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Heart Attack
Heart Failure
Pneumonia
Surgical Infection Prevention
Optimal Care Measures
Patient Experience of Care Survey (HCAHPS Survey)

Heart Attack

1.
 Aspirin at arrival – Percent of heart attack patients that receive an aspirin within 24 hours before or after arriving at the hospital
2.
 Aspirin at discharge – Percent of heart attack patients that are prescribed an aspirin when they are discharged from the hospital
3.
 Beta-blocker at arrival – Percent of heart attack patients that receive a beta blocker medication within 24 hours of arrival at the hospital
4.
 Beta-blocker at discharge – Percent of heart attack patients that are prescribed a beta-blocker medication when they are discharged from the hospital
5.
 ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) – Percent of heart attack patients with low heart function that are prescribed an angiotensin converting enzyme inhibitor (ACE inhibitor) or angiotensin receptor blocker (ARB) medication when they are discharged from the hospital
6.
 Smoking Cessation Counseling – Percent of heart attack patients with a current or recent history of smoking cigarettes, who are given smoking cessation counseling during their hospital stay.
  7. Percutaneous Coronary Intervention (PCI) Performed With 90 Minutes of Arrival - Percent of heart attack patients given PCI within 90 Minutes after they arrive at hospital Detailed Technical Measures Specification
  8. Thrombolytic Medication Within 30 Minutes of Arrival - Percent of heart attack patients given thrombolytic medications within 30 minutes of arrival. Detailed Technical Measures Specification
Heart Failure
9.
 Left Ventricular Function (LVF) assessment – Percent of heart failure patients that are given a test to assess the function of their heart before, during or soon after discharge from the hospital
10.
 ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) – Percent of congestive heart failure patients with low heart function that are prescribed an angiotensin converting enzyme inhibitor (ACE inhibitor) or angiotensin receptor blocker (ARB) medication when they are discharged from the hospital
11.
 Smoking Cessation Counseling – Percent of heart attack patients with a current or recent history of smoking cigarettes, who are given smoking cessation counseling during their hospital stay.
12.
 Discharge Instructions – Percent of heart failure patients discharged to home with written instructions to the patient or caregiver that addresses all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.
Pneumonia
13.
 Oxygen assessment – Percent of pneumonia patients whose arterial oxygenation was assessed by arterial blood gas (ABG) or pulse oximetry within 24 hours prior to or after hospital arrival.
14.
 Pneumococcal screening and/or vaccination – Percent of patients 65 years and older admitted to the hospital with pneumonia that are asked if they had received a pneumococcal vaccination, and if they had not, received the vaccination prior to discharge from the hospital, if indicated.
15.
 Smoking Cessation Counseling – Percent of patients admitted to the hospital with pneumonia that have a current or recent history of smoking cigarettes, who are given smoking cessation counseling during their hospital stay.
16. Antibiotic < 4 hours of arrival - Percent of pneumonia patients admitted to hospital that receive antibiotics within 4 hours of their arrival at hospital Detailed Technical Measures Specification
17. Initial Antibiotic – Percent of immunocompetent patients with Community-Acquired Pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines Detailed Technical Measures Specification
18. Blood Culture ER - Percent of pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics. Detailed Technical Measures Specification
19. Blood Culture < 24 hours – Percent of pneumonia patients transferred or admitted to the ICU within 24 hours of hospital arrival who had blood cultures performed within 24 hours prior to or 24 hours after arrival at the hospital. Detailed Technical Measures Specification
20. Flu Vaccine – Percent of patients discharged during October, November, December, January, or February with pneumonia, age 50 and older, who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated. Detailed Technical Measures Specification

Surgical Infection Prevention

21.
 Hip Surgery--Initial Antibiotic--Percent of hip surgery patients who received prophylactic antibiotics within one hour prior to surgical incision.
22.
 Hip Surgery – Appropriate Antibiotic – Percent of hip surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure.
23.
 Hip Surgery – Stop Antibiotic – Percent of hip surgery patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time.
24.
 Knee Surgery – Initial Antibiotic – Percent of knee surgery patients who received prophylactic antibiotics within one hour prior to surgical incision.
25.
 Knee Surgery – Appropriate Antibiotic – Percent of knee surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure.
26.
 Knee Surgery – Stop Antibiotic – Percent of knee surgery patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time.
27.
 Other Cardiac Surgery – Initial Antibiotic – Percent of other cardiac surgery patients who received prophylactic antibiotics within one hour prior to surgical incision.
28.
 Other Cardiac Surgery – Appropriate Antibiotic – Percent of other cardiac surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure
 29. Other Cardiac Surgery – Stop Antibiotic – Percent of other cardiac surgery patients whose prophylactic antibiotics were discontinued within 48 hours after surgery end time. Detailed Technical Measures Specification
 30. Coronary Artery Bypass Graft (CABG) – Initial Antibiotic – Percent of CABG patients who received prophylactic antibiotics within one hour prior to surgical incision. Detailed Technical Measures Specification
 31. Coronary Artery Bypass Graft (CABG) – Appropriate Antibiotic – Percent of CABG surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure. Detailed Technical Measures Specification
 32. Coronary Artery Bypass Graft (CABG) – Stop Antibiotic – Percent of CABG patients whose prophylactic antibiotics were discontinued within 48 hours after surgery end time. Detailed Technical Measures Specification
 33. Vascular Surgery – Initial Antibiotic – Percent of vascular surgery patients who received prophylactic antibiotics within one hour prior to surgical incision. Detailed Technical Measures Specification
 34. Vascular Surgery – Appropriate Antibiotic – Percent of vascular surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure. Detailed Technical Measures Specification
 35. Vascular Surgery – Stop Antibiotic – Percent of vascular patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time. Detailed Technical Measures Specification
 36. Colon Surgery – Initial Antibiotic – Percent of colon surgery patients who received prophylactic antibiotics within one hour prior to surgical incision. Detailed Technical Measures Specification
 37. Colon Surgery – Appropriate Antibiotic – Percent of colon surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure. Detailed Technical Measures Specification
 38. Colon Surgery – Stop Antibiotic – Percent of colon surgery patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time. Detailed Technical Measures Specification
 39. Hysterectomy Surgery – Initial Antibiotic – Percent of hysterectomy surgery patients who received prophylactic antibiotics within one hour prior to surgical incision. Detailed Technical Measures Specification
 40. Hysterectomy Surgery – Appropriate Antibiotic – Percent of hysterectomy surgery patients who received prophylactic antibiotics recommended for their specific surgical procedure. Detailed Technical Measures Specification
 41. Hysterectomy Surgery - Stop Antibiotic - Percent of hysterectomy surgery patients whose prophylactic antibiotics were discontinued within 24 hours of surgery end time. Detailed Technical Measures Specification
Optimal Care Measures 
42.
 Heart Attack Optimal Care Measure - The percent of heart attack patients that had all the care they needed based on a selected group of measures.
43.
 Heart Failure Optimal Care Measure - The percent of heart failure patients that had all the care they needed based on a selected group of measures.
44.
 Pneumonia Optimal Care Measure - The percent of pneumonia patients that had all the care they needed based on a selected group of measures.
45.
 Surgical Infection Prevention Optimal Care Measure - The percent of surgical patients that were given all the care they needed to prevent an infection based on selected measures.

Patient Experience of Care Survey (HCAHPS Survey)

46.
 The Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) survey includes 27 questions that are used to report 10 measures (six summary, two individual and two global measures) that reflect the patient’s perception of the care that they have received in the hospital.

No data collected at this time or no cases met criteria?

See "Low Reporting Volume."

Data collected, but the report shows a "+" sign in the report?

See "Low Reporting Volume."

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