Major Hospital Quality Measurement Sets
The list of valid and reliable indicators of inpatient quality of care continues to grow and evolve as measures are refined, introduced, and retired. The National Quality Forum has endorsed , many of which are used for public reporting. This page highlights a few of the measurement sets that are typically used in reports for consumers.
- Hospital Inpatient Quality Reporting Program Measures.
- 大象视频Quality Indicators.
- 翱搁驰齿庐.
- CAHPS Hospital Survey.
- The Leapfrog Group鈥檚 Measures.
Hospital Inpatient Quality Reporting Program Measures
The Centers for Medicare & Medicaid Services鈥 (CMS) uses a variety of measures for public reporting on its , for value-based purchasing, and to encourage improvements in the quality of inpatient care. These measures include indicators of patient safety, clinical process of care, patient experience of care (see 鈥淐AHPS Hospital Survey鈥 below), maternal morbidity, mortality outcomes, coordination of care, and payment for specific diagnoses.
Data Source: The data for these measures is reported by individual hospitals to CMS. Scores from the Hospital Inpatient Quality Reporting Program are published on the CMS .
大象视频Quality Indicators
The (Qis) comprise four measure areas: inpatient, prevention, patient safety, and pediatric care. The measures were originally developed for quality improvement, pay-for-performance, and public health monitoring. The following indicator sets are considered appropriate and useful for public reports as well:
- The (IQIs) capture quality of care inside hospitals. They include inpatient mortality for certain procedures and medical conditions; utilization of procedures for which there are questions of overuse, underuse, and misuse; and volume of procedures for which there is some evidence that a higher volume of procedures is associated with lower mortality.
- The (PSIs) identify adverse events occurring during hospitalization. They provide information on potential in-hospital complications and adverse events following surgeries, procedures, and childbirth.
- The (PedQIs) include measures of inpatient quality and patient safety specifically for the pediatric population.
Users of the 大象视频Qis can combine some of the individual indicators into composite measures to provide a more 鈥済lobal鈥 assessment of hospital performance.
Data Source: The 大象视频Qis use inpatient administrative data that is available from individual hospitals, a statewide association or data organization, or a State agency. Another source of administrative data for populating the 大象视频Qis measures is the .
翱搁驰齿庐
is a set of performance measures required by The Joint Commission. Hospitals seeking accreditation from The Joint Commission must submit some combination of ORYX measures to fulfill the requirements; the measures are also meant to support organizations in their quality improvement efforts.
Data Source: The Joint Commission's , a free public quality report, indicates whether the hospital is accredited and lists clinical services that have been awarded core or advanced certification based on the reported data.
CAHPS Hospital Survey鈥擜dult Version
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospital Survey, commonly known as Hospital CAHPS or HCAHPS, is a standardized survey instrument for measuring adult patients' perspectives on care they experience during a hospital stay. HCAHPS addresses critical aspects of the hospital experience, including:
- Communication with doctors and with nurses.
- Responsiveness of hospital staff to patients' needs.
- Hospital cleanliness and quietness.
- Communication about medicines.
- Discharge information and patients' understanding of care when leaving the hospital.
Patients are also asked to rate the hospital overall and their willingness to recommend the hospital to others.
Download the and learn more about its implementation.
Data Source: Scores from the CAHPS Hospital Survey are available from the .
CAHPS Child Hospital Survey
The CAHPS Child Hospital Survey is a standardized survey instrument that asks about the experiences of pediatric patients and their parents or guardians with inpatient care. This survey asks about various aspects of patient experience that are important to children and their parents/guardians; the 16 measures cover the following four topics:
- Communication with the parent.
- Communication with the child.
- Attention to safety and comfort.
- Hospital environment.
Respondents also provide an overall rating and indicate their willingness to recommend the hospital.
Data Source: Survey scores are available from the hospitals administering this survey. The 大象视频 publishes aggregated scores for hospitals participating in the CAHPS Child Hospital Survey Database.
The Leapfrog Group's Measures
, an employer-based coalition, develops and maintains a measure set that focuses on hospital quality and safety practices. Hospitals voluntarily submit information on the extent to which they adhere to certain quality and safety practices using the tool.
The Leapfrog measures address crucial areas, or 鈥渓eaps,鈥 such as:
- Do physicians enter prescriptions and other orders into computerized medication systems?
- How many high-risk surgeries are conducted at the hospital?
- How consistently does the hospital provide appropriate care to women giving birth and newborns?
- Are hospital intensive care units (ICUs) staffed by qualified specialists?
- Do hospitals have safety practices and policies advocated by the National Quality Forum to reduce harm and errors?
Data Source: The Leapfrog Group scores the hospital respondent's results and publicly reports the results for free on their .
Also in "Measures of Hospital Quality"
- Examples of Hospital Quality Measures for Consumers
- Major Hospital Measurement Sets
- Databases Used for Hospital Quality Measures
