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2013 Core Measures
Transcript of 2013 Core Measures
4.Surgical Care Improvement Project (SCIP) and Hospital Outpatient (HOP)
2.Heart Failure (HF)
MMC Core Measures --
Are required by JACHO and the Centers for Medicare and Medicaid Services
1.Acute Myocardial Infarction (AMI)
Prophylactic antibiotic received within 1 hour before surgical incision for CABG, Cardiac surgery, Colon Surgery, Hysterectomy, and Vascular Surgery.
Influenza for all patients 6 months and older from October 1 through March 31.
Pneumococcal year round for patients 6 years and older if:
1. 6 to 64 years old with: COPD, CHF, liver disease, DM, sickle cell, spleen dysfunctions, HIV, ETOH abuse, cochlear implants
2. 19 to 64 years old with asthma
2013 JACHO Preparation
Memorial Medical Center has
CORE measures that are constantly monitored
From Roots to Results
Aspirin at arrival (w/in 24 hrs)
Aspirin prescribed at DC
Heart meds x 2 including beta blocker prescribed at DC
Time to thrombolysis (Door to drug <30 minutes)
Time to Percutaneous Coronary Intervention (PCI) at the Cath lab (Door to dilation <90 minutes)
Left Ventricle Function (LVF) tests planned for before, during, or after hospitalization
If ejection fraction is less than 40%, Heart meds prescribed before DC
DC instructions (all must be completed): Activity level, Diet, Medication reconciliation, Primary care physician appointment set up, Weight monitoring, What to do if symptoms get worse.
Blood culture (prior to first dose of antibiotics)
Antibiotic selection (ICU and non-ICU)