Potential Future Measures for Hospital Value Based Purchasing Program






CMS is considering the following measures for the Hospital Value Based Purchasing Program:


Measure:
Reference First listed here:
Spending per Hospital Patient with Medicare (also known as Medicare Spending per Beneficiary)- Opens in a new window MSPB 4/21/2011
Serious Complications and Deaths- Opens in a new window AHRQ 3/3/2011
Hospital Acquired Conditions- Opens in a new window HAC 3/3/2011
Emergency Department Wait Times- Opens in a new window    View Data- Opens in a new window ED-1 and ED-2 4/21/2011
Heart Patients Given a Prescription for Drugs called Statins at Discharge. (AMI-10: Statin Prescribed at Discharge AMI-10 4/21/2011
Central Line-associated Blood Stream Infection CLABSI 4/21/2011
Surgical Site Infections SSI SRI 4/21/2011
Immunization for Influenza IMM-1 4/21/2011
Immunization for Pneumonia IMM-2 4/21/2011
Percent of patients with an ischemic stroke or a hemorrhagic stroke and who are non-ambulatory should start receiving deep vein thrombosis (DVT) prophylaxis by end of hospital day two. STK-1 10/13/2011
Percent of patients with an ischemic stroke prescribed antithrombotic therapy at discharge. STK-2 10/13/2011
Percent of patients with an ischemic stroke with atrial fibrillation discharged on anticoagulation therapy. STK-3 10/13/2011
Percent of acute ischemic stroke patients who arrive at the hospital within 120 minutes (2 hours) of time last known well and for whom IV t-PA was initiated at this hospital within 180 minutes (3 hours) of time last known well. STK-4 10/13/2011
Percent of patients with ischemic stroke who receive antithrombotic therapy by the end of hospital day two. STK-5 10/13/2011
Percent of ischemic stroke patients with LDL >/= 100 mg/dL, or LDL not measured, or, who were on cholesterol reducing therapy prior to hospitalization are discharged on a statin medication. STK-6 10/13/2011
Percent of patients with ischemic or hemorrhagic stroke or their caregivers who were given education or educational materials during the hospital stay addressing all of the following: personal risk factors for stroke, warning signs for stroke, activation of emergency. STK-8 10/13/2011
Percent of patients with an ischemic stroke or hemorrhagic stroke who were assessed for rehabilitation services. STK-10 10/13/2011
Percent of patients who received venous thromboembolism (VTE) prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission. VTE-1 10/13/2011
Percent of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer). VTE-2 10/13/2011
Percent of patients diagnosed with confirmed VTE who received an overlap of parenteral (intravenous [IV] or subcutaneous [subcu]) anticoagulation and warfarin therapy. For patients who received less than 5 days of overlap therapy, they must be discharged on both medications. Overlap therapy must be administered for at least 5 days with an international normalized ratio (INR) = 2 prior to discontinuation of the parenteral anticoagulation therapy or the patient must be discharged on both medications. VTE-3 10/13/2011
Percent of patients diagnosed with confirmed VTE who received intravenous (IV) UFH therapy dosages AND had their platelet counts monitored using defined parameters such as a nomogram. VTE-4 10/13/2011
Percent of patients diagnosed with confirmed VTE that are discharged to home, to home with home health or home hospice on warfarin with written discharge instructions that address all four criteria: Compliance issues, dietary advice, follow-up monitoring, and information about the potential for adverse drug reactions/interactions. VTE-5 10/13/2011
Percent of patients diagnosed with confirmed VTE during hospitalization (not present on arrival) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnostic testing order date. VTE-6 10/13/2011
Methicillin-resistant Staphylococcus aureus (MRSA) infection with onset in the community in an individual lacking established MRSA risk factors, such as recent hospitalization, surgery, residence in a long-term care facility, receipt of dialysis, or presence of invasive medical devices. MRSA Bacterimia SRI 10/13/2011
Clostridium difficile is responsible for a spectrum of C. difficile infections (CDI) [originally referred to as C. difficile-associated disease or CDAD], including uncomplicated diarrhea, pseudomembranous colitis, and toxic megacolon which can, in some instances, lead to sepsis and even death. C. diff SRI 10/13/2011
The measure enables a healthcare facility to record information on influenza vaccination status. HCP 10/13/2011
Number of catheter associated urinary tract infection (UTIs). CAUTI 10/13/2011


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