Heart Attack Care Heart Attack Care Heart Attack Patients Receiving a Procedure to Open Blood Vessels Within 90 Minutes After Getting to the Hospital Hospital Outpatient with Chest Pain or Possible Heart Attack Given Aspirin When Patient Gets to the Hospital Hospital Outpatient with Chest Pain or Possible Heart Attack - Average Number of Minutes Before Patient Got a Test to See How Well Their Heart is Working
AMI 8a OP 4
Hospital Level Hospital Level
OP 5
Hospital Level
Heart Failure Patients Given Test to See How Well the Heart is Able to Pump Blood
HF 2
Hospital Level
Dying in the Hospital After Heart Failure Dying in the Hospital After a Stroke Dying in the Hospital After Getting Pneumonia Dying in the Hospital with Health Problems that Rarely Result in Death
IQI 16 IQI 17 IQI 20 PSI 2
Hospital Level State Hospital Level Hospital Level
PSI 15 PSI 16 and PDI 13 PSI 6
Hospital Level State Hospital Level
IQI 19 IQI 14 PSI 4
Hospital Level State Hospital Level
Heart Failure Care Heart Failure Care
Complications & Deaths Deaths - Medical Care
Complications - Medical Care Accidental Cut or Tear Bad Reaction to Donated Blood Accidental Puncture of the Lung Deaths - Surgical Care Dying in the Hospital After a Fractured Hip Dying in the Hospital After Hip Replacement Surgery Surgery Patients Dying in the Hospital Because a Serious Problem Was Not Identified and Treated
2
Category Type
Metric Identification Number
Metric Format
PSI 9 PSI 10 PSI 11 PSI 14 PSI 12 PSI 5 and PDI 3 COMP HIP KNEE
Hospital Level State Hospital Level Hospital Level Hospital Level State Hospital Level
PDI 1 PDI 5
Hospital Level State
READM 30 AMI READM 30 HF READM 30 PN READM 30 HIP KNEE READM 30 HOSP WIDE
Low Back Pain - MRI (Magnetic Resonance Image) Pictures
OP 8
Hospital Level
Breast Cancer - Follow-up Appointments After Screening
OP 9
Hospital Level
Metric Name
Complications - Surgical Care Bleeding or Blood Clots After Surgery Abnormal Changes in Internal Body Functions After Surgery Breathing Problems After Surgery Surgical Wound Splits Open After Surgery Blood Clot in a Leg Vein or Lung After Surgery Objects Accidentally Left in the Body After Surgery or Medical Care Hip/Knee Surgery Patients That Have Complications Complications - Pediatric Accidental Cut or Tear (For Children < 18 Years Old) Accidental Puncture of the Lung (For Children < 18 Years Old) Readmissions Readmissions Heart Attack Patients That Return to a Hospital For More Care Within 30 Days Heart Failure Patients That Return to Hospital For More Care Within 30 Days Pneumonia Patients That Return to Hospital For More Care Within 30 Days Hip/Knee Surgery Patients That Return to Hospital For More Care Within 30 Days Patients That Return to Hospital For More Care Within 30 Days Pneumonia Care Pneumonia Care Pneumonia Patients Given the Right Antibiotic Immunizations Healthcare Workers Influenza Vaccination Healthcare Workers Given Influenza Vaccination Patient Immunizations
Use of Medical Imaging Low Back Pain
Breast Cancer Screening
3
Category Type
Metric Identification Number
Metric Format
CT (Computed Tomography) Scans - Stomach Area CT (Computed Tomography) Scans - Chest Area Healthy Appendix Removed in Older Patients Number of Times a Procedure is Used to Find Blocked Blood Vessels in the Heart Heart (Cardiac) Imaging Stress Tests Before a Low-Risk Surgery CT (Computed Tomography) Scans - Patients with Brain CT Scans Who Got a Sinus CT Scan at the Same Time
OP 10 OP 11 IQI 24 IQI 25 OP 13
Hospital Level Hospital Level State State Hospital Level
Frequency of Tests/Procedures Frequency of Tests/Procedures
Falls Falls
Surgical Care - Processes Inpatient Surgical Processes Surgery Patients Who Received Treatments On Time to Prevent Blood Clots Surgery Patients Who Were Given an Antibiotic at the Right Time Surgery Patients Given the Right Antibiotic Surgery Patients Whose Antibiotics Were Stopped At the Right Time After Surgery Heart Surgery Patients Whose Blood Sugar is Kept Under Control in the Days Right After Surgery Surgery Patients Whose Urinary Catheters Were Removed on the First or Second Day After Surgery Surgery Patients Given Medicine to Lower Blood Pressure
Hospital-Acquired Infections Infections - Surgical Care Bloodstream Infection After Surgery Infection After Colon Surgery Infection After Abdominal Hysterectomy Surgery
4
Category Type
Metric Identification Number
Metric Format
HAI 1
Hospital Level
HAI 2
Hospital Level
HAI 5 HAI 6
Hospital Level Hospital Level
Injury to Mother After a Vaginal Delivery (With Use of Medical Instruments to Help Deliver Baby) Injury to Mother After a Vaginal Delivery (Without Use of Medical Instruments to Help Deliver Baby) Percent of Newborns Whose Deliveries Were Scheduled Too Early (1-3 Weeks Early), When a Scheduled Delivery Was Not Medically Necessary
PSI 18 PSI 19
State State
PC 01
Hospital Level
Injury to Baby
PSI 17
Hospital Level
Patients' Overall Rating of Hospital Communication How Often Did Doctors Communicate Well with Patients? How Often Did Nurses Communicate Well with Patients? How Often Did Staff Explain About Medicines Before Giving Them to Patients? Were Patients Given Information About What To Do During Their Recovery at Home?
Patients' Overall Rating of Hospital Staff Care How Often Did Patients Receive Help Quickly from Hospital Staff? How Often Was Patients' Pain Well Controlled?
HCAHPS COMP STAFF HCAHPS 5 HCAHPS 6
Hospital Level Hospital Level Hospital Level
HCAHPS COMP ENVIRON HCAHPS 7 HCAHPS 8
Hospital Level Hospital Level Hospital Level
Metric Name
Infections - Medical Care Infection From Tubes Inserted Into Body, Central line-associated Bloodstream Infection (CLABSI) [ICU and select units] Infection From Tubes Inserted Into Body, Catheter-associated Urinary Tract Infection (CAUTI) [ICU and select units] Methicillin-resistant Staphylococcus Aureus (MRSA) Bloodstream Infections (BSI) Clostridium Difficile Infections (C-Diff) Pregnancy - Newborn Care Moms
Babies
Patient Experiences in Hospital Communication
Staff Care
Hospital Clean and Quiet Patients' Overall Rating of the Hospital Environment How Often Were the Patients' Rooms and Bathrooms Kept Clean? How Often Was the Area Around Patients' Rooms Kept Quiet at Night?
5
Category Type
Metric Name
Metric Identification Number
Metric Format
HCAHPS COMP OVERALL HCAHPS 9 HCAHPS 10
Hospital Level Hospital Level Hospital Level
MSPB 1
Hospital Level
STK 1
Hospital Level
STK 2
Hospital Level
STK 4
Hospital Level
STK 5
Hospital Level
STK 10
Hospital Level
OP 23
Hospital Level
VTE 1
Hospital Level
VTE 2
Hospital Level
VTE 3
Hospital Level
ED 1b
Hospital Level
ED 2b
Hospital Level
OP 18b
Hospital Level
OP 21
Hospital Level
Overall Satisfaction Patients' Overall Rating of the Hospital How Do Patients Rate the Hospital Overall? Would Patients Recommend the Hospital to Friends and Family? Medicare Spending Per Patient Medicare Spending Per Patient Spending per Hospital Patient with Medicare Stroke Care Stroke Care Ischemic or Hemorrhagic Stroke Patients Who Received Treatment to Keep Blood Clots From Forming Anywhere in the Body Within 2 Days of Arriving at the Hospital Ischemic Stroke Patients Who Received a Prescription for Medicine Known to Prevent Complications Caused by Blood Clots Before Discharge Ischemic Stroke Patients Who Got Medicine to Break Up a Blood Clot Within 3 Hours After Symptoms Started Ischemic Stroke Patients Who Received Medicine Known to Prevent Complications Caused by Blood Clots Within 2 Days of Arriving at the Hospital Ischemic or Hemorrhagic Stroke Patients Who Were Evaluated for Rehabilitation Services Patients Who Came to the Emergency Department With Stroke Symptoms Who Received Brain Scan Results Within 45 Minutes of Arrival Blood Clot Prevention/Care Blood Clot Prevention/Care Patients Who Got Treatment to Prevent Blood Clots on the Day of or Day After Hospital Admission or Surgery Patients Who Got Treatment to Prevent Blood Clots on the Day of or Day After Being Admitted to the Intensive Care Unit (ICU) Patients With Blood Clots Who Got the Recommended Treatment, Which Includes Using Two Different Blood Thinner Medicines at the Same Time Emergency Room Care Emergency Room Care Average Time Patients Spent in the Emergency Department Before They Were Admitted to the Hospital as an Inpatient Average 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 Average Time Patients Spent in the Emergency Department Before Being Sent Home Average Time Patients Who Came to the Emergency Department With Broken Bones Had to Wait Before Receiving Pain Medication
