NQMC Update Service: March 17, 2014 ▲ The Joint Commission

NQMC Update Service: March 17, 2014

March 17, 2014

The Joint Commission

• Pneumonia: percent of immunocompetent ICU patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines.This updates a previously published measure summary.

• Pneumonia: percent of immunocompetent non-intensive care unit (ICU) patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines. This updates a previously published measure summary.

• Stroke: percent of acute ischemic stroke patients for whom IV t-PA was initiated at the hospital within 3 hours (less than or equal to 180 minutes) of time last known well. This updates a previously published measure summary.

• Stroke: percent of ischemic and hemorrhagic stroke patients who received VTE prophylaxis or who have documentation why no VTE prophylaxis was given the day of or the day after hospital admission. This updates a previously published measure summary.

• Stroke: percent of ischemic or hemorrhagic stroke patients or their caregivers who were given educational materials during the hospital stay addressing all five specified education categories. This updates a previously published measure summary.

• Stroke: percent of ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients prescribed antithrombotic therapy at hospital discharge.This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge. This updates a previously published measure summary.

• Stroke: percent of ischemic stroke patients with LDL greater than or equal to 100 mg/dL, or LDL not measured, or who were on a lipid-lowering medication prior to hospital arrival, who are prescribed a statin medication at hospital discharge. This updates a previously published measure summary.

• Venous thromboembolism (VTE): percent of patients diagnosed with confirmed VTE during hospitalization (not present at admission) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnosis testing order date. This updates a previously published measure summary.

• Venous thromboembolism (VTE): percent of patients diagnosed with confirmed VTE that are discharged to home, home care, court/law enforcement or home on hospice care on warfarin with written discharge instructions that address all four criteria: compliance issues, dietary advice, follow-up monitoring, and information about the potential for adverse drug reactions/interactions. This updates a previously published measure summary.

• Venous thromboembolism (VTE): percent of patients diagnosed with confirmed VTE who received an overlap of parenteral (IV or subcu) anticoagulation and warfarin therapy. This updates a previously published measure summary.

• Venous thromboembolism (VTE): percent of patients diagnosed with confirmed VTE who received IV UFH therapy dosages AND had their platelet counts monitored using defined parameters such as a nomogram or protocol. This updates a previously published measure summary.

• Venous thromboembolism (VTE): percent of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission. This updates a previously published measure summary.

• Venous thromboembolism (VTE): percent of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after initial admission (or transfer) to the ICU or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer). This updates a previously published measure summary.