patient safety indicators; prevention, inpatient, pediatric quality indicators
What are the 4 AHRQ qualities?
Agency for Healthcare Quality & Research
What does AHRQ stand for?
quality indicators
-standardized, evidence-based measures of healthcare quality that can be
used with readily available hospital inpatient administrative data to
measure and track clinical performance and outcomes
importance of measure, scientific evidence, feasibility, usability, presence of competing measures
CMS standards for quality indicators? (5)
must be: measurable w/ pre-existing data on large scale, related to improvement in patient outcomes/cost, in agreement w/ clinical guidelines, fairly represent quality of entity, accepted by stakeholders
What makes a good quality measure? (5)
quality indicator = # of patients on therapy/ total # of patients w disease/eligible
Anatomy of a quality indicator?
structure measure
-capture fixed attributes of a care system that should be present for a setting or clinician to be considered high-performing.
process measure
-assess how well care delivery is provided according ot well accepted evidence based criteria
outcome measures
-reflect the actual outcomes of care provided.
medicare & chip reauthorization act
Recently, the ________________ of 2015 reshaped the quality landscape and
set targets for quality improvement and value based reimbursement
strategies.
national committee for quality assurance
What does NCQA stand for?
Pharmacy Quality alliance
What does PQA stand for?
c
30-day hospital readmission following heart failure hospitalization.
a) structure
b) process
c) outcome
c
Mortality rate among patients undergoing CABG.
a) structure
b) process
c) outcome
a
Availability of an interventional cardiology lab 24 hours a day, 7 days a week.
a) structure
b) process
c) outcome
a
Availability of electronic prescribing and an easily accessible pharmacist for medication safety.
a) structure
b) process
c) outcome
b
Percentage of patients 65 years of age and older who were ordered high-risk medications.
a) structure
b) process
c) outcome
b
Percentage of patients with atrial fibrillation who were prescribed anticoagulants.
a) structure
b) process
c) outcome
c
Percentage of patients who are adherent to their statin medication.
a) structure
b) process
c) outcome
b
The percentage of heart failure discharges from an inpatient facility seen within 30 days for medication reconcilitation.
a) structure
b) process
c) outcome
Pay for performance (P4P)
-estimates reimbursement incentives and penalties based on observed quality indicator scores from the previous reporting year.