New Jersey Hospital Performance Report 2010 - List of Measures Included on this Web Site

Recommended Treatment/Process of Care Measures:
Data is from 2010

Heart Attack
Name of Measure	Source
Aspirin at Arrival	CMS, Joint Commission
Aspirin at Discharge	CMS, Joint Commission
Beta Blocker at Discharge	CMS, Joint Commission
ACEI or ARB at Discharge	CMS, Joint Commission
Smoking Cessation Advice	CMS, Joint Commission
PCI Within 90 Minutes	CMS, Joint Commission
Pneumonia
Name of Measure	Source
Pneumomia Vaccination	CMS, Joint Commission
Influenza Vaccination	CMS, Joint Commission
Antibiotic Timing	CMS, Joint Commission
Antibiotic Selection	CMS, Joint Commission
Blood Culture Before Initial Antibiotic	CMS, Joint Commission
Smoking Cessation Advice	CMS, Joint Commission
Surgical Care Improvement (SCIP)
Name of Measure	Source
Preventive Antibiotic Started	CMS, Joint Commission
Preventive Antibiotic Stopped	CMS, Joint Commission
Appropriate Antibiotic Received	CMS, Joint Commission
Treatment Preventing Blood Clots (VTE) Ordered	CMS, Joint Commission
Treatment Preventing Blood Clots (VTE) Received	CMS, Joint Commission
Controlled Blood Sugar for Heart Patients	CMS, Joint Commission
Safe Hair Removal	CMS, Joint Commission
Beta Blocker Continued Before and After Surgery	CMS, Joint Commission
Urinary Catheter Removed	CMS, Joint Commission
Heart Failure
Name of Measure	Source
Left Ventricular Systolic (LVS) Function Assessment	CMS, Joint Commission
ACE Inhibitor or ARB at Discharge	CMS, Joint Commission
Discharge Instructions	CMS, Joint Commission
Smoking Cessation Advice	CMS, Joint Commission

Outcome of Care Measures:

Mortality Inpatient Quality Indicator (IQI): Data is from 2008
Name of Measure	Source
Heart Attack Mortality	AHRQ
Pneumonia Mortality	AHRQ
Heart Failure Mortality	AHRQ
Stroke Mortality	AHRQ
Coronary Artery Bypass Graft (CABG) Surgery Mortality: Data is from 2008
Name of Measure	Source
CABG Surgery Mortality	NJ DOH
Number of Cases	NJ DOH

Patient Safety Indicators (PSI):
Data is from 2010

Mortality
Name of Measure	Source
Foreign Body Left During Procedure	AHRQ
Iatrogenic Pneumothorax	AHRQ
Postoperative Hip Fracture	AHRQ
Postoperative Hemorrhage or Hematoma	AHRQ
Postoperative PE (Pulmonary Embolism) or Deep Vein Thrombosis (DVT)	AHRQ
Postoperative Sepsis	AHRQ
Postoperative Wound Dehiscence	AHRQ
Accidental Puncture or Laceration (APL)	AHRQ
Transfusion Reaction	AHRQ
Birth Trauma― Injury to Neonate	AHRQ
Obstetric Trauma― Vaginal Delivery With Instrument	AHRQ
Obstetric Trauma― Vaginal Delivery Without Instrument	AHRQ

Healthcare-Associated Infections (HAI):
Data is from 2009 & 2010


Name of Measure	Source
Standardized Infection Ratio (SIR)	CDC

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