NQMC Update Service: December 23, 2013

National Quality Measures Clearinghouse (NQMC)

December 23, 2013

New This Week

Measure Summaries

British Medical Association

Withdrawn Summaries

The summaries listed below have been withdrawn from the NQMC Web site because they are no longer in current use and therefore, do not meet the NQMC Inclusion Criteria. Please see the Measure Archive for a complete list of all measures that have been withdrawn from the NQMC Web site.

American Medical Directors Association

  • Heart failure: average time for a patient's ineffective treatment to be modified.
  • Heart failure: average time taken to respond to a patient's adverse drug reaction.
  • Heart failure: percentage of patients monitored for adverse drug reactions.
  • Heart failure: percentage of patients referred to cardiology/hospice/palliative care (after several ineffective modifications and based on patient's advance directive).
  • Heart failure: percentage of patients where heart failure is diagnosed urgently or emergently (i.e., not on admission or at periodic assessment).
  • Heart failure: percentage of patients with documentation that appropriate lab monitoring has been ordered.
  • Heart failure: percentage of patients with documented assessment for heart failure risk factors.
  • Heart failure: percentage of patients with documented assessment for imaging studies.
  • Heart failure: percentage of patients with documented assessment for reversible causes of heart failure.
  • Heart failure: percentage of patients with documented assessment for reversible etiology workup.
  • Heart failure: percentage of patients with documented assessment for signs, symptoms, and heart failure risk factors at admission.
  • Heart failure: percentage of patients with documented consideration of angiotensin-converting enzyme (ACE) inhibitor treatment.
  • Heart failure: percentage of patients with documented consideration of beta-blocker treatment.
  • Heart failure: percentage of patients with documented discussions regarding advance directives and/or adherence to the directive.
  • Heart failure: percentage of patients with documented periodic assessment for peripheral edema and other heart failure risk factors.
  • Heart failure: percentage of patients with documented periodic monitoring of heart failure symptoms (lung sounds, edema, decreased activity).
  • Heart failure: percentage of patients with heart failure on angiotensin-converting enzyme (ACE) inhibitor.
  • Heart failure: percentage of patients with heart failure on beta-blocker.
  • Heart failure: percentage of patients with heart failure on diuretic therapy for at least 6 months with electrolyte measures within normal ranges.
  • Heart failure: percentage of patients with heart failure on diuretic therapy who had electrolyte monitoring within the past 2 months.
  • Heart failure: percentage of patients with heart failure prescribed a low-sodium diet in the past 6 months.
  • Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with patient's advance care directive.
  • Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with severity of heart failure.
  • Heart failure: percentage of patients with heart failure prescribed pharmacologic agents consistent with type of ventricular dysfunction.
  • Heart failure: percentage of patients with heart failure readmitted for acute episode of heart failure.
  • Heart failure: percentage of patients with heart failure receiving nonpharmacologic treatment, such as diet intervention and fluid restriction.
  • Heart failure: percentage of patients with heart failure sent to emergency room (ER) for acute exacerbation.
  • Heart failure: percentage of patients with heart failure weighed as per physician's orders.
  • Heart failure: percentage of patients with heart failure weighed daily.
  • Heart failure: percentage of patients with heart failure with documented assessment of treatment effectiveness.
  • Heart failure: percentage of patients with heart failure with fluid volume overload prescribed a loop diuretic.
  • Heart failure: percentage of patients with medical record documentation for characterization of ventricular dysfunction as systolic or diastolic.
  • Heart failure: percentage of patients with medical record documentation indicating communication of signs and symptoms of heart failure by direct care team to physician/nurse practitioner/physician assistant.
  • Pressure ulcers: percentage of patients in facility admitted with a pressure ulcer.
  • Pressure ulcers: percentage of patients in facility who develop pressure ulcers while in the facility.
  • Pressure ulcers: percentage of patients with a pressure ulcer or pressure ulcer risk with documented periodic assessment for specific risk factors.
  • Pressure ulcers: percentage of patients with clinically significant complications.
  • Pressure ulcers: percentage of patients with documented assessment of pressure ulcer using a formal wound staging classification.
  • Pressure ulcers: percentage of patients with documented assessment of risks for possible pressure ulcer development.
  • Pressure ulcers: percentage of patients with documented assessment of skin for breakdown.
  • Pressure ulcers: percentage of patients with pressure ulcers that heal.
  • Pressure ulcers: percentage of patients with pressure ulcers with documented treatment plan for pressure reduction approaches.
  • Pressure ulcers: percentage of patients with pressure ulcers with documented treatment plans citing identified risk factors and co-morbid conditions.
  • Pressure ulcers: percentage of patients with pressure ulcers with necrotic tissue or slough with documented treatment plan for wound debridement.
  • Pressure ulcers: percentage of patients with pressure ulcers with periodic documentation on status of the characteristics of wound (e.g., size, depth, color, induration, odor, discharge).

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