| Topic | Summary | Modified by | On |
| OutcomeInformedCareProcesses | The use of client (or patient) rated outcome data to improve individual and organizational performance. | JebBrown | 30 Oct |
| RapidTestingForInfluenza | Topic created as part of a CDC funded project | NattawanL | 17 Oct |
| CardiacSurgeryPatientsWithControlledPostoperativeBloodGlucose | Cardiac surgery patients with controlled 6 A.M. blood glucose (≤ 200 mg/dL) on postoperative day one (POD 1) and postoperative day two (POD 2) with Surgery End Date being postoperative day zero (POD 0). | SherryBuske | 14 Sep |
| QualityOfLife-Housing | Recovery focused topic addressing quality improvement initiatives designed to improve housing. | ScottWilliams | 08 Aug |
| DischargeAssessmentSentToNextLevelOfCareProvider | Psychiatric patients discharged from a hospital-based inpatient psychiatric setting with a referral summary and aftercare recommendations provided to the next level of care clinician or entity. | CelesteMilton | 30 Jul |
| CompletePsychiatricAssessment | Psychiatric patients admitted to a hospital-based inpatient setting who are assessed for risk of trauma to self or others, co-occurring substance use disorder, history of psychological trauma and patient strengths. | CelesteMilton | 30 Jul |
| PatientsDischargedOnMultipleAntipsychoticMedications | Psychiatric patients discharged from a hospital-based inpatient setting on two or more antipsychotic medications. | CelesteMilton | 30 Jul |
| SmokeFreeHospitalCampus | Research and field experiences related to the implementation of a smoke-free hospital campus | ChadSteen | 01 Jul |
| PrimaryPCIReceivedWithin90MinutesOfHospitalArrival | Acute myocardial infarction (AMI) patients receiving percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less. | ScottWilliams | 16 May |
| ScreeningAndBriefIntervention | Screening & Brief Intervention (SBI) for alcohol and other drug use | ScottWilliams | 01 May |
| SmokingCessationCounselingPrograms | Information regarding performance improvement in smoking cessation programs | JuanTalamoni | 24 Apr |
| QualityOfLife-Employment | Recovery focused topic addressing quality improvement initiatives designed to improve employment. | ScottWilliams | 01 Apr |
| EngagingFamiliesInTreatment | Topic provides a forum to discuss approaches to include families in the treatment process (particularly treatment of children and adolescents). | ScottWilliams | 01 Apr |
| FailureModeAndEffectsAnalysisinBHC | Topic provides a forum to discuss FMEA processes implemented in behavioral health care settings | ScottWilliams | 01 Apr |
| AspirinAtArrival | Acute myocardial infarction (AMI) patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival. | ScottWilliams | 29 Jan |
| AntibioticTiming | Median time from arrival at the hospital to the administration of the first dose of antibiotic at the hospital | ScottWilliams | 21 Dec |
| FibrinolyticTherapyWithin30MinutesOfHospitalArrival | Acute myocardial infarction (AMI) patients receiving fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less | BretteTschurtz | 04 Dec |
| SystemicCorticosteriodsForInpatientAsthma | | BretteTschurtz | 20 Nov |
| RelieversForInpatientAsthma | Use of relievers in pediatric patients admitted for inpatient treatment of asthma. | BretteTschurtz | 20 Nov |
| HomeManagementPlanOfCareGivenToPatientOrCaregiver | | BretteTschurtz | 20 Nov |
| HoursOfSeclusionUse | The total number of hours that all psychiatric patients spent in seclusion. | BretteTschurtz | 20 Nov |
| HoursOfRestraintUse | The total number of hours that all psychiatric patients spent in restraint. | BretteTschurtz | 20 Nov |
| ThirdOrFourthDegreeLaceration | Patients who have vaginal deliveries with third or fourth degree perineal laceration. | BretteTschurtz | 20 Nov |
| ColorectalSurgeryPatientsWithImmediatePostoperativeNormothermia | Colorectal surgery patients with immediate normothermia (greater than or equal to 96.8° F) within the first fifteen minutes after leaving the operating room. | BretteTschurtz | 20 Nov |
| SurgeryPatientsWithAppropriateHairRemoval | Surgery patients with appropriate surgical site hair removal. | BretteTschurtz | 20 Nov |
| SurgeryPatientsWithRecommendedVTEProphylaxisOrdered | Surgery patients with recommended venous thromboembolism (VTE) prophylaxis ordered anytime from hospital arrival to 48 hours after Surgery End Time. | BretteTschurtz | 20 Nov |
| SurgeryPatientsReceivedAppropriateVTEProphylaxisWithin24Hours | Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to Surgical Incision Time to 24 hours after Surgery End Time | BretteTschurtz | 20 Nov |
| ProphylacticAntibioticsDiscontinuedWithin24Hours | Surgical patients who received prophylactic antibiotics within one hour prior to surgical incision. | BretteTschurtz | 20 Nov |
| ProphylacticAntibioticSelectionForSurgicalPatients | Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure). | BretteTschurtz | 20 Nov |
| ProphylacticAntibioticReceivedWithinOneHourPriorToSurgery | Surgical patients who received prophylactic antibiotics within one hour prior to surgical incision. | BretteTschurtz | 20 Nov |
| InfluenzaVaccination | Pneumonia patients age 50 years and older, hospitalized during October, November, December, January, February or March who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated. | BretteTschurtz | 20 Nov |
| InitialAntibioticSelectionForCAPPatients | Immunocompetent patients with Community-Acquired Pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines | BretteTschurtz | 19 Nov |
| BloodCulturesPerformedWithin24Hours | Pneumonia patients transferred or admitted to the ICU within 24 hours of hospital arrival, who had blood cultures performed within 24 hours prior to or 24 hours after hospital arrival. | BretteTschurtz | 19 Nov |
| BloodCulturesCollectedPriorToInitialAntiobiotic | Pneumonia patients whose initial emergency room blood culture specimen was collected prior to first hospital dose of antiobiotics. | BretteTschurtz | 19 Nov |
| PneumococcalVaccination | Pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated. | BretteTschurtz | 19 Nov |
| OxygenationAssessment | Pneumonia patients who had an assessment of arterial oxygenation by arterial blood gas measurement or pulse oximetry within 24 hours prior to or after arrival at the hospital | BretteTschurtz | 19 Nov |
| LipidLoweringTherapyAtDischarge | Acute myocardial infarction (AMI) patients with elevated low-density lipoprotein cholesterol (LDL-c ≥ 100 mg/dL or narrative equivalent) who are prescribed a lipid-lowering medication at hospital discharge. | BretteTschurtz | 19 Nov |
| LDLCholesterolAssessment | Acute myocardial infarction (AMI) patients with documentation of low-density lipoprotein cholesterol (LDL-c) level in the hospital record or documentation that LDL-c testing was done during the hospital stay or is planned for after discharge. | BretteTschurtz | 19 Nov |
| InpatientMortality | Acute myocardial infarction (AMI) patients who expired during hospital stay | BretteTschurtz | 19 Nov |
| BetaBlockerPrescribedAtDischarge | Acute myocardial infarction (AMI) patients without beta-blocker contraindications who are prescribed a beta-blocker at hospital discharge | BretteTschurtz | 19 Nov |
| BetaBlockerAtArrival | Acute myocardial infarction (AMI) patients without beta-blocker contraindications who received a beta-blocker within 24 hours after hospital arrival | BretteTschurtz | 19 Nov |
| AspirinPrescribedAtDischarge | Acute myocardial infarction (AMI) patients without aspirin contraindications who are prescribed aspirin at hospital discharge. | BretteTschurtz | 19 Nov |
| EvaluationofLVSFunction | Heart failure patients with documentation in the hospital record that left ventricular systolic (LVS) function was evaluated before arrival, during hospitalization, or is planned for after discharge. | BretteTschurtz | 19 Nov |
| InpatientNeonatalMortality | Live-born neonates who expire before the neonate becomes age 28 days | BretteTschurtz | 16 Nov |
| ACEiOrARbPrescribedAtDischargeForLVSD | Heart failure patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge. | BretteTschurtz | 16 Nov |
| DischargeInstructions | Heart failure patients discharged home with written instructions or educational material given to patient or caregiver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen. | BretteTschurtz | 14 Nov |