Medical Error Tab Menu
State Comparison
Individual State
Performance Measure Tab Cardiac Registries Tab

 

ORGANIZATIONS BEHIND
    MEASUREMENT SETS

  NQF
  AHRQ
  CMS
  JCAHO
  NCQA
  AMA - PCPI
  AQA
  AHA
  SCIP
  IHI
  ACC
  STS
  Premier-CMS
  COAP


MEASUREMENT SETS
  AQA – AQA Measures
  AQA – Cardiac Surgery
  AQA – Cardiology
  CMS – HQA
  CMS – PVRP
  NQF – Cardiac Surgery
  Premier-CMS – HQI
  SCIP


PERFORMANCE MEASURES
    CROSSWALK BY TOPIC

  Patient Safety
  CABG / Cardiac Surgery
  PCI (angioplasty)
  ACS / AMI


PERFORMANCE MEASURE
    CODING

  HIPAA Standard Codes


 

– PERFORMANCE MEASURES –
Institute for Healthcare Improvement (IHI)

logo for IHI 100,000 Lives CampaignThe 100,000 Lives Campaign is an initative of the Institute for Healthcare Improvement under the leadership of Donald M. Berwick, MD CCP. The Institute for Healthcare Improvement (IHI) is a non-for-profit organization that was founded in 1991 and is based in Cambridge, Massachusetts. The IHI has a record of improvement in healthcare via IHI collaboratives and other attempts to engage providers of healthcare at the bedside.

The IHI 100,000 Lives Campaign began in January 2005 and continues through 2006. The Initiative includes six major interventions that contain 30 measures addressing

1.Rapid Response Team deployments0    measures
2.Adverse Drug events (ADE)2    measures
3.Acute MI care (AMI)10 measures
4.Surgical Site infection (SSI)7    measures
5.Central Venous Lines Infections6    measures (including 5-measure composite)
6.Ventilator Associated Pneumonia (VAP)5    measures (including 4-measure composite)

Over 3,200 hospitals have enrolled in the IHI 100,00 Lives Campaign since its inception. The IHI claimed on June 14, 2006 to have saved 122,300 Lives in over 3,100 participating hospitals.

100,000 Lives Campaign: Six Interventions

#    NQF ID Source Description
RAPID RESPONSE TEAMS
NO MEASURES REQUIRED
ADVERSE DRUG EVENTS (ADE) – Medication Reconciliation
1.
IHI
Percent of Unreconciled Medications, tabulated monthly (Definition left to participating hospitals)
2.
IHI
Unreconciled Medications per 100 Admissions, tabulated monthly (Definition left to participating hospitals)
ACUTE MYOCARDIAL INFARCTION (AMI)
1.
HC1
CMS-QIOs and JCAHO
Percent AMI patients who received ASA within 24 hours before or after hospital arrival
2.
HC2
CMS-QIOs and JCAHO
Percent AMI patients prescribed ASA at discharge
3.
HC3
CMS-QIOs and JCAHO
Percent of AMI patients who received beta-blockers within 24 hours after hospital arrival
4.
HC4
CMS-QIOs and JCAHO
Percent of AMI patients prescribed beta-blocker at discharge
5.
HC6
CMS-QIOs and JCAHO
Percent of AMI who were prescribed for ACEI or ARB at discharge for systolic dysfunction
6.
HC7
CMS-QIOs
Percent of AMI patients who received either thrombolytics within 30 minutes of hospital arrival or Percutaneous Coronary Intervention (PCI) within 120 minutes of hospital arrival
7.
HC8
CMS-QIOs
Percent of AMI patients who received thrombolytic agent within 30 minutes of hospital arrival
8.
HC33
CMS-QIOs and JCAHO
Percent of AMI patients (cigarette smokers) who received smoking cessation advice or counseling during hospital stay
9.
IHI
Percent of AMI patients receiving "perfect" care (receiving all 7 of preceding measures)
10.
IHI
AMI Inpatient Mortality (self-reported)
SURGICAL SITE INFECTION (SSI)
1.
HC36
SCIP Inf1
Percent of Surgical Patients with Timely Prophylactic Antibiotic Administration
2.
HC37
SCIP Inf2
Percent of Surgical Patients with Appropriate Selection of Prophylactic Antibiotic
3.
HC38
SCIP Inf3
Percent of Surgical Patients with Appropriate Prophylactic Antibiotic Discontinuation
4.
SCIP Inf4
Percent of Major Cardiac Surgical Patients with Controlled Post Operative Serum Glucose
5.
SCIP Inf6
Percent of Surgical Patients with Appropriate Hair Removal
6.
SCIP Inf7
Percent of Colorectal Surgical Patients with Normothermia in PACU
7.
NNIS
Percent of Clean Surgery Patients with Surgical Infection
PREVENT CENTRAL LINE INFECTIONS
1.
JCAHO ICU4
Central Line-Associated Primary Bloodstream Infection (BSI) Rate per 1000 Central Line-Days
2.
IHI
Central Line Bundle Compliance. The percentage of intensive care patients in the included ICUs with central lines for whom all five elements of the central line "bundle" are documented on the daily goals sheet and/or central line checklist or patient's medical record. The central line bundle elements include:
Hand hygiene
Maximal barrier precautions upon insertion
Chlorhexidine skin antisepsis
Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters in patients 18 years and older
Daily review of line necessity with prompt removal of unnecessary lines
VENTILATORY ASSOCIATED PNEUMONIA (VAP)
1.
CDC
Ventilator-Associated Pneumonia (VAP) Rate in ICU per 1000 Ventilator Days
2. IHI
Ventilatory Bundle Compliance. The percentage of intensive care patients on mechanical ventilation for whom all four elements of the ventilator "bundle" are implemented and documented on the daily goals sheet and/or elsewhere in medical record. The ventilator "bundle" includes:
JCAHO ICU-1
Head of bed elevation 30 degrees or greater
IHI
Daily "sedative interruption" and daily assessment of readiness to extubate
JCAHO ICU-2
PUD (peptic ulcer disease) prophylaxis
JCAHO ICU-3
DVT (deep venous thrombosis) prophylaxis
©QuPS.org   Terms of Use
©QuPS.org   Privacy Policy