The National Quality Forum has endorsed four potentially avoidable complication (PAC) measures created by the Health Care Incentives Improvement Institute. HCI3’s PACs are already incorporated in PROMETHEUS Payment, the organization’s model for healthcare measurement and payment that rewards hospitals and physicians for coordinating and providing high-quality care. The PACs cover acute myocardial infarction (heart attack), pneumonia, stroke and six chronic conditions: diabetes, congestive heart failure, hypertension, chronic obstructive pulmonary disease, asthma and coronary artery disease.
The new measures endorsed by NQF are:
- A proportion of patients with a chronic condition that have a potentially avoidable complication during a calendar year;
- A proportion of AMI patients that have a potentially avoidable complication (during the index stay or in the 30-day post-discharge period);
- A proportion of stroke patients that have a potentially avoidable complication (during the index stay or in the 30-day post-discharge period); and
- A proportion of pneumonia patients that have a potentially avoidable complication (during the index stay or in the 30-day post-discharge period).