Public Reporting

Percentage of vaginal deliveries (excluding those coded with shoulder dystocia) during which an episiotomy is performed.

This measure assesses the number of patients with confirmed venous thromboembolism (VTE) during hospitalization (not present at admission) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnostic testing order date.

Percent of elderly cases with intra-abdominal procedure with an incidental appendectomy.

0-100 measure of individual engagement related to patient-centered communication, derived from items on the staff and patient surveys of the Communication Climate Assessment Toolkit

Inpatients age 6 months and older discharged during October, November, December, January, February or March who are screened for influenza vaccine status and vaccinated prior to discharge if indicated.

Percentage of patients aged 18 years and older with a diagnosis of ESRD and receiving dialysis who received the influenza immunization during the flu season (September through February)

Percentage of end stage renal disease (ESRD) patients aged 6 months and older receiving hemodialysis or peritoneal dialysis during the time from October 1 (or when the influenza vaccine became available) to March 31 who either received, were offered and declined, or were determined to have a medical contraindication to the influenza vaccine.

Percentage of home health episodes of care during which patients received influenza immunization for the current flu season.

Percentage of healthcare personnel (HCP) who receive the influenza vaccination.

Percent of nursing home/ skilled nursing facility residents given the influenza vaccination during the flu season.