Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Current quality measures in use
Slide content:HQA Categories and Examples Myocardial infarction Aspirin at arrival and discharge Inpatient mortality Heart failure Discharge instructions Evaluation of left ventricular systolic function Pneumonia Time to blood cultures and antibiotics Pneumococcal and influenza vaccinations Surgical infection prevention Prophylactic antibiotics Prophylaxis for deep venous thrombosis Childrens asthma care Reliever medication while hospitalized Home Management Plan of Care Document 10
Slide notes:Here are the HQA categories and some examples of the measures. The broad categories are myocardial infarction, heart failure, pneumonia, surgical infection prevention, and childrens asthma care. Within these categories are a variety of mainly process measures; these are the quality measures that are reported to HQA and posted on the Hospital Compare website. Among the measures for myocardial infarction are actions such as aspirin given upon arrival at the hospital; when the diagnosis is made and when the patient is discharged; as well as inpatient mortality. For heart failure, the provision of discharge instructions and the evaluation of the patients left ventricular systolic [ si- stol -ik ] function are measures. For pneumonia, the measures include time to blood culture positivity and antibiotics as well as vaccinations for pneumococcus [ noo-muh- kok -uhs ] and influenza. For surgical infection prevention, the measures look at prophylactic antibiotics as well as prophylaxis for deep venous [ vee -nuhs ] thrombosis. For childhood asthma, the measures are the need for reliever medication while hospitalized and the development of a Home Management Plan of Care Document. 10