Full Year 2012

Percentage of patients who gave birth during a 12-month period who were screened for HIV infection during the first or second prenatal care visit.

Proportion of infants 22 to 29 weeks gestation treated with surfactant within 2 hours of birth among infants who were treated with surfactant.

Periodic clinical review of unplanned readmissions to the PICU that occurred within 24 hours of discharge or transfer from the PICU.

The existing NQF-endorsed measure provides a means for determining the risk-adjusted readmission rate for a selected adult target population and can be applied for any desired timeframe. Readmission rate is defined as the percentage of acute inpatient discharges during the measurement period followed by an acute inpatient admission for any diagnosis to any hospital within 30 days

Standardized ALOS for deliveries

Standardized ALOS for special inpatient care (i.e., care provided in intensive care units).

Percentage of ICU and HRN patients who over a certain amoint of days have ventilator-associated pneumonia

Percentage of patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia with vital signs documented and reviewed