Percentage of patients, regardless of age, who undergo surgical or therapeutic procedures under general or neuraxial anesthesia of 60 minutes duration or longer for whom at least one body temperature greater than or equal to 35.5 degrees Celsius (or 95.9 degrees Fahrenheit) was recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time
Percentage of patients transferred to another HEALTHCARE FACILITY whose medical record documentation indicated that physician information was communicated to the receiving FACILITY within 60 minutes of departure
Percentage of PICU patients receiving: a. Pain assessment on admission,
Percentage of PICU patients receiving: a periodic pain assessment
The number of days between PICU admission and PICU discharge.
The ratio of actual deaths over predicted deaths for PICU patients.
The total number of patients requiring unscheduled readmission to the ICU within 24 hours of discharge or transfer.
Percent of pneumonia patients, age 18 years or older, 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.
Inpatients age 65 years and older and 5-64 years of age who have a high risk condition who are screened for Pneumococcal Vaccine status and vaccinated prior to discharge if indicated.
Percentage of patients 65 years of age and older who ever received a pneumococcal vaccination.