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QualityWorks®
In July 2002, The Joint Commission
began requiring accredited hospitals to collect and submit core measure data.
- acute myocardial infarction (AMI)
- congestive heart failure (CHF)
- community-acquired pneumonia
- pregnancy and related conditions
- surgical care improvement project
- pediatric asthma
- hospital inpatient psychiatric services (HIPS) (pilot)
If your hospital treats AMI, CHF, pneumonia
and/or pregnancy patients
Beginning with 2008 discharges, acute
care facilities must select a performance measurement system vendor
to process and transmit four core measures to The Joint Commission.
- acute myocardial infarction (AMI)
- aspirin at arrival
- aspirin prescribed at discharge
- ACE inhibitor for left ventricular function
- adult smoking cessation advice/counseling
- beta blocker at arrival
- beta blocker prescribed at discharge
- time to thrombolysis
- time to percutaneous transluminal coronary angioplasty
- inpatient mortality
- congestive heart failure (CHF)
- discharge instructions
- left ventricular function assessment
- ACE inhibitor for left ventricular function
- adult smoking cessation advice/counseling
- community-acquired pneumonia
- oxygenation assessment
- pneumococcal screening and/or vaccination
- blood cultures
- adult smoking cessation advice/counseling
- pediatric smoking cessation advice/counseling
- antibiotic timing
- pregnancy and related conditions
- vaginal birth after cesarean section
- neonatal mortality
- third or fourth-degree laceration
- surgical care improvement project
- prophylactic antibiotic within one hour before incision
- prophylactic antibiotic selection
- prophylactic antibiotics discontinued within 24 hours after surgery
- surgery patients on beta blocker before admission who received a beta blocker during the perioperative period
- surgery patients with recommended venous thromboembolism prophylaxis ordered
- surgery patients who received timely venous thromboembolism prophylaxis
- betablocker before admission
- pediatric asthma
- relievers for inpatient asthma
- systemic corticosteroids for inpatient
- home management POC given to patient/caregiver
- hospital inpatient psychiatric services (pilot)
- assessment of violence risk, substance use disorder, trauma and patient strengths completed
- hours of restraint use
- hours of seclusion
- patients discharged on multiple antipsychotic medications
- discharge assessment and after care recommendations sent to next level of care providers upon patient's discharge
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