| item # |
our brief description |
our category |
our code |
| 1 |
% heart attack patients given aspirin at arrival |
heart attack |
ami1 |
| 2 |
% heart attack patients given aspirin at discharge |
heart attack |
ami2 |
| 3 |
% heart attack patients given beta blocker at arrival |
heart attack |
ami6 |
| 4 |
% heart attack patients given beta blocker at discharge |
heart attack |
ami5 |
| 5 |
% heart attack patients who die (JCAHO risk-adjusted) |
heart attack |
ami9 |
| 6 |
% heart attack patients with LVSD given ACEI or ARB |
heart attack |
ami3 |
| 7 |
% heart attack / PCI patients treated w/in 120 minutes |
heart attack |
ami8a |
| 8 |
% heart attack patients given thrombolytic w/in 30 min |
heart attack |
ami7a |
| 9 |
# percutaneous coronary interventions (PCIs; AHRQ) |
cardiovascular procedures |
iqi06 |
| 10 |
% PCI inpatients who die (risk-adjusted) |
cardiovascular procedures |
iqi30 |
| 11 |
% heart bypass surgeries using internal mammary artery |
cardiovascular procedures |
crds06 |
| 12 |
# heart bypass (only) surgical procedures per year |
cardiovascular procedures |
crds02a |
| 12 |
# coronary artery bypass grafts (CABGs; AHRQ defn.) |
cardiovascular procedures |
iqi05 |
| 13 |
% heart bypass patients with inpatient death |
cardiovascular procedures |
crds16 |
| 13 |
% heart bypass patients with operative death (adj) |
cardiovascular procedures |
crds17 |
| 13 |
% heart bypass patients who die (AHRQ risk-adj.) |
cardiovascular procedures |
iqi12 |
| 14 |
% heart failure inpatients with LVF assessment |
heart failure |
hf2 |
| 15 |
% heart failure inpatients given discharge instructions |
heart failure |
hf1 |
| 16 |
% heart failure inpats prescribed ACEI/ARB at discharge |
heart failure |
hf3 |
| 17 |
/1,000 cath-days, cath-assoc. UTIs, Pediatric ICU pats. |
children |
ic01c |
| 17 |
/1,000 cath-days, cath-assoc. UTIs, Med-Surg ICU pats. |
infection control |
ic01a |
| 17 |
/1,000 cath-days, cath-assoc. UTIs, Card-Thor ICU pats. |
infection control |
ic01b |
| 18 |
/1,000 line-days, cath-assoc. BSIs, Pediatric ICU pats. |
children |
ic02c |
| 18 |
/1000 line-days, cath-assoc. BSIs, NICU pats. <=1000 g |
children |
ic02d |
| 18 |
/1000 line-days, cath-assoc BSI, NICU pats. 1001-1500 g |
children |
ic02e |
| 18 |
/1000 line-days, cath-assoc BSI, NICU pats. 1501-2500 g |
children |
ic02f |
| 18 |
/1000 line-days, cath-assoc. BSIs, NICU pats. 2500+ g |
children |
ic02g |
| 18 |
/1,000 line-days, cath-assoc. BSIs, Med-Surg ICU pats. |
infection control |
ic02a |
| 18 |
/1,000 line-days, cath-assoc. BSIs, Card-Thor ICU pats. |
infection control |
ic02b |
| 19 |
/1000 vent-days, vent-assoc. pneum, Pediatric ICU pats. |
children |
ic03c |
| 19 |
/1000 vent-days, vent-assoc. pneum, NICU pats. <=1000 g |
children |
ic03d |
| 19 |
/1000 vent-days, vent-assc pneum, NICU pts. 1001-1500 g |
children |
ic03e |
| 19 |
/1000 vent-days, vent-assc pneum, NICU pts. 1501-2500 g |
children |
ic03f |
| 19 |
/1000 vent-days, vent-assoc. pneum, NICU pats. 2500+ g |
children |
ic03g |
| 19 |
/1,000 vent-days, vent-assoc. pneum, Med-Surg ICU pats. |
infection control |
ic03a |
| 19 |
/1,000 vent-days, vent-assoc. pneum, Card-Thor ICU pts. |
infection control |
ic03b |
| 20 |
/1,000 inpt. days, patient falls, Critical Care areas |
patient safety |
nsi03a |
| 20 |
/1,000 inpt. days, patient falls, Step Down areas |
patient safety |
nsi03b |
| 20 |
/1,000 inpt. days, patient falls, Med-Surg areas |
patient safety |
nsi03c |
| 21 |
% pediatric asthma inpatients given relievers, age 0-17 |
children |
ped1 |
| 21 |
% pediatric asthma inpatients given relievers, age 0-2 |
children |
ped1a |
| 21 |
% pediatric asthma inpatients given relievers, age 3-5 |
children |
ped1b |
| 21 |
% pediatric asthma inpatients given relievers, age 6-17 |
children |
ped1c |
| 22 |
% ped asthma inpts. given systemic c'steroids, age 0-17 |
children |
ped2 |
| 22 |
% ped asthma inpts. given systemic c'steroids, age 0-2 |
children |
ped2a |
| 22 |
% ped asthma inpts. given systemic c'steroids, age 3-5 |
children |
ped2b |
| 22 |
% ped asthma inpts. given systemic c'steroids, age 6-17 |
children |
ped2c |
| 23 |
% neonatal inpatients given neonatal immunization |
children |
ped3 |
| 24 |
% pneumonia inpatients given an oxygenation assessment |
pneumonia |
pn1 |
| 25 |
% pneumonia inpatients given recommended antibiotic |
pneumonia |
pn6 |
| 26 |
% pneumonia inpat ED blood cultures before 1st antibiotic |
pneumonia |
pn3b |
| 27 |
% pneumonia inpts screened or vaccinated for influenza |
pneumonia |
pn7 |
| 28 |
% pneumonia inpatients given pneumococcal vaccination |
pneumonia |
pn2 |
| 29 |
% pneumonia inpts given antibiotic w/in 4hrs of arrival |
pneumonia |
pn5b |
| 30 |
% deliveries, vaginal birth after cesarean - uncomplic. |
childbirth |
iqi22 |
| 30 |
% deliveries, vaginal birth after cesarean - all |
childbirth |
iqi34 |
| 31 |
Area rate: Postop hemorrhage or hematoma |
area rate |
psi27 |
| 32 |
% neonate inpts who die w/in 28 days of birth; risk-adj |
childbirth |
pr2 |
| 33 |
% deliveries that are the mother's first C-section |
childbirth |
iqi33 |
| 34 |
% heart attack smoking pats. given smoking counseling |
heart attack |
ami4 |
| 35 |
% heart failure smoking pats. given smoking counseling |
heart failure |
hf4 |
| 36 |
% pneumonia inpatients given smoking counseling |
pneumonia |
pn4 |
| 37 |
% select surg. patients given preop. antibiotic on time |
surgery |
sip1 |
| 38 |
% select surg. patients given recom. preop. antibiotic |
surgery |
sip2 |
| 39 |
% select surg. pats. w/antibiotic discontinued on time |
surgery |
sip3 |
| 40 |
heart attack pts who die of any cause w/in 30 days |
heart attack |
amimort |
| 41 |
heart failure pts who die of any cause w/in 30 days |
heart failure |
hfmort |