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Fiscal Year 2016 Measures

Hospital Value-Based Purchasing

A hospital’s performance for fiscal year (FY) 2016 in Hospital Value-Based Purchasing (VBP) will be based on its performance according to the following measures:

  • 8 Clinical Process of Care measures
  • 8 Patient Experience of Care dimensions (HCAHPS)
  • 3 30-Day Outcome Mortality measures:
    • Acute Myocardial Infarction (AMI)
    • Heart Failure (HF)
    • Pneumonia (PN)
  • 1 Agency for Healthcare Research and Quality (AHRQ) Composite measure:
    • Patient Safety Indicator (PSI-90)
  • 3 Healthcare Associated Infection:
    • Central Line-Associated Blood Stream Infection (CLABSI)
    • Catheter-Associated Urinary Tract Infection (CAUTI)
    • Surgical Site Infection
      • Abdominal Hysterectomy
      • Colon Surgery
  • 1 Efficiency measure:
    • Medicare Spending Per Beneficiary (MSPB)

Clinical Process of Care Domain

Measure ID* Measure Description
AMI-7a Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival
IMM-2 Influenza Immunization
PN-6 Initial Antibiotic Selection for CAP in Immunocompetent Patient
SCIP-Card-2 Surgery Patients on a Beta Blocker Prior to Arrival That Received a Beta Blocker During the Perioperative Period
SCIP-Inf-2 Prophylactic Antibiotic Selection for Surgical Patients
SCIP-Inf-3 Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time
SCIP-Inf-9 Postoperative Urinary Catheter Removal on Post Operative Day 1 or 2
SCIP-VTE-2 Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery

* Measure name:
   AMI = Acute Myocardial Infarction
   IMM = Immunization
   PN = Pneumonia
   SCIP = Surgical Care Improvement Project

Patient Experience of Care for the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) Domain

Measure Descriptions:

  • Communication with Nurses
  • Communication with Doctors
  • Responsiveness of Hospital Staff
  • Pain Management
  • Communication about Medicines
  • Cleanliness and Quietness of Hospital Environment
  • Discharge Information
  • Overall Rating of Hospital

Outcome Domain

Measure ID** Measure Description
MORT-30-AMI Acute Myocardial Infarction (AMI) 30-Day Mortality Rate
MORT-30-HF Heart Failure (HF) 30-Day Mortality Rate
MORT-30 PN Pneumonia (PN) 30-Day Mortality Rate
AHRQ Composite (PSI-90) Complication/Patient safety for selected indicators (Composite)
CAUTI Catheter-Associated Urinary Tract Infection
CLABSI Central Line-Associated Blood Stream Infection

SSI - Colon Surgery

SSI - Abdominal Hysterectomy

** Measure names:
    MORT = Outcome Mortality Measure
    AHRQ = Agency for Healthcare Research and Quality
    PSI = Patient Safety Indicators
    SSI = Surgical Site Infection

Efficiency Domain

Measure ID Measure Description
MSPB Medicare Spending Per Beneficiary

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