Description
Why Quality Pays.- Organizing Structure for Quality Reporting and Improvement.- The Power of the Driver Diagram.- Seeing Documentation Through the Lens of Risk Models.- CMS and Other Rating Agencies.- Managing Clinical Risk.- A Comprehensive Program for Concurrent Review.- Severe Hospital-Acquired Pressure Injury: AHRQ Patient Safety Indicator 3.- Failure to Rescue: AHRQ Patient Safety Indicator 4.- Perioperative Hematoma & Hemorrhage: AHRQ Patient Safety Indicator 9.- Acute Perioperative Respiratory Failure: AHRQ Patient Safety Indicator 11.- Perioperative Pulmonary Embolism and Deep Vein Thrombosis: AHRQ Patient Safety Indicator 12.- Postoperative Sepsis: AHRQ Patient Safety Indicator 13.- Postoperative Wound Dehiscence: AHRQ Patient Safety Indicator 14.- Unrecognized Abdominopelvic Accidental Puncture or Laceration: AHRQ Patient Safety Indicator 15.- Iatrogenic Pneumothorax: AHRQ Patient Safety Indicator 6.- Central Line Associated Blood Stream infection: AHRQ Patient Safety Indicator 7.- PSIs of Lesser Frequency: PSI-2 Deaths in Low Mortality DRGs; PSI-5 Retained Foreign Items, PSI-8 In-hospital Falls with Hip Fracture, PSI-10 Postoperative Kidney Injury Requiring Dialysis.- PSI 17, 18 & 19 Birth and Obstetric Trauma Related to Vaginal Delivery.- CMS Hospital-Acquired Conditions.- CDC Hospital Acquired Infections.- CMS Core Measures: Which Are Still Important for Public Quality Reporting?- Concurrent Complication Review (for Vizient, Healthgrades, and Truven/IBM Watson’s ECRI Measure).- Risk-Adjusted Mortality.- Concurrent Review for Mortality: Documentation and Coding Considerations.- Avoiding Futile Acute Care Hospital Admissions.- Hierarchical Condition Codes: Importance for Payment and Quality.- Quality Metrics for CMS Care Bundles and Commercial Center of Excellence Status.- Optimizing Medical Record Queries.- Readmission Penalty Risk Related to Documentation & Coding.- National Surgical Quality Improvement Program (NSQIP).- Publicly Reported Pediatric Quality Metrics.- Use of Data Transparency and Process Change in Organ Transplantation.- Review of Stroke and Neuroscience Quality Data: Basis for Durable Improvement.- Mitigating the Impact of COVID-19 on Quality and Value.- Role of a Comprehensive Patient Flow Center in Optimizing Patient Outcomes.- Quality Improvement Partnership between Nursing and The Medical Staff.- Engaging the Hospital’s Medical Staff.- Engaging the Hospital’s House Staff.- Approach to Teaching Quality Improvement: A Curriculum for Quality Improvement.- Data Review for False Negatives.- From Data Review to Process Improvement in Quality.
