2009 LHRP Measures

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
Common Acute Conditions	14%	Pneumonia Quality	7%	Continuous
Hospital-Acquired Conditions	12%	Hospital Injuries Incidence Rate	6%	Continuous
Hospital-Acquired Conditions	12%	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

LHRP Resource Use Measures and Weights
Measure Category	Overall Category Weight	Measure	Measure Weight	Measure Type
Evidence-Based Hospital Referral	42%	CABG resource use	21%	Continuous
Evidence-Based Hospital Referral	42%	PCI resource use	21%	Continuous
Common Acute Conditions	48%	AMI Resource Use	24%	Continuous
Common Acute Conditions	48%	Pneumonia Resource Use	24%	Continuous
Hospital-Acquired Conditions	10%	Pressure Ulcers Incidence rate	5%*	Continuous
Hospital-Acquired Conditions	10%	Injuries Incidence rate	5%*	Continuous
* Note that, in addition to the weight listed here, this measure is also part of the quality score that influences a hospital’s overall efficiency score.