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CMS Centers for Medicare and Medicaid Services

 

Measures

30-day rate of readmission for chronic obstructive pulmonary disease (COPD)
30-day rate of readmission for coronary artery bypass surgery (CABG)
30-day rate of readmission for heart attack
30-day rate of readmission for heart failure
30-day rate of readmission for stroke
30-day readmission rate for pneumonia
Appropriate recommendation for follow-up after screening colonoscopy
Average time in ED for patients with broken bones to receive pain medication
Brain CT scan with sinus CT scan
Cardiac imaging tests before low-risk outpatient surgery
Cardiac imaging tests before low-risk outpatient surgery
Catheter-associated urinary tract infections (CAUTI)
Central line associated bloodstream infection (CLABSI) (CMS)
Clostridium difficile infections (CDI) (CMS)
Combination or double CT scans of the abdomen
Combination or double CT scans of the chest
Complications after hip or knee replacement surgery
Death from any cause within 30 days of hospitalization for chronic obstructive pulmonary disease (COPD)
Death from any cause within 30 days of hospitalization for coronary artery bypass surgery (CABG)
Death from any cause within 30 days of hospitalization for heart attack
Death from any cause within 30 days of hospitalization for heart failure
Death from any cause within 30 days of hospitalization for pneumonia
Death from any cause within 30 days of hospitalization for stroke
Follow-up colonoscopy for patients with a history of polyps
Follow up mammogram or ultrasound
Healthcare workers given influenza vaccination
Hospital-wide readmission
Median time in ED after decision to admit to the hospital
Median time in ED for patients admitted to the hospital
Median time in ED for patients discharged from the ED
Median time in ED for patients to see healthcare provider
Methicillin-resistant Staphylococcus aureus (MRSA) infections (CMS)
MRI for low back pain
Newborns whose deliveries were scheduled too early (1-3 weeks early), when a scheduled delivery was not medically necessary
Patient satisfaction and willingness to recommend the hospital
Patient satisfaction with cleanliness of room
Patient satisfaction with doctor communication
Patient satisfaction with hospital overall
Patient satisfaction with information about medication
Patient satisfaction with information for recovery at home
Patient satisfaction with nurse communication
Patient satisfaction with pain control
Patient satisfaction with quiet environment
Patient satisfaction with timely help
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it
Patient understood care instructions before discharge
Percentage of patients in ED who left before they were seen by a healthcare provider (CMS)
Pneumonia: flu vaccine
Readmission rate for hip or knee replacement surgery
Surgical site infection (SSI) after abdominal hysterectomy
Surgical site infection (SSI) after colon surgery