AMI: Acute Myocardial Infarction
AMI-2 pdf Aspirin prescribed at discharge
AMI-7A pdf Fibrinolytic therapy received within 30 minutes of hospital arrival
AMI-8A pdf Primary percutaneous coronary intervention (PCI) received within 90 minutes of hospital arrival
AMI-10 pdf Statin prescribed at discharge
OP-1 pdf Median time to fibrinolysis
OP-2 Fibrinolytic therapy received within 30 minutes of ED arrival
OP-3B Median time to transfer to another facility for acute coronary intervention
OP-4 Aspirin at arrival
OP-5 Median time to ECG
CAC: Children's Asthma Care
CAC-1 pdf Relievers for inpatient asthma
CAC-2 pdf Systemic corticosteroids for inpatient asthma
CAC-3 pdf Home management plan of care document given to patient/caregiver
COMP: Complications
COMP-THA/TKA pdf Hospital-level risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA)
PSI-04 pdf Death rate among surgical inpatients with serious treatable complications
PSI-06 pdf Iatrogenic pneumothorax rate
PSI-11 pdf Postoperative respiratory failure rate
PSI-12 pdf Perioperative pulmonary embolism or deep vein thrombosis rate
PSI-14 pdf Postoperative wound dehiscence rate
PSI-15 pdf Accidental puncture or laceration rate
PSI-90 pdf Patient safety for selected indicators
ED: Emergency Department
ED-1B pdf Median time from ED arrival to ED departure for admitted ED patients
ED-2B pdf Admit decision time to ED departure time for admitted patients
OP-18b pdf Median time from ED arrival to ED departure for discharged ED patients
OP-20 Door to diagnostic evaluation by a qualified medical personnel
OP-22 Left without being seen
OP-21 pdf Median time to pain management for long bone fractures
OP-23 pdf Head CT or MRI scan results for acute ischemic stroke or hemorrhagic stroke patients who received head CT or MRI scan interpretation within 45 minutes of ED arrival
HAI: Healthcare-Associated Infections
HAI-1-SIR pdf Central-line associated bloodstream infection (CLABSI)
HAI-2-SIR Catheter-associated urinary tract infection (CAUTI)
HAI-3-SIR Surgical site infections from colon surgery (SSI: Colon)
HAI-4-SIR Surgical site infections from abdominal hysterectomy (SSI: Hysterectomy)
HAI-5-SIR Methicillin-resistant Staphylococcus aureus (MRSA)
HAI-6-SIR Clostridium difficile (C-difficile)
HBIPS: Psychiatric
HBIPS-2 html Physical restraint
HBIPS-3 html Seclusion
HBIPS-4 html Multiple antipsychotic medications at discharge
HBIPS-5 html Multiple antipsychotic medications at discharge with appropriate justification
HBIPS-6 html Post discharge continuing care plan
HBIPS-7 html Post discharge continuing care plan transmitted
HCAHPS: Hospital Consumer Assessment of Health Plans Survey
H-CLEAN pdf Cleanliness of hospital environment (individual measure)
H-QUIET Quietness of hospital environment (individual measure)
H-COMP-1 Communication with nurses (summary measure)
H-COMP-2 Communication with doctors (summary measure)
H-COMP-3 Responsiveness of hospital staff (summary measure)
H-COMP-4 Pain management (summary measure)
H-COMP-5 Communication about medicines (summary measure)
H-COMP-6 Discharge information (summary measure)
H-COMP-7 Understanding care on discharge (summary measure)
H-RATING Overall rating of hospital (global measure)
H-RECMND Willingness to recommend the hospital (global measure)
HF: Heart Failure
HF-1 pdf Discharge instructions
HF-2 pdf Evaluation of LVS function
HF-3 pdf ACEI or ARB for LVSD
IMM: Preventive Care
IMM-1A pdf Pneumococcal immunization
IMM-2 pdf Influenza immunization
IMM-3 pdf Healthcare workers given influenza vaccination
MORT: Mortality
MORT-30-AMI pdf Hospital 30-day, all-cause, RSMR following AMI hospitalization
MORT-30-CABG pdf Chronic Obstructive Pulmonary Disease (COPD) 30-Day Mortality Rate
MORT-30-COPD pdf Chronic Obstructive Pulmonary Disease (COPD) 30-Day Mortality Rate
MORT-30-HF pdf Hospital 30-day, all-cause, RSMR following HF hospitalization
MORT-30-PN pdf Hospital 30-day, all-cause, RSMR following pneumonia hospitalization
MORT-30-STK pdf Acute Ischemic Stroke (STK) 30-Day Mortality Rate
OIE: Outpatient Imaging Efficiency
OP-8 pdf MRI lumbar spine for low back pain
OP-9 pdf Mammography follow-up rates
OP-10 pdf Abdomen CT use of contrast material
OP-11 pdf Thorax CT use of contrast material
OP-13 pdf Cardiac imaging for preoperative risk assessment for non-cardiac low-risk surgery
OP-14 pdf Simultaneous use of brain CT and sinus CT
PAY: Payment
PAYM-30-AMI pdf Hospital-level, risk-standardized payment associated with a 30-day episode of care for Acute Myocardial Infarction (AMI)
PAYM-30-HF pdf Hospital-level, risk-standardized payment associated with a 30-day episode of care for Heart Failure (HF)
PAYM-30-PN pdf Hospital-level, risk-standardized payment associated with a 30-day episode of care for Pneumonia (PN)
PC: Pregnancy and Delivery
PC-01 html Elective delivery
PCH: PPS-Exempt Cancer
PCH-1 pdf Adjuvant Chemotherapy for Stage III Colon Cancer
PCH-2 Combination Chemotherapy for AJCC T1c or Stage II or III Hormone Receptor-Negative Breast Cancer
PN: Pneumonia
PN-6 pdf Initial antibiotic selection for CAP in immunocompetent patients
PV: Procedures Volume
OP-26-CV pdf Cardiovascular
OP-26-E Eye
OP-26-GI Gastrointestinal
OP-26-GU Genitourinary
OP-26-MS Muscularskeletal
OP-26-N Nervous
OP-26-S Skin
READM: Readmissions
READM-30-AMI pdf Hospital, 30-day all-cause RSRR following AMI hospitalization
READM-30-CABG pdf Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate
READM-30-COPD pdf Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate
READM-30-HF pdf Hospital 30-day all-cause, RSRR following HF hospitalization
READM-30-HWR pdf Hospital-wide all-cause unplanned readmission (HWR) measure
READM-30-PCI html Hospital 30-day risk-standardized readmission rate following percutaneous coronary intervention
READM-30-PN pdf Hospital 30-day all-cause, RSRR following pneumonia hospitalization
READM-30-THA/TKA pdf Hospital-level 30 -day all -cause risk-standardized readmission rate (RSRR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA)
READM-30-STK pdf Stroke (STK) 30-Day Readmission Rate
SCIP: Surgical Care Improvement Project
OP-6 pdf Timing of antibiotic prophylaxis
OP-7 Prophylactic antibiotic selection for surgical patients
SCIP-CARD-2 pdf Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period
SCIP-INF-1 pdf Prophylactic antibiotic received within one hour prior to surgical incision
SCIP-INF-2 pdf Prophylactic antibiotic selection for surgical patients (Full)
SCIP-INF-3 pdf Prophylactic antibiotics discontinued within 24 hours after surgery end time
SCIP-INF-4 pdf Cardiac surgery patients with controlled postoperative blood glucose
SCIP-INF-9 pdf Urinary catheter removed on postoperative day 1 (POD 1) or postoperative day 2 (POD 2) with day of surgery being day zero
SCIP-INF-10 pdf Surgery patients with perioperative temperature management
SCIP-VTE-2 pdf Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery
SM: Structural Measure
ACS-REGISTRY html Acute coronary syndrome registry
OP-12 pdf The ability for providers with HIT to receive laboratory data electronically directly into their qualified/certified EHR system as discrete searchable data
OP-17 pdf Tracking clinical results between visits
OP-25 pdf Safe surgery checklist use
SM-1 pdf Participation in a systematic database for cardiac surgery
SM-2 Participation in a systematic database for stroke care
SM-3 Participation in a systematic database for nursing sensitive care
SM-4 Participation in a systematic database registry for general surgery
SPP: Medicare Spending
MSPB-1 pdf Medicare spending per beneficiary
SPP-AFT 1 through 30 days After Discharge from Index Hospital
SPP-DUR During Index Hospital Admission
SPP-PRI 1 to 3 days Prior to Index Hospital Admission
STK: Stroke
STK-1 pdf Venous thromboembolism prophylaxis
STK-2 pdf Discharged on antithrombotic therapy
STK-3 pdf Anticoagulation therapy for atrial fibrillation/flutter
STK-4 pdf Thrombolytic therapy
STK-5 pdf Antithrombotic therapy by end of hospital day 2
STK-6 pdf Discharged on statin medication
STK-8 pdf Stroke education
STK-10 pdf Assessed for rehabilitation
VTE: Blood Clot Prevention
VTE-1 pdf Venous thromboembolism prophylaxis
VTE-2 pdf Intensive care unit venous thromboembolism prophylaxis
VTE-3 pdf Venous thromboembolism patients with anticoagulation overlap therapy
VTE-4 pdf Venous thromboembolism patients receiving unfractioned herapin with dosages/platelet count monitoring by protocol or nomogram
VTE-5 pdf Venous thromboembolism warfarin therapy discharge instructions
VTE-6 pdf Hospital acquired potentially-preventable venous thromboembolism