Patient Safety Curriculum Module 8: Methods for Measuring ...

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Opportunity to Reduce ReadmissionsCMS Payment Policy• Beginning in 2013, acute care hospitals with higher than expectedrisk-adjusted readmissions rates will receive reduced Medicarepayments for every discharge• Payment reduction for individual facilities: Up to 1.0% in 2013,increasing to as much as 3.0% in 2015 and thereafter• The Secretary will have the authority to expand the policy toadditional conditions in future years, including all-cause readmissionsPublic Reporting• CMS Hospital Compare website reports hospital performance on aseries of condition-specific readmission measures26NPSF Professional Learning Series
Core Measures• Core Measures is one way to compare the quality of care thathospitals give. Core measures set national standards of care in fivedistinct categories, and hospitals are then measured on how oftenthey provide recommended treatments known to get the best resultsfor patients with certain medical conditions or surgical procedures.• Core Measure sets include:• Acute Myocardial Infarction (AMI)• Children's Asthma Care (CAC)• Heart Failure (HF)• Hospital Based Inpatient Psychiatric Services (HBIPS)• Hospital Outpatient Department Measures• Perinatal Care (PC)• Pneumonia (PN)• Stroke (STK)• Surgical Care Improvement Project (SCIP)• Venous Thromboembolism (VTE)27NPSF Professional Learning Series
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: UsingPerformance MeasurementEffecti
Page 5 and 6: National Medicare Readmission Rate
Page 7 and 8: National Average for Heart Failure
Page 9 and 10: Institute of Medicine Six Aims• S
Page 11 and 12: HarmUnintended physical injury resu
Page 13 and 14: Commission vs. Omission• Harm mea
Page 15 and 16: Eliminating All Cause HarmNine area
Page 17 and 18: Health Affairs article, Classen et
Page 19 and 20: Health Affairs article, Classen et
Page 21 and 22: Mortality Rate Measurement Issues
Page 23 and 24: Hospital-Acquired Conditions(HACs)H
Page 25: Readmissions• Nearly 20% of Medic
Page 29 and 30: Culture• “Safety culture” ref
Page 31 and 32: Hospital Survey on Patient SafetyCu
Page 33 and 34: Major Domains• Harm• Mortality
Page 35 and 36: Triggers: Assessing Harm• Use of
Page 37 and 38: Global Trigger Tools - OutpatientSu
Page 39 and 40: ICU AdmissionYesNoPatients admitted
Page 41 and 42: Patient Experience SurveyHospital C
Page 43 and 44: HAI Prevention Plan 5-year Targets
Page 45 and 46: A Good Incident Report• Person af
Page 47 and 48: Patient Safety Indicators (PSIs)•
Page 49 and 50: Major Domains/Data SourceCollection
Page 51 and 52: Sample Strategic Quality MapStrateg

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