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NQA: Endorses 48 Measures for the Quality Of Hospital Care

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The National Quality Forum announced the release of 48 voluntary consensus standards that measure the performance of acute care hospitals, including measures addressing pediatric safety, hospital readmission, and prevention and care of venous thromboembolism.

MEASURES ENDORSED BY THE NATIONAL QUALITY FORUM:

  • Length of Stay/Readmission
    Risk-adjusted average length of inpatient hospital stay
  • Overall inpatient hospital average length of stay (ALOS) and ALOS by DRG service category
  • All-cause readmission index
  • 30-day all-cause risk standardized readmission rate following heart failure hospitalization
  • Severity-standardized average length of stay-routine care
  • Severity-standardized average length of stay-special care
  • Severity-standardized average length of stay-deliveries
  • Patient Safety, Adult

  • Accidental puncture or laceration
    Death in low mortality DRGs
  • Iatrogenic pneumothorax
  • Death among surgical inpatients with serious, treatable complications
  • Bilateral cardiac catheterization rate
  • Blood cultures performed within 24 hours prior to or 24 hours after hospital arrival for patients who were transferred or admitted to ICU within 24 hours of hospital arrival
  • Congestive heart failure mortality
  • Hip fracture mortality rate
  • Transfusion reaction, age 18 years and older
  • Patient Safety, Pediatrics

  • Accidental puncture or laceration
  • Decubitus ulcer
  • Iatrogenic pneumothorax in nonneonates
  • Transfusion reaction, age under 18 years
  • Pediatrics

  • PICU severity-adjusted length of stay
  • PICU unplanned readmission rate
  • Review of unplanned PICU readmissions
  • Home management plan of care document given to patient/caregiver
  • Pediatric heart surgery mortality
  • Pediatric heart surgery volume
  • PICU pain assessment on admission
  • PICU periodic pain assessment
  • PICU standardized mortality ratio
  • Surgery and Anesthesia

  • Abdominal aortic aneurysm volume
  • Abdominal aortic aneurysm repair mortality rate
  • Esophageal resection mortality rate
  • Esophageal resection volume
  • Incidental appendectomy in the elderly rate
  • Pancreatic resection mortality rate
  • Pancreatic resection volume
  • Post operative wound dehiscence, age under 18 years
  • Post operative wound dehiscence, 18 years and older
  • Foreign body left after procedure, age under 18 years
  • Foreign body left in during procedure, 18 years and older
  • Failure to Rescue In-hospital Mortality
  • Failure to Rescue 30-day mortality
  • Venous Thromboembolism

  • VTE prophylaxis
  • Intensive Care Unit (ICU) VTE Prophylaxis
  • VTE Patients with Anticoagulation Overlap Therapy
  • VTE Patients Unfractionated Heparin
  • (UFH)Dosages/Platelet Count Monitoring by Protocol (or Nomogram)
  • VTE Discharge Instructions
  • Incidence of Potentially Preventable VTE

Press Release: NATIONAL QUALITY FORUM ENDORSES CONSENSUS STANDARDS FOR QUALITY OF HOSPITAL CARE

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