New CMS Data Available

[Joseph Gulotta]

Hello again:

IPRO's eServices team is proud to announce that new CMS data is available in pellucid.  As mentioned in my last email, this data coincides with the most recent CMS data run and consists of significant changes to the measures reported.  Some of the measures have a new reporting period, while others have been retired in order to make room for new reporting measures.  Please see the full list of changes below.  If you are looking to view the data, you can log in to pellucid at pellucid.ipro.org/dba, with the user: public and the password: tryloyw.  Thanks and have a pleasant day!

HEART ATTACK:

Measures Remaining; Data Updated to 11Q2_12Q1:

AMI-2 Heart Attack Patients Given Aspirin at Discharge

AMI-7a Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

AMI-8a Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

AMI-10 Statin Prescribed at Discharge

Measures Retired:

AMI-1 Heart Attack Patients Given Aspirin at Arrival

AMI-3 Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

AMI-4 Heart Attack Patients Given Smoking Cessation Advice/Counseling

AMI-5 Heart Attack Patients Given Beta Blocker at Discharge

Measures Added:

None

HEART FAILURE:

Measures Remaining; Data Updated to 11Q2_12Q1

HF-1 Heart Failure Patients Given Discharge Instructions

HF-2 Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

HF-3 Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Measure Retired: 

HF-4 Heart Failure Patients Given Smoking Cessation Advice/Counseling

Measures Added:

None

PNEUMONIA:

Measures Remaining; Data Updated to 11Q2_12Q1:

PN-3b Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

PN-6 Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

Measures Retired:

PN-2 Pneumonia Patients Assessed and Given Pneumococcal Vaccination

PN-4 Pneumonia Patients Given Smoking Cessation Advice/Counseling

PN-5c "Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival' - Timing of Receipt of Initial Antibiotic Following Hospital Arrival

PN-7 Pneumonia Patients Assessed and Given Influenza Vaccination

Measures Added:

None

SCI:

Measures Remaining; Data Updated to 11Q2_12Q1:

SCIP-Inf-1 Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

SCIP-Inf-2 Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

SCIP-Inf -3 Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

SCIP-VTE -1 Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries

SCIP-VTE -2 Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery

SCIP-Inf -4 Cardiac Surgery Patients with Controlled 6A.M Postoperative Blood Glucose

SCIP- Card-2 Surgery Patients on Beta-Blocker Therapy Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period

SCIP-Inf-9 Surgery patients whose urinary catheters were removed on the first or second day after surgery

SCIP-Inf-10 Surgery Patients with Perioperative Temperature Management

Measure Retired:

SCIP-Inf -6    Surgery Patients with Appropriate Hair Removal

Measures Added:

None

EMERGENCY CARE (NEW)

Measures Remaining: N/A

Measures Retired: N/A

Measures Added; Data Published for One Quarter:  (1/1/2012 - 3/31/2012):

ED-1b Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient    

ED-2b Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room 

OP-18/ED-3 Average time patients spent in the emergency department before being sent home  

OP-20 Average time patients spent in the emergency department before they were seen by a healthcare professional    

OP-21 Average time patients who came to the emergency department with broken bones had to wait before receiving pain medication   

OP-22 Percentage of patients who left the emergency department before being seen    

OP-23 Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival    

PREVENTIVE CARE (NEW):

Measures Remaining: N/A

Measures Retired: N/A

Measures Added; Data Published for One Quarter  (1/1/2012 - 3/31/2012):

IMM-1a Patients assessed and given influenza vaccination  

IMM-2 Patients assessed and given pneumonia vaccination    

HAI:

Measures Remaining; Data Updated to 11Q2_12Q1:

Central Line Associated Bloodstream Infections (CLABSI) 

Measures Retired:

None

Measures Added: Data Published for One Quarter (1/1/2012-3/31/2012):

Catheter Associated Urinary Tract Infections (CAUTI)   

Surgical Site Infections from colon surgery (SSI: Colon) 

Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy

HIT (NEW):

Measures Remaining: N/A

Measures Retired: N/A

Measures Added; Data Published for 11Q1_11Q4:

OP-12 Able to receive lab results electronically 

OP-17 Able to track patients’ lab results, tests, and referrals electronically between visits 

MEDICARE PAYMENT / REIMBURSEMENT

Measures Remaining:

Spending per Hospital Patient with Medicare: Data Published for 5/1/2011-12/31/2011

Number of Medicare Patients Treated: Data Published for 10/1/2010-9/30/2011

Measures Retired:

Median Medicare reimbursement for MS-DRG 282: Acute myocardial infarction, discharged alive w/o CC/MCC

Median Medicare reimbursement for MS-DRG 293: Heart failure & shock w/o CC/MCC

Median Medicare reimbursement for MS-DRG 193: Simple pneumonia & pleurisy w MCC

Median Reimbursement: Chronic obstructive pulmonary disease without complications or comorbidities 

Median Reimbursement: Permanent cardiac pacemaker implant without complications or comorbidities 

Median Reimbursement: Hernia procedures except inguinal & femoral without complications or comorbidities 

Median Reimbursement: Laparoscopic cholecystectomy w/o c.d.e. without complications or comorbidities

Median Reimbursement: Major joint replacement or reattachment of lower extremity without complications or comorbidities 

Median Reimbursement: Diabetes with multiple complications or comorbidities 

Measures Added:

None

HCAHPS:

Measures Remaining; Data Updated to 11Q2_12Q1:

Patients who reported that their nurses "Always" communicated well

Patients who reported that their doctors "Always" communicated well

Patients who reported that they "Always" received help as soon as they wanted

Patients who reported that their pain was "Always" well controlled

Patients who reported that staff "Always" explained about medicines before giving it to them

Patients who reported that their room and bathroom were "Always" clean

Patients who reported that the area around their room was "Always" quiet at night

Patients at each hospital who reported that YES, they were given information about what to do during their recovery at home

Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)

Patients who reported YES, they would definitely recommend the hospital

Measures Retired:

None

Measures Added:

None

MORTALITY:

Measures Remaining; Data Not Updated

Heart Attack 30-Day Mortality Rate

Heart Failure 30-Day Mortality Rate

Pneumonia 30-Day Mortality Rate

Measures Retired:

None

Measures Added: 

None

READMISSIONS:

Measures Remaining; Data Not Updated

Hospital 30-Day Readmission Rates for Heart Attack

Hospital 30-Day Readmission Rates for Heart Failure

Hospital 30-Day Readmission Rates for Pneumonia

Measures Retired:

None

Measures Added: 

None

IQI & PSI: 

Measures Remaining; Data Not Updated

PSI 4 Rate of Death among Surgical Inpatients with Serious Treatable Complications

PSI 6 Iatrogenic Pneumothorax Rate

PSI 11 Postoperative Respiratory Failure

PSI 12 Postoperative Pulmonary Embolism or Deep Vein Thrombosis

PSI 14 Postoperative Wound Dehiscence Rate

PSI 15 Accidental Puncture or Laceration Rate

PSI 90 Complications/Patient Safety for Selected Indicators (Composite Score)

IQI 11 Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate

IQI 19 Hip Fracture Mortality Rate

IQI 91 Mortality for Selected Conditions (Composite Score)

Measures Retired:

None

Measures Added: 

None

HAC

Measures Remaining; Data Not Updated

HAC_1 Foreign object retained after surgery

HAC_2 Air embolism

HAC_3 Blood Incompatibility

HAC_4 Pressure Ulcer stages III and IV

HAC_5 Falls and Trauma

HAC_6 Vascular Catheter-associated Infection

HAC_7 Catheter-associated Urinary Tract Infection

HAC_8 Manifestations of Poor Glycemic Control

Measures Retired:

None

Measures Added: 

None

Sincerely,

Joe Gulotta
Manager of Data Systems
eServices
IPRO
Improving Healthcare for the Common Good
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Lake Success, NY 11042
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