National Healthcare Quality Report, 2004 Proposed Final Measure Set

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Proposed Final Measure Set

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Patient Safety

	Measure	Measure Specifications^a	National Database^a	State Database^a
Complications of care	Birth trauma	AHRQ-QI	HCUP	n.a.
	Death in low mortality DRGs	AHRQ-QI	HCUP	n.a.
	Failure to rescue	AHRQ-QI	HCUP	n.a.
	Transfusion reaction and Transfusion reaction (area)	AHRQ-QI	HCUP	n.a.
	Foreign body left in body during procedure and Foreign body left in body during procedure (area)	AHRQ-QI	HCUP	n.a.
	Central line-associated bloodstream infection in ICU patients	HP2010(14-20b)	NNIS	n.a.
	Central line-associated bloodstream infection in infants weighing 1000 grams or less at birth in intensive care	HP2010(14-20d)	NNIS	n.a.
	Complications of anesthesia	AHRQ-QI	HCUP NIS	n.a.
	Decubitus ulcer	AHRQ-QI	HCUP NIS	n.a.
	Iatrogenic pneumothorax and Iatrogenic pneumothorax (area)	AHRQ-QI	HCUP NIS	n.a.
	Infection due to intravenous lines or catheters and Infection due to intravenous lines or catheters (area)	AHRQ-QI	HCUP NIS	n.a.
	Postoperative hip fracture	AHRQ-QI	HCUP NIS	n.a.
	Postoperative hemorrhage or hematoma	AHRQ-QI	HCUP NIS	n.a.
	Postoperative physiologic and metabolic derangements	AHRQ-QI	HCUP NIS	n.a.
	Postoperative respiratory failure	AHRQ-QI	HCUP NIS	n.a.
	Postoperative pulmonary embolism or deep vein thrombosis.	AHRQ-QI	HCUP NIS	n.a.
	Postoperative septicemia	AHRQ-QI	HCUP NIS	n.a.
	Technical difficulty with procedure and Technical difficulty with procedure (area)	AHRQ-QI	HCUP NIS	n.a.
	Postoperative wound dehiscence and Postoperative wound dehiscence (area)	AHRQ-QI	HCUP NIS	n.a.
	Obstetrical trauma—vaginal with instrument	AHRQ-QI	HCUP NIS	n.a.
	Obstetrical trauma—vaginal without instrument	AHRQ-QI	HCUP NIS	n.a.
	Obstetric trauma—cesarean delivery	AHRQ-QI	HCUP NIS	n.a.
	Intensive care unit patients—catheter-associated urinary tract infection	CDC	NNIS	n.a.
	Intensive care unit patients—ventilator-associated pneumonia	CDC	NNIS	n.a.
	Infants weighing 1,000g or less at birth in intensive care—ventilator-associated pneumonia	CDC	NNIS	n.a.
	Postoperative venous thromboembolic events	CMS	MPSMS	n.a.
	Postoperative pneumonia events	CMS	MPSMS	n.a.
	Mechanical adverse events associated with central vascular catheters (CVC's)	CMS	MPSMS	n.a.
	Insertion-site infections associated with central vascular catheters (CVC's)	CMS	MPSMS	n.a.
	Blood stream infections (BSI's) associated with central vascular catheters (CVC's)	CMS	MPSMS	n.a.
	Postoperative urinary tract infections (UTI's)	CMS	MPSMS	n.a.
	Ventilator-associated pneumonia (VAP) events	CMS	MPSMS	n.a.
	Hospital-acquired blood stream infections (BSI's)	CMS	MPSMS	n.a.
	Adverse events associated with hip joint replacement due to degenerative conditions	CMS	MPSMS	n.a.
	Adverse events associated with hip joint replacement due to fracture	CMS	MPSMS	n.a.
	Adverse events associated with knee replacement	CMS	MPSMS	n.a.
Prescribing medications	% of community dwelling elderly who had at least one prescription (from a list of 11 medications and from a list of 33 medications) that is potentially inappropriate for the elderly.	AHRQ	MEPS	n.a.
Prescribing medications	% of adults who report that usual source of care asks about prescription medications and treatments from other providers	Specs for MEPS	MEPS	n.a.

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Timeliness

	Measure	Measure Specifications^a	National Database^a	State Database^a
Basic access	% of persons who report that they have a usual source of medical care, by place of care	HP2010(1-4)	NHIS	n.a.
Basic access	% of families who experienced difficulty in obtaining care, by reason	HP2010(1-6)	MEPS	n.a.
Getting appointments for care	% of persons who report that they can get an appointment for routine care as soon as they wanted (always, usually, sometimes/never)	Specs for MEPS	MEPS	NCBD
Getting appointments for care	% of persons who report that they can get care for illness/injury as soon as they wanted (always, usually, sometimes/never)	Specs for MEPS	MEPS	NCBD
Waiting time	ED visits: Percent ED visits where patient was admitted to the hospital or transferred to other facility whose ED visit was greater than or equal to 6 hours by race and selected characteristics	NCHS	NAMCS-NHAMCS	n.a.
Waiting time	ED visits: % of patients who left without being seen	NCHS	NAMCS-NHAMCS	n.a.

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Patient Centeredness

	Measure	Measure Specifications^a	National Database^a	State Database^a
Patient experience of care	% of patients who report that doctor listens carefully (always, usually, sometimes/never), adults and parents of children	Specs for MEPS	MEPS	NCBD
	% of patients who report that doctor explains things clearly (always, usually, sometimes/never), adults and parents of children	Specs for MEPS	MEPS	NCBD
	% of patients who report that doctor showed respect for what you had to say (always, usually, sometimes/never), adults and parents	Specs for MEPS	MEPS	NCBD
	% of patients who report that doctor spent enough time with them (always, usually, sometimes/never), adults and parents of children	Specs for MEPS	MEPS	NCBD

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Overall Measures

Measure	Measure Specifications^a	National Database^a	State Database^a
Overall rating of health care received	Specs for MEPS	MEPS	NCBD
Life expectancy (at birth, at age 65)		Vital statistics	n.a.

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[a] AHRQ-PSI, AHRQ-PQI, AHRQ-IQI=AHRQ Quality Indicators (prevention, inpatient and patient safety indicators).
BRFSS=Behavioral Risk Factor Surveillance System.
CDC TB=Centers for Disease Control & Prevention National Tuberculosis Surveillance System.
HCUP NIS=Healthcare Cost and Utilization Project, Nationwide Inpatient Sample.
HEDIS=Health Plan and Employer Data Information Set.
HP2010=Healthy People 2010.
JCAHO=Joint Commission for Accreditation of Healthcare Organization's hospital core measures.
LHI=Leading Health Indicators.
MEPS=Medical Expenditure Panel Survey.
MDS=Minimum Data Set.
MPSMS=Medicare Patient Safety Monitoring System.
NAMCS=National Ambulatory Medical Care Survey.
NCBD=National CAHPS® Benchmarking Database.
NCQA=National Committee for Quality Assurance' s HEDIS measure set.
NHA=National Health Accounts.
NHANES=National Health and Nutrition Examination Survey.
NHIS=National Health Interview Survey.
NHHCS=National Home Health and Hospice Care Survey.
NHAMCS=National Hospital Ambulatory Medical Care Survey.
NHDS=National Hospital Discharge Survey.
NIS=National Immunization Survey.
NNHS=National Nursing Home Survey.
NQF=National Quality Forum.
OECD=Organization for Economic Cooperation & Development Health Data File.
Vital statistics=National Vital Statistics System, Mortality.
SEER=Surveillance, Epidemiology, and End Results Program.
USRDS=United States Renal Data System.
WHO=World Health Organization.

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