Outcome

The measure requires hospitals and output facilities that conduct Computed Tomography (CT) studies to assess the radiation dose associated with the most frequently conducted examination types – CT’s of the head, chest, abdomen/pelvis obtained in children and adults. The measure provides a simple framework for how facilities can assess their dose, a framework that currently does not exist. By assessing their doses, facilities can monitor the doses they use over time and compare their doses to benchmarks. The creation of benchmarks is not part of this measure per se.

Percentage of asymptomatic patients undergoing open repair of abdominal aortic aneurysms (AAA)who are discharged alive. This measure is proposed for both hospitals and individual providers. At present, this measure is reported via the Vascular Quality Initiative (VQI) Registry.

Percentage of recently hospitalized patients with valid SNF PPS 14-day assessment, who experienced moderate to severe pain at any time during the 7-day assessment period

Recently hospitalized residents with pressure ulcers

Percentage of home health stays in which patients who had an acute inpatient hospitalization in the 5 days before the start of their home health stay were admitted to an acute care hospital during the 30 days following the start of the home health stay.

Percentage of residents who experience moderate to severe pain during the 7-day assessment period

Percentage of residents on most recent assessment who lose too much weight

Percentage of residents with a valid target and a valid prior assessment whose need for more help with daily activities has increased

Percentage of residents with a valid target assessment and a valid prior assessment, with a decline in their ability to move about in their room and the adjacent corridor.

Percentage of residents on most recent assessment with a urinary tract infection