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Quality Improvement with Benchmarking (external benchmarking to multiple organizations)

Valid for Measure Submission
Valid for Initial Endorsement
Valid for Maintenance

Laboratory Investigation for Secondary Causes of Fracture

  • Percentage of patients age 50 and over with fragility fracture who have had appropriate laboratory investigation for secondary causes of fracture ordered or performed prior to discharge from inpatient status.

    CBE ID
    2416

Late HIV diagnosis

  • Percentage of persons 13 years and older diagnosed with Stage 3 HIV infection (AIDS) within 3 months of a diagnosis of HIV infection.

    CBE ID
    1999

Late sepsis or meningitis in neonates (risk-adjusted)

  • Standardized rate and standardized morbidity ratio for nosocomial bacterial infection after day 3 of life for very low birth weight infants, other infants who are admitted to a neonatal intensive care unit within 28 days of birth and other infants who die in a hospital within 28 days of birth.

    CBE ID
    0303

Management of Urinary Incontinence in Older Adults (MUI)

  • The following components of this measure assess the management of urinary incontinence in older adults.

    - Discussing Urinary Incontinence. The percentage of Medicare members 65 years of age and older who reported having urine leakage in the past six months and who discussed their urinary leakage problem with a health care provider.

    - Treatment of Urinary Incontinence. The percentage of Medicare members 65 years of age and older who reported having urine leakage in the past six months and who treatment options for their current urine leakage problem.

    CBE ID
    0030

Measure of Medical Home for Children and Adolescents

  • This composite measure assesses whether or not children and adolescents (age 0-17 years) receive health care within a medical home according to the survey respondent (almost always the child’s parent). The medical home measure is based on six of the seven components of care first proposed by the American Academy of Pediatrics (AAP)—health care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. (Note: "accessible" is the one component of medical home that is not directly addressed in this composite measure.

    CBE ID
    0724

Median Time to ECG

  • Median time from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with
    Probable Cardiac Chest Pain).

    CBE ID
    0289

Median Time to Pain Management for Long Bone Fracture

  • Median time from emergency department arrival to time of initial oral, intranasal or parenteral pain medication administration for emergency department patients with a principal diagnosis of long bone fracture (LBF).

    CBE ID
    0662