: mean section score for "During Your Visit" questions on Medical Practice Survey.
Medical practice satisfaction: mean section score for "Overall Assessment" questions on Medical Practice Survey.
Medical practice satisfaction: mean section score for "Personal Issues" questions on Medical Practice Survey.
Medical practice satisfaction: mean section score for "Your Care Provider" questions on Medical Practice Survey.
May 12, 2003
Press Ganey Associates, Inc.
Home health care satisfaction: mean section score for "Arranging Your Home Health Care" questions on Home Health Care Survey.
Home health care satisfaction: mean section score for "Dealing With the Home Health Care Office" questions on Home Health Care Survey.
Home health care satisfaction: mean section score for "Final Ratings" questions on Home Health Care Survey.
Home health care satisfaction: mean section score for "Home Health Aides (Non-Nurse)" questions on Home Health Care Survey.
Home health care satisfaction: mean section score for "Nurses" questions on Home Health Care Survey.
May 5, 2003
Press Ganey Associates, Inc.
Emergency department satisfaction: mean section score for "Arrival" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Doctors" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Family or Friends" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Nurses" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Overall Assessment" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Personal Issues" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Personal/Insurance Information" questions on Emergency Department Survey.
Emergency department satisfaction: mean section score for "Tests" questions on Emergency Department Survey.
April 28, 2003
Kolcaba, Katharine Ph.D.
Comfort: score on General Comfort Questionnaire.
April 21, 2003
Press Ganey Associates, Inc.
Inpatient satisfaction: mean section score for "Admission" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Discharge" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Meals" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Nurses" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Overall Assessment" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Personal Issues" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Physician" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Room" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Tests and Treatments" questions on Inpatient Survey.
Inpatient satisfaction: mean section score for "Visitors and Family" questions on Inpatient Survey.
April 14, 2003
No new measures were added to NQMC during the week of April 14, 2003.
April 7, 2003
No new measures were added to NQMC during the week of April 07, 2003.
March 31, 2003
Centers for Medicare & Medicaid Services
Acute myocardial infarction: percent of patients who received a thrombolytic agent within 30 minutes of hospital arrival.
Acute myocardial infarction: percent of patients who received percutaneous transluminal coronary angioplasty within 90 minutes of hospital arrival.
March 24, 2003
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.
Pneumonia: percent of patients who had blood cultures performed within 24 hours prior to or after hospital arrival.
Pneumonia: percent of patients who received influenza vaccination.
Pneumonia: percent of patients who received their initial dose of antibiotics within 4 hours of hospital arrival.
Surgical infection prevention: percent of patients who received prophylactic antibiotics consistent with current guidelines.
Surgical infection prevention: percent of patients who received prophylactic antibiotics within 1 hour prior to surgical incision.
Surgical infection prevention: percent of patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time.
March 17, 2003
No new measures were added to NQMC during the week of March 17, 2003.
March 10, 2003
Inouye, Sharon K. M.D., M.P.H.
Delirium: proportion of patients meeting diagnostic criteria on the Confusion Assessment Method (CAM).
March 3, 2003
No new measures were added to NQMC during the week of March 03, 2003.
February 24, 2003
Child and Adolescent Health Measurement Initiative
Communication and experience of care: mean score on seven items asking about helpfulness of office staff, overall rating of care and whether doctor/other providers listen carefully, explain things clearly, respect you, spend enough time.
Helpfulness of counseling: mean score on six items asking about the helpfulness of counseling among young adults who received counseling on selected topics.
Preventive screening and counseling on emotional health and relationship issues: average proportion saying "yes" to six items about whether provider(s) discussed/screened for feeling sad or depressed, school performance, friends, suicide and sexual orientation.
Preventive screening and counseling on risky behaviors: average proportion saying "yes" to ten items about whether provider(s) discussed/screened on smoking, alcohol use, helmet use, drunk driving, chewing tobacco, street drugs, steroid pills, sexual/physical abuse, violence, guns.
Preventive screening and counseling on sexual activity and sexually transmitted diseases (STDs): average proportion saying "yes" to four items about whether provider(s) discussed/screened on birth control, condoms and prevention of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) and STDs.
Preventive screening and counseling on weight, healthy diet and exercise: average proportion saying "yes" to three items.
Private and confidential care: average proportion reporting that they had a private and/or confidential visit.
February 17, 2003
Agency for Healthcare Research and Quality
Abdominal aortic aneurysm repair: mortality rate.
Acute myocardial infarction: mortality rate.
Acute stroke: mortality rate.
Adult asthma: hospital admission rate.
Bacterial pneumonia: hospital admission rate.
Cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate.
Chronic obstructive pulmonary disease: hospital admission rate.
Congestive heart failure: hospital admission rate.
Congestive heart failure: mortality rate.
Coronary artery disease: angina without procedure hospital admission rate.
Coronary artery disease: bilateral cardiac catheterization rate.
Coronary artery disease: coronary artery bypass graft mortality rate.
Coronary artery disease: coronary artery bypass graft rate.
Coronary artery disease: percutaneous transluminal coronary angioplasty rate.
Craniotomy: mortality rate.
Dehydration: hospital admission rate.
Diabetes mellitus: hospital admission rate for long-term complications.
Diabetes mellitus: hospital admission rate for short-term complications.
Diabetes mellitus: hospital admission rate for uncontrolled diabetes.
Diabetes mellitus: lower-extremity amputation rate.
Esophageal cancer: esophageal resection mortality rate.
Gastrointestinal hemorrhage: mortality rate.
Hip fracture: mortality rate.
Hip osteoarthrosis: hip replacement mortality rate.
Hypertension: hospital admission rate.
Hysterectomy: hysterectomy rate.
Incidental appendectomy: incidental appendectomy among the elderly rate.
Laminectomy or spinal fusion: laminectomy or spinal fusion rate.
Low birth weight: rate of infants with low birth weight.
Pancreatic cancer: pancreatic resection mortality rate.
Pediatric asthma: hospital admission rate.
Pediatric gastroenteritis: hospital admission rate.
Pediatric heart surgery: mortality rate.
Perforated appendix: hospital admission rate.
Pneumonia: mortality rate.
Pregnancy and birth: cesarean section delivery rate.
Pregnancy and birth: vaginal birth after cesarean rate.
Urinary tract infection: hospital admission rate.
Centers for Medicare & Medicaid Services
Acute myocardial infarction: median time to percutaneous transluminal coronary angioplasty.
Acute myocardial infarction: median time to thrombolysis.
Acute myocardial infarction: percent of patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay.
Acute myocardial infarction: percent of patients with left ventricular systolic dysfunction and without angiotensin converting enzyme inhibitor contraindications who are prescribed an angiotensin converting enzyme inhibitor at discharge.
Acute myocardial infarction: percent of patients without aspirin contraindications who are prescribed aspirin at hospital discharge.
Acute myocardial infarction: percent of patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival.
Acute myocardial infarction: percent of patients without beta blocker contraindications who are prescribed a beta blocker at hospital discharge.
Acute myocardial infarction: percent of patients without beta blocker contraindications who received a beta blocker within 24 hours after hospital arrival.
Heart failure: percent of patients discharged home with written discharge instructions or educational material.
Heart failure: percent of patients who are prescribed an angiotensin converting enzyme inhibitor (ACEI) at hospital discharge.
Heart failure: percent of patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay.
Heart failure: percent of patients with documentation that left ventricular function was assessed before arrival, during hospitalization, or is planned for after discharge.
Pneumonia: median time from hospital arrival to administration of first antibiotic dose.
Pneumonia: percent of adult patients with a history of smoking cigarettes who are given smoking cessation advice/counseling during hospital stay.
Pneumonia: percent of patients who received oxygenation assessment within 24 hours prior to or after arrival at the hospital.
Pneumonia: percent of patients who were screened for pneumococcal vaccine status and were vaccinated prior to discharge, if indicated.
Pneumonia: percent of patients whose initial blood culture specimen was collected prior to the first hospital dose of antibiotics.
Joint Commission, The
Acute myocardial infarction: proportion of inpatient mortality.
Community acquired pneumonia: pediatric community acquired pneumonia patients and/or their caregivers who receive smoking cessation advice or counseling during the hospital stay.
Pregnancy and related conditions: proportion of neonates who expire at the facility within 28 days of birth.
Pregnancy and related conditions: proportion of patients with third or fourth degree perineal laceration.
Pregnancy and related conditions: proportion of patients with vaginal birth after cesarean section.
Veterans Health Administration
Acute myocardial infarction primary care follow-up: percent of patients with previous acute myocardial infarction (AMI) and low-density lipoprotein cholesterol (LDL-C) less than 120.
Acute myocardial infarction primary care follow-up: percent of patients with previous myocardial infarction taking aspirin (ASA) at most recent outpatient visit.
Acute myocardial infarction primary care follow-up: percent of patients with previous myocardial infarction taking beta blocker at their most recent outpatient visit.
Colon cancer screening: percent of patients receiving timely colorectal cancer screening.
Computerized patient record system (CPRS): percent of pharmacy orders entered into the CPRS by the prescribing clinician.
Diabetes mellitus: percent of patients with diabetes mellitus with blood pressure less than 140/90.
Diabetes mellitus: percent of diabetes mellitus patients having annual sensory foot exam.
Diabetes mellitus: percent of diabetes mellitus patients with retinal exam by an eye care specialist, within specified time periods.
Diabetes mellitus: percent of patients with diabetes mellitus having glycosylated hemoglobin (HgbA1c) greater than 11.0 or not done.
Diabetes mellitus: percent of patients with diabetes mellitus having glycosylated hemoglobin (HgbA1c) less than 9.0.
Diabetes mellitus: percent of patients with diabetes mellitus with blood pressure greater than or equal to 160/100 or no blood pressure recorded in past year.
Heart failure: percent of patients discharged with a principal diagnosis of heart failure with complete discharge instructions in the medical record.
Hepatitis C: percent of patients screened for high risk factors for hepatitis C (mental health cohort).
Hepatitis C: percent of patients screened for high risk factors for hepatitis C (primary care cohort).
Hepatitis C: percent of patients with high risk factor for hepatitis C with testing (mental health cohort).
Hepatitis C: percent of patients with high risk factor for hepatitis C with testing (primary care cohort).
Hypertension: percent of patients with an active diagnosis of hypertension whose most recent blood pressure reading was greater than or equal to 160/100 or no blood pressure recorded in past year.
Hypertension: percent of patients with an active diagnosis of hypertension whose most recent blood pressure recording was less than 140/90.
Influenza immunization: percent of applicable patients receiving influenza immunizations (home based primary care [HBPC] cohort).
Influenza immunization: percent of applicable patients receiving influenza immunizations (spinal cord injury & disorders [SCI&D] cohort).
Major depressive disorder: percent of patients screened for depression.
Major depressive disorder: percent of patients with a positive screen for depression with a follow-up assessment or referral.
Pneumococcal immunization: percent of applicable patients receiving pneumococcal immunization (spinal cord injury & disorders [SCI&D] cohort).
Pneumococcal immunization: percent of applicable patients receiving pneumococcal immunizations (home based primary care [HBPC] cohort).
Substance abuse: percent of patients in a specialized substance abuse program who have an initial addiction severity index (ASI).
Tobacco cessation: percent of patients currently not using tobacco (mental health diagnosis cohort).
Tobacco cessation: percent of patients currently not using tobacco (primary care cohort).
Tobacco cessation: percent of patients screened annually for use of tobacco (mental health diagnosis cohort).
Tobacco cessation: percent of patients screened annually for use of tobacco (primary care cohort).
Tobacco cessation: percent of patients using tobacco who have been counseled three times in twelve months to cease tobacco use (mental health diagnosis cohort).
Tobacco cessation: percent of patients using tobacco who have been counseled three times in twelve months to cease tobacco use (primary care cohort).
