Hospital Value-Based Purchasing: Measure Explanations
Measure Title | Brief Explanation |
Percent of Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival | Blood clots can cause heart attacks. Doctors may give this medicine, or perform a procedure to open the blockage, and in some cases, may do both. |
Percent of Heart Attack Patients Given PCI Within 90 Minutes Of Arrival | The procedures called Percutaneous Coronary Interventions (PCI) are among those that are the most effective for opening blocked blood vessels that cause heart attacks. Doctors may perform PCI, or give medicine to open the blockage, and in some cases, may do both. |
Percent of Heart Failure Patients Given Discharge Instructions | The staff at the hospital should provide you with information to help you manage your heart failure symptoms when you are discharged. |
Percent of Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics | A blood culture tells what kind of medicine will work best to treat your pneumonia. |
Initial Antibiotic Selection for CAP in Immunocompetent Patient | Antibiotics are medicines that treat infection, and each one is different. Hospitals should choose the antibiotics that best treat the infection type for each pneumonia patient. |
Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision | Getting an antibiotic within one hour before surgery reduces the risk of wound infections. This measure shows how often hospital staff make sure surgery patients get antibiotics at the right time. |
Prophylactic Antibiotic Selection for Surgical Patients | Some antibiotics work better than others to prevent wound infections for certain types of surgery. This measure shows how often hospital staff make sure patients get the right kind of preventive antibiotic medication for their surgery. |
Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time | Taking preventive antibiotics for more than 24 hours after routine surgery is usually not necessary. This measure shows how often hospitals stopped giving antibiotics to surgery patients when they were no longer needed to prevent surgical infection. |
Cardiac Surgery Patients with Controlled 6AM Postoperative Serum Glucose | All heart surgery patients get their blood sugar checked after surgery. Any patient who has high blood sugar after heart surgery has a greater chance of getting an infection. This measure tells how often the blood sugar of heart surgery patients was kept under good control in the days right after their surgery. |
Surgery Patients on a Beta Blocker Prior to Arrival That Received a Beta Blocker During the Perioperative Period | Many people who have heart problems or are at risk for heart problems take drugs called beta blockers to reduce the risk of future heart problems. This measure shows whether surgery patients who were already taking beta blockers before coming to the hospital were given beta blockers during the time period just before and after their surgery. |
Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered | Certain types of surgery can increase patients’ risk of having blood clots after surgery. For these types of surgery, this measure tells how often treatment to help prevent blood clots was ordered by the doctor. |
Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery | This measure tells how often patients having certain types of surgery received treatment to prevent blood clots in the period from 24 hours before surgery to 24 hours after surgery. |
Patient Experience of Care | A random sample of patients discharged from hospitals across the country are surveyed and asked questions about their feelings and perceptions about their hospital stay. This measure combines hospital performance on questions that asked patients their levels of satisfaction with some of the following elements of their stay:
The survey also asks patients to give an overall satisfaction rating to their hospital stay. |
Posted on: April 29, 2011