Use of Use of ICD 9 or ICD 9 or Measure ICD 10 ICD 10 codes codes Section 1 12-months ending 12-months ending N/A N/A Basic Hospital 12/31/2015 06/30/2016 Information Section 2 Latest 3-months to Latest 3-months prior to N/A N/A Computerized Prescriber survey submission survey submission Entry (CPOE) Section 3 Evidence-Based Hospital 12-months or 24-months 12-months or 24-months ICD-9 ICD-9 Referral (AVR, AAA, ending 09/30/2015 ending 09/30/2015 Pancreatectomy, Esophagetcomy) 9-months ending 9-months ending 4A Maternity Care N/A N/A 09/30/2015 06/30/2016 4B Early Elective 9-months ending 9-months ending ICD-9 ICD-10 Deliveries 09/30/2015 06/30/2016 4C NTSV Cesarean 9-months ending 9-months ending ICD-9 ICD-10 Section 09/30/2015 06/30/2016 4D Incidence of 9-months ending 9-months ending ICD-9 ICD-10 Episiotomy 09/30/2015 06/30/2016 4E Bilirubin Screening & 9-months ending 9-months ending N/A N/A DVT Prophylaxis 09/30/2015 06/30/2016 Volume: 12-months Volume: 12-months 4F High-Risk Newborn ICD-9 ICD-9 ending 09/30/2015 ending 09/30/2015 Deliveries VON: Latest 12- or VON: Latest 12- or N/A N/A report report Antenatal Steroids: Antenatal Steroids: 9-months ending ICD-9 9-months ending ICD-10 09/30/2015 06/30/2016 Latest 3-months prior to Latest 3-months prior to 5 ICU Physician Staffing N/A N/A survey submission survey submission Latest 12- or 24-months Latest 12- or 24-months 6 National Quality prior to submission (see prior to submission (see Forum’s Safe Practices individual safe practice N/A individual safe practice N/A for specific reporting for specific reporting period) period) 7A Never Events Policy N/A N/A N/A N/A
Measure Use of ICD 9 or ICD 10 codes Use of ICD 9 or ICD 10 codes Section 1 Basic Hospital Information 12-months ending 12/31/2015 N/A 12-months ending 06/30/2016 N/A Section 2 Computerized Prescriber Entry (CPOE) Latest 3-months to survey submission N/A Latest 3-months prior to survey submission N/A Section 3 Evidence-Based Hospital Referral (AVR, AAA, Pancreatectomy, Esophagetcomy) 12-months or 24-months ending 09/30/2015 ICD-9 12-months or 24-months ending 09/30/2015 ICD-9 4A Maternity Care 9-months ending 09/30/2015 N/A 9-months ending 06/30/2016 N/A 4B Early Elective Deliveries 9-months ending 09/30/2015 ICD-9 9-months ending 06/30/2016 ICD-10 4C NTSV Cesarean Section 9-months ending 09/30/2015 ICD-9 9-months ending 06/30/2016 ICD-10 4D Incidence of Episiotomy 9-months ending 09/30/2015 ICD-9 9-months ending 06/30/2016 ICD-10 4E Bilirubin Screening & DVT Prophylaxis 9-months ending 09/30/2015 N/A 9-months ending 06/30/2016 N/A 4F High-Risk Newborn Deliveries Volume: 12-months ending 09/30/2015 ICD-9 Volume: 12-months ending 09/30/2015 ICD-9 VON: Latest 12- or report N/A VON: Latest 12- or report N/A Antenatal Steroids: 9-months ending 09/30/2015 ICD-9 Antenatal Steroids: 9-months ending 06/30/2016 ICD-10 5 ICU Physician Staffing Latest 3-months prior to survey submission N/A Latest 3-months prior to survey submission N/A 6 National Quality Forum’s Safe Practices Latest 12- or 24-months prior to submission (see individual safe practice for specific reporting period) N/A Latest 12- or 24-months prior to submission (see individual safe practice for specific reporting period) N/A 7A Never Events Policy N/A N/A N/A N/A
2016Survey_Final_1.docx