1. HCAPHS Patient Experience: reporting data for 12Q1_12Q4
2. Hospital Quality Data
– Heart attack measures updated to report data for 12Q2_13Q1
– Heart failure measures updated to report data for 12Q2_13Q1
– Pneumonia measures updated to report data for: 12Q2_13Q1
– Surgical Care Improvement measures updated to report data for 12Q2_13Q1:
Note: VTE -1 Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries measure is now reported under the new Blood Clot Treatment & Prevention measure group
– Surgical Care outpatient measures updated to report data for: 12Q2_13Q1
– Imaging Efficiency outpatient measures updated to report data for 11Q1_11Q4
4. EMERGENCY DEPT CARE:
Emergency dept Care measures updated to report data for 12Q2_13Q1, except for one measure updated to report data for 12Q1_12Q2 (Percentage of patients who left the emergency department before being seen)
5. PREVENTIVE CARE: measures updated as follows:
Patients assessed and given pneumonia vaccination: 12Q2_13Q1
Patients assessed and given influenza vaccination: 12Q4_13Q1
6. Readmission & mortality measures data: were not updated.
30 day readmission & mortality measures: still reporting 09Q3_12Q2
Other Readmission measures:
Rate of readmission after hip/knee surgery – still reporting 09Q3_12Q2
Rate of readmission after discharge from hospital (hospital-wide)- still reporting 11Q3_12Q2
American College of Cardiology percutaneous coronary intervention (PCI) readmission measure – still reporting 1/1/2010 to 11/30/2011
7. SURGICAL COMPLICATIONS (PSI) (updated)
COMP-HIP-KNEE: Rate of complications for hip/knee replacement patients measure updated to report data for 09Q3_12Q1
PSI-90: Serious complications measure updated to report data for 10Q3_12Q2
PSI-4: Deaths among patients with serious treatable complications after surgery measure updated to report data for 10Q3_12Q2
Note: PSI-6, PSI-12, PSI-14, PSI-15: Data will be not be posted on Hospital Compare but will be available on Data.Medicare.Gov)
8. Hospital Acquired Infections
Central line-associated bloodstream infections (CLABSI) measure updated to report data for 12Q2_13Q1
Catheter associated urinary tract infections (CAUTI) measure updated to report data for 12Q2_13Q1
Surgical site infections from colon surgery (SSI: Colon) measure updated to report data for 12Q2_13Q1
Surgical site infections from abdominal hysterectomy (SSI: Hysterectomy) measure updated to report data for 12Q2_13Q1
2 additional HAI measures reported
HAI-5 Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections measure reporting data for 13Q1_13Q1
HAI-6 Clostridium difficile (or C.diff.) Infections measure reporting data for 13Q1_13Q1
9. MEDICARE PAYMENT MEASURES
Spending per Hospital Patient with Medicare measure updated to report data for 12Q1_12Q4
Number of medicare patients treated measure updated to report data for 11Q4_12Q3
10. STRUCTURAL MEASURES: have been updated to report data for 12Q1_12Q4
11. HIT MEASURES: were not updated: data reported 12Q1_12Q2
12. STROKE CARE (new)
Timely stroke care
Ischemic stroke patients who got medicine to break up a blood clot within 3 hours after symptoms started 13Q1_13Q1
Ischemic stroke patients who received medicine known to prevent complications caused by blood clots within 2 days of arriving at the hospital 13Q1_13Q1
Ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of arriving at the hospital 13Q1_13Q1
Effective stroke care
Ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots before discharge 13Q1_13Q1
Ischemic stroke patients with a type of irregular heartbeat who were given a prescription for a blood thinner at discharge 13Q1_13Q1
Ischemic stroke patients needing medicine to lower cholesterol, who were given a prescription for this medicine before discharge 13Q1_13Q1
Ischemic or hemorrhagic stroke patients or caregivers who received written educational materials about stroke care and prevention during the hospital stay 13Q1_13Q1
Ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services 13Q1_13Q1
Blood clot prevention and treatment (new)
Blood clot prevention
Patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery 13Q1_13Q1
Patients who got treatment to prevent blood clots on the day of or day after being admitted to the intensive care unit (ICU) 13Q1_13Q1
Patients who developed a blood clot while in the hospital who get treatment that could have prevented it 13Q1_13Q1
Blood clot treatment
Patients with blood clots who got the recommended treatment, which includes using two different blood thinner medicines at the same time 13Q1_13Q1
Patients with blood clots who were treated with an intravenous blood thinner, and then were checked to determine if the blood thinner was putting the patient at an increased risk of bleeding 13Q1_13Q1
Patients with blood clots who were discharged on a blood thinner medicine and received written instructions about that medicine 13Q1_13Q1
Pregnancy and delivery care (new)
Percent of newborns whose deliveries were scheduled too early (1-3 weeks early), when a scheduled delivery was not medically necessary 13Q1_13Q1