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Maintenance

Central Line Bundle Compliance

  • Percentage of intensive care patients with central lines for whom all
    elements of the central line bundle are documented and in place.
    The central line bundle elements include:
    •Hand hygiene
    •Maximal barrier precautions upon insertion
    •Chlorhexidine skin antisepsis
    •Optimal catheter site selection, with avoidance of the femoral vein for central venous access in patients 18 years and older
    •Daily review of line necessity with prompt removal of unnecessary lines

    CBE ID
    0298

Cervical Cancer Screening

  • The percentage of women 21–64 years of age who were screened for cervical cancer using either of the following criteria:
    -Women 21–64 years of age who had cervical cytology performed within the last 3 years.
    -Women 30–64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed within the last 5 years.
    -Women 30–64 years of age who had cervical cytology/high-risk human papillomavirus (hrHPV) cotesting within the last 5 years.

    CBE ID
    0032

Change in Basic Mobility as Measured by the AM-PAC:

  • The Activity Measure for Post Acute Care (AM-PAC) is a functional status assessment instrument developed specifically for use in facility and community dwelling post acute care (PAC) patients. It was built using Item Response Theory (IRT) methods to achieve feasible, practical, and precise measurement of functional status (Hambleton 200, Hambleton 2005).

    CBE ID
    0429

Change in Daily Activity Function as Measured by the AM-PAC:

  • The Activity Measure for Post Acute Care (AM-PAC) is a functional status assessment instrument developed specifically for use in facility and community dwelling post acute care (PAC) patients. It was built using Item Response Theory (IRT) methods to achieve feasible, practical, and precise measurement of functional status (Hambleton 2000, Hambleton 2005).

    CBE ID
    0430

Child and Adolescent Major Depressive Disorder: Diagnostic Evaluation

  • Percentage of patients aged 6 through 17 years with a diagnosis of major depressive disorder with documented evidence that they met the DSM-IV criteria [at least 5 elements with symptom duration of two weeks or longer, including 1) depressed mood (can be irritable mood in children and adolescents) or 2) loss of interest or pleasure] during the visit in which the new diagnosis or recurrent episode was identified

    CBE ID
    1364

Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey

  • The Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey is a standardized survey instrument that asks parents and guardians (henceforth referred to as parents) of children under 18 years old to report on their and their child’s experiences with inpatient hospital care.

    The performance measures of the Child HCAHPS survey consist of 39 items organized by overarching groups into the following 18 composite and single-item measures:


    Communication with Parent
    1. Communication between you and your child’s nurses (3 items)

    CBE ID
    2548

Childhood Immunization Status (CIS)

  • Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DtaP); three polio (IPV); one measles, mumps and rubella (MMR); three haemophilus influenza type B (HiB); three hepatitis B (HepB); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (HepA); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday. The measure calculates a rate for each vaccine.

    CBE ID
    0038