CMS Inpatient Measures (Domain: Patient Safety) Measure Importance Improvement Reported On Available On Best Practices/Resources Offer influenza vaccination by October, if possible. Vaccination should continue to be offered as long as 1 in 5 people in the U.S. get influenza viruses are circulating (generally October influenza each season. – March) Combined in pneumonia, Hospital Incorporate influenza vaccination status into initial IMM-2: influenza is the 8th leading cause QualityNet via Compare patient assessment and identify a process for Immunization for of death, two-thirds of those Increase in the Inpatient MBQIP Data up when needed Influenza attributable to patients rate (%) CART/Vendor and FMT Review influenza vaccination status in the discharge (Inpatient) hospitalized during the flu Reports process with administration of vaccine if indicated on season. Hospitalization is an initial assessment and not already given during underutilized opportunity to hospitalization vaccinate. Emergency Department Transfer Communication/EDTC (Domain: Care Transitions) Measure Importance Improvement Reported To Available On Best Practices/Resources All/None Composite Calculation (all 27 data elements in EDTC sub-measures 1-7 can be used as an overall evaluation of performance on this measure set.) EDTC SUB 1: Administrative Communication Timely, accurate, & direct EDTC SUB 2: Patient Information communication facilitates the State Flex handoff to the Increase in the MBQIP Data EDTC SUB 3: Vital Signs Office, then receiving facility, rate (%) Reports to FORHP provides continuity of care, & avoids EDTC SUB 4: Medication Info. medical errors & redundant tests. EDTC SUB 5: Physician & Practitioner Generated Info. EDTC SUB 6: Nurse Generated Info. EDTC SUB 7: Procedures & Tests
CMS Inpatient Measures (Domain: Patient Safety) Measure Importance Improvement Reported On Available On Best Practices/Resources IMM-2: Immunization for Influenza (Inpatient) 1 in 5 people in the U.S. get influenza each season. Combined in pneumonia, influenza is the 8th leading cause of death, two-thirds of those attributable to patients hospitalized during the flu season. Hospitalization is an underutilized opportunity to vaccinate. Increase in the rate (%) QualityNet via Inpatient CART/Vendor Hospital Compare MBQIP Data and FMT Reports Offer influenza vaccination by October, if possible. Vaccination should continue to be offered as long as influenza viruses are circulating (generally October – March) Incorporate influenza vaccination status into initial patient assessment and identify a process for when needed Review influenza vaccination status in the discharge process with administration of vaccine if indicated on initial assessment and not already given during hospitalization Emergency Department Transfer Communication/EDTC (Domain: Care Transitions) Measure Importance Improvement Reported To Available On Best Practices/Resources All/None Composite Calculation (all 27 data elements in EDTC sub-measures 1-7 can be used as an overall evaluation of performance on this measure set.) Timely, accurate, & direct communication facilitates the handoff to the receiving facility, provides continuity of care, & avoids medical errors & redundant tests. Increase in the rate (%) State Flex Office, then to FORHP MBQIP Data Reports EDTC SUB 1: Administrative Communication EDTC SUB 2: Patient Information EDTC SUB 3: Vital Signs EDTC SUB 4: Medication Info. EDTC SUB 5: Physician & Practitioner Generated Info. EDTC SUB 6: Nurse Generated Info. EDTC SUB 7: Procedures & Tests up
051617_ATAGlance_final.docx