Process

Percentage of recently hospitlized patients, with a valid SNF PPS 14-day assessment with symptoms of delirium

Percentage of surgical patients aged 18 years and older undergoing resection for lung or esophageal cancer who had clinical staging provided prior to surgery

Percentage of surgical patients aged 18 years and older undergoing resection for lung or esophageal cancer who had their performance status recorded within two weeks prior to the surgery date

Percentage of SUI surgeries for which cystoscopy was used during the surgical procedure to reduce complications

Percentage of residents with a valid target assessment who have a catheter in the bladder at any time during the 14-day assessment period.

Percentage of residents on most recent assessment. who spent most of their time in bed or in a chair in their room during the 7-day assessment period

Percentage of residents on most recent assessments who were physically restrained daily during the 7-day assessment period

Total number of patients that have vest and/or limb restraint (upper or lower body or both) on the day of the prevalence measurement episode.

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

Percent of Rh negative pregnant women at risk of fetal blood exposure who receive Rhogam the ED.