Friday, November 09, 2007

Quality Indicators: CMS Reporting

From the Iowa Hospital Association Friday mailing:

PPS hospitals must begin submitting data on seven indicators (reduced from 10) to an as yet undisclosed contractor beginning with outpatient services provided on or after April 1, 2008 in order to receive the full payment update for 2009. Like the inpatient PPS quality reporting program, non-compliant hospitals will receive an update factor reduced by 2 percentage points for the duration of 2009.

The seven measures CMS is requiring for the initial implementation of the the Hospital Outpatient Quality Data Reporting Program have been endorsed by the National Quality Forum and include (emphasis added):

• Emergency department (ED) transfer acute myocardial infarction (AMI) 1: Aspirin at
• ED-AMI-2: Median time to fibrinolysis
• ED-AMI-3: Fibrinolytic therapy received within 30 minutes of arrival
• ED-AMI-4: Median time to electrocardiogram
• ED-AMI-5: Median time to transfer for primary PCI

• Physician Quality Reporting Initiative (PQRI) #20 (Perioperative Care): Timing of antibiotic prophylaxis
• PQRI #21 Perioperative Care: Selection of prophylactic antibiotic


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