Quality Improvement Topics Currently Available

Topics Related to Prevention

• Smoking Cessation Counseling Programs
• Smoke-Free Hospital Campus Initiatives
• Screening & Brief Intervention for Alcohol and Other Drug Use

Performance Measure Related Topics

Acute Myocardial Infarction

• Aspirin at Arrival
• Aspirin prescribed at discharge
• ACEI or ARB for patients with LVSD prescribed at discharge
• Adult smoking cessation counseling
• Beta blocker at arrival
• Beta blocker prescribed at discharge
• Timing of Fibrinolytic therapy
• Timing of PCI
• AMI inpatient mortality
• LDL cholesterol assessment
• Lipid lowering therapy at discharge

Health Care Staffing Services

• Do Not Return - Clinical
• Do Not Return - Professional
• Completeness of Personnel File

Heart Failure

• Complete written discharge instructions provided at discharge
• Left ventricular function assessment
• ACEI or ARB for patients with LVSD prescribed at discharge
• Adult smoking cessation counseling

Pneumonia

• Oxygenation assessment
• Pneumococcal vaccination
• Blood Cultures collected prior to antibiotic
• Blood Cultures performed within 24 hours of arrival
• Adult smoking cessation counseling
• Influenza vaccination
• Antibiotic timing
• Antibiotic selection

Stroke

• Deep Vein Thrombosis (DVT) Prophylaxis
• Discharged on Antithrombotic Therapy
• Patients with Atrial Fibrillation Receiving Anticoagulation Therapy
• Thrombolytic Therapy Administered
• Antithrombotic Therapy Administered by End of Hospital Day Two
• Discharged on Cholesterol Reducing Medications
• Dysphagia Screening
• Stroke Education
• Adult Smoking Cessation Counseling
• Assessed for Rehabilitation

Surgical Care Improvement and Infection Prevention

• Prophylactic antibiotic received within one hour prior to surgical incision
• Prophylactic antibiotic selection
• Prophylactic antibiotic discontinuation
• Surgical patients on beta blocker prior to and after surgery
• Surgical patients who received appropriate venous thromboembolism prophylaxis
• Appropriate hair removal
• Recommended venous thromboembolism prohylaxis
• Cardiac surgery patients with controlled postop blood glucose
• Colorectal surgery patients with immediate postop normothermia

Pregnancy and Related Conditions

• Inpatient neonatal mortality
• 3rd or 4th degree laceration

Children's Asthma Care

• Home management plan of care
• Relievers for inpatient asthma
• Systemic corticosteroids for inpatient asthma

Hospital-Based Inpatient Psychiatric Services

• Assessment of violence, substance use, trauma and strengths
• Restraint use
• Seclusion use
• Discharge on multiple antipsychotic medications
• Discharge assessment sent to next level of care provider upon discharge

Behavioral Health Care Topics

• Recovery: Improving Quality of Life - Housing
• Recovery: Improving Quality of Life - Employment
• Implementing Failure Mode Effects Analysis in Behavioral Health Care Settings
• Using Outcome Informed Care Processes to improve BHC Outcomes

Other Topics of Interest (topics suggested by users)

• Fall Prevention
• Safely reducing the risk of 1:1 observation
• Emergency Department Triage to Improve Patient Throughput
• Medication Reconciliation
• Suicide Assessment
• Handoffs among Medical Staff
• Reducing Pressure Ulcers
• Reporting Adverse Events and Near Misses
• Education of Patients and Healthcare Teams on Reduction of Hospital Infections
• Guidelines Pertaining to Heart Teams and Response Time of On-call Cardiologists
• Advance Directives: Operational Process and Compliance
• Timing of Therapy Evaluations (Physical, Occupational, and Speech)
• Reducing Inpatient Recidivism or Length of Stay for Mental Health and Substance Use Disorders
• International Quality Improvement (QI) Experiences
• Palliative Care
• Improving Patient Vital Sign Monitoring
• Improving Physician Performance Evaluations
• Presentation of Quality Information

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