Government Programs
Measures
(Click on the measure name for more information
including technical specifications where available)
Commercial Programs
Publicly Reported
Inpatient
Quality
Reporting
(IQR)
Outpatient
Quality
Reporting
(OQR)
Pay for Performance (P4P)
The Joint
Commission
(TJC)
Patient Experience Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Measures
X
Communication with Doctors
X
Discharge Information
X
Communication about Medications
Pain Management
X
National Hospital Quality Measures (NHQMs)
VTE-1: VTE prophylaxis
X
X
VTE-2: ICU VTE prophylaxis
X
X
VTE-3: VTE patients on anticoagulation overlap therapy
X
X
VTE-5: Warfarin therapy discharge instructions
X
X
VTE-6: Hospital acquired potentially-preventable VTE
X
X
IMM-2a: Influenza Immunization
OP25: Safe Surgery Checklist Use
OP-29: Endoscopy/Polyp Surveillance: Appropriate
Follow-Up Interval for Normal Colonoscopy in Average
Risk Patients
OP-30: Endoscopy/Polyp Surveillance: Colonoscopy
Interval for Patients with a History of Adenomatous
Polyps-Avoidance of Inappropriate Use
Hospital Acquired Infections (HAI)
CLABSI
CAUTI
SSI-Colon Surgery &Abdominal Hysterectomy
MRSA Bacteremia
CDIFF
Healthcare Personnel Influenza Vaccination
Healthcare Personnel Influenza Vaccination
30 Day Readmissions Measures
30-day THA and/or TKA Readmissions
30-day CABG Readmissions
X
30-day Hosptial-Wide All-Cause Unplanned Readmissions
X
X
Value Based
Purchasing
(VBP)
Readmissions
Reduction
Program
Hospital-Acquired
Condition
(HAC) Reduction
Program
X
X
X
X
X
X
BCBS
Harvard Pilgrim
Alternative
Tufts Health Plan
Health Care
Quality Contract
(THP)
(HPHC)
(AQC)
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
included in PSI-90
included in PSI-90
included in PSI-90
included in PSI-90
X
included in
included in
included in
included in
X
included in
included in
included in
included in
X
X
X
X
X
X
X
X
X
X
X
X
30-day All Cause Potentially Preventable Readmissions
Risk Adjusted Complication Measures
Complication Rate following elective primary THA and/or
TKA
Agency for Healthcare Research and Quality (AHRQ) Measures
PSI-4: Death among surgical inpatients with serious
treatable complications
PSI-6: Iatrogenic Pneumothorax, Adult
PSI-8: Post operative hip fracture
PSI-11: Post operative respiratory infection
PSI-12: Post operative PE/DVT
PSI-13: Post operative sepsis
PSI-14: Post operative Wound Dehiscence
PSI-15: Accidental puncture or laceration
PSI-90: Composite
Efficiency Measures
Medicare Spending per Beneficiary
MassHealth
Internal
Performance
Framework
(IPF)
PSI-90
PSI-90
PSI-90
PSI-90
PSI-90
PSI-90
PSI-90
PSI-90
X
X
X
X