|
LHRP Quality Measures and Weights |
|
Measure Category |
Overall Category Weight |
Measure |
Measure Weight |
Measure Type |
|
CPOE |
10% |
CPOE Score |
10% |
Categorical |
|
IPS |
10% |
IPS Score |
10% |
Categorical |
|
Evidence Based Hospital Referral |
31% |
CABG Quality |
5% |
Categorical |
|
PCI Quality |
5% |
Categorical |
|
AVR Results |
3% |
Categorical |
|
AAA Results |
3% |
Categorical |
|
AAA Process |
2% |
Categorical |
|
Pancreatectomy mortality (survival predictor) |
3% |
Continuous |
|
Esophagectomy mortality (survival predictor) |
2% |
Continuous |
|
Bariatric Surgery Overall results |
3% |
Categorical |
|
High-risk Newborn Delivery Results |
5% |
Categorical |
|
Common Acute Conditions |
14% |
AMI Quality |
7% |
Continuous |
|
Pneumonia Quality |
7% |
Continuous |
|
Hospital-Acquired Conditions |
12% |
Hospital Injuries Incidence Rate |
6% |
Continuous |
|
Pressure Ulcer Incidence rate |
6% |
Continuous |
|
Never Events |
8% |
Never Events Policy |
8% |
Categorical |
|
Safe Practices |
15% |
Safe Practices
Note: Safe practices include:
SP1a - Culture of Safety
SP1b - Culture of Safety
SP1c - Culture of Safety
SP1d - Culture of Safety
SP2 – Informed Consent
SP3 – Life Sustaining Treatments
SP5 – Nursing Workforce
SP8 – Communication of Critical Information
SP10 – Labeling of Diagnostic Studies
SP 11 – Discharge Systems
SP 14 – Medication Reconciliation
SP 19 – Prevention of Aspiration and Ventilator Associated Pneumonia
SP 20 – Central Venous Catheter Related Bloodstream Infection Prevention
SP 22 – Hand Hygiene
SP 28 – DVT/VTE Prevention
SP 29 – Anticoagulation Therapy |
15% |
Continuous |
