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Rebecca Royer, RN, MSN Director, Hospital and Review Services

Health Care Excel (HCE) Indiana Update Indiana Rural Health Association (IRHA) Critical Access Hospital (CAH) Benchmarking Program. Rebecca Royer, RN, MSN Director, Hospital and Review Services. HCE Update. Data from QIO Clinical Warehouse Aggregate data for only CAHs Displayed by quarter.

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Rebecca Royer, RN, MSN Director, Hospital and Review Services

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  1. Health Care Excel (HCE) Indiana UpdateIndiana Rural Health Association (IRHA) Critical Access Hospital (CAH) Benchmarking Program Rebecca Royer, RN, MSN Director, Hospital and Review Services

  2. HCE Update • Data from QIO Clinical Warehouse • Aggregate data for only CAHs • Displayed by quarter

  3. Acute Myocardial Infarction (AMI)

  4. AMI 1Aspirin at Arrival

  5. AMI 2Aspirin at Discharge

  6. AMI 3ACEI for LVSD

  7. AMI 4Adult Smoking Cessation Advice/Counseling

  8. AMI 5Beta Blocker at Discharge

  9. AMI 6Beta Blocker at Arrival

  10. Surgical Care Improvement Project (SCIP)

  11. SCIP Inf 1Prophylactic Antibiotic within 1 Hour Prior to Surgical Incision

  12. SCIP Inf 2Prophylactic Antibiotic Selection

  13. SCIP Inf 3Prophylactic Antibiotics Discontinued within 24 Hours After Surgery End Time

  14. SCIP Inf 6Surgery Patients with Appropriate Hair Removal

  15. SCIP Card 2Patients Who Receive Appropriate Beta Blocker During Perioperative Period

  16. SCIP VTE 1Recommended Venous Thromboembolism Prophylaxis Ordered

  17. SCIP VTE 2Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours of Surgery

  18. Heart Failure (HF)

  19. HF 1Discharge Instructions

  20. HF 2LVF Assessment

  21. HF 3ACE/ARB for LVSD

  22. HF 4Adult Smoking Cessation Advice/Counseling

  23. Pneumonia (PN)

  24. PN 1Oxygenation Assessment

  25. PN 2Pneumococcal Vaccination

  26. PN 3a Blood Culture within 24 Hours Prior to or After Arrival

  27. PN 3bBlood Culture Before First Antibiotic

  28. PN 4Adult Smoking Cessation Advice/Counseling

  29. PN 5bInitial Antibiotic Received Within 4 Hours of Arrival

  30. PN 6Initial Antibiotic Selection for CAP in Immunocompetent Patients

  31. PN 7Influenza Vaccination

  32. Contact Information Rebecca Royer, RN, MSN Director, Hospital and Review Services Provider Help Desk: 1-800-300-8190 E-mail: inhospital@hce.org This material was prepared by Health Care Excel, the Medicare Quality Improvement Organization (QIO) for Indiana, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 8SOW-IN-HOS-07-45 07/19/2007

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