IOWA REPORT - TABLE OF CONTENTS

Transcription

1 1 Category IOWA REPORT - TABLE OF CONTENTS Name Revision Date: December 24, 2015 Identification Heart Attack Care Heart Attack Care Heart Attack Patients Receiving a Procedure to Open Blood Vessels Within 90 Minutes After Getting to the Hospital Hospital Outpatient with Chest Pain or Possible Heart Attack Given Aspirin When Patient Gets to the Hospital Hospital Outpatient with Chest Pain or Possible Heart Attack - Average of Minutes Before Patient Got a Test to See How Well Their Heart is Working AMI 8a OP 4 OP 5 Heart Failure Care Heart Failure Care Complications & Deaths Deaths - Medical Care Complications - Medical Care Deaths - Surgical Care Heart Failure Patients Given Test to See How Well the Heart is Able to Pump Blood HF 2 Dying in the Hospital After Heart Failure IQI 16 Dying in the Hospital After a Stroke IQI 17 State Dying in the Hospital After Getting Pneumonia IQI 20 Dying in the Hospital with Health Problems that Rarely Result in Death PSI 2 Accidental Cut or Tear PSI 15 Bad Reaction to Donated Blood PSI 16 and PDI 13 State Accidental Puncture of the Lung PSI 6 Dying in the Hospital After a Fractured Hip IQI 19 Dying in the Hospital After Hip Replacement Surgery IQI 14 State Surgery Patients Dying in the Hospital Because a Serious Problem Was Not Identified and Treated PSI 4

2 Complications - Surgical Care Complications - Pediatric Name Identification Bleeding or Blood Clots After Surgery PSI 9 Abnormal Changes in Internal Body Functions After Surgery PSI 10 State Breathing Problems After Surgery PSI 11 Surgical Wound Splits Open After Surgery PSI 14 Blood Clot in a Leg Vein or Lung After Surgery PSI 12 Objects Accidentally Left in the Body After Surgery or Medical Care PSI 5 and PDI 3 State Hip/Knee Surgery Patients That Have Complications COMP HIP KNEE Accidental Cut or Tear (For Children < 18 Years Old) PDI 1 Accidental Puncture of the Lung (For Children < 18 Years Old) PDI 5 State 2 Readmissions Readmissions Pneumonia Care Pneumonia Care Heart Attack Patients That Return to a Hospital For More Care Within 30 Days READM 30 AMI Heart Failure Patients That Return to Hospital For More Care Within 30 Days READM 30 HF Pneumonia Patients That Return to Hospital For More Care Within 30 Days READM 30 PN Hip/Knee Surgery Patients That Return to Hospital For More Care Within 30 Days READM 30 HIP KNEE Patients That Return to Hospital For More Care Within 30 Days READM 30 HOSP WIDE Pneumonia Patients Given the Right Antibiotic PN 6 Immunizations Healthcare Workers Influenza Vaccination Healthcare Workers Given Influenza Vaccination IMM 3 Patient Immunizations Use of Medical Imaging Low Back Pain Breast Cancer Screening Patients Assessed and Given Influenza Vaccination IMM 2 Low Back Pain - MRI (Magnetic Resonance Image) Pictures OP 8 Breast Cancer - Follow-up Appointments After Screening OP 9

3 Frequency of Tests/Procedures Frequency of Tests/Procedures Falls Falls Surgical Care - Processes Inpatient Surgical Processes Name Identification CT (Computed Tomography) Scans - Stomach Area OP 10 CT (Computed Tomography) Scans - Chest Area OP 11 Healthy Appendix Removed in Older Patients IQI 24 State of Times a Procedure is Used to Find Blocked Blood Vessels in the Heart IQI 25 State Heart (Cardiac) Imaging Stress Tests Before a Low-Risk Surgery OP 13 CT (Computed Tomography) Scans - Patients with Brain CT Scans Who Got a Sinus CT Scan at the Same Time OP 14 Broken Hip From a Fall After Surgery PSI 8 State Surgery Patients Who Received Treatments On Time to Prevent Blood Clots SCIP VTE 2 Surgery Patients Who Were Given an Antibiotic at the Right Time SCIP Inf 1 Surgery Patients Given the Right Antibiotic SCIP Inf 2 Surgery Patients Whose Antibiotics Were Stopped At the Right Time After Surgery SCIP Inf 3 Heart Surgery Patients Whose Blood Sugar is Kept Under Control in the Days Right After Surgery SCIP Inf 4 Surgery Patients Whose Urinary Catheters Were Removed on the First or Second Day After Surgery SCIP Inf 9 Surgery Patients Given Medicine to Lower Blood Pressure SCIP CARD 2 3 Hospital-Acquired Infections Infections - Surgical Care Bloodstream Infection After Surgery PSI 13 Infection After Colon Surgery HAI 3 Infection After Abdominal Hysterectomy Surgery HAI 4

4 Infections - Medical Care Pregnancy - Newborn Care Moms Babies Patient Experiences in Hospital Communication Staff Care Hospital Clean and Quiet Name Infection From Tubes Inserted Into Body, Central line-associated Bloodstream Infection (CLABSI) [ICU and select units] Infection From Tubes Inserted Into Body, Catheter-associated Urinary Tract Infection (CAUTI) [ICU and select units] Identification HAI 1 HAI 2 Methicillin-resistant Staphylococcus Aureus (MRSA) Bloodstream Infections (BSI) HAI 5 Clostridium Difficile Infections (C-Diff) HAI 6 Injury to Mother After a Vaginal Delivery (With Use of Medical Instruments to Help Deliver Baby) PSI 18 State Injury to Mother After a Vaginal Delivery (Without Use of Medical Instruments to Help Deliver Baby) PSI 19 State Percent of Newborns Whose Deliveries Were Scheduled Too Early (1-3 Weeks Early), When a Scheduled Delivery Was Not Medically Necessary PC 01 Injury to Baby PSI 17 Patients' Overall Rating of Hospital Communication HCAHPS COMP COMM How Often Did Doctors Communicate Well with Patients? HCAHPS 1 How Often Did Nurses Communicate Well with Patients? HCAHPS 2 How Often Did Staff Explain About Medicines Before Giving Them to Patients? HCAHPS 3 Were Patients Given Information About What To Do During Their Recovery at Home? HCAHPS 4 Patients' Overall Rating of Hospital Staff Care HCAHPS COMP STAFF How Often Did Patients Receive Help Quickly from Hospital Staff? HCAHPS 5 How Often Was Patients' Pain Well Controlled? HCAHPS 6 Patients' Overall Rating of the Hospital Environment HCAHPS COMP ENVIRON How Often Were the Patients' Rooms and Bathrooms Kept Clean? HCAHPS 7 How Often Was the Area Around Patients' Rooms Kept Quiet at Night? HCAHPS 8 4

5 Overall Satisfaction Medicare Spending Per Patient Medicare Spending Per Patient Stroke Care Stroke Care Name Identification Patients' Overall Rating of the Hospital HCAHPS COMP OVERALL How Do Patients Rate the Hospital Overall? HCAHPS 9 Would Patients Recommend the Hospital to Friends and Family? HCAHPS 10 Spending per Hospital Patient with Medicare MSPB 1 Ischemic or Hemorrhagic Stroke Patients Who Received Treatment to Keep Blood Clots From Forming Anywhere in the Body Within 2 Days of Arriving at the Hospital STK 1 Ischemic Stroke Patients Who Received a Prescription for Medicine Known to Prevent Complications Caused by Blood Clots Before Discharge STK 2 Ischemic Stroke Patients Who Got Medicine to Break Up a Blood Clot Within 3 Hours After Symptoms Started STK 4 Ischemic Stroke Patients Who Received Medicine Known to Prevent Complications Caused by Blood Clots Within 2 Days of Arriving at the Hospital STK 5 Ischemic or Hemorrhagic Stroke Patients Who Were Evaluated for Rehabilitation Services STK 10 Patients Who Came to the Emergency Department With Stroke Symptoms Who Received Brain Scan Results Within 45 Minutes of Arrival OP 23 5 Blood Clot Prevention/Care Blood Clot Prevention/Care Patients Who Got Treatment to Prevent Blood Clots on the Day of or Day After Hospital Admission or Surgery Patients Who Got Treatment to Prevent Blood Clots on the Day of or Day After Being Admitted to the Intensive Care Unit (ICU) Patients With Blood Clots Who Got the Recommended Treatment, Which Includes Using Two Different Blood Thinner Medicines at the Same Time VTE 1 VTE 2 VTE 3 Emergency Room Care Emergency Room Care Average Time Patients Spent in the Emergency Department Before They Were Admitted to the Hospital as an Inpatient ED 1b Average Time Patients Spent in the Emergency Department After the Doctor Decided to Admit Them as an Inpatient Before Leaving the Emergency Department for Their Inpatient Room ED 2b Average Time Patients Spent in the Emergency Department Before Being Sent Home OP 18b Average Time Patients Who Came to the Emergency Department With Broken Bones Had to Wait Before Receiving Pain Medication OP 21