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Improvement Focus

Areas of focus for performance improvement

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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

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For more information on content organization within the Perform web, see TopicClassification.

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Classification: Classification
Summary: Areas of focus for performance improvement
Facets: TopicType

r6 - 09 Apr 2007 - 13:59:27 - LynnwoodBrown
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