Facility/Agency

Percentage of residents on most recent assessment with a urinary tract infection

Percentage of esidents with a valid target assessment and a valid prior assessment with worsening of a depressed or anxious mood.

Risk adjusted, case mix adjusted urinary tract infection outcome measure of adults 18+ years after surgical procedure.

Percentage of adults aged 18 years and above born in an HBV-endemic country and tested for hepatitis B surface antigen and antibody

Standardized ALOS for deliveries

Standardized ALOS for special inpatient care (i.e., care provided in intensive care units).

Surgery patients for whom either active warming was used intraoperatively for the purpose of maintaining normothermia or who had at least one body temperature equal to or greater than 96.8° F/36° C recorded within the 30 minutes immediately prior to or the 15 minutes immediately after Anesthesia End Time.

Percentage of surgery patients with recommended Venous Thromboembolism (VTE) Prophylaxis ordered during admission

Percentage of surgical site infections occurring within thirty days after the operative procedure if no implant is left in place or with one year if an implant is in place in patients who had an NHSN operative procedure performed during a specified time period and the infection appears to be related to the operative procedure.

Annual procedural volume of three surgeries: isolated CABG surgery, valve surgery, and valve + CABG surgery.