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