Databases With Measures

Databases With Measures -
Database Level
Database
ID Database Name Database Description
Website that allows for comparison of nursing homes on the

basis of care processes and patient outcomes. The data come
from two sources: CMS's Health Inspection database -
Includes the nursing home characteristics and health
deficiencies issued during the most recent state inspections
and recent complaint investigations. Data about staffing and
penalties levied against nursing homes also come from this
database. inimum Data Set (MDS) - The MDS is an
assessment done by the nursing home at regular intervals on
every resident in a Medicare- or Medicaid-certified nursing
home. Information is collected about the resident's health,
physical functioning, mental status, and general well-being.
These data are used by the nursing home to assess each
3001 Nursing Home Compare resident's needs and develop a plan of care.
Website that allows for comparison of Medicare-certified
dialysis facilities on the basis of patient quality measures.
Medicare has established a new Quality Incentive Program
(QIP) to promote high quality of care in dialysis facilities by
connecting facilities payments to standards established for a
3002 Dialysis Facility Compare number of performance measures.
Page 1 of 1204
Database Level
Database Sponsoring Data Values

ID Database Name Sponsoring Organization Organization Type Present
Centers for Medicare & Medicaid

3001 Nursing Home Compare Services (CMS) Government entity Yes

3002 Dialysis Facility Compare Services (CMS) Government entity Yes
Page 2 of 1204
Database Level
Conditions for
Use -
Participant/ Conditions for
Database Member/ Conditions for Use - By Conditions for
ID Database Name Data Cost Subscriber Use - Research Request Use - None
3001 Nursing Home Compare Free No No No Yes
3002 Dialysis Facility Compare Free No No No Yes
Page 3 of 1204
Database Level
Database
ID Database Name URL 1 URL 2
3001 Nursing Home Compare http://www.medicare.gov/nursinghomecompare/search.html (none)
3002 Dialysis Facility Compare http://www.medicare.gov/DialysisFacilityCompare/Data/About-Data.html

https://data.medicare.gov/browse?tags=dialysis
Page 4 of 1204
Database Level
Payer Source -
Database Geographic Payer Source - Payer Source - Medicare
ID Database Name Scope Commercial Medicare FFS Managed Care
3001 Nursing Home Compare National No No No
3002 Dialysis Facility Compare National No No No
Page 5 of 1204
Database Level
Payer Source -
Database Payer Source - Medicaid Payer Source - Payer Source -
ID Database Name Medicaid FFS Managed Care Uninsured Other
3001 Nursing Home Compare No No No No
3002 Dialysis Facility Compare No No No No
Page 6 of 1204
Database Level
Data Source - Data Source - Data Source -

Database Payer Source - Medical Pharmacy Data Source - Hospital
ID Database Name Not Applicable Claims Claims Clinical Discharge
3001 Nursing Home Compare Yes No No No No
3002 Dialysis Facility Compare Yes Yes No No No
Page 7 of 1204
Database Level
Data Source - Data Source -

Provider Public Health Population Age
Database Data Source - Survey or or Vital Range - Population Age
ID Database Name Patient Survey Report Records Children Range - Adult
3001 Nursing Home Compare No Yes No Yes Yes
3002 Dialysis Facility Compare No Yes No Yes Yes
Page 8 of 1204
Database Level
Population Age Population Age

Database Range - Older Range - Not
ID Database Name Adult Specified Database Volume
3001 Nursing Home Compare Yes No Approximately 16,000 Nursing Homes
Approximately 5,800 Dialysis Facilities

3002 Dialysis Facility Compare Yes No certified by Medicare
Page 9 of 1204
Database Level
Format of Format of
Database Date Last Benchmarks - Benchmarks -
ID Database Name Updated Update Frequency Calculated Calculable
3001 Nursing Home Compare 2013 Multiple times per year Yes No
3002 Dialysis Facility Compare 2013 Other Yes No
Page 10 of 1204
Database Level
Format of
Database Benchmarks -
ID Database Name Not Calculated
3001 Nursing Home Compare No
3002 Dialysis Facility Compare No
Page 11 of 1204
Database Level
Database
Website that allows for comparison of Medicare-certified

home health agencies across the country on the basis of care
processes and patient outcomes. Data Source: The Home
Health Quality Measures are based on data collected on adult
non-maternity home care patients receiving skilled services
whose care is covered by Medicare (both fee for service and
managed care) or Medicaid and provided by a Medicare-
approved Home Health Agency. The information on process
and improvement outcome measures posted on this Web site
comes from The Outcome and Assessment Information Set
(OASIS) quality data submitted by home health agencies to
state repositories and stored in the Quality Improvement
Evaluation System (QIES) database. The information on
utilization measures posted on this Web site comes from
3003 Home Health Compare Medicare claims.
This website reports quality results for the Puget Sound
Region of Washington state. Data sources include a multi-
payer claims database of health plans and self-insured
purchasers in the region and results from a region-wide CG
3004 Community Checkup CAHPS survey.
This website reports health care quality, patient experience
3005 Minnesota Health Scores and cost results for providers in the state of Minnesota.
Page 12 of 1204
Database Level


3003 Home Health Compare Services (CMS) Government entity Yes
Multistakeholder
3004 Community Checkup Puget Sound Health Alliance organization Yes
Minnesota Community Multistakeholder
3005 Minnesota Health Scores Measurement organization Yes
Page 13 of 1204
Database Level
Conditions for
Use -
3003 Home Health Compare Free No No No Yes
3004 Community Checkup Free No No No Yes
3005 Minnesota Health Scores Free No No No Yes
Page 14 of 1204
Database Level
Database
3003 Home Health Compare http://www.medicare.gov/homehealthcompare/ https://data.medicare.gov/browse?tags=hhc
3004 Community Checkup http://www.wacommunitycheckup.org/?hsearch=mg (none)
3005 Minnesota Health Scores http://www.mnhealthscores.org/ (none)
Page 15 of 1204
Database Level
Payer Source -
3003 Home Health Compare National No Yes Yes
Regions within a
state (WA: Puget
3004 Community Checkup Sound) Yes No No
3005 Minnesota Health Scores Single state (MN) Yes Yes Yes
Page 16 of 1204
Database Level
Payer Source -
3003 Home Health Compare Yes No No No
3004 Community Checkup Yes Yes No No
3005 Minnesota Health Scores Yes Yes Yes No
Page 17 of 1204
Database Level

3003 Home Health Compare No Yes Yes No No
3004 Community Checkup No Yes Yes No No
3005 Minnesota Health Scores No Yes Yes Yes No
Page 18 of 1204
Database Level

3003 Home Health Compare No Yes No No Yes
3004 Community Checkup Yes No No Yes Yes
3005 Minnesota Health Scores Yes Yes No Yes Yes
Page 19 of 1204
Database Level

3003 Home Health Compare Yes No Approximately 11,000 Home Health Agencies
3004 Community Checkup No No Data on over 2 million patients
3005 Minnesota Health Scores Yes No Information not available
Page 20 of 1204
Database Level
Format of Format of
3003 Home Health Compare 2013 Not specified Yes No
3004 Community Checkup 2012 Annually Yes Yes
3005 Minnesota Health Scores 2012 Annually Yes No
Page 21 of 1204
Database Level
Format of
3003 Home Health Compare No
3004 Community Checkup No
3005 Minnesota Health Scores No
Page 22 of 1204
Database Level
Database
This website is dedicated to providing Oregonians with
information they can use to help them get quality health care.
Data sources include a multi-payer claims database of health
plans and the Oregon Health Authority Division of Medical
3006 Partner for Quality Care Assistance Programs.
The Quality Insights: Clinical Quality in Primary Care Report

(CQ Report) compares the performance of Massachusetts
medical groups on the delivery of preventive and chronic care
Quality Insights: Clinical services. In this report MHQP aggregates physician clinical
3007 Quality in Primary Care process and outcomes data from five health plans.
Website that allows for comparison of individual hospitals on

the basis of Timely and Effective Care (Process of Care
Measures) , Readmissions, Complications, and Deaths
(Outcome of Care Measures) , outpatient imaging efficiency,
patient experiences of care (HCAHPS), and Medicare
payment and volume. Claims, enrollment survey, and data
submitted by each hospital is used to calculate data. Timely
and effective care: Asthma care data are from The Joint
Commission. Medicare-certified hospitals are required to
3008 Hospital Compare submit data.
Page 23 of 1204
Database Level

Oregon Health Care Quality Multistakeholder

3006 Partner for Quality Care Organization organization Yes
Quality Insights: Clinical Massachusetts Health Quality Multistakeholder

3007 Quality in Primary Care Partners organization Yes

3008 Hospital Compare Services (CMS) Government entity Yes
Page 24 of 1204
Database Level
Conditions for
Use -
3006 Partner for Quality Care Free No No No Yes
Quality Insights: Clinical

3007 Quality in Primary Care Free No No No Yes
3008 Hospital Compare Free No No No Yes
Page 25 of 1204
Database Level
Database
3006 Partner for Quality Care http://www.partnerforqualitycare.org/ (none)

3007 Quality in Primary Care (none)
http://www.mhqp.org/quality/clinical/cqMASumm.asp?nav=032400
3008 Hospital Compare http://www.hospitalcompare.hhs.gov/ https://data.medicare.gov/browse?tags=hospital+compare
Page 26 of 1204
Database Level
Payer Source -
3006 Partner for Quality Care Single state (OR) Yes No Yes

3007 Quality in Primary Care Single State (MA) Yes No No
3008 Hospital Compare National No Yes No
Page 27 of 1204
Database Level
Payer Source -
3006 Partner for Quality Care Yes Yes No No

3007 Quality in Primary Care No No No No
3008 Hospital Compare No No No No
Page 28 of 1204
Database Level

3006 Partner for Quality Care No Yes Yes No No

3007 Quality in Primary Care No Yes Yes No No
3008 Hospital Compare No Yes No No No
Page 29 of 1204
Database Level

3006 Partner for Quality Care No No No Yes Yes

3007 Quality in Primary Care No No No Yes Yes
3008 Hospital Compare Yes Yes No No No
Page 30 of 1204
Database Level

3006 Partner for Quality Care Yes No Data from 10 health plans and Medicaid FFS
Quality Insights: Clinical Represents over 50 percent of Massachusetts'

3007 Quality in Primary Care No No commercially insured residents
3008 Hospital Compare Yes No Over 4,000 Medicare-certified hospitals
Page 31 of 1204
Database Level
Format of Format of
3006 Partner for Quality Care 2012 Annually Yes No

3007 Quality in Primary Care 2011 Less often than annually Yes No
3008 Hospital Compare 2011 Annually Yes No
Page 32 of 1204
Database Level
Format of
3006 Partner for Quality Care No

3007 Quality in Primary Care No
3008 Hospital Compare No
Page 33 of 1204
Database Level
Database
The program provides information on the care patients in

Indiana are receiving and how they are actually doing through
web accessible data and reports. By combining data from
multiple sources and supporting updates from physician
offices to ensure accuracy, the program provides reliable
information for providers. It includes summaries based on the
physicians' patient population and comparisons to the
physician community as a whole, giving physicians and
3010 Quality Health First Program payers a way to compare quality of care.
WCHQ collects administrative claims, clinical and patient data

to calculate and report ambulatory care and patient
experience results in Wisconsin. Physicians, data analysts
and quality specialists have developed ambulatory care
specifications that capture all patients and all payers. By
uniting claims, clinical and patient data, WCHQ tracks each
provider's entire practice. This comprehensive approach
enables WCHQ to create a sophisticated measure set that
Wisconsin Collaborative for evaluates both clinical processes and intermediate outcomes,
Healthcare Quality Progress like A1c, blood pressure and LDL control. The website also
3011 and Performance Report includes measures from specialty registries.
Page 34 of 1204
Database Level

Indiana Health Information Multistakeholder

3010 Quality Health First Program Exchange organization Yes
Wisconsin Collaborative for

Healthcare Quality Progress Wisconsin Collaborative for Multistakeholder
3011 and Performance Report Healthcare Quality organization Yes
Page 35 of 1204
Database Level
Conditions for
Use -
3010 Quality Health First Program Free No No No Yes

Healthcare Quality Progress
3011 and Performance Report Free No No No Yes
Page 36 of 1204
Database Level
Database
3010 Quality Health First Program http://www.ihie.org/quality-health-first-program http://www.ihie.org/public-reporting

3011 and Performance Report http://www.wchq.org/reporting (none)
Page 37 of 1204
Database Level
Payer Source -
3010 Quality Health First Program Single State (IN) Yes No Yes

3011 and Performance Report Single State (WI) Yes No Yes
Page 38 of 1204
Database Level
Payer Source -
3010 Quality Health First Program No Yes No No

3011 and Performance Report Yes Yes Yes Yes
Page 39 of 1204
Database Level

3010 Quality Health First Program No Yes Yes Yes No

3011 and Performance Report No Yes Yes Yes No
Page 40 of 1204
Database Level

3010 Quality Health First Program No Yes No Yes Yes

3011 and Performance Report Yes Yes No No Yes
Page 41 of 1204
Database Level

3010 Quality Health First Program Yes No Includes over 1 million patients

3011 and Performance Report Yes No Information not available
Page 42 of 1204
Database Level
Format of Format of
3010 Quality Health First Program 2012 Multiple times per year Yes No

3011 and Performance Report 2012 Multiple times per year Yes No
Page 43 of 1204
Database Level
Format of
3010 Quality Health First Program No

3011 and Performance Report No
Page 44 of 1204
Database Level
Database
Patient Outcomes and A national resource for comparative quality information on

3012 Measures performance measures of hospice care.
A national source of comparable performance results from

3013 Quality Compass HEDIS and CAHPS for the comparison of health plans.
This component of the CAHPS Database contains

CG_CAHPS survey data submitted on a voluntary basis by
health systems, medical groups, practice sites and other
organizations such as regional quality collaboratives. The
public site for the CG-CAHPS Database presents summary-
level (non-identified) survey results such as composite
measures and individual survey items, organized according to
survey version and field period. Displays include results by
percentile categories, region, physician specialty, practice
ownership and affiliation, and survey mode. Survey users that
submit data to the CG-CAHPS Database are provided access
CAHPS CLINICIAN & GROUP to a secure, password-protected area of the online reporting
SURVEY (CG-CAHPS) system that allows them to compare their own results to
3014 DATABASE selected benchmarks.
Page 45 of 1204
Database Level

Professional
Patient Outcomes and National Hospice and Palliative association/member
3012 Measures Care Organization organization No
National Committee for Quality

3013 Quality Compass Assurance (NCQA) Other No
CAHPS CLINICIAN & GROUP

SURVEY (CG-CAHPS) Agency for Healthcare Research
3014 DATABASE and Quality (AHRQ) Government entity Yes
Page 46 of 1204
Database Level
Conditions for
Use -
Free to
participant/me
Patient Outcomes and mber/subscribe
3012 Measures r Yes No No No
3013 Quality Compass Fee required No No Yes No

SURVEY (CG-CAHPS)
3014 DATABASE Free Yes Yes No Yes
Page 47 of 1204
Database Level
Database
Patient Outcomes and

3012 Measures (none)
http://www.nhpco.org/performance-measures/patient-outcome-and-measures
3013 Quality Compass (none)

http://www.ncqa.org/HEDISQualityMeasurement/QualityMeasurementProducts/QualityCompass.aspx

SURVEY (CG-CAHPS)
3014 DATABASE https://www.cahps.ahrq.gov/clinician_group/ (none)
Page 48 of 1204
Database Level
Payer Source -

3012 Measures National No No No
3013 Quality Compass National Yes No Yes

SURVEY (CG-CAHPS)
3014 DATABASE National No No No
Page 49 of 1204
Database Level
Payer Source -

3012 Measures No No No No
3013 Quality Compass No Yes No No

SURVEY (CG-CAHPS)
3014 DATABASE No No No No
Page 50 of 1204
Database Level


3012 Measures Yes No No No No
3013 Quality Compass No Yes Yes Yes No

SURVEY (CG-CAHPS)
3014 DATABASE Yes No No No No
Page 51 of 1204
Database Level


3012 Measures No Yes No No Yes
3013 Quality Compass Yes No No Yes Yes

SURVEY (CG-CAHPS)
3014 DATABASE Yes No No Yes Yes
Page 52 of 1204
Database Level


3012 Measures Yes No Information not available
3013 Quality Compass Yes No 385 Commercial 146 Medicaid 392 Medicare
2011 data: CG-CAHPS Adult Visit=266,327

CAHPS CLINICIAN & GROUP respondents; CG-CAHPS Adult 12-month 4-
SURVEY (CG-CAHPS) point=52,434 respondents; CG-CAHPS Adult
3014 DATABASE No No 12-month 6-point=75,051 respondents.
Page 53 of 1204
Database Level
Format of Format of

3012 Measures 2013 Multiple times per year Yes Yes
3013 Quality Compass 2012 Annually Yes No

SURVEY (CG-CAHPS)
3014 DATABASE 2012 Annually Yes No
Page 54 of 1204
Database Level
Format of

3012 Measures No
3013 Quality Compass No

SURVEY (CG-CAHPS)
3014 DATABASE No
Page 55 of 1204
Database Level
Database
ASCO's Quality Oncology Practice Initiative is an oncologist-

led, practice-based quality improvement program. QOPI's
goal is to promote excellence in cancer care by helping
practices create a culture of self-examination and
improvement. The process employed for improving cancer
Quality Oncology Practice care includes measurement, feedback and improvement tools
3015 Initiative (QOPI) data for hematology-oncology practices.
The UDS is a reporting requirement for grantees of the

following HRSA primary care programs. The database
contains a core set of information appropriate for reviewing
3016 Uniform Data System (UDS) the operation and performance of health centers.
A registry that includes all patients receiving cardiac surgery

or percutaneous coronary interventions (PCI) in northern New
3017 NNECDSG Registries England. Data are collected at each hospital.
The Minimum Data Set (MDS) is part of the federally

mandated process for clinical assessment of all residents in
Medicare or Medicaid certified nursing homes. This process
provides a comprehensive assessment of each resident's
functional capabilities and helps nursing home staff identify
health problems. MDS assessment forms are completed for
Long Term Care Minimum Data all residents in certified nursing homes, regardless of source
3018 Set (MDS) of payment for the individual resident.
Page 56 of 1204
Database Level

Professional
Quality Oncology Practice American Society of Clinical association/member
3015 Initiative (QOPI) data Oncology (ASCO) organization No
Health Resources and Services

3016 Uniform Data System (UDS) Administration (HRSA) Government entity Yes
Northern New England

Cardiovascular Disease Study
3017 NNECDSG Registries Group Other Yes
Long Term Care Minimum Data Centers for Medicare & Medicaid
3018 Set (MDS) Services (CMS) Government entity Yes
Page 57 of 1204
Database Level
Conditions for
Use -
Free to
participant/me
Quality Oncology Practice mber/subscribe
3015 Initiative (QOPI) data r Yes No No No
3016 Uniform Data System (UDS) Free No No Yes Yes
3017 NNECDSG Registries Free No No No Yes
Long Term Care Minimum Data

3018 Set (MDS) Fee required No No Yes No
Page 58 of 1204
Database Level
Database
Quality Oncology Practice

3015 Initiative (QOPI) data http://qopi.asco.org/program.html (none)
3016 Uniform Data System (UDS) http://bphc.hrsa.gov/healthcenterdatastatistics/nationaldata/index.html

http://bphc.hrsa.gov/healthcenterdatastatistics/statedata/inde
3017 NNECDSG Registries http://www.nnecdsg.org/data_cabgallsites4.htm (none)

3018 Set (MDS) (none)
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NH
Page 59 of 1204
Database Level
Payer Source -

3015 Initiative (QOPI) data National No No No
3016 Uniform Data System (UDS) National No No No
3017 NNECDSG Registries Multi-state No No No

3018 Set (MDS) National No No No
Page 60 of 1204
Database Level
Payer Source -

3015 Initiative (QOPI) data No No No No
3016 Uniform Data System (UDS) No No No No
3017 NNECDSG Registries No No No No

3018 Set (MDS) No No No No
Page 61 of 1204
Database Level


3015 Initiative (QOPI) data Yes No No Yes No
3016 Uniform Data System (UDS) Yes No No Yes No
3017 NNECDSG Registries Yes No No Yes No

3018 Set (MDS) Yes No No Yes No
Page 62 of 1204
Database Level


3015 Initiative (QOPI) data No Yes No Yes Yes
3016 Uniform Data System (UDS) No No No Yes Yes
3017 NNECDSG Registries No No No No Yes

3018 Set (MDS) No Yes No No No
Page 63 of 1204
Database Level


3015 Initiative (QOPI) data Yes No 260 practices per half-year
Approx. 1200 per year of HRSA primary care

programs: Community Health Centers, Migrant
Health Centers, Health Care for the Homeless,
3016 Uniform Data System (UDS) Yes No and Public Housing Primary Care
Center Rates are based on the most recent
500 consecutive cases of isolated CABG
surgery. Region rates are based on the most
recent 500 cases from each of the 8
3017 NNECDSG Registries Yes No NNECDSG centers (n=4,000).

3018 Set (MDS) No Yes Nursing Home
Page 64 of 1204
Database Level
Format of Format of

3015 Initiative (QOPI) data 2012 Multiple times per year Yes Yes
3016 Uniform Data System (UDS) 2012 Annually Yes No
3017 NNECDSG Registries 2011 Multiple times per year Yes No

3018 Set (MDS) 2012 Multiple times per year Yes No
Page 65 of 1204
Database Level
Format of

3015 Initiative (QOPI) data No
3016 Uniform Data System (UDS) No
3017 NNECDSG Registries No

3018 Set (MDS) No
Page 66 of 1204
Database Level
Database
The Family Evaluation of Hospice Care (FEHC) is a post-

death survey designed to yield actionable information that
reflects the quality of hospice care delivery from the
perspective of family caregivers. Hospices that submit FEHC
data to NHPCO receive quarterly reports that include
Family Evaluation of Hospice individual hospice results plus state and national results for
3019 Care Survey comparison.
KentuckyGreater Louisville Aggregated HEDIS results based on administrative data for

3020 Value Exchange Partnership the Louisville area.
This online guide compares data collected by the New York
New York State Consumer State Department of Financial Services (NYS DFS) about
3021 Guide to Health Insurance health insurance companies operating in NY State.
An all payer database for the state of Utah. Types of data
Utah All-Payer Claims collected include medical claims, eligibility, dental and
3022 Database pharmacy.
Maine Health Data

3023 Organization An aggregated claims dataset for the state of Maine.
MichiganGreater Detroit
3024 Area Health Council Aggregated quality results for the Detroit, Michigan area.
Page 67 of 1204
Database Level

Professional
Family Evaluation of Hospice National Hospice and Palliative association/member
3019 Care Survey Care Organization organization Yes
KentuckyGreater Louisville Multistakeholder

3020 Value Exchange Partnership Kentuckiana Health Collaborative organization Yes
New York State Consumer

3021 Guide to Health Insurance New York Department of Health Government entity Yes
Utah All-Payer Claims Utah Department of Health, Office

3022 Database of Health Care Statistics Government entity Yes
Maine Health Data

3023 Organization Maine Health Data Organization Other Yes
Greater Detroit Area Health Council,
MichiganGreater Detroit a southeast Michigan Regional Multistakeholder
3024 Area Health Council Healthcare Coalition organization Yes
Page 68 of 1204
Database Level
Conditions for
Use -
Free to
participant/me
Family Evaluation of Hospice mber/subscribe
3019 Care Survey r Yes No No No
KentuckyGreater Louisville
3020 Value Exchange Partnership Free No No No Yes

3021 Guide to Health Insurance Free No No No Yes
Utah All-Payer Claims

3022 Database Fee required No Yes No Yes
Maine Health Data

3023 Organization Free No Yes Yes Yes
3024 Area Health Council Free No No No Yes
Page 69 of 1204
Database Level
Database
Family Evaluation of Hospice

3019 Care Survey (none)
http://www.nhpco.org/performance-measures/family-evaluation-hospice-care-fehc
3020 Value Exchange Partnership http://www.khcollaborative.org/kentuckiana/21-2/ (none)

3021 Guide to Health Insurance http://www.dfs.ny.gov/consumer/hgintro.htm (none)

3022 Database http://health.utah.gov/hda/apd/index.php (none)
Maine Health Data

3023 Organization http://mhdo.maine.gov/imhdo/ http://gateway.maine.gov/mhdo/monahrq/index.html
3024 Area Health Council http://www.mycarecompare.org/reports.php (none)
Page 70 of 1204
Database Level
Payer Source -

3019 Care Survey National No No No
Regions within a
KentuckyGreater Louisville state (KY: Greater
3020 Value Exchange Partnership Louisville) Yes No No

3021 Guide to Health Insurance Single State (NY) Yes No No

3022 Database Single State (UT) No No No
Maine Health Data

3023 Organization Single State (ME) Yes No Yes
Regions within a
MichiganGreater Detroit state (MI: Greater
3024 Area Health Council Detroit) Yes No No
Page 71 of 1204
Database Level
Payer Source -

3019 Care Survey No No No No
3020 Value Exchange Partnership No Yes No No

3021 Guide to Health Insurance No No No No

3022 Database No No No No
Maine Health Data

3023 Organization No Yes No Yes
3024 Area Health Council No No No No
Page 72 of 1204
Database Level


3019 Care Survey Yes No No No No
3020 Value Exchange Partnership No Yes No No No

3021 Guide to Health Insurance No Yes Yes Yes No

3022 Database Yes No No No Yes
Maine Health Data

3023 Organization No Yes Yes No No
3024 Area Health Council No Yes No No No
Page 73 of 1204
Database Level


3019 Care Survey Yes No No No Yes
3020 Value Exchange Partnership No No No Yes Yes

3021 Guide to Health Insurance Yes No No Yes Yes

3022 Database No No No No No
Maine Health Data

3023 Organization No No No Yes Yes
3024 Area Health Council No Yes No Yes Yes
Page 74 of 1204
Database Level


3019 Care Survey Yes No Information not available
3020 Value Exchange Partnership Yes No 3 Health Plans

3021 Guide to Health Insurance Yes No 11 HMOS, 10 PPOs
Utah All-Payer Claims Represents 2.1 million people (93% of the

3022 Database No Yes commercially insured market)
Maine Health Data

3023 Organization Yes No Information not available
3024 Area Health Council No No 3 health plans; represents 4 million people
Page 75 of 1204
Database Level
Format of Format of

3019 Care Survey 2013 Multiple times per year Yes Yes
3020 Value Exchange Partnership 2012 Annually Yes No

3021 Guide to Health Insurance 2012 Annually Yes No

3022 Database 2011 Not specified Yes No
Maine Health Data

3023 Organization 2009 Not specified Yes No
3024 Area Health Council 2012 Annually Yes No
Page 76 of 1204
Database Level
Format of

3019 Care Survey No
3020 Value Exchange Partnership No

3021 Guide to Health Insurance No

3022 Database Yes
Maine Health Data

3023 Organization Yes
3024 Area Health Council No
Page 77 of 1204
Database Level
Database
Maintains data on very low birth weight babies, as well as

certain additional infants meeting eligibility requirements. The
Database is used to provide comprehensive, confidential
reports to participating hospitals, and to provide information
for use in outcomes research. The core database for Very
Low Birth Weight Infants, in which all members participate.
The Network also maintains databases for all NICU infants,
for infants with neonatal encephalopathy, and for neuro-
developmental follow up of Extremely Low Birth Weight
Infants and those with encephalopathy. Members have the
option of submitting data to these additional databases as well
as other detailed databases including those developed for use
in Network trials and studies that may be offered from time to
3025 VON Database time.
Page 78 of 1204
Database Level

Multistakeholder
3025 VON Database Vermont Oxford Network organization No
Page 79 of 1204
Database Level
Conditions for
Use -
Free to
participant/me
mber/subscribe
3025 VON Database r Yes Yes Yes No
Page 80 of 1204
Database Level
Database
3025 VON Database http://www.vtoxford.org/about/about.aspx#Database (none)
Page 81 of 1204
Database Level
Payer Source -
3025 VON Database National No No No
Page 82 of 1204
Database Level
Payer Source -
3025 VON Database No No No No
Page 83 of 1204
Database Level

3025 VON Database Yes No No No Yes
Page 84 of 1204
Database Level

3025 VON Database No Yes No Yes No
Page 85 of 1204
Database Level

Over 900 Neonatal Intensive Care Units

around the world of which 2/3 are in the United
3025 VON Database No No States
Page 86 of 1204
Database Level
Format of Format of
3025 VON Database 2013 Multiple times per year Yes Yes
Page 87 of 1204
Database Level
Format of
3025 VON Database Yes
Page 88 of 1204
Database Level
Database
ACS NSQIP is a nationally validated, risk-adjusted, outcomes-

based program to measure and improve the quality of surgical
care in the private sector. It employs a prospective, peer-
controlled, validated database to quantify 30-day, risk-
adjusted surgical outcomes, which provide a valid comparison
of outcomes among all hospitals in the program. Collection of
data on a variety of clinical variables, including preoperative
risk factors, intraoperative variables, and 30-day
postoperative mortality and morbidity outcomes for patients
undergoing major surgical procedures in both the inpatient
and outpatient setting. Outcomes data is captured by a sites
ACS National Surgical Quality surgical clinical reviewer (SCR) using a variety of methods
Improvement Program (ACS including, medical chart reviews and if necessary, letters or
3026 NSQIP) phone calls to patients.
The AGA Registry launched in May 2010 with an initial focus

on both guidelines-driven management of IBD and effective
strategies for colorectal cancer prevention. Examples of
health outcomes that can be tracked in the registry include
adenoma detection rates, 30-day complications after
colonoscopy, CRC screening and surveillance intervals,
steroid use in IBD patients, preventive care provided to IBD
AGA Digestive Health patients, and other information that will help physicians
3027 Outcomes Registry understand the impact of their care on health outcomes.
Page 89 of 1204
Database Level

ACS National Surgical Quality Professional

Improvement Program (ACS American College of Surgeons association/member
3026 NSQIP) (ACS) organization No
Professional
AGA Digestive Health American Gastroenterological association/member
3027 Outcomes Registry Association organization No
Page 90 of 1204
Database Level
Conditions for
Use -
Free to
ACS National Surgical Quality participant/me
Improvement Program (ACS mber/subscribe
3026 NSQIP) r Yes No No No
AGA Digestive Health

3027 Outcomes Registry Fee required Yes Yes No No
Page 91 of 1204
Database Level
Database
ACS National Surgical Quality

Improvement Program (ACS
3026 NSQIP) (none)
http://www.acsnsqip.org/ http://inspiringquality.facs.org/about/acs-nsqip/

3027 Outcomes Registry (none)
http://www.gastro.org/practice/digestive-health-outcomes-registry
Page 92 of 1204
Database Level
Payer Source -

3026 NSQIP) National No No No

3027 Outcomes Registry National No No No
Page 93 of 1204
Database Level
Payer Source -

3026 NSQIP) No No No No

3027 Outcomes Registry No No No No
Page 94 of 1204
Database Level


3026 NSQIP) Yes No No Yes No

3027 Outcomes Registry Yes No No No No
Page 95 of 1204
Database Level


3026 NSQIP) No Yes No No Yes

3027 Outcomes Registry No Yes No No Yes
Page 96 of 1204
Database Level


3026 NSQIP) No No More than 500 hospitals

3027 Outcomes Registry Yes No 167500 records
Page 97 of 1204
Database Level
Format of Format of

3026 NSQIP) 2013 Multiple times per year No No

3027 Outcomes Registry 2013 Multiple times per year Yes No
Page 98 of 1204
Database Level
Format of

3026 NSQIP) Yes

3027 Outcomes Registry No
Page 99 of 1204
Database Level
Database
The STS National Database was established in 1989 as an

initiative for quality improvement and patient safety among
cardiothoracic surgeons. There are three components to the
STS National Database, each focusing on a different area of
cardiothoracic surgery - Adult Cardiac, General Thoracic, and
Society of Thoracic Surgeons Congenital Heart Surgery, with the availability of
National Database (STS Anesthesiology participation within the Adult Cardiac and
3028 National Database) Congenital Heart Surgery Databases.
A resource for comparative quality information on hospital
Kentucky Office of Health performance in the state of Kentucky. Incudes results for
3029 Policy AHRQ QI measures.
HHIC maintains one of Hawaii's largest healthcare databases
to generate comparative information. In addition, we analyze
relevant state and national databases to create population-
Hawaii Health Information based reports, performance measures, norms and
Corporation (HHIC) Public benchmarks. Includes results for AHRQ Quality Indicators on
3030 Reports hospitals in Hawaii.
Provides information about health care in the state of Nevada
and is produced and managed by the Center for Health
Information Analysis (CHIA) under contract with the Division
3031 Nevada Compare Care of Health Care Financing and Policy (DHCFP).
Page 100 of 1204

Database Level

Society of Thoracic Surgeons Professional

National Database (STS association/member
3028 National Database) Society of Thoracic Surgeons organization Yes
Kentucky Office of Health Commonwealth of Kentucky, Office

3029 Policy of Health Policy Government entity Yes
Hawaii Health Information

Corporation (HHIC) Public Hawaii Health Information
3030 Reports Corporation Other Yes
Nevada Division of Health Care

3031 Nevada Compare Care Financing and Policy Government entity Yes
Page 101 of 1204

Database Level
Conditions for
Use -
Free to
Society of Thoracic Surgeons participant/me
National Database (STS mber/subscribe
3028 National Database) r Yes Yes Yes No
Kentucky Office of Health

3029 Policy Free No No Yes No

Corporation (HHIC) Public
3030 Reports Fee required No No Yes No
3031 Nevada Compare Care Free Yes No No No
Page 102 of 1204

Database Level
Database
Society of Thoracic Surgeons

National Database (STS
3028 National Database) http://www.sts.org/national-database (none)

3029 Policy http://chfs.ky.gov/ohp/healthdata/IQI.htm https://prd.chfs.ky.gov/MONAHRQ/2011/Quality.html?op=0

3030 Reports http://hhic.org/publicreports.asp http://www.hhicpublicreports.org/Quality.html?op=1
3031 Nevada Compare Care http://www.nevadacomparecare.net/ http://www.nevadacomparecare.net/Monahrq/Quality.html?o
Page 103 of 1204

Database Level
Payer Source -

3028 National Database) National No No No

3029 Policy Single State (KY) No No No

3030 Reports Single State (HI) No No No
3031 Nevada Compare Care Single State (NV) Yes Yes Yes
Page 104 of 1204

Database Level
Payer Source -

3028 National Database) No No No No

3029 Policy No No No No

3030 Reports No No No No
3031 Nevada Compare Care Yes Yes Yes Yes
Page 105 of 1204

Database Level


3028 National Database) Yes No No No No

3029 Policy Yes No No No Yes

3030 Reports Yes No No No Yes
3031 Nevada Compare Care No No No No Yes
Page 106 of 1204

Database Level


3028 National Database) No Yes No Yes Yes

3029 Policy Yes No No Yes Yes

3030 Reports Yes No No Yes Yes
3031 Nevada Compare Care No No No Yes Yes
Page 107 of 1204

Database Level

Number of facilities: approximately 1,075 for

Society of Thoracic Surgeons Adult Cardiac Surgery, 105 for Congenital
National Database (STS Heart Surgery, 220 for General Thoracic
3028 National Database) Yes No Surgery

3029 Policy Yes No Information not available

3030 Reports Yes No Information not available
Inpatient ~300K per year. Outpatient

~1.3million records per year. ASC ~ 400K
3031 Nevada Compare Care Yes Yes records per year
Page 108 of 1204

Database Level
Format of Format of

3028 National Database) 2013 Multiple times per year Yes Yes

3029 Policy 2011 Not specified Yes No

Corporation (HHIC) Public Not
3030 Reports specified Not specified Yes No
3031 Nevada Compare Care 2011 Annually Yes No
Page 109 of 1204

Database Level
Format of

3028 National Database) No

3029 Policy No

3030 Reports No
3031 Nevada Compare Care No
Page 110 of 1204

Database Level
Database
Web site includes health plan (HMO and PPO) and medical
California Office of the Patient group results on quality measures in California from
Advocate Medical Group Integrated Healthcare Association's Pay for Performance
Ratings - Medical Group program and patient experience results from the Pacific
3032 Ratings Business Group on Health.
Web site includes California medical group results for

Physician Group Clinical Care Medicare Advantage patients from Integrated Healthcare
3033 Report Card Association's Pay for Performance program.
The AHRQ Quality Indicators (QIs) are measures of health

care quality that make use of readily available hospital
inpatient administrative data. The current AHRQ QI modules
expand HCUP QIs. The QIs can be used to highlight potential
quality concerns, identify areas that need further study and
3034 AHRQ Quality Indicators investigation, and track changes over time.
Page 111 of 1204

Database Level

California Office of the Patient

Advocate Medical Group
Ratings - Medical Group California Office of the Patient
3032 Ratings Advocate Government entity Yes
Physician Group Clinical Care Multistakeholder

3033 Report Card Integrated Healthcare Association organization Yes
Agency for Healthcare Research

3034 AHRQ Quality Indicators and Quality (AHRQ) Government entity Yes
Page 112 of 1204

Database Level
Conditions for
Use -

Ratings - Medical Group
3032 Ratings Free No No No Yes
Physician Group Clinical Care

3033 Report Card Free No No No Yes
3034 AHRQ Quality Indicators Free No No Yes Yes
Page 113 of 1204

Database Level
Database

3032 Ratings http://reportcard.opa.ca.gov/rc2013/ (none)

3033 Report Card http://iha.ncqa.org/reportcard/ (none)
3034 AHRQ Quality Indicators http://qualityindicators.ahrq.gov/ http://hcupnet.ahrq.gov/HCUPnet.jsp?Id=1FA520843B2E8A3A
Page 114 of 1204

Database Level
Payer Source -

3032 Ratings Single State (CA) Yes No No

3033 Report Card Single state (CA) No No Yes
3034 AHRQ Quality Indicators National Yes Yes Yes
Page 115 of 1204

Database Level
Payer Source -

3032 Ratings No No No No

3033 Report Card No No No No
3034 AHRQ Quality Indicators Yes Yes Yes No
Page 116 of 1204

Database Level


3032 Ratings No Yes Yes No No

3033 Report Card No Yes Yes No No
3034 AHRQ Quality Indicators No No No No Yes
Page 117 of 1204

Database Level


3032 Ratings Yes No No Yes Yes

3033 Report Card No No No No Yes
3034 AHRQ Quality Indicators No No No Yes Yes
Page 118 of 1204

Database Level

The Pay for Performance program involves

over 35,000 physicians in 220 physician
California Office of the Patient organizations that care for about 10 million
Advocate Medical Group enrollees in eight major health plans. Patient
Ratings - Medical Group experience survey results are based on adult
3032 Ratings No No patients from more than 180 Californ
A set of 7 clinical measures which are

collected from participating health plans and
from self-reporting physician groups. The
measures are based on the services provided
Physician Group Clinical Care to Medicare Advantage members who were
3033 Report Card Yes No patients of the physician group during 2011.
3034 AHRQ Quality Indicators Yes No Information not available
Page 119 of 1204

Database Level
Format of Format of

3032 Ratings 2012 Annually Yes No

3033 Report Card 2011 Annually Yes No
3034 AHRQ Quality Indicators 2012 Annually Yes No
Page 120 of 1204

Database Level
Format of

3032 Ratings No

3033 Report Card No
3034 AHRQ Quality Indicators No
Page 121 of 1204

Database Level
Database
MEPS is a set of large-scale surveys of families and

individuals, their medical providers (doctors, hospitals,
pharmacies, etc.). The Household Component (HC) collects
detailed information on demographic characteristics, health
conditions, health status, use of medical services, charges
and source of payments, access to care, satisfaction with
care, health insurance coverage, income, and employment.
The Insurance Component (IC) collects data from a sample of
private and public sector employers on the health insurance
plans they offer their employees. The survey is also known as
the Health Insurance Cost Study. MEPS also includes a
Medical Provider Component (MPC), which covers hospitals,
physicians, home health care providers, and pharmacies
identified by MEPS-HC respondents. Its purpose is to
Medical Expenditure Panel supplement and/or replace information received from the
3035 Survey (MEPS) MEPS-HC respondents.
Page 122 of 1204

Database Level

Medical Expenditure Panel Agency for Healthcare Research

3035 Survey (MEPS) and Quality (AHRQ) Government entity Yes
Page 123 of 1204

Database Level
Conditions for
Use -
Medical Expenditure Panel

3035 Survey (MEPS) Free No No No Yes
Page 124 of 1204

Database Level
Database

3035 Survey (MEPS) http://meps.ahrq.gov/ (none)
Page 125 of 1204

Database Level
Payer Source -

3035 Survey (MEPS) National Yes Yes Yes
Page 126 of 1204

Database Level
Payer Source -

3035 Survey (MEPS) Yes Yes Yes Yes
Page 127 of 1204

Database Level


3035 Survey (MEPS) No No No No No
Page 128 of 1204

Database Level


3035 Survey (MEPS) Yes Yes No Yes Yes
Page 129 of 1204

Database Level

Medical Expenditure Panel 14,000 households every year; 2010 Data

3035 Survey (MEPS) Yes No includes 12,445 families and 31,228 persons.
Page 130 of 1204

Database Level
Format of Format of

3035 Survey (MEPS) 2013 Multiple times per year Yes Yes
Page 131 of 1204

Database Level
Format of

3035 Survey (MEPS) Yes
Page 132 of 1204

Database Level
Database
The tool compares top-box patient survey scores the

percentage of excellent responses on most patient survey
forms with the corresponding SullivanLuallinGroup survey
questions. The application also includes comparisons with
AHRQ CG-CAHPS, giving MGMA-ACMPE members who
may want to participate in or prepare for accountable care
programs an indication of how they would perform if the CG-
CAHPS survey was mandated today. Cross-walk your
Patient Satisfaction surveys top box scores by question with the corresponding
3036 Benchmarking Tool CG-CAHPS survey question.
The IMS Performance Benchmark offers transparency

standards for health providers based on a variety of nationally
recognized and IMS proprietary quality and cost of care
measures by multiple units of analysis (specialty, geography,
treatment settings, age-bands, etc). The benchmark
leverages a comprehensive national longitudinal database
covering 100+ million unique members. Benchmarked
measures include HEDIS, Pharmacy Quality Alliance (PQA),
and IMS Cost Measures (Medical Cost Estimator, Physician
3037 IMS Performance Benchmark Cost of Care, and Hospital Cost of Care).
Page 133 of 1204

Database Level

Professional
Patient Satisfaction MGMA-ACMPE, together with association/member
3036 Benchmarking Tool SullivanLuallinGroup organization Yes
Data services
3037 IMS Performance Benchmark IMS Health company No
Page 134 of 1204

Database Level
Conditions for
Use -
Patient Satisfaction
3036 Benchmarking Tool Free No No No Yes
3037 IMS Performance Benchmark Fee required No No No Yes
Page 135 of 1204

Database Level
Database
3036 Benchmarking Tool http://data.mgma.com/ptsat/rdPage.aspx (none)
3037 IMS Performance Benchmark http://www.imshealth.com (none)
Page 136 of 1204

Database Level
Payer Source -
3036 Benchmarking Tool National No No No
3037 IMS Performance Benchmark National Yes No Yes
Page 137 of 1204

Database Level
Payer Source -
3036 Benchmarking Tool No No No No
3037 IMS Performance Benchmark No Yes No No
Page 138 of 1204

Database Level

3036 Benchmarking Tool Yes No No No No
3037 IMS Performance Benchmark No Yes Yes No No
Page 139 of 1204

Database Level

3036 Benchmarking Tool Yes No No No Yes
3037 IMS Performance Benchmark No No No Yes Yes
Page 140 of 1204

Database Level

3036 Benchmarking Tool No No Information not available
3037 IMS Performance Benchmark Yes No Information not available
Page 141 of 1204

Database Level
Format of Format of
3036 Benchmarking Tool 2012 Annually Yes No
3037 IMS Performance Benchmark 2013 Annually Yes Yes
Page 142 of 1204

Database Level
Format of
3036 Benchmarking Tool No
3037 IMS Performance Benchmark No
Page 143 of 1204

Database Level
Database
Database registry of nursing sensitive indicators that has

collected data since 1998. CALNOC hospitals benchmark
performance using web-based on-demand reports to guide
Performance Improvement decisions for hospital and nurse
executives and nursing staff. Hundreds of leading hospitals
have joined CALNOC to monitor and benchmark performance
in order to deliver excellence in patient care. CALNOC is a
CALNOC (the Collaborative non-profit corporation with headquarters in San Ramon,
3038 Alliance for Nursing Outcomes) California.
The California Hospital Assessment and Reporting Taskforce

(CHART) brings together hospitals, insurers, consumer
advocates, researchers, and others to produce a statewide
3039 CalHospitalCompare.org report card on hospital performance and quality
Emergency Excellence compiles data over 100 emergency
departments around the country who voluntarily report their
best practices and performance indicators. Each
performance indicator is mapped to seven distinct Pillars of
Emergency Excellence Data Excellence Safety, Satisfaction, Space, Staff, Support,
3040 (EmEx) System, and Solvency.
Page 144 of 1204

Database Level

CALNOC (the Collaborative CALNOC (the Collaborative Alliance

3038 Alliance for Nursing Outcomes) for Nursing Outcomes) Other No
Multistakeholder
3039 CalHospitalCompare.org California Healthcare Foundation organization Yes
Emergency Excellence Data Data services

3040 (EmEx) Emergency Excellence company No
Page 145 of 1204

Database Level
Conditions for
Use -
CALNOC (the Collaborative

3038 Alliance for Nursing Outcomes) Fee required Yes Yes Yes No
3039 CalHospitalCompare.org Free No No No Yes
Emergency Excellence Data

3040 (EmEx) Fee required Yes No No No
Page 146 of 1204

Database Level
Database

3038 Alliance for Nursing Outcomes) http://calnoc.org/displaycommon.cfm?an=1&subarticlenbr=8 (none)
3039 CalHospitalCompare.org http://www.chcf.org/projects/2009/calhospitalcompareorg-online-report-card-simplifies-the-search-for-quality-h

3040 (EmEx) (none)
http://www.emergencyexcellence.com/emergency-department-benchmarking.html
Page 147 of 1204

Database Level
Payer Source -

3038 Alliance for Nursing Outcomes) National No No No
3039 CalHospitalCompare.org Single State (CA) No No No

3040 (EmEx) National No No No
Page 148 of 1204

Database Level
Payer Source -

3038 Alliance for Nursing Outcomes) No No No No
3039 CalHospitalCompare.org No No No No

3040 (EmEx) No No No No
Page 149 of 1204

Database Level


3038 Alliance for Nursing Outcomes) Yes No No No No
3039 CalHospitalCompare.org Yes No No No Yes

3040 (EmEx) Yes No No No No
Page 150 of 1204

Database Level


3038 Alliance for Nursing Outcomes) Yes Yes No Yes Yes
3039 CalHospitalCompare.org Yes Yes Yes No No

3040 (EmEx) No Yes No No No
Page 151 of 1204

Database Level

By the end of 2012, CALNOC had aggregated

almost 15 years of data, representing more
than 1,900 patient units, over 81 million patient
days, over 228,000 patient falls, and 737,000
CALNOC (the Collaborative patients have been evaluated for pressure
3038 Alliance for Nursing Outcomes) Yes No ulcers and restraint use.
More than 240 hospitals - representing 86% of

the average daily hospital census in the state -
3039 CalHospitalCompare.org No Yes participate.
Emergency Excellence Data 35-200 Emergency Rooms, each measure

3040 (EmEx) No Yes includes a different number of ERs
Page 152 of 1204

Database Level
Format of Format of

3038 Alliance for Nursing Outcomes) 2013 Multiple times per year Yes No
3039 CalHospitalCompare.org 2012 Multiple times per year Yes No
Emergency Excellence Data Not

3040 (EmEx) specified Not specified Yes No
Page 153 of 1204

Database Level
Format of

3038 Alliance for Nursing Outcomes) No
3039 CalHospitalCompare.org No

3040 (EmEx) No
Page 154 of 1204

Database Level
Database
Inovalons MORE2 Registry database is a multipayer claims

database that contains more than 6 billion medical events
pertaining to more than 541,000 physicians, and 220,000
clinical facilities. Representative of the broad US insured
population, Inovalons datasets enable analysis of disease,
co-morbidity, diagnostic, therapeutic, outcomes, and related
Medical Outcomes Research financial inquiries. For 2012, provided snapshots with
for Effectiveness and information related to Readmissions, Mental Health, Coronary
Economics Registry (MORE2 Artery Disease, Melanoma, Osteoporosis and Major
3041 Registry Database) Depression/Cardiovascular Disease.
Aggregated claims dataset for the state of Kansas: the DAI
supports HEDIS measures. There are 13 grouped categories
that Truven (DAI contractor) has expanded to nearly 300
3042 Data Analytic Interface (DAI) different measures within the 13 groups.
Page 155 of 1204

Database Level

Medical Outcomes Research

for Effectiveness and
Economics Registry (MORE2 Data services
3041 Registry Database) Inovalon company No
Kansas Department of Health and

Environment (KDHE) Division of
3042 Data Analytic Interface (DAI) Health Care Finance (DHCF) Government entity No
Page 156 of 1204

Database Level
Conditions for
Use -

Economics Registry (MORE2
3041 Registry Database) Fee required No Yes Yes No
3042 Data Analytic Interface (DAI) Fee required No Yes Yes No
Page 157 of 1204

Database Level
Database

3041 Registry Database) (none)
http://www.inovalon.com/howwehelp/pages/more2-registry-database.aspx
3042 Data Analytic Interface (DAI) http://www.kdheks.gov/hcf/data_consortium/default.htm (none)
Page 158 of 1204

Database Level
Payer Source -

3041 Registry Database) National Yes No Yes
3042 Data Analytic Interface (DAI) Single State (KS) Yes No No
Page 159 of 1204

Database Level
Payer Source -

3041 Registry Database) No Yes No Yes
3042 Data Analytic Interface (DAI) Yes Yes No No
Page 160 of 1204

Database Level


3041 Registry Database) No Yes Yes Yes Yes
3042 Data Analytic Interface (DAI) No Yes Yes No No
Page 161 of 1204

Database Level


3041 Registry Database) No No No Yes Yes
3042 Data Analytic Interface (DAI) No No No Yes Yes
Page 162 of 1204

Database Level


for Effectiveness and 85 million unique individuals enrolled in more
Economics Registry (MORE2 than 100 health plans and over 6 billion
3041 Registry Database) Yes No medical events
Includes Medicaid, CHIP, state employee

health plan claims, and some commercial
3042 Data Analytic Interface (DAI) Yes No insurance
Page 163 of 1204

Database Level
Format of Format of

3041 Registry Database) 2013 Multiple times per year Yes Yes
3042 Data Analytic Interface (DAI) 2013 Multiple times per year Yes Yes
Page 164 of 1204

Database Level
Format of

3041 Registry Database) No
3042 Data Analytic Interface (DAI) Yes
Page 165 of 1204

Database Level
Database
The CAHPS Database is the National repository for data from

selected CAHPS surveys. This component of the CAHPS
Database contains commercial, Medicaid and Medicare
survey results submitted by various sponsors, including public
and private employers, State Medicaid agencies, State
Children's Health Insurance Programs (SCHIP), individual
health plans, and the Centers for Medicare and Medicaid
Services (CMS). The public site for the CAHPS Health Plan
Survey Database presents summary-level (non-identified)
survey results such as composite measures and individual
survey items, organized according to sector (commercial,
Medicaid, and Medicare), survey version (adult or child), and
field period. Displays include results by percentile categories,
region, and health plan characteristics. Survey users that
submit data to the CAHPS Database are provided access to a
secure, password-protected area of the online reporting
CAHPS Health Plan Survey system that allows them to compare their own results to
3043 Database selected benchmarks.
Page 166 of 1204

Database Level

CAHPS Health Plan Survey Agency for Healthcare Research

3043 Database and Quality (AHRQ) Government entity Yes
Page 167 of 1204

Database Level
Conditions for
Use -
CAHPS Health Plan Survey

3043 Database Free Yes Yes No Yes
Page 168 of 1204

Database Level
Database

3043 Database http://www.cahps.ahrq.gov/health_plan/ (none)
Page 169 of 1204

Database Level
Payer Source -

3043 Database National Yes No Yes
Page 170 of 1204

Database Level
Payer Source -

3043 Database No Yes No No
Page 171 of 1204

Database Level


Page 172 of 1204

Database Level


3043 Database Yes No No Yes Yes
Page 173 of 1204

Database Level

2011 data: commercial adult: 168,341

respondents; commercial child: 900
respondents; Medicaid adult: 73,820
respondents; Medicaid child: 85,003
CAHPS Health Plan Survey respondents; CHIP: 26,232 respondents;
3043 Database No No Medicare Advantage: 163,182 respondents
Page 174 of 1204

Database Level
Format of Format of

3043 Database 2011 Annually Yes No
Page 175 of 1204

Database Level
Format of

3043 Database No
Page 176 of 1204

Database Level
Database
The VHAs quality and safety data presents information

related to the care provided in outpatient and inpatient
settings, the staffing of each VA health care facility, the quality
of inpatient and outpatient health care provided to all Veterans
and to certain patient populations, the health care center
VHA Facility Quality and Safety accreditation status, patient satisfaction and selected patient
3044 Report outcomes.
ORYX is The Joint Commissions performance

measurement and improvement initiative, which integrates
outcomes and other performance measure data into the
accreditation process. ORYX data are publicly reported on
The Joint Commission website at Quality Check,
www.qualitycheck.org. The public availability of performance
measure data permits user comparisons of hospital
ORYX Core Measure performance at the state and national levels. Data may be
Database ( Quality Data downloaded through the Quality Data Download at
3045 Download) www.healthcarequalitydata.org/
Page 177 of 1204

Database Level

VHA Facility Quality and Safety

3044 Report Veteran's Health Administration Government entity Yes
ORYX Core Measure

Database ( Quality Data
3045 Download) The Joint Commission (TJC) Other Yes
Page 178 of 1204

Database Level
Conditions for
Use -

3044 Report Free No No No Yes
ORYX Core Measure

3045 Download) Free No No No Yes
Page 179 of 1204

Database Level
Database

3044 Report http://www.va.gov/HEALTH/docs/2012_VHA_Facility_Quality_and_Safety_Report_FINAL508.pdf
ORYX Core Measure

3045 Download) http://www.healthcarequalitydata.org/ (none)
Page 180 of 1204

Database Level
Payer Source -

3044 Report National No No No
ORYX Core Measure

3045 Download) National No No No
Page 181 of 1204

Database Level
Payer Source -

3044 Report No No No Yes
ORYX Core Measure

3045 Download) No No No No
Page 182 of 1204

Database Level


3044 Report No No No No Yes
ORYX Core Measure

3045 Download) Yes No No Yes No
Page 183 of 1204

Database Level


3044 Report Yes Yes No No Yes
ORYX Core Measure

3045 Download) No No No Yes Yes
Page 184 of 1204

Database Level


3044 Report Yes No Information not available
ORYX Core Measure Measure Data on Approximately 3200 Joint

Database ( Quality Data Commission Accredited Hospitals and Critical
3045 Download) Yes No Access Hospitals
Page 185 of 1204

Database Level
Format of Format of

3044 Report 2012 Annually Yes No
ORYX Core Measure

3045 Download) 2012 Multiple times per year Yes Yes
Page 186 of 1204

Database Level
Format of

3044 Report No
ORYX Core Measure

3045 Download) No
Page 187 of 1204

Database Level
Database
Midas+ DataVision is a client server application used by over

800 hospitals across the USA to concurrently monitor
performance for clinical outcomes, hospital complications,
process of care and financial performance across their
organization. Data from all participating sites is harvested
monthly and aggregated to provide participants with
comparison benchmark data for hospital and medical provider
performance. DataVision incorporates 3M APR DRG
methodology to risk adjust this all payer database and identify
potentially preventable readmissions. Potentially preventable
3046 Midas+ DataVision complications will be released in Q4 2013.
Page 188 of 1204

Database Level

3046 Midas+ DataVision MidasPlus, Inc., A Xerox Company Other No
Page 189 of 1204

Database Level
Conditions for
Use -
3046 Midas+ DataVision Fee required Yes No No No
Page 190 of 1204

Database Level
Database
3046 Midas+ DataVision https://www.midasplus.com/Pages/Products/UpdateDV.aspx (none)
Page 191 of 1204

Database Level
Payer Source -
3046 Midas+ DataVision National Yes Yes Yes
Page 192 of 1204

Database Level
Payer Source -
3046 Midas+ DataVision Yes Yes Yes Yes
Page 193 of 1204

Database Level

3046 Midas+ DataVision No Yes No No Yes
Page 194 of 1204

Database Level

3046 Midas+ DataVision Yes No No Yes Yes
Page 195 of 1204

Database Level

3046 Midas+ DataVision Yes No Information not available
Page 196 of 1204

Database Level
Format of Format of
3046 Midas+ DataVision 2013 Multiple times per year Yes Yes
Page 197 of 1204

Database Level
Format of
3046 Midas+ DataVision Yes
Page 198 of 1204

Database Level
Database
Premier houses the nations largest clinical, financial and

outcomes database. The database is benchmarked against
over 800 hospitals, and is available to more than 173,000
physicians. The applications allow users to drill down to
individual patient details, and it offers both 3M APR-DRG
and CareScience Analytics risk methodologies to analyze
outcomes. Hospitals and health systems are able to analyze
clinical and financial outcomes in relation to peers; compare
performance internally and externally; identify care practice
variations; reduce mortality, complications, readmissions and
HACs; monitor ongoing efforts to improve quality, resource
utilization and efficiency; and fulfill regulatory requirements,
3047 QualityAdvisor Database including OPPE.
An online resource of physicians in four different metropolitan
areas (Denver, Kansas City, Memphis, and New York City--
Manhattan only) with Clinician/Group CAHPS survey results
Consumers' CHECKBOOK at the individual physician level. Also published on
PatientCentral--What Patients UnitedHealthcare website and on websites of local aligning
3048 Say About Their Doctors forces organizations
Performance results for over 200 health insurance plans
Consumers' CHECKBOOK available to Federal employees and retirees, including a
Guide to Health Plans for dozen national plans, almost 200 health maintenance
Federal Employees and organization (HMO) options, and over a dozen Consumer-
3049 Annuitants Driven and High Deductible plan options.
Page 199 of 1204

Database Level

Data services
3047 QualityAdvisor Database Premier, Inc company No
Consumers' CHECKBOOK
PatientCentral--What Patients
3048 Say About Their Doctors Consumers' Checkbook Other Yes
Guide to Health Plans for
Federal Employees and Consumers' Checkbook/Center for
3049 Annuitants the Study of Services Other Yes
Page 200 of 1204

Database Level
Conditions for
Use -
Free to
participant/me
mber/subscribe
3047 QualityAdvisor Database r Yes Yes Yes No
3048 Say About Their Doctors Free No No No Yes
Federal Employees and
3049 Annuitants Fee required Yes No No No
Page 201 of 1204

Database Level
Database
3047 QualityAdvisor Database https://www.premierinc.com (none)
3048 Say About Their Doctors www.checkbook.org/patientcentral (none)
3049 Annuitants http://www.checkbook.org/newhig2/hig.cfm (none)
Page 202 of 1204

Database Level
Payer Source -
3047 QualityAdvisor Database National No No No
3048 Say About Their Doctors Multi-state Yes No No
3049 Annuitants National Yes No No
Page 203 of 1204

Database Level
Payer Source -
3047 QualityAdvisor Database No No No No
3048 Say About Their Doctors No No No No
3049 Annuitants No No No No
Page 204 of 1204

Database Level

3047 QualityAdvisor Database Yes No No No Yes
3048 Say About Their Doctors No Yes No No No
3049 Annuitants No Yes No No No
Page 205 of 1204

Database Level

3047 QualityAdvisor Database No No No Yes Yes
3048 Say About Their Doctors Yes No No Yes Yes
3049 Annuitants Yes No Yes Yes Yes
Page 206 of 1204

Database Level

Over 800 hospitals; contains 9 million annual

inpatient discharges, 50 million annual hospital
outpatient visits from acute care facilities,
ambulatory surgery centers and clinics across
3047 QualityAdvisor Database Yes No the nation, and 15 million ED visits.
PatientCentral--What Patients 2,500 physicians, mainly primary care, in the
3048 Say About Their Doctors Yes No four metro areas
3049 Annuitants Yes No Information not available
Page 207 of 1204

Database Level
Format of Format of
3047 QualityAdvisor Database 2013 Multiple times per year Yes Yes
3048 Say About Their Doctors 2009 Other Yes No
3049 Annuitants 2013 Annually Yes No
Page 208 of 1204

Database Level
Format of
3047 QualityAdvisor Database No
3048 Say About Their Doctors No
3049 Annuitants No
Page 209 of 1204

Database Level
Database
The National Healthcare Safety Network (NHSN) is a

voluntary, secure, internet-based surveillance system that
integrates patient and healthcare personnel safety systems.
Personnel collect data on central line-associated primary
bloodstream infections (BSIs), ventilator-associated
pneumonias, or urinary catheter associated urinary tract
infections (UTIs) that occur in patients staying in a patient
care locations. In NHSN, these locations are further
characterized according to patient population: adults, children,
National Healthcare Safety or infants (in tables, pediatric and nursery locations are so
3050 Network (NHSN) noted).
Web site includes health plan (HMO and PPO) and medical
group results on quality measures in California from
California Office of the Patient Integrated Healthcare Association's Pay for Performance
Advocate Medical Group program and patient experience results from the Pacific
3932 Ratings - Health Plan Ratings Business Group on Health.
Page 210 of 1204

Database Level

National Healthcare Safety Centers for Disease Control and

3050 Network (NHSN) Prevention (CDC) Government entity Yes

Advocate Medical Group California Office of the Patient
3932 Ratings - Health Plan Ratings Advocate Government entity Yes
Page 211 of 1204

Database Level
Conditions for
Use -
National Healthcare Safety

3050 Network (NHSN) Free No No Yes Yes

3932 Ratings - Health Plan Ratings Free No No No Yes
Page 212 of 1204

Database Level
Database

3050 Network (NHSN) http://www.cdc.gov/nhsn/dataStat.html (none)

3932 Ratings - Health Plan Ratings http://reportcard.opa.ca.gov/rc2013/ (none)
Page 213 of 1204

Database Level
Payer Source -

3050 Network (NHSN) National No No No

3932 Ratings - Health Plan Ratings Single State (CA) Yes No No
Page 214 of 1204

Database Level
Payer Source -

3050 Network (NHSN) No No No No

3932 Ratings - Health Plan Ratings No No No No
Page 215 of 1204

Database Level


3050 Network (NHSN) Yes No No No No

3932 Ratings - Health Plan Ratings No Yes Yes No No
Page 216 of 1204

Database Level


3050 Network (NHSN) No Yes No Yes Yes

3932 Ratings - Health Plan Ratings Yes No No Yes Yes
Page 217 of 1204

Database Level


3050 Network (NHSN) Yes No 2449 facilities are eligible to participate
The Pay for Performance program involves

over 35,000 physicians in 220 physician
organizations that care for about 10 million
California Office of the Patient enrollees in eight major health plans. Patient
Advocate Medical Group experience survey results are based on adult
3932 Ratings - Health Plan Ratings No No patients from more than 180 Californ
Page 218 of 1204

Database Level
Format of Format of

3050 Network (NHSN) 2010 Annually Yes No

3932 Ratings - Health Plan Ratings 2012 Annually Yes No
Page 219 of 1204

Database Level
Format of

3050 Network (NHSN) No

3932 Ratings - Health Plan Ratings No
Page 220 of 1204

Database/Measure Level
Database ID Database Name URL 1 URL 2 Measure ID
3001 Nursing Home Compare http://www.medicare.gov/nursinghomecompare/search.html (none) 0674
Page 221 of 1204

Database ID Database Name NQF Number Measure Title Reporting Unit

Percent of Residents Experiencing
One or More Falls with Major Injury
3001 Nursing Home Compare 0674 (Long Stay) Nursing home
Percent of Residents Who Self-
Report Moderate to Severe Pain
3001 Nursing Home Compare 0676 (Short-Stay) Nursing home
Report Moderate to Severe Pain
3001 Nursing Home Compare 0677 (Long-Stay) Nursing home
Percent of Residents or Patients with
Pressure Ulcers That Are New or
3001 Nursing Home Compare 0678 Worsened (Short-Stay) Nursing home
Percent of High Risk Residents with
3001 Nursing Home Compare 0679 Pressure Ulcers (Long Stay) Nursing home
Percent of Residents or Patients
Who Were Assessed and
Appropriately Given the Seasonal
3001 Nursing Home Compare 0680 Influenza Vaccine (Short-Stay) Nursing home
Percent of Residents Assessed and

Appropriately Given the Seasonal
3001 Nursing Home Compare 0681 Influenza Vaccine (Long-Stay) Nursing home
Page 222 of 1204

Type of
Type of Benchmark - Type of
Benchmark - Multi- Type of Benchmark - Type of
National State/Regional Benchmark - Sub-State Benchmark -
Database ID Database Name Average Average State Average Average Mean
3001 Nursing Home Compare Yes No Yes No No
Page 223 of 1204

Type of Type of Type of Type of

Benchmark - Benchmark - Benchmark - Benchmark -
Database ID Database Name Median 75th Percentile 90th Percentile Other
3001 Nursing Home Compare No No Yes No
Page 224 of 1204

Page 225 of 1204


Assessed and Appropriately Given
the Pneumococcal Vaccine (Short-
3001 Nursing Home Compare 0682 Stay) Nursing home

Appropriately Given the
3001 Nursing Home Compare 0683 Pneumococcal Vaccine (Long-Stay) Nursing home
Percent of Residents with a Urinary
3001 Nursing Home Compare 0684 Tract Infection (Long-Stay) Nursing home
Percent of Low Risk Residents Who
Lose Control of Their Bowels or
3001 Nursing Home Compare 0685 Bladder (Long-Stay) Nursing home
Percent of Residents Who Have/Had
a Catheter Inserted and Left in Their
3001 Nursing Home Compare 0686 Bladder (Long-Stay) Nursing home
Percent of Residents Who Were
3001 Nursing Home Compare 0687 Physically Restrained (Long Stay) Nursing home
Percent of Residents Whose Need
for Help with Activities of Daily Living
3001 Nursing Home Compare 0688 Has Increased (Long-Stay) Nursing home
Percent of Residents Who Lose Too
3001 Nursing Home Compare 0689 Much Weight (Long-Stay) Nursing home
Page 226 of 1204

Type of
Page 227 of 1204


Page 228 of 1204

3002 Dialysis Facility Compare http://www.medicare.gov/DialysisFacilityCompare/Data/About-Data.html 0249




Page 229 of 1204

Percent of Residents Who Have

3001 Nursing Home Compare 0690 Depressive Symptoms (Long-Stay) Nursing home
Percent of long-stay residents who
received an antipsychotic
3001 Nursing Home Compare N/A medication. Nursing home
NH-032-10 Short Stay Antipsychotic

3001 Nursing Home Compare N/A Medication Quality Measure Nursing home
Hemodialysis Adequacy Clinical
Performance Measure III:
Hemodialysis Adequacy--HD
Adequacy-- Minimum Delivered
3002 Dialysis Facility Compare 0249 Hemodialysis Dose ESRD
Hemodialysis Vascular Access-
Minimizing use of catheters as
3002 Dialysis Facility Compare 0256 Chronic Dialysis Access ESRD
Hemodialysis Vascular Access-
Maximizing Placement of Arterial
3002 Dialysis Facility Compare 0257 Venous Fistula (AVF) ESRD
Peritoneal Dialysis Adequacy Clinical
Performance Measure III - Delivered
Dose of Peritoneal Dialysis Above
3002 Dialysis Facility Compare 0318 Minimum ESRD
Page 230 of 1204

Type of
3002 Dialysis Facility Compare Yes No Yes No No
Page 231 of 1204


Page 232 of 1204






3003 Home Health Compare 0167

http://www.medicare.gov/homehealthcompare/ https://data.medicare.gov/browse?tags=hhc




Page 233 of 1204


Dialysis Facility Risk-adjusted
3002 Dialysis Facility Compare 0369 Standardized Mortality Ratio ESRD
Minimum spKt/V for Pediatric
3002 Dialysis Facility Compare 1423 Hemodialysis Patients ESRD
Standardized Hospitalization Ratio
3002 Dialysis Facility Compare 1463 for Admissions ESRD
Anemia Management Percentage
of Patients with Hemoglobin >12
3002 Dialysis Facility Compare N/A g/dL ESRD
Percentage of the facilitys
hemodialysis patients with a urea
reduction ratio (URR) of 65% or
3002 Dialysis Facility Compare N/A greater in the calendar year ESRD
Improvement in
3003 Home Health Compare 0167 Ambulation/locomotion Home health care
Acute care hospitalization (risk-
3003 Home Health Compare 0171 adjusted) Home health care
Emergency Department Use without
3003 Home Health Compare 0173 Hospitalization Home health care
3003 Home Health Compare 0174 Improvement in bathing Home health care
3003 Home Health Compare 0175 Improvement in bed transferring Home health care
Page 234 of 1204

Type of
3003 Home Health Compare Yes No Yes No No
Page 235 of 1204


3003 Home Health Compare No No No No
Page 236 of 1204











Page 237 of 1204


Improvement in management of oral
3003 Home Health Compare 0176 medications Home health care
Improvement in pain interfering with
3003 Home Health Compare 0177 activity Home health care
Improvement in status of surgical
3003 Home Health Compare 0178 wounds Home health care
3003 Home Health Compare 0518 Depression Assessment Conducted Home health care
Diabetic Foot Care and Patient
3003 Home Health Compare 0519 Education Implemented Home health care
3003 Home Health Compare 0521 Heart Failure Symptoms Addressed Home health care
Influenza Immunization Received for

3003 Home Health Compare 0522 Current Flu Season (Home Health) Home health care
Pneumococcal Polysaccharide
Vaccine (PPV) Ever Received
3003 Home Health Compare 0525 (Home Health) Home health care
3003 Home Health Compare 0526 Timely Initiation of Care Home health care
Multifactor Fall Risk Assessment

3003 Home Health Compare 0537 Conducted in Patients 65 and Older Home health care
Page 238 of 1204

Type of
Page 239 of 1204


Page 240 of 1204








3004 Community Checkup http://www.wacommunitycheckup.org/?hsearch=mg (none) 0032
Page 241 of 1204

3003 Home Health Compare 0538 Pressure Ulcer Prevention and Care Home health care
Pressure Ulcer Prevention Plans
3003 Home Health Compare N/A Implemented Home health care
Pressure Ulcer Risk Assessment
3003 Home Health Compare N/A Conducted Home health care
Drug education on all medications
provided to patient/caregiver during
3003 Home Health Compare N/A short-term episodes Home health care
3003 Home Health Compare N/A Improvement in dyspnea Home health care
3003 Home Health Compare N/A Pain assessment conducted Home health care
Pain interventions implemented
3003 Home Health Compare N/A during short-term episodes Home health care
3004 Community Checkup 0032 Cervical Cancer Screening Clinicians
3004 Community Checkup 0033 Chlamydia screening in women Clinicians

Use of appropriate medications for
3004 Community Checkup 0036 people with asthma Clinicians
Use of Imaging Studies for Low Back
3004 Community Checkup 0052 Pain Clinicians
Page 242 of 1204

Type of
3004 Community Checkup No No No Yes No
Page 243 of 1204


3004 Community Checkup No No No No
Page 244 of 1204

Page 245 of 1204


Comprehensive Diabetes Care: Eye
3004 Community Checkup 0055 Exam Clinicians
Comprehensive Diabetes Care:
3004 Community Checkup 0057 Hemoglobin A1c (HbA1c) testing Clinicians
Avoidance of Antibiotic Treatment in
3004 Community Checkup 0058 Adults with Acute Bronchitis Clinicians
3004 Community Checkup 0062 Medical Attention for Nephropathy Clinicians
Comprehensive Diabetes Care: LDL-
3004 Community Checkup 0063 C Screening Clinicians
Appropriate treatment for children

3004 Community Checkup 0069 with upper respiratory infection (URI) Clinicians
Acute Myocardial Infarction (AMI):
Persistence of Beta-Blocker
3004 Community Checkup 0071 Treatment After a Heart Attack Clinicians
Antidepressant Medication
3004 Community Checkup 0105 Management Clinicians
3004 Community Checkup 0469 PC-01 Elective Delivery Hospital
Use of Spirometry Testing in the

3004 Community Checkup 0577 Assessment and Diagnosis of COPD Clinicians
Page 246 of 1204

Type of
3004 Community Checkup No No No No No
Page 247 of 1204


3004 Community Checkup No No No Yes
Page 248 of 1204

Page 249 of 1204

CAHPS Clinician/Group Surveys -

(Adult Primary Care, Pediatric Care,
3004 Community Checkup 0005 and Specialist Care Surveys) Clinicians
Getting Timely Appointments, Care,
3004 Community Checkup 0005 and Information Clinicians
How Well Doctors Communicate
3004 Community Checkup 0005 With Patients Clinicians
Helpful, Courteous, and Respectful
3004 Community Checkup 0005 Office Staff Clinicians
3004 Community Checkup 0005 Rating of Doctor Clinicians
3004 Community Checkup N/A Adolescent Well Care Visit Clinicians

Adult Access to
Preventive/Ambulatory Care 20-44,
3004 Community Checkup N/A 45-64, 65+ Other
3004 Community Checkup N/A Breast Cancer Screening Clinicians

Child and Adolescent Access to
3004 Community Checkup N/A Primary Care Other
3004 Community Checkup N/A Cholesterol Lowering Medication Clinicians
Page 250 of 1204

Type of
Page 251 of 1204


Page 252 of 1204

3005 Minnesota Health Scores http://www.mnhealthscores.org/ (none) 0002



Page 253 of 1204


Cholesterol Management for
Patients with Cardiovascular
Conditions: LDL-C Screening and
3004 Community Checkup N/A LDL-C Control <100 Clinicians
Appropriate Testing for Children With
3005 Minnesota Health Scores 0002 Pharyngitis Clinicians
3005 Minnesota Health Scores 0018 Controlling High Blood Pressure Clinicians
Medical Assistance With Smoking
3005 Minnesota Health Scores 0027 and Tobacco Use Cessation Clinicians
3005 Minnesota Health Scores 0032 Cervical Cancer Screening Clinicians
3005 Minnesota Health Scores 0033 Chlamydia screening in women Clinicians
3005 Minnesota Health Scores 0038 Childhood Immunization Status Clinicians
3005 Minnesota Health Scores 0058 Adults with Acute Bronchitis Clinicians
3005 Minnesota Health Scores 0076 Optimal Vascular Care Clinicians

3005 Minnesota Health Scores 0577 Assessment and Diagnosis of COPD Clinicians
Depression Remission at Twelve
3005 Minnesota Health Scores 0710 Months Clinicians
3005 Minnesota Health Scores 0711 Depression Remission at Six Months Clinicians
Depression Utilization of the PHQ-9
3005 Minnesota Health Scores 0712 Tool Clinicians
Page 254 of 1204

Type of
3005 Minnesota Health Scores No No Yes No No



Page 255 of 1204


3005 Minnesota Health Scores No No No No



Page 256 of 1204



3006 Partner for Quality Care http://www.partnerforqualitycare.org/ (none) 0002

Page 257 of 1204


3005 Minnesota Health Scores 0729 Optimal Diabetes Care Clinicians
Getting Timely Appointments, Care,
3005 Minnesota Health Scores 0005 and Information Clinicians
How Well Doctors Communicate
3005 Minnesota Health Scores 0005 With Patients Clinicians
Helpful, Courteous, and Respectful
3005 Minnesota Health Scores 0005 Office Staff Clinicians
3005 Minnesota Health Scores 0005 Rating of Doctor Clinicians
3005 Minnesota Health Scores N/A Breast Cancer Screening Clinicians
3006 Partner for Quality Care 0002 Pharyngitis Other
3006 Partner for Quality Care 0032 Cervical Cancer Screening Other
3006 Partner for Quality Care 0033 Chlamydia screening in women Other
3006 Partner for Quality Care 0036 people with asthma Other
3006 Partner for Quality Care 0052 Pain Other
3006 Partner for Quality Care 0055 Exam Other
3006 Partner for Quality Care 0057 Hemoglobin A1c (HbA1c) testing Other
3006 Partner for Quality Care 0062 Medical Attention for Nephropathy Other
Page 258 of 1204

Type of
3005 Minnesota Health Scores No No No Yes No

3006 Partner for Quality Care No No Yes No No

Page 259 of 1204



3006 Partner for Quality Care No No No Yes

Page 260 of 1204



http://www.mhqp.org/quality/clinical/cqMASumm.asp?nav=032400 0002
Page 261 of 1204


3006 Partner for Quality Care 0063 C Screening Other
Well-Child Visits in the First 15
3006 Partner for Quality Care 1392 Months of Life Other
Well-Child Visits in the Third, Fourth,

3006 Partner for Quality Care 1516 Fifth and Sixth Years of Life Other
3006 Partner for Quality Care N/A Breast Cancer Screening Other
3006 Partner for Quality Care N/A LDL-C Control <100 Other
Quality Insights: Clinical Appropriate Testing for Children With
3007 Quality in Primary Care 0002 Pharyngitis Clinicians
3007 Quality in Primary Care 0018 Controlling High Blood Pressure Clinicians
3007 Quality in Primary Care 0032 Cervical Cancer Screening Clinicians
3007 Quality in Primary Care 0033 Chlamydia screening in women Clinicians
3007 Quality in Primary Care 0034 Colorectal Cancer Screening Clinicians
Quality Insights: Clinical Use of appropriate medications for
3007 Quality in Primary Care 0036 people with asthma Clinicians
Page 262 of 1204

Type of


3007 Quality in Primary Care No No Yes No No
Page 263 of 1204




Page 264 of 1204





Page 265 of 1204


Quality Insights: Clinical Use of Imaging Studies for Low Back
3007 Quality in Primary Care 0052 Pain Clinicians
Quality Insights: Clinical Comprehensive Diabetes Care:
3007 Quality in Primary Care 0057 Hemoglobin A1c (HbA1c) testing Clinicians
Quality Insights: Clinical Avoidance of Antibiotic Treatment in
3007 Quality in Primary Care 0058 Adults with Acute Bronchitis Clinicians
Quality Insights: Clinical Hemoglobin A1c (HbA1c) Poor
3007 Quality in Primary Care 0059 Control (>9.0%) Clinicians
Quality Insights: Clinical Blood Pressure Control (<140/90
3007 Quality in Primary Care 0061 mm Hg) Clinicians
Quality Insights: Clinical Comprehensive Diabetes Care:
3007 Quality in Primary Care 0062 Medical Attention for Nephropathy Clinicians
Quality Insights: Clinical Comprehensive Diabetes Care: LDL-
3007 Quality in Primary Care 0063 C Screening Clinicians
Quality Insights: Clinical Comprehensive Diabetes Care: LDL-
3007 Quality in Primary Care 0064 C Control <100 mg/dL Clinicians
Quality Insights: Clinical Appropriate treatment for children

3007 Quality in Primary Care 0069 with upper respiratory infection (URI) Clinicians
Quality Insights: Clinical Antidepressant Medication
3007 Quality in Primary Care 0105 Management Clinicians
Page 266 of 1204

Type of



Page 267 of 1204





Page 268 of 1204





3008 Hospital Compare http://www.hospitalcompare.hhs.gov/ 0135

https://data.medicare.gov/browse?tags=hospital+compare
Page 269 of 1204

Quality Insights: Clinical Follow-Up Care for Children

3007 Quality in Primary Care 0108 Prescribed ADHD Medication (ADD) Clinicians
Quality Insights: Clinical Use of Spirometry Testing in the

3007 Quality in Primary Care 0577 Assessment and Diagnosis of COPD Clinicians
Quality Insights: Clinical Well-Child Visits in the First 15
3007 Quality in Primary Care 1392 Months of Life Clinicians
Quality Insights: Clinical Well-Child Visits in the Third, Fourth,

3007 Quality in Primary Care 1516 Fifth and Sixth Years of Life Clinicians
3007 Quality in Primary Care N/A Adolescent Well Care Visit Clinicians
3007 Quality in Primary Care N/A Breast Cancer Screening Clinicians
Quality Insights: Clinical Conditions: LDL-C Screening and
3007 Quality in Primary Care N/A LDL-C Control <100 Clinicians
Quality Insights: Clinical Annual Monitoring for Patients on
3007 Quality in Primary Care N/A Persistent Medications Clinicians
Evaluation of Left ventricular systolic

3008 Hospital Compare 0135 function (LVS) Hospital
Page 270 of 1204

Type of




3008 Hospital Compare Yes No Yes No No
Page 271 of 1204






Page 272 of 1204








Page 273 of 1204


National Healthcare Safety Network
(NHSN) Catheter-associated Urinary
Tract Infection (CAUTI) Outcome
3008 Hospital Compare 0138 Measure Hospital
(NHSN) Central line-associated
Bloodstream Infection (CLABSI)
3008 Hospital Compare 0139 Outcome Measure Hospital
Aspirin prescribed at discharge for

3008 Hospital Compare 0142 AMI Hospital
CAC-1: Relievers for Inpatient

3008 Hospital Compare 0143 Asthma Hospital
CAC-2 Systemic corticosteroids for

3008 Hospital Compare 0144 Inpatient Asthma Hospital
Initial antibiotic selection for

community-acquired pneumonia
3008 Hospital Compare 0147 (CAP) in immunocompetent patients Hospital
ACEI or ARB for left ventricular
systolic dysfunction - Heart Failure
3008 Hospital Compare 0162 (HF) Patients Hospital
Page 274 of 1204

Type of
3008 Hospital Compare No No No No No
Page 275 of 1204


3008 Hospital Compare No No No Yes
Page 276 of 1204






Page 277 of 1204

Primary PCI received within 90

3008 Hospital Compare 0163 minutes of Hospital Arrival Hospital
Fibrinolytic Therapy received within

3008 Hospital Compare 0164 30 minutes of hospital arrival Hospital
Surgery Patients Who Received
Appropriate Venous
Thromboembolism (VTE)
Prophylaxis Within 24 Hours Prior to
Surgery to 24 Hours After Surgery
3008 Hospital Compare 0218 End Time Hospital
Hospital 30-day, all-cause, risk-
standardized mortality rate (RSMR)
following heart failure (HF)
hospitalization for patients 18 and
3008 Hospital Compare 0229 older Hospital

following acute myocardial infarction
(AMI) hospitalization for patients 18
3008 Hospital Compare 0230 and older Hospital
Page 278 of 1204

Type of
Page 279 of 1204


Page 280 of 1204








Page 281 of 1204

3008 Hospital Compare 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Perioperative Care: Selection of

Prophylactic Antibiotic: First OR
3008 Hospital Compare 0268 Second Generation Cephalosporin Hospital
Perioperative Care: Timing of
Prophylactic Parenteral Antibiotics
3008 Hospital Compare 0270 Ordering Physician Hospital
Surgery patients on beta blocker
therapy prior to admission who
received a beta blocker during the
3008 Hospital Compare 0284 perioperative period Hospital
3008 Hospital Compare 0286 Aspirin at Arrival Hospital
Fibrinolytic Therapy Received Within

3008 Hospital Compare 0288 30 Minutes of ED Arrival Hospital
3008 Hospital Compare 0289 Median Time to ECG Hospital
Page 282 of 1204

Type of
Page 283 of 1204


Page 284 of 1204









Page 285 of 1204

Median Time to Transfer to Another
Facility for Acute Coronary
3008 Hospital Compare 0290 Intervention Hospital
Cardiac Surgery Patients With
Controlled Postoperative Blood
3008 Hospital Compare 0300 Glucose Hospital
standardized readmission rate
(RSRR) following heart failure
3008 Hospital Compare 0330 hospitalization Hospital
Accidental Puncture or Laceration

3008 Hospital Compare 0345 Rate (PSI 15) Hospital
Iatrogenic Pneumothorax Rate (PSI

3008 Hospital Compare 0346 6) Hospital
Death among surgical inpatients with
serious, treatable complications (PSI
3008 Hospital Compare 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
Congestive Heart Failure (CHF)

3008 Hospital Compare 0358 Mortality Rate (IQI 16) Hospital
Page 286 of 1204
Type of

Page 287 of 1204


Page 288 of 1204







Page 289 of 1204

Abdominal Aortic Aneurysm (AAA)

3008 Hospital Compare 0359 Repair Mortality Rate (IQI 11) Hospital
Foreign Body Left During Procedure

3008 Hospital Compare 0363 (PSI 5) Hospital
Postoperative Pulmonary Embolism
or Deep Vein Thrombosis Rate (PSI
Surgery Patients with Perioperative

3008 Hospital Compare 0452 Temperature Management Hospital
Urinary catheter removed on
Postoperative Day 1 (POD1) or
Postoperative Day 2 (POD2) with
3008 Hospital Compare 0453 day of surgery being day zero. Hospital
3008 Hospital Compare 0467 Acute Stroke Mortality Rate (IQI 17) Hospital

3008 Hospital Compare 0468 following pneumonia hospitalization Hospital
Page 290 of 1204

Type of
Page 291 of 1204


Page 292 of 1204








Page 293 of 1204

Median Time from ED Arrival to ED Emergency

3008 Hospital Compare 0495 Departure for Admitted ED Patients Department
Median Time from ED Arrival to ED
Departure for Discharged ED Emergency
3008 Hospital Compare 0496 Patients Department
Admit Decision Time to ED Emergency

3008 Hospital Compare 0497 Departure Time for Admitted Patients Department
Hospital 30-day all-cause risk-
(RSRR) following acute myocardial
3008 Hospital Compare 0505 infarction (AMI) hospitalization. Hospital
Thirty-day all-cause risk

3008 Hospital Compare 0506 following pneumonia hospitalization. Hospital
3008 Hospital Compare 0513 Thorax CT: Use of Contrast Material Hospital
MRI Lumbar Spine for Low Back

3008 Hospital Compare 0514 Pain Hospital
Page 294 of 1204

Type of
Page 295 of 1204


Page 296 of 1204








Page 297 of 1204

Prophylactic antibiotic received

3008 Hospital Compare 0527 within 1 hour prior to surgical incision Hospital
Prophylactic antibiotic selection for

3008 Hospital Compare 0528 surgical patients Hospital
Prophylactic antibiotics discontinued
within 24 hours after surgery end
3008 Hospital Compare 0529 time Hospital
3008 Hospital Compare 0530 Mortality for Selected Conditions Hospital
Patient Safety for Selected

3008 Hospital Compare 0531 Indicators Hospital
Postoperative Respiratory Failure

3008 Hospital Compare 0533 Rate (PSI 11) Hospital
Atherosclerotic Disease and LDL
Greater than 100 - Use of Lipid
3008 Hospital Compare 0636 Lowering Agent Hospital
Page 298 of 1204

Type of
Page 299 of 1204


Page 300 of 1204







Page 301 of 1204

Head CT or MRI Scan Results for
Acute Ischemic Stroke or
Hemorrhagic Stroke Patients who
Received Head CT or MRI Scan
Interpretation Within 45 minutes of Emergency
3008 Hospital Compare 0661 ED Arrival. Department
Median Time to Pain Management Emergency

3008 Hospital Compare 0662 for Long Bone Fracture Department
Cardiac Imaging for Preoperative
Risk Assessment for Non-Cardiac
3008 Hospital Compare 0669 Low-Risk Surgery Hospital
the Pneumococcal Vaccine (Short-
3008 Hospital Compare 0682 Stay) Hospital
Acute Myocardial Infarction (AMI)

3008 Hospital Compare 0730 Mortality Rate Hospital
American College of Surgeons
Centers for Disease Control and
Prevention (CDC) (ACS-CDC)
Harmonized Procedure Specific
Surgical Site Infection (SSI)
3008 Hospital Compare 0753 Outcome Measure Hospital
Page 302 of 1204
Type of
3008 Hospital Compare No No Yes No No

Page 303 of 1204


Page 304 of 1204








Page 305 of 1204

Pneumococcal Immunization (PPV

3008 Hospital Compare 0166 HCAHPS Hospital
Communication with nurses

3008 Hospital Compare 0166 (summary measure) Hospital
Communication with doctors

Responsiveness of hospital staff

Pain management (summary

3008 Hospital Compare 0166 measure) Hospital
Communication about medicines

Cleanliness of hospital environment

3008 Hospital Compare 0166 (individual measure) Hospital
Page 306 of 1204

Type of
Page 307 of 1204


Page 308 of 1204









Page 309 of 1204
Quietness of hospital environment

3008 Hospital Compare 0166 (individual measure) Hospital
Discharge information (summary

Overall rating of hospital (global

Willingness to recommend the

3008 Hospital Compare 0166 hospital (global measure) Hospital
Abdomen CT use of contrast

3008 Hospital Compare N/A material Hospital
Blood cultures performed in the

emergency department prior to initial
3008 Hospital Compare N/A antibiotic received in hospital Hospital
Central Venous Catheter-related
Bloodstream Infections /1000 (PSI
3008 Hospital Compare N/A 07) Hospital
3008 Hospital Compare N/A Discharge instructions Hospital

Page 310 of 1204
Type of

Page 311 of 1204


Page 312 of 1204








Page 313 of 1204

Door to diagnostic evaluation by a Emergency

3008 Hospital Compare N/A qualified medical professional Department
Gastrointestinal hemorrhage
3008 Hospital Compare N/A mortality rate (IQI 18) Hospital
Home Management Plan of Care
(HMPC) document given to
3008 Hospital Compare N/A patient/caregiver Hospital
Emergency
3008 Hospital Compare N/A Patient left without being seen Department
Postoperative hip fracture rate (PSI

3008 Hospital Compare N/A 08) Hospital
3008 Hospital Compare N/A Post-operative sepsis (PSI 13) Hospital
Postoperative wound dehiscence

3008 Hospital Compare N/A (PSI 14) Hospital
3008 Hospital Compare N/A Pressure ulcer rate (PSI 03) Hospital
Page 314 of 1204

Type of
Page 315 of 1204


Page 316 of 1204








Page 317 of 1204

Surgery patients with recommended

venous thromboembolism
3008 Hospital Compare N/A prophylaxis ordered Hospital
3008 Hospital Compare N/A Air Embolism Hospital
3008 Hospital Compare N/A Blood Incompatibility Hospital

Falls and Trauma: (Includes:
Fracture, Dislocation, Intracranial
Injury, Crushing Injury, Burn, Electric
3008 Hospital Compare N/A Shock) Hospital
Manifestations of Poor Glycemic

3008 Hospital Compare N/A Control Hospital
3008 Hospital Compare N/A Medicare Spending Per Beneficiary Hospital
OP-14: Simultaneous Use of Brain

Computed Tomography (CT) and
3008 Hospital Compare N/A Sinus Computed Tomography (CT) Hospital
Page 318 of 1204

Type of
Page 319 of 1204


Page 320 of 1204




Quality Health First
3010 Program 0002
http://www.ihie.org/quality-health-first-program http://www.ihie.org/public-reporting
3010 Program 0032
3010 Program 0033
3010 Program 0034
3010 Program 0036
3010 Program 0052
3010 Program 0055
Page 321 of 1204

OP-9: Mammography Follow-Up

3008 Hospital Compare N/A Rates Hospital
3008 Hospital Compare N/A Pressure Ulcer Stages III & IV Hospital
Vascular Catheter-Associated
3008 Hospital Compare N/A Infections Hospital
Quality Health First Appropriate Testing for Children With
3010 Program 0002 Pharyngitis Clinicians
3010 Program 0032 Cervical Cancer Screening Clinicians
3010 Program 0033 Chlamydia screening in women Clinicians
3010 Program 0034 Colorectal Cancer Screening Clinicians
Quality Health First Use of appropriate medications for
3010 Program 0036 people with asthma Clinicians
Quality Health First Use of Imaging Studies for Low Back
3010 Program 0052 Pain Clinicians
Quality Health First Comprehensive Diabetes Care: Eye
3010 Program 0055 Exam Clinicians
Page 322 of 1204

Type of
3008 Hospital Compare No No Yes No No

3010 Program No No Yes Yes No
Page 323 of 1204



3010 Program No No No No
Page 324 of 1204


3010 Program 0057

3010 Program 0059
3010 Program 0062
3010 Program 0063
3010 Program 0064

3010 Program 0069

3010 Program 0575
3010 Program 1392

3010 Program 1516
3010 Program 6002
Page 325 of 1204


Quality Health First Comprehensive Diabetes Care:
3010 Program 0057 Hemoglobin A1c (HbA1c) testing Clinicians
Quality Health First Hemoglobin A1c (HbA1c) Poor
3010 Program 0059 Control (>9.0%) Clinicians
Quality Health First Comprehensive Diabetes Care:
3010 Program 0062 Medical Attention for Nephropathy Clinicians
Quality Health First Comprehensive Diabetes Care: LDL-
3010 Program 0063 C Screening Clinicians
Quality Health First Comprehensive Diabetes Care: LDL-
3010 Program 0064 C Control <100 mg/dL Clinicians
Quality Health First Appropriate treatment for children

3010 Program 0069 with upper respiratory infection (URI) Clinicians
Quality Health First Hemoglobin A1c (HbA1c) Control
3010 Program 0575 (<8.0%) Clinicians
Quality Health First Well-Child Visits in the First 15
3010 Program 1392 Months of Life Clinicians
Quality Health First Well-Child Visits in the Third, Fourth,

3010 Program 1516 Fifth and Sixth Years of Life Clinicians
3010 Program N/A Adolescent Well Care Visit Clinicians
Page 326 of 1204

Type of




Page 327 of 1204






Page 328 of 1204


3010 Program 6005

3010 Program 6011

3011 and Performance Report http://www.wchq.org/reporting (none) 0018



Page 329 of 1204


3010 Program N/A Breast Cancer Screening Clinicians
Quality Health First Conditions: LDL-C Screening and
3010 Program N/A LDL-C Control <100 Clinicians

3011 and Performance Report 0018 Controlling High Blood Pressure Clinicians
Wisconsin Collaborative for Preventive Care & Screening:

Healthcare Quality Progress Tobacco Use: Screening &
3011 and Performance Report 0028 Cessation Intervention Clinicians

3011 and Performance Report 0032 Cervical Cancer Screening Clinicians

3011 and Performance Report 0034 Colorectal Cancer Screening Clinicians
Page 330 of 1204

Type of


3011 and Performance Report No No No Yes No



Page 331 of 1204




3011 and Performance Report No No No No



Page 332 of 1204







Page 333 of 1204


Healthcare Quality Progress Pneumonia vaccination status for
3011 and Performance Report 0043 older adults Clinicians

Healthcare Quality Progress Osteoporosis: Screening or Therapy
3011 and Performance Report 0046 for Women Aged 65 Years and Older Clinicians

Healthcare Quality Progress Comprehensive Diabetes Care:
3011 and Performance Report 0057 Hemoglobin A1c (HbA1c) testing Clinicians
Wisconsin Collaborative for Comprehensive Diabetes Care:

Healthcare Quality Progress Hemoglobin A1c (HbA1c) Poor
3011 and Performance Report 0059 Control (>9.0%) Clinicians

Healthcare Quality Progress Blood Pressure Control (<140/90
3011 and Performance Report 0061 mm Hg) Clinicians

Healthcare Quality Progress Comprehensive Diabetes Care:
3011 and Performance Report 0062 Medical Attention for Nephropathy Clinicians
Page 334 of 1204

Type of






Page 335 of 1204








Page 336 of 1204







Page 337 of 1204


Healthcare Quality Progress Comprehensive Diabetes Care: LDL-
3011 and Performance Report 0063 C Screening Clinicians

Healthcare Quality Progress Comprehensive Diabetes Care: LDL-
3011 and Performance Report 0064 C Control <100 mg/dL Clinicians
Wisconsin Collaborative for Ischemic Vascular Disease (IVD):

Healthcare Quality Progress Use of Aspirin or another
3011 and Performance Report 0068 Antithrombotic Clinicians

3011 and Performance Report 0073 IVD: Blood Pressure Management Clinicians

Healthcare Quality Progress IVD: Complete Lipid Profile and LDL
3011 and Performance Report 0075 Control <100 Clinicians

Healthcare Quality Progress Risk-Adjusted Operative Mortality for
3011 and Performance Report 0119 CABG Hospital
Page 338 of 1204

Type of






Page 339 of 1204








Page 340 of 1204







Page 341 of 1204


Healthcare Quality Progress Risk-Adjusted Deep Sternal Wound
3011 and Performance Report 0130 Infection Rate Hospital

Healthcare Quality Progress Risk-Adjusted
3011 and Performance Report 0131 Stroke/Cerebrovascular Accident Hospital

3011 and Performance Report 0133 PCI mortality (risk-adjusted) Hospital

Healthcare Quality Progress Primary PCI received within 90
3011 and Performance Report 0163 minutes of Hospital Arrival Hospital

Healthcare Quality Progress Hemoglobin A1c (HbA1c) Control
3011 and Performance Report 0575 (<8.0%) Clinicians
Wisconsin Collaborative for CAHPS Clinician/Group Surveys -

Healthcare Quality Progress (Adult Primary Care, Pediatric Care,
3011 and Performance Report 0005 and Specialist Care Surveys) Clinicians
Page 342 of 1204

Type of






Page 343 of 1204








Page 344 of 1204







Page 345 of 1204


Healthcare Quality Progress How Well Doctors Communicate
3011 and Performance Report 0005 With Patients Clinicians

Healthcare Quality Progress Helpful, Courteous, and Respectful
3011 and Performance Report 0005 Office Staff Clinicians

Healthcare Quality Progress Doctors office followed up with test
3011 and Performance Report 0005 results Clinicians

3011 and Performance Report 0005 Rating of Doctor Clinicians

3011 and Performance Report 0005 Willingness to Recommend Clinicians

3011 and Performance Report N/A Breast Cancer Screening Clinicians
Page 346 of 1204

Type of






Page 347 of 1204








Page 348 of 1204







3012 Measures (none)
http://www.nhpco.org/performance-measures/patient-outcome-and-measures 0209
Page 349 of 1204


Healthcare Quality Progress CKD Care in Stages IV and V:
3011 and Performance Report N/A Annual Calcium Level Clinicians

3011 and Performance Report N/A Annual iPTH Level Clinicians

3011 and Performance Report N/A Annual Phosphorus Level Clinicians

3011 and Performance Report N/A Blood Pressure Control Clinicians

3011 and Performance Report N/A Annual Lipid Profile Clinicians
Comfortable Dying: Pain Brought to
Patient Outcomes and a Comfortable Level Within 48 Hours
3012 Measures 0209 of Initial Assessment Hospice
Page 350 of 1204

Type of






3012 Measures No No No No No
Page 351 of 1204








3012 Measures No No No Yes
Page 352 of 1204

3013 Quality Compass (none) 0002








Page 353 of 1204

3013 Quality Compass 0002 Pharyngitis Health plan
Initiation and Engagement of Alcohol
and Other Drug Dependence
3013 Quality Compass 0004 Treatment Health plan
3013 Quality Compass 0018 Controlling High Blood Pressure Health plan
Use of High Risk Medications in the

3013 Quality Compass 0022 Elderly Health plan
Weight Assessment and Counseling

for Nutrition and Physical Activity for
3013 Quality Compass 0024 Children/Adolescents Health plan
Medical Assistance With Smoking

3013 Quality Compass 0027 and Tobacco Use Cessation Health plan
3013 Quality Compass 0032 Cervical Cancer Screening Health plan
3013 Quality Compass 0033 Chlamydia screening in women Health plan

Page 354 of 1204
Type of
3013 Quality Compass Yes Yes Yes Yes No

Page 355 of 1204

3013 Quality Compass No Yes Yes Yes

Page 356 of 1204








Page 357 of 1204

3013 Quality Compass 0034 Colorectal Cancer Screening Health plan
3013 Quality Compass 0035 Fall Risk Management Health plan

3013 Quality Compass 0036 people with asthma Health plan
3013 Quality Compass 0038 Childhood Immunization Status Health plan
Flu Shots for Adults Ages 50 and

3013 Quality Compass 0039 Over Health plan

3013 Quality Compass 0052 Pain Health plan
Osteoporosis Management in
3013 Quality Compass 0053 Women Who Had a Fracture Health plan
Disease Modifying Anti-Rheumatic
Drug Therapy for Rheumatoid
3013 Quality Compass 0054 Arthritis Health plan
Page 358 of 1204

Type of
Page 359 of 1204


Page 360 of 1204









Page 361 of 1204


3013 Quality Compass 0055 Exam Health plan

3013 Quality Compass 0057 Hemoglobin A1c (HbA1c) testing Health plan

3013 Quality Compass 0058 Adults with Acute Bronchitis Health plan
Hemoglobin A1c (HbA1c) Poor
3013 Quality Compass 0059 Control (>9.0%) Health plan
Blood Pressure Control (<140/90
3013 Quality Compass 0061 mm Hg) Health plan

3013 Quality Compass 0062 Medical Attention for Nephropathy Health plan

3013 Quality Compass 0063 C Screening Health plan

3013 Quality Compass 0064 C Control <100 mg/dL Health plan
Page 362 of 1204

Type of
Page 363 of 1204


Page 364 of 1204









Page 365 of 1204


3013 Quality Compass 0069 with upper respiratory infection (URI) Health plan
Persistence of Beta-Blocker
3013 Quality Compass 0071 Treatment After a Heart Attack Health plan
Antidepressant Medication
3013 Quality Compass 0105 Management Health plan
Follow-Up Care for Children

3013 Quality Compass 0108 Prescribed ADHD Medication (ADD) Health plan
Hemoglobin A1c (HbA1c) Control
3013 Quality Compass 0575 (<8.0%) Health plan
Follow-Up After Hospitalization for

3013 Quality Compass 0576 Mental Illness Health plan

3013 Quality Compass 0577 Assessment and Diagnosis of COPD Health plan
3013 Quality Compass 0731 Comprehensive Diabetes Care Health plan
Page 366 of 1204

Type of
Page 367 of 1204


Page 368 of 1204









Page 369 of 1204

3013 Quality Compass 1388 Annual Dental Visit Health plan
3013 Quality Compass 1391 Frequency of Ongoing Prenatal Care Health plan
Well-Child Visits in the First 15

3013 Quality Compass 1392 Months of Life Health plan
3013 Quality Compass 1407 Immunizations for Adolescents Health plan
Well-Child Visits in the Third, Fourth,

3013 Quality Compass 1516 Fifth and Sixth Years of Life Health plan
3013 Quality Compass 1517 Prenatal & Postpartum Care Health plan
Relative Resource Use for People

3013 Quality Compass 1557 with Diabetes (RDI) Health plan

3013 Quality Compass 1558 with Cardiovascular Conditions Health plan
Page 370 of 1204

Type of
Page 371 of 1204


Page 372 of 1204









Page 373 of 1204

3013 Quality Compass 1560 with Asthma Health plan

3013 Quality Compass 1561 with COPD Health plan
Human Papillomavirus Vaccine for

3013 Quality Compass 1959 Female Adolescents Health plan
CAHPS Health Plan Survey v 4.0 -

3013 Quality Compass 0006 Adult questionnaire Health plan
3013 Quality Compass 0006 Getting Needed Care Health plan

In the last 6/12 months, how often
was it easy to get appointments with
3013 Quality Compass 0006 specialists? Health plan
was it easy to get the care, tests, or
treatment you thought you needed
3013 Quality Compass 0006 through your health plan? Health plan
3013 Quality Compass 0006 Getting Care Quickly Health plan

Page 374 of 1204
Type of

Page 375 of 1204


Page 376 of 1204






Page 377 of 1204


In the last 6/12 months, when you
needed care right away, how often
did you get care as soon as you
3013 Quality Compass 0006 thought you needed? Health plan
In the last 6/12 months, not counting
the times you needed care right
away, how often did you get an
appointment for your health care at a
doctor's office or clinic as soon as
3013 Quality Compass 0006 you thought you needed? Health plan
3013 Quality Compass 0006 How Well Doctors Communicate Health plan
did your personal doctor explain
things in a way that was easy to
3013 Quality Compass 0006 understand? Health plan
did your personal doctor listen
3013 Quality Compass 0006 carefully to you? Health plan
did your personal doctor show
3013 Quality Compass 0006 respect for what you had to say? Health plan
Page 378 of 1204

Type of
Page 379 of 1204


Page 380 of 1204






Page 381 of 1204


did your personal doctor spend
3013 Quality Compass 0006 enough time with you? Health plan
Health Plan Information & Customer

3013 Quality Compass 0006 Service Health plan
did your health plans customer
service give you the information or
3013 Quality Compass 0006 help you needed? Health plan
service staff treat you with courtesy
3013 Quality Compass 0006 and respect? Health plan
Using any number from 0 to 10,
where 0 is the worst health care
possible and 10 is the best health
care possible, what number would
you use to rate all your health care in
3013 Quality Compass 0006 the last 6/12 months? Health plan
Page 382 of 1204

Type of
Page 383 of 1204


Page 384 of 1204






Page 385 of 1204


where 0 is the worst personal doctor
possible and 10 is the best personal
doctor possible, what number would
you use to rate your personal
3013 Quality Compass 0006 doctor? Health plan

where 0 is the worst specialist
possible and 10 is the best specialist
possible, what number would you
3013 Quality Compass 0006 use to rate the specialist? Health plan
where 0 is the worst health plan
plan possible, what number would
3013 Quality Compass 0006 you use to rate your health plan? Health plan
NCQA Supplemental items for
CAHPS 4.0 Adult Questionnaire
3013 Quality Compass 0007 (CAHPS 4.0H) Health plan
3013 Quality Compass 0007 Shared Decision Making Composite Health plan
Page 386 of 1204

Type of
Page 387 of 1204


Page 388 of 1204






Page 389 of 1204


Survey Item: Did a doctor or other
health provider talk with you about
the pros and cons of each choice for
3013 Quality Compass 0007 your treatment or health care? Health plan
Survey Item: How often did the

written materials or the Internet
provide the information you needed
3013 Quality Compass 0007 about how your health plan works? Health plan
Survey Item: How often did you and
a doctor or other health provider talk
about specific things you could do to
3013 Quality Compass 0007 prevent illness? Health plan
Survey Item: How often did your
personal doctor seem informed and
up-to-date about the care you got
from these doctors or other health
3013 Quality Compass 0007 providers? Health plan
Survey Item: How often were the
forms from your health plan easy to
3013 Quality Compass 0007 fill out? Health plan
Page 390 of 1204

Type of
Page 391 of 1204


Page 392 of 1204







Page 393 of 1204
Survey Item: How often were you

able to find out from your health plan
how much you would have to pay for
3013 Quality Compass 0007 a health care service or equipment? Health plan
Survey Item: How often were you

able to find out from your health plan
how much you would have to pay for
3013 Quality Compass 0007 specific prescription medicines? Health plan
Survey Item: In general, how would

3013 Quality Compass 0007 you rate your overall health? Health plan
Survey Item: When there was more

than one choice for your treatment or
health care, did a doctor or other
health provider ask which choice you
3013 Quality Compass 0007 thought was best for you? Health plan
3013 Quality Compass 0007 Getting Information From Drug Plan Health plan
3013 Quality Compass 0007 Getting Needed Prescription Drugs Health plan
Page 394 of 1204
Type of

Page 395 of 1204


Page 396 of 1204





Page 397 of 1204


CAHPS Health Plan Survey v 3.0
children with chronic conditions
3013 Quality Compass 0009 supplement Health plan
When your child needed care right
away, how often did your child get
care as soon as you thought he or
3013 Quality Compass 0009 she needed? Health plan
Not counting the times your child
did you get an appointment for
health care at a doctors office or
clinic as soon as you thought your
3013 Quality Compass 0009 child needed? Health plan
Did your childs doctor or other

3013 Quality Compass 0009 your childs treatment or health care? Health plan
When there was more than one
choice for your childs treatment or
health care, did your childs doctor or
other health provider ask you which
choice you thought was best for your
3013 Quality Compass 0009 child? Health plan
Page 398 of 1204

Type of
3013 Quality Compass Yes Yes Yes No No
Page 399 of 1204


Page 400 of 1204







Page 401 of 1204


In the last 6 months, did you get the
help you needed from your childs
doctors or other health providers in
contacting your childs school or
3013 Quality Compass 0009 daycare? Health plan
How often was it easy to get special
medical equipment or devices for
3013 Quality Compass 0009 your child? Health plan
Did anyone from your childs health
plan, doctors office, or clinic help
you get special medical equipment
3013 Quality Compass 0009 or devices for your child? Health plan
How often was it easy to get
physical, occupational, or speech
3013 Quality Compass 0009 therapy for your child? Health plan
3013 Quality Compass 0009 you get this therapy for your child? Health plan
treatment or counseling for an
emotional, developmental, or
3013 Quality Compass 0009 behavioral problem for your child? Health plan
Page 402 of 1204

Type of
Page 403 of 1204


Page 404 of 1204







Page 405 of 1204


you get this treatment or counseling
3013 Quality Compass 0009 for your child? Health plan
In the last 6 months, did anyone

from your childs health plan,
doctors office, or clinic help
coordinate your childs care among
3013 Quality Compass 0009 these different providers or services? Health plan
How often did your childs personal
doctor explain things in a way that
3013 Quality Compass 0009 was easy to understand? Health plan

3013 Quality Compass 0009 doctor listen carefully to you? Health plan
doctor show respect for what you
3013 Quality Compass 0009 had to say? Health plan
doctor spend enough time with your
Page 406 of 1204

Type of
Page 407 of 1204


Page 408 of 1204






Page 409 of 1204


In the last 6 months, did your childs
personal doctor talk with you about
how your child is feeling, growing, or
3013 Quality Compass 0009 behaving? Health plan
Does your childs personal doctor

understand how these medical,
behavioral, or other health conditions
3013 Quality Compass 0009 affect your childs day-to-day life? Health plan
Does your childs personal doctor

understand how your childs medical,
behavioral, or other health conditions
3013 Quality Compass 0009 affect your familys day-to-day life? Health plan
appointments for your child with
3013 Quality Compass 0009 specialists? Health plan
How often was it easy to get the
care, tests, or treatment you thought
your child needed through his or her
3013 Quality Compass 0009 health plan? Health plan
Page 410 of 1204

Type of
Page 411 of 1204


Page 412 of 1204







Page 413 of 1204

How often did customer service at

your childs health plan give you the
3013 Quality Compass 0009 information or help you needed? Health plan
How often did customer service staff
at your childs health plan treat you
3013 Quality Compass 0009 with courtesy and respect? Health plan
How often were the forms from your

3013 Quality Compass 0009 childs health plan easy to fill out? Health plan
you get your childs prescription
3013 Quality Compass 0009 medicines? Health plan
care as soon as you thought he or
3013 Quality Compass 0009 she needed? Health plan
clinic as soon as you thought your
3013 Quality Compass 0009 child needed? Health plan
Page 414 of 1204

Type of
Page 415 of 1204


Page 416 of 1204






Page 417 of 1204

Did your childs doctor or other

3013 Quality Compass 0009 your childs treatment or health care? Health plan
When there was more than one
choice for your childs treatment or
health care, did your childs doctor or
other health provider ask you which
choice you thought was best for your
How often was it easy to get the
care, tests, or treatment you thought
your child needed through his or her
3013 Quality Compass 0009 health plan? Health plan
How often did customer service at

your childs health plan give you the
3013 Quality Compass 0009 information or help you needed? Health plan
3013 Quality Compass N/A Adolescent Well Care Visit Health plan
Page 418 of 1204

Type of
Page 419 of 1204


Page 420 of 1204









Page 421 of 1204

Adult Access to
Preventive/Ambulatory Care 20-44,
3013 Quality Compass N/A 45-64, 65+ Health plan
3013 Quality Compass N/A Breast Cancer Screening Health plan

3013 Quality Compass N/A LDL-C Control <100 Health plan
Annual Monitoring for Patients on

3013 Quality Compass N/A Persistent Medications Health plan
3013 Quality Compass N/A Adult BMI Assessment Health plan
3013 Quality Compass N/A Aspirin Use and Discussion Health plan
3013 Quality Compass N/A Flu Shots for Older Adults Health plan
3013 Quality Compass N/A Lead Screening in Children Health plan

Page 422 of 1204
Type of

Page 423 of 1204


Page 424 of 1204






Page 425 of 1204

Pharmacotherapy of COPD
3013 Quality Compass N/A Exacerbation Health plan
Potentially Harmful Drug-Disease

3013 Quality Compass N/A Interactions in the Elderly Health plan
Blood Pressure Control (<140/80
3013 Quality Compass N/A mm Hg)n Health plan
3013 Quality Compass N/A Claims Processing Composite Health plan
Claims Processing Composite
health plan handle your claims
3013 Quality Compass N/A quickly? Health plan
Claims Processing Composite
health plan handle your claims
3013 Quality Compass N/A correctly? Health plan
Page 426 of 1204

Type of
Page 427 of 1204


Page 428 of 1204


CAHPS CLINICIAN &

GROUP SURVEY (CG-
3014 CAHPS) DATABASE https://www.cahps.ahrq.gov/clinician_group/ (none) 3500
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
Page 429 of 1204

3013 Quality Compass N/A C05 - Glaucoma Testing Health plan
CAHPS CLINICIAN & CAHPS Clinician/Group Surveys -

GROUP SURVEY (CG- (Adult Primary Care, Pediatric Care,
3014 CAHPS) DATABASE 0005 and Specialist Care Surveys) Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Getting Timely Appointments, Care,
3014 CAHPS) DATABASE 0005 and Information Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Got appointment for urgent care as
3014 CAHPS) DATABASE 0005 soon as needed Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Got appointment for check-up or
3014 CAHPS) DATABASE 0005 routine care as soon as needed Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Got answer to phone question during
3014 CAHPS) DATABASE 0005 regular office hours on same day Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Got answer to phone question after
3014 CAHPS) DATABASE 0005 hours as soon as needed Clinicians
Page 430 of 1204

Type of
CAHPS CLINICIAN &

GROUP SURVEY (CG-
3014 CAHPS) DATABASE Yes Yes No No No
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
Page 431 of 1204


CAHPS CLINICIAN &

GROUP SURVEY (CG-
3014 CAHPS) DATABASE No Yes Yes Yes
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
Page 432 of 1204


CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
Page 433 of 1204


CAHPS CLINICIAN &
GROUP SURVEY (CG- Wait time to be seen within 15
3014 CAHPS) DATABASE 0005 minutes of appointment time Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- How Well Doctors Communicate
3014 CAHPS) DATABASE 0005 With Patients Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Doctor explained things clearly Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Doctor listened carefully Clinicians
CAHPS CLINICIAN & Doctor gave easy to understand
GROUP SURVEY (CG- instructions about taking care of
3014 CAHPS) DATABASE 0005 health problems Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Doctor knew important info about
3014 CAHPS) DATABASE 0005 medical history Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Doctor showed respect Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Doctor spent enough time Clinicians
Page 434 of 1204

Type of
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
Page 435 of 1204


CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
Page 436 of 1204


CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-

3015 Initiative (QOPI) data http://qopi.asco.org/program.html (none) 0028

Page 437 of 1204


CAHPS CLINICIAN &
GROUP SURVEY (CG- Helpful, Courteous, and Respectful
3014 CAHPS) DATABASE 0005 Office Staff Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Office staff was helpful Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Office staff showed courtesy and
3014 CAHPS) DATABASE 0005 respect Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG- Doctors office followed up with test
3014 CAHPS) DATABASE 0005 results Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Rating of Doctor Clinicians
CAHPS CLINICIAN &
GROUP SURVEY (CG-
3014 CAHPS) DATABASE 0005 Willingness to Recommend Clinicians
Preventive Care & Screening:
Quality Oncology Practice Tobacco Use: Screening &
3015 Initiative (QOPI) data 0028 Cessation Intervention Clinicians
Quality Oncology Practice Proportion receiving chemotherapy

3015 Initiative (QOPI) data 0210 in the last 14 days of life Clinicians
Page 438 of 1204

Type of
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-

3015 Initiative (QOPI) data No No No No No

Page 439 of 1204


CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-
CAHPS CLINICIAN &
GROUP SURVEY (CG-

3015 Initiative (QOPI) data No No No Yes

Page 440 of 1204





Page 441 of 1204


3015 Initiative (QOPI) data 0215 Proportion not admitted to hospice Clinicians
Quality Oncology Practice Proportion admitted to hospice for
3015 Initiative (QOPI) data 0216 less than 3 days Clinicians
Appropriate Venous
Quality Oncology Practice Surgery to 24 Hours After Surgery
3015 Initiative (QOPI) data 0218 End Time Clinicians
3015 Initiative (QOPI) data 0220 Adjuvant hormonal therapy Clinicians
Adjuvant chemotherapy is
considered or administered within 4
months (120 days) of diagnosis to
patients under the age of 80 with
Quality Oncology Practice AJCC III (lymph node positive) colon
3015 Initiative (QOPI) data 0223 cancer Clinicians
At least 12 regional lymph nodes are

Quality Oncology Practice removed and pathologically
3015 Initiative (QOPI) data 0225 examined for resected colon cancer. Clinicians
Page 442 of 1204

Type of



Page 443 of 1204





Page 444 of 1204







Page 445 of 1204


Oncology: Plan of Care for Pain
Quality Oncology Practice Medical Oncology and Radiation
3015 Initiative (QOPI) data 0383 Oncology (paired with 0384) Clinicians
Oncology: Pain Intensity Quantified

Quality Oncology Practice Medical Oncology and Radiation
3015 Initiative (QOPI) data 0384 Oncology (paired with 0383) Clinicians
Oncology: Chemotherapy for Stage
Quality Oncology Practice IIIA through IIIC Colon Cancer
3015 Initiative (QOPI) data 0385 Patients Clinicians
Quality Oncology Practice Oncology: Cancer Stage
3015 Initiative (QOPI) data 0386 Documented Clinicians
Oncology: Hormonal therapy for
Quality Oncology Practice stage IC through IIIC, ER/PR
3015 Initiative (QOPI) data 0387 positive breast cancer Clinicians
Quality Oncology Practice Prophylactic antibiotic received

3015 Initiative (QOPI) data 0527 within 1 hour prior to surgical incision Clinicians
Quality Oncology Practice within 24 hours after surgery end
3015 Initiative (QOPI) data 0529 time Clinicians
Page 446 of 1204

Type of






Page 447 of 1204








Page 448 of 1204





Page 449 of 1204

C0559: Combination chemotherapy

is considered or administered within
4 months (120 days) of diagnosis for
women under 70 with AJCC T1c, or
Quality Oncology Practice Stage II or III hormone receptor
3015 Initiative (QOPI) data 0559 negative breast cancer. Clinicians
Patients with breast cancer and
negative or undocumented human
epidermal growth factor receptor 2
Quality Oncology Practice (HER2) status who are spared
3015 Initiative (QOPI) data 1857 treatment with trastuzumab Clinicians
Trastuzumab administered to
patients with AJCC stage I (T1c) III
and human epidermal growth factor
receptor 2 (HER2) positive breast
Quality Oncology Practice cancer who receive adjuvant
3015 Initiative (QOPI) data 1858 chemotherapy Clinicians
KRAS gene mutation testing
performed for patients with
metastatic colorectal cancer who
receive anti-epidermal growth factor
Quality Oncology Practice receptor monoclonal antibody
3015 Initiative (QOPI) data 1859 therapy Clinicians
Page 450 of 1204

Type of




Page 451 of 1204






Page 452 of 1204



3016 Uniform Data System (UDS) http://bphc.hrsa.gov/healthcenterdatastatistics/nationaldata/index.html 0018

http://bphc.hrsa.gov/healthcenterdatastatistics/statedata/index




Page 453 of 1204


Patients with metastatic colorectal
cancer and KRAS gene mutation
spared treatment with anti-epidermal
Quality Oncology Practice growth factor receptor monoclonal
3015 Initiative (QOPI) data 1860 antibodies Clinicians
Human epidermal growth factor
Quality Oncology Practice receptor 2 (HER2) testing in breast
3015 Initiative (QOPI) data 1878 cancer Clinicians
3016 Uniform Data System (UDS) 0018 Controlling High Blood Pressure Other

for Nutrition and Physical Activity for
3016 Uniform Data System (UDS) 0024 Children/Adolescents Other
Preventive Care & Screening:
Tobacco Use: Screening &
3016 Uniform Data System (UDS) 0028 Cessation Intervention Other
3016 Uniform Data System (UDS) 0032 Cervical Cancer Screening Other
3016 Uniform Data System (UDS) 0034 Colorectal Cancer Screening Other
Page 454 of 1204

Type of


3016 Uniform Data System (UDS) Yes No Yes No No
Page 455 of 1204




3016 Uniform Data System (UDS) No No No Yes
Page 456 of 1204









Page 457 of 1204

3016 Uniform Data System (UDS) 0038 Childhood Immunization Status Other
Asthma: Pharmacologic Therapy for

3016 Uniform Data System (UDS) 0047 Persistent Asthma Other
Hemoglobin A1c (HbA1c) Poor
3016 Uniform Data System (UDS) 0059 Control (>9.0%) Other
Ischemic Vascular Disease (IVD):
Use of Aspirin or another
3016 Uniform Data System (UDS) 0068 Antithrombotic Other
Chronic Stable Coronary Artery

3016 Uniform Data System (UDS) 0074 Disease: Lipid Control Other
Preventive Care and Screening:
Body Mass Index (BMI) Screening
3016 Uniform Data System (UDS) 0421 and Follow-Up Other
Hemoglobin A1c (HbA1c) Control
3016 Uniform Data System (UDS) 0575 (<8.0%) Other
3016 Uniform Data System (UDS) N/A Diabetes Hba1c < 7% Other
Page 458 of 1204

Type of
Page 459 of 1204


Page 460 of 1204

3017 NNECDSG Registries http://www.nnecdsg.org/data_cabgallsites4.htm (none) 0113
Page 461 of 1204


Participation in a Systematic
3017 NNECDSG Registries 0113 Database for Cardiac Surgery Hospital
Risk-Adjusted Post-operative Renal
3017 NNECDSG Registries 0114 Failure Hospital
Risk-Adjusted Surgical Re-
3017 NNECDSG Registries 0115 exploration Hospital
3017 NNECDSG Registries 0116 Anti-Platelet Medication at Discharge Hospital
3017 NNECDSG Registries 0117 Beta Blockade at Discharge Hospital

Risk-Adjusted Operative Mortality for
3017 NNECDSG Registries 0119 CABG Hospital

3017 NNECDSG Registries 0120 Aortic Valve Replacement (AVR) Hospital
3017 NNECDSG Registries 0121 Mitral Valve (MV) Replacement Hospital
Risk-Adjusted Operative Mortality

3017 NNECDSG Registries 0122 MV Replacement + CABG Surgery Hospital
Aortic Valve Replacement (AVR) +
3017 NNECDSG Registries 0123 CABG Surgery Hospital
Page 462 of 1204

Type of
3017 NNECDSG Registries No Yes No No No
Page 463 of 1204


3017 NNECDSG Registries No No No Yes
Page 464 of 1204

Page 465 of 1204


Selection of Antibiotic Prophylaxis for
3017 NNECDSG Registries 0126 Cardiac Surgery Patients Hospital
3017 NNECDSG Registries 0127 Preoperative Beta Blockade Hospital

Duration of Antibiotic Prophylaxis for
3017 NNECDSG Registries 0128 Cardiac Surgery Patients Hospital
Risk-Adjusted Prolonged Intubation
3017 NNECDSG Registries 0129 (Ventilation) Hospital
Risk-Adjusted Deep Sternal Wound
3017 NNECDSG Registries 0130 Infection Rate Hospital
Risk-Adjusted
3017 NNECDSG Registries 0131 Stroke/Cerebrovascular Accident Hospital
3017 NNECDSG Registries 0133 PCI mortality (risk-adjusted) Hospital

Use of Internal Mammary Artery
(IMA) in Coronary Artery Bypass
3017 NNECDSG Registries 0134 Graft (CABG) Hospital
3017 NNECDSG Registries 0163 minutes of Hospital Arrival Hospital
3017 NNECDSG Registries 0300 Glucose Hospital
Page 466 of 1204

Type of
Page 467 of 1204


Page 468 of 1204

Page 469 of 1204


3017 NNECDSG Registries 0529 time Hospital
30-day all-cause risk-standardized

mortality rate following percutaneous
coronary intervention (PCI) for
patients without ST segment
elevation myocardial infarction
(STEMI) and without cardiogenic
3017 NNECDSG Registries 0535 shock Hospital
30-day all-cause risk-standardized

mortality rate following Percutaneous
Coronary Intervention (PCI) for
patients with ST segment elevation
myocardial infarction (STEMI) or
3017 NNECDSG Registries 0536 cardiogenic shock Hospital
3017 NNECDSG Registries 0588 Stent drug-eluting clopidogrel Hospital

Perioperative Care: Discontinuation
of Prophylactic Antibiotics (Cardiac
3017 NNECDSG Registries 0637 Procedures) Hospital
Page 470 of 1204

Type of
Page 471 of 1204


Page 472 of 1204

Long Term Care Minimum

3018 Data Set (MDS) (none) 0674
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQ




Page 473 of 1204


Therapy with aspirin, P2Y12
inhibitor, and statin at discharge
3017 NNECDSG Registries 0964 following PCI in eligible patients Hospital
Percent of Residents Experiencing

Long Term Care Minimum One or More Falls with Major Injury
3018 Data Set (MDS) 0674 (Long Stay) Nursing home

Long Term Care Minimum Report Moderate to Severe Pain
3018 Data Set (MDS) 0676 (Short-Stay) Nursing home

Long Term Care Minimum Report Moderate to Severe Pain
3018 Data Set (MDS) 0677 (Long-Stay) Nursing home
Percent of Residents or Patients with

Long Term Care Minimum Pressure Ulcers That Are New or
3018 Data Set (MDS) 0678 Worsened (Short-Stay) Nursing home
Long Term Care Minimum Percent of High Risk Residents with

3018 Data Set (MDS) 0679 Pressure Ulcers (Long Stay) Nursing home
Page 474 of 1204

Type of

3018 Data Set (MDS) Yes No Yes No No




Page 475 of 1204



3018 Data Set (MDS) No No No No




Page 476 of 1204







Page 477 of 1204


Who Were Assessed and
Long Term Care Minimum Appropriately Given the Seasonal
3018 Data Set (MDS) 0680 Influenza Vaccine (Short-Stay) Nursing home

Long Term Care Minimum Appropriately Given the Seasonal
3018 Data Set (MDS) 0681 Influenza Vaccine (Long-Stay) Nursing home
Long Term Care Minimum the Pneumococcal Vaccine (Short-
3018 Data Set (MDS) 0682 Stay) Nursing home

Long Term Care Minimum Appropriately Given the
3018 Data Set (MDS) 0683 Pneumococcal Vaccine (Long-Stay) Nursing home
Long Term Care Minimum Percent of Residents with a Urinary

3018 Data Set (MDS) 0684 Tract Infection (Long-Stay) Nursing home
Percent of Low Risk Residents Who

Long Term Care Minimum Lose Control of Their Bowels or
3018 Data Set (MDS) 0685 Bladder (Long-Stay) Nursing home
Page 478 of 1204

Type of






Page 479 of 1204








Page 480 of 1204







Page 481 of 1204

Percent of Residents Who Have/Had

Long Term Care Minimum a Catheter Inserted and Left in Their
3018 Data Set (MDS) 0686 Bladder (Long-Stay) Nursing home
Long Term Care Minimum Percent of Residents Who Were

3018 Data Set (MDS) 0687 Physically Restrained (Long Stay) Nursing home
Percent of Residents Whose Need

Long Term Care Minimum for Help with Activities of Daily Living
3018 Data Set (MDS) 0688 Has Increased (Long-Stay) Nursing home
Long Term Care Minimum Percent of Residents Who Lose Too

3018 Data Set (MDS) 0689 Much Weight (Long-Stay) Nursing home
Long Term Care Minimum Percent of Residents Who Have

3018 Data Set (MDS) 0690 Depressive Symptoms (Long-Stay) Nursing home
Percent of long-stay residents who

Long Term Care Minimum received an antipsychotic
3018 Data Set (MDS) N/A medication. Nursing home
Page 482 of 1204

Type of






Page 483 of 1204








Page 484 of 1204


Family Evaluation of
3019 Hospice Care Survey (none) 0208
http://www.nhpco.org/performance-measures/family-evaluation-hospice-care-fehc
KentuckyGreater
Louisville Value Exchange
3020 Partnership http://www.khcollaborative.org/kentuckiana/21-2/ (none) 0002
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
Page 485 of 1204

Long Term Care Minimum NH-032-10 Short Stay Antipsychotic

3018 Data Set (MDS) N/A Medication Quality Measure Nursing home
3019 Hospice Care Survey 0208 Family Evaluation of Hospice Care Hospice
KentuckyGreater
Louisville Value Exchange Appropriate Testing for Children With
3020 Partnership 0002 Pharyngitis Health plan
KentuckyGreater
3020 Partnership 0032 Cervical Cancer Screening Health plan
KentuckyGreater
3020 Partnership 0033 Chlamydia screening in women Health plan
KentuckyGreater
3020 Partnership 0034 Colorectal Cancer Screening Health plan
KentuckyGreater
Louisville Value Exchange Use of appropriate medications for
3020 Partnership 0036 people with asthma Health plan
Page 486 of 1204

Type of

3019 Hospice Care Survey Yes No Yes No No
KentuckyGreater
3020 Partnership No Yes No No No
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
Page 487 of 1204



3019 Hospice Care Survey No No No Yes
KentuckyGreater
3020 Partnership No No No No
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
Page 488 of 1204


KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
Page 489 of 1204


KentuckyGreater
Louisville Value Exchange Use of Imaging Studies for Low Back
3020 Partnership 0052 Pain Health plan
KentuckyGreater
Louisville Value Exchange Comprehensive Diabetes Care: Eye
3020 Partnership 0055 Exam Health plan
KentuckyGreater
Louisville Value Exchange Comprehensive Diabetes Care:
3020 Partnership 0057 Hemoglobin A1c (HbA1c) testing Health plan
KentuckyGreater
Louisville Value Exchange Avoidance of Antibiotic Treatment in
3020 Partnership 0058 Adults with Acute Bronchitis Health plan
KentuckyGreater
Louisville Value Exchange Comprehensive Diabetes Care:
3020 Partnership 0062 Medical Attention for Nephropathy Health plan
KentuckyGreater
Louisville Value Exchange Comprehensive Diabetes Care: LDL-
3020 Partnership 0063 C Screening Health plan
KentuckyGreater
Louisville Value Exchange Appropriate treatment for children
3020 Partnership 0069 with upper respiratory infection (URI) Health plan
KentuckyGreater
Louisville Value Exchange Antidepressant Medication
3020 Partnership 0105 Management Health plan
Page 490 of 1204

Type of
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
Page 491 of 1204


KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
KentuckyGreater
Page 492 of 1204


KentuckyGreater
KentuckyGreater
KentuckyGreater
3021 Guide to Health Insurance http://www.dfs.ny.gov/consumer/hgintro.htm (none) 0018

Page 493 of 1204


KentuckyGreater
Louisville Value Exchange Follow-Up After Hospitalization for
3020 Partnership 0576 Mental Illness Health plan
KentuckyGreater
3020 Partnership 0731 Comprehensive Diabetes Care Health plan
KentuckyGreater
3020 Partnership N/A Breast Cancer Screening Health plan
3021 Guide to Health Insurance 0018 Controlling High Blood Pressure Health plan

New York State Consumer for Nutrition and Physical Activity for
3021 Guide to Health Insurance 0024 Children/Adolescents Health plan
3021 Guide to Health Insurance 0032 Cervical Cancer Screening Health plan
3021 Guide to Health Insurance 0034 Colorectal Cancer Screening Health plan
3021 Guide to Health Insurance 0038 Childhood Immunization Status Health plan
New York State Consumer Comprehensive Diabetes Care: Eye
3021 Guide to Health Insurance 0055 Exam Health plan
Page 494 of 1204

Type of
KentuckyGreater
KentuckyGreater
KentuckyGreater
3021 Guide to Health Insurance No No Yes No No

Page 495 of 1204


KentuckyGreater
KentuckyGreater
KentuckyGreater

Page 496 of 1204





Page 497 of 1204


New York State Consumer Hemoglobin A1c (HbA1c) Poor
3021 Guide to Health Insurance 0059 Control (>9.0%) Health plan
New York State Consumer Blood Pressure Control (<140/90
3021 Guide to Health Insurance 0061 mm Hg) Health plan
New York State Consumer Comprehensive Diabetes Care:
3021 Guide to Health Insurance 0062 Medical Attention for Nephropathy Health plan
New York State Consumer Comprehensive Diabetes Care: LDL-
3021 Guide to Health Insurance 0064 C Control <100 mg/dL Health plan
New York State Consumer Antidepressant Medication
3021 Guide to Health Insurance 0105 Management Health plan
New York State Consumer Follow-Up Care for Children

3021 Guide to Health Insurance 0108 Prescribed ADHD Medication (ADD) Health plan
New York State Consumer Well-Child Visits in the First 15
3021 Guide to Health Insurance 1392 Months of Life Health plan
New York State Consumer Well-Child Visits in the Third, Fourth,

3021 Guide to Health Insurance 1516 Fifth and Sixth Years of Life Health plan
New York State Consumer Follow-Up After Hospitalization for
3021 Guide to Health Insurance 1937 Schizophrenia (7- and 30-day) Health plan
3021 Guide to Health Insurance 0006 Getting Needed Care Health plan
Page 498 of 1204

Type of




Page 499 of 1204






Page 500 of 1204





Page 501 of 1204


3021 Guide to Health Insurance 0006 Getting Care Quickly Health plan
3021 Guide to Health Insurance 0006 How Well Doctors Communicate Health plan
New York State Consumer you use to rate all your health care in
3021 Guide to Health Insurance 0006 the last 6/12 months? Health plan
New York State Consumer you use to rate your personal
3021 Guide to Health Insurance 0006 doctor? Health plan

New York State Consumer possible, what number would you
3021 Guide to Health Insurance 0006 use to rate the specialist? Health plan
Page 502 of 1204

Type of



Page 503 of 1204





Page 504 of 1204




3022 Database http://health.utah.gov/hda/apd/index.php (none) 0231

Page 505 of 1204


New York State Consumer plan possible, what number would
3021 Guide to Health Insurance 0006 you use to rate your health plan? Health plan
3021 Guide to Health Insurance N/A Adolescent Well Care Visit Health plan
Adult Access to
New York State Consumer Preventive/Ambulatory Care 20-44,
3021 Guide to Health Insurance N/A 45-64, 65+ Health plan
New York State Consumer Conditions: LDL-C Screening and
3021 Guide to Health Insurance N/A LDL-C Control <100 Health plan
3021 Guide to Health Insurance N/A Adult BMI Assessment Health plan
3022 Database 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Utah All-Payer Claims Diabetes Short-Term Complications

3022 Database 0272 Admission Rate (PQI 1) Hospital
Utah All-Payer Claims Perforated Appendix Admission Rate
3022 Database 0273 (PQI 2) Hospital
Page 506 of 1204

Type of



3022 Database No No Yes No No

Page 507 of 1204






Page 508 of 1204



Page 509 of 1204

Utah All-Payer Claims Diabetes Long-Term Complications

3022 Database 0274 Admission Rate (PQI 3) Hospital
Utah All-Payer Claims Chronic obstructive pulmonary
3022 Database 0275 disease (PQI 5) Hospital
Utah All-Payer Claims Heart Failure Admission Rate (PQI
3022 Database 0277 8) Hospital
3022 Database 0278 Low Birth Weight Rate (PQI 9) Hospital
Utah All-Payer Claims Bacterial Pneumonia Admission
3022 Database 0279 Rate (PQI 11) Hospital
Utah All-Payer Claims Dehydration Admission Rate (PQI
Utah All-Payer Claims Urinary Tract Infection Admission
Utah All-Payer Claims Asthma in Younger Adults Admission
Rate of Lower-Extremity Amputation
Utah All-Payer Claims Among Patients With Diabetes (PQI
Utah All-Payer Claims Accidental Puncture or Laceration
3022 Database 0345 Rate (PSI 15) Hospital
Utah All-Payer Claims Iatrogenic Pneumothorax Rate (PSI
Page 510 of 1204

Type of


Page 511 of 1204




Page 512 of 1204



Page 513 of 1204


Utah All-Payer Claims Death Rate in Low-Mortality
3022 Database 0347 Diagnosis Related Groups (PSI 2) Hospital
3022 Database 0349 Transfusion Reaction (PSI 16) Hospital
Utah All-Payer Claims serious, treatable complications (PSI
3022 Database 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
Utah All-Payer Claims Bilateral Cardiac Catheterization
3022 Database 0355 Rate (IQI 25) Hospital
Utah All-Payer Claims Abdominal Aortic Aneurysm (AAA)
3022 Database 0357 Repair Volume (IQI 4) Hospital
Utah All-Payer Claims Congestive Heart Failure (CHF)
3022 Database 0358 Mortality Rate (IQI 16) Hospital
Utah All-Payer Claims Abdominal Aortic Aneurysm (AAA)
3022 Database 0359 Repair Mortality Rate (IQI 11) Hospital
Utah All-Payer Claims Esophageal Resection Mortality
3022 Database 0360 Rate (IQI 8) Hospital
Utah All-Payer Claims Foreign Body Left During Procedure
3022 Database 0363 (PSI 5) Hospital
Utah All-Payer Claims Pancreatic Resection Mortality Rate
3022 Database 0365 (IQI 9) Hospital
Page 514 of 1204

Type of

Page 515 of 1204



Page 516 of 1204




Page 517 of 1204


3022 Database 0366 Pancreatic Resection Volume (IQI 2) Hospital
Utah All-Payer Claims or Deep Vein Thrombosis Rate (PSI
3022 Database 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
Utah All-Payer Claims Postoperative Respiratory Failure
3022 Database 0533 Rate (PSI 11) Hospital
Utah All-Payer Claims Uncontrolled Diabetes Admission
Utah All-Payer Claims Acute Myocardial Infarction (AMI)
3022 Database 0730 Mortality Rate Hospital
Utah All-Payer Claims Bloodstream Infections /1000 (PSI
3022 Database N/A 07) Hospital
Utah All-Payer Claims Gastrointestinal hemorrhage
3022 Database N/A mortality rate (IQI 18) Hospital
3022 Database N/A Iatrogenic pneumothorax (PSI 22) Hospital
Utah All-Payer Claims Postoperative hip fracture rate (PSI
3022 Database N/A Post-operative sepsis (PSI 13) Hospital
Page 518 of 1204

Type of


Page 519 of 1204




Page 520 of 1204


Page 521 of 1204


Utah All-Payer Claims Postoperative wound dehiscence
3022 Database N/A (PSI 14) Hospital
3022 Database N/A Pressure ulcer rate (PSI 03) Hospital
Utah All-Payer Claims Accidental puncture or laceration
Utah All-Payer Claims Acute adult prevention quality
3022 Database N/A indicator composite (PQI 91) Hospital
Utah All-Payer Claims All VBAC utilization (hospital-level)
3022 Database N/A (IQI 22) Hospital
Utah All-Payer Claims AMI mortality, without transfer cases
Utah All-Payer Claims Angina without procedure admission
3022 Database N/A rate (PQI 13) Hospital
Utah All-Payer Claims Carotid Endarterectomy Volume (IQI
Utah All-Payer Claims Central Venous Catheter related
3022 Database N/A Bloodstream Infections (PSI 23) Hospital
Utah All-Payer Claims Cesarean section delivery utilization
3022 Database N/A (hospital-level) (IQI 21) Hospital
Utah All-Payer Claims Chronic adult prevention quality
Utah All-Payer Claims Coronary artery bypass graft
3022 Database N/A mortality (IQI 12) Hospital
Page 522 of 1204

Type of
Page 523 of 1204


Page 524 of 1204




Page 525 of 1204


Utah All-Payer Claims Coronary artery bypass graft rate
3022 Database N/A (IQI 26) (area rate) Hospital
Utah All-Payer Claims Coronary Artery Bypass Graft
3022 Database N/A Volume (IQI 5) Hospital
3022 Database N/A Craniotomy mortality (IQI 13) Hospital
Dying in the hospital during or after
an operation to open up blocked
Utah All-Payer Claims blood vessels leading to the brain
Utah All-Payer Claims First birth deliveries performed as a
3022 Database N/A C-section (IQI 33) Hospital
Utah All-Payer Claims Foreign Body Left during Procedure
3022 Database N/A Hip replacement mortality (IQI 14) Hospital
3022 Database N/A Hysterectomy rate (IQI 28) Hospital
Utah All-Payer Claims Iatrogenic Pneumothorax Area-Level
Incidental appendectomy in the
Utah All-Payer Claims elderly utilization (hospital-level) (IQI
Page 526 of 1204

Type of


Page 527 of 1204




Page 528 of 1204






Page 529 of 1204


Utah All-Payer Claims Laminectomy rate (IQI 29) (area-
3022 Database N/A level) Hospital
Laparoscopic Cholecystectomy
Rate, Provider-Level Indicator,
Utah All-Payer Claims Procedure Utilization Indicator (IQI
Utah All-Payer Claims Newborns with a birth injury or
3022 Database N/A infection (PSI 17) Hospital
Obstetric Trauma?Vaginal Delivery
with Instrument Provider-Level
Utah All-Payer Claims Indicator (PSI 18)
3022 Database N/A Hospital
without Instrument Provider-Level
Utah All-Payer Claims Indicator (PSI 19)
3022 Database N/A Hospital
Utah All-Payer Claims Overall adult prevention quality
Utah All-Payer Claims Percutaneous transluminal coronary

3022 Database N/A angioplasty mortality (IQI 30) Hospital
Utah All-Payer Claims Percutaneous transluminal coronary
3022 Database N/A angioplasty rate (IQI 27) Hospital
Page 530 of 1204

Type of




Page 531 of 1204






Page 532 of 1204



Maine Health Data

3023 Organization http://mhdo.maine.gov/imhdo/ 0231
http://gateway.maine.gov/mhdo/monahrq/index.html
Maine Health Data

Page 533 of 1204

Utah All-Payer Claims Percutaneous Transluminal

3022 Database N/A Coronary Angioplasty Volume (IQI 6) Hospital
Utah All-Payer Claims Postoperative Hemorrhage or
3022 Database N/A Hematoma (PSI 9) Hospital
Utah All-Payer Claims Postoperative Hemorrhage or
3022 Database N/A Hematoma Areal-Level (PSI 27) Hospital
Postoperative Physiologic and
Utah All-Payer Claims Metabolic Derangement Provider-
3022 Database N/A Level Indicator (PSI 10) Hospital
Utah All-Payer Claims Postoperative Wound Dehiscence
3022 Database N/A Area-Level (PSI 24) Hospital
Utah All-Payer Claims Transfusion Reaction Rate Area-
3022 Database N/A Level (PSI 26) Hospital
Utah All-Payer Claims Vaginal birth after a previous C-
3022 Database N/A section (VBAC) IQI 34) Hospital
Maine Health Data

3023 Organization 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Maine Health Data Diabetes Short-Term Complications

3023 Organization 0272 Admission Rate (PQI 1) Hospital
Page 534 of 1204

Type of


Maine Health Data

3023 Organization No No Yes No No
Maine Health Data

Page 535 of 1204




Maine Health Data

3023 Organization No No No No
Maine Health Data

Page 536 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 537 of 1204

Maine Health Data Perforated Appendix Admission Rate

3023 Organization 0273 (PQI 2) Hospital
Maine Health Data Diabetes Long-Term Complications

3023 Organization 0274 Admission Rate (PQI 3) Hospital
Maine Health Data Chronic obstructive pulmonary

3023 Organization 0275 disease (PQI 5) Hospital
Maine Health Data Heart Failure Admission Rate (PQI

3023 Organization 0277 8) Hospital
Maine Health Data

3023 Organization 0278 Low Birth Weight Rate (PQI 9) Hospital
Maine Health Data Bacterial Pneumonia Admission

3023 Organization 0279 Rate (PQI 11) Hospital
Maine Health Data Dehydration Admission Rate (PQI

Maine Health Data Urinary Tract Infection Admission

Page 538 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 539 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 540 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 541 of 1204

Maine Health Data Asthma in Younger Adults Admission

Maine Health Data Among Patients With Diabetes (PQI
Maine Health Data Accidental Puncture or Laceration

3023 Organization 0345 Rate (PSI 15) Hospital
Maine Health Data Iatrogenic Pneumothorax Rate (PSI

Maine Health Data Death Rate in Low-Mortality

3023 Organization 0347 Diagnosis Related Groups (PSI 2) Hospital
Maine Health Data

3023 Organization 0349 Transfusion Reaction (PSI 16) Hospital
Maine Health Data serious, treatable complications (PSI
Maine Health Data

3023 Organization 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
Page 542 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 543 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 544 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 545 of 1204

Maine Health Data Bilateral Cardiac Catheterization

3023 Organization 0355 Rate (IQI 25) Hospital
Maine Health Data Abdominal Aortic Aneurysm (AAA)

3023 Organization 0357 Repair Volume (IQI 4) Hospital
Maine Health Data Congestive Heart Failure (CHF)

3023 Organization 0358 Mortality Rate (IQI 16) Hospital
Maine Health Data Abdominal Aortic Aneurysm (AAA)

3023 Organization 0359 Repair Mortality Rate (IQI 11) Hospital
Maine Health Data Esophageal Resection Mortality

3023 Organization 0360 Rate (IQI 8) Hospital
Maine Health Data Foreign Body Left During Procedure

3023 Organization 0363 (PSI 5) Hospital
Maine Health Data Pancreatic Resection Mortality Rate

3023 Organization 0365 (IQI 9) Hospital
Maine Health Data

3023 Organization 0366 Pancreatic Resection Volume (IQI 2) Hospital
Page 546 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 547 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 548 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 549 of 1204


Maine Health Data or Deep Vein Thrombosis Rate (PSI
Maine Health Data

3023 Organization 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
Maine Health Data Postoperative Respiratory Failure

3023 Organization 0533 Rate (PSI 11) Hospital
Maine Health Data Uncontrolled Diabetes Admission

Maine Health Data Acute Myocardial Infarction (AMI)

3023 Organization 0730 Mortality Rate Hospital
Maine Health Data Bloodstream Infections /1000 (PSI
3023 Organization N/A 07) Hospital
Maine Health Data Gastrointestinal hemorrhage

3023 Organization N/A mortality rate (IQI 18) Hospital
Maine Health Data

3023 Organization N/A Iatrogenic pneumothorax (PSI 22) Hospital
Page 550 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 551 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 552 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 553 of 1204

Maine Health Data Postoperative hip fracture rate (PSI

Maine Health Data

3023 Organization N/A Post-operative sepsis (PSI 13) Hospital
Maine Health Data Postoperative wound dehiscence

3023 Organization N/A (PSI 14) Hospital
Maine Health Data

3023 Organization N/A Pressure ulcer rate (PSI 03) Hospital
Maine Health Data Accidental puncture or laceration

Maine Health Data Acute adult prevention quality

3023 Organization N/A indicator composite (PQI 91) Hospital
Maine Health Data All VBAC utilization (hospital-level)

3023 Organization N/A (IQI 22) Hospital
Maine Health Data AMI mortality, without transfer cases

Page 554 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 555 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 556 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 557 of 1204

Maine Health Data Angina without procedure admission

3023 Organization N/A rate (PQI 13) Hospital
Maine Health Data Carotid Endarterectomy Volume (IQI

Maine Health Data Central Venous Catheter related

3023 Organization N/A Bloodstream Infections (PSI 23) Hospital
Maine Health Data Cesarean section delivery utilization

3023 Organization N/A (hospital-level) (IQI 21) Hospital
Maine Health Data Chronic adult prevention quality

Maine Health Data Coronary artery bypass graft

3023 Organization N/A mortality (IQI 12) Hospital
Maine Health Data Coronary artery bypass graft rate

3023 Organization N/A (IQI 26) (area rate) Hospital
Maine Health Data Coronary Artery Bypass Graft

3023 Organization N/A Volume (IQI 5) Hospital
Page 558 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 559 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 560 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 561 of 1204
Maine Health Data

3023 Organization N/A Craniotomy mortality (IQI 13) Hospital
Maine Health Data blood vessels leading to the brain
Maine Health Data First birth deliveries performed as a

3023 Organization N/A C-section (IQI 33) Hospital
Maine Health Data Foreign Body Left during Procedure

Maine Health Data

3023 Organization N/A Hip replacement mortality (IQI 14) Hospital
Maine Health Data

3023 Organization N/A Hysterectomy rate (IQI 28) Hospital
Maine Health Data Iatrogenic Pneumothorax Area-Level

Maine Health Data elderly utilization (hospital-level) (IQI
Page 562 of 1204
Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 563 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 564 of 1204
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 565 of 1204

Maine Health Data Laminectomy rate (IQI 29) (area-

3023 Organization N/A level) Hospital
Maine Health Data Procedure Utilization Indicator (IQI
Maine Health Data Newborns with a birth injury or

3023 Organization N/A infection (PSI 17) Hospital
Maine Health Data Indicator (PSI 18)
3023 Organization N/A Hospital
Maine Health Data Indicator (PSI 19)
3023 Organization N/A Hospital
Maine Health Data Overall adult prevention quality

Maine Health Data Percutaneous transluminal coronary

3023 Organization N/A angioplasty mortality (IQI 30) Hospital
Page 566 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 567 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 568 of 1204

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 569 of 1204

Maine Health Data Percutaneous transluminal coronary

3023 Organization N/A angioplasty rate (IQI 27) Hospital
Maine Health Data Percutaneous Transluminal

3023 Organization N/A Coronary Angioplasty Volume (IQI 6) Hospital
Maine Health Data Postoperative Hemorrhage or

3023 Organization N/A Hematoma (PSI 9) Hospital
Maine Health Data Postoperative Hemorrhage or

3023 Organization N/A Hematoma Areal-Level (PSI 27) Hospital
Maine Health Data Metabolic Derangement Provider-
3023 Organization N/A Level Indicator (PSI 10) Hospital
Maine Health Data Postoperative Wound Dehiscence

3023 Organization N/A Area-Level (PSI 24) Hospital
Maine Health Data Transfusion Reaction Rate Area-

3023 Organization N/A Level (PSI 26) Hospital
Maine Health Data Vaginal birth after a previous C-

3023 Organization N/A section (VBAC) IQI 34) Hospital
Page 570 of 1204

Type of
Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 571 of 1204


Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Maine Health Data

Page 572 of 1204


3024 Area Health Council http://www.mycarecompare.org/reports.php (none) 0002
Page 573 of 1204


MichiganGreater Detroit Appropriate Testing for Children With
3024 Area Health Council 0002 Pharyngitis Health plan
3024 Area Health Council 0032 Cervical Cancer Screening Health plan
3024 Area Health Council 0034 Colorectal Cancer Screening Health plan
MichiganGreater Detroit Use of appropriate medications for
3024 Area Health Council 0036 people with asthma Health plan
3024 Area Health Council 0038 Childhood Immunization Status Health plan
MichiganGreater Detroit Comprehensive Diabetes Care:
3024 Area Health Council 0057 Hemoglobin A1c (HbA1c) testing Health plan
MichiganGreater Detroit Avoidance of Antibiotic Treatment in
3024 Area Health Council 0058 Adults with Acute Bronchitis Health plan
MichiganGreater Detroit Comprehensive Diabetes Care: LDL-
3024 Area Health Council 0063 C Screening Health plan
MichiganGreater Detroit Comprehensive Diabetes Care: LDL-
3024 Area Health Council 0064 C Control <100 mg/dL Health plan
MichiganGreater Detroit Appropriate treatment for children

3024 Area Health Council 0069 with upper respiratory infection (URI) Health plan
MichiganGreater Detroit Back Pain: Appropriate Imaging for
3024 Area Health Council 0315 Acute Back Pain Health plan
Page 574 of 1204

Type of
Page 575 of 1204


Page 576 of 1204

3025 VON Database http://www.vtoxford.org/about/about.aspx#Database (none) 0304
3025 VON Database http://www.vtoxford.org/about/about.aspx#Database (none) 0483
Page 577 of 1204


MichiganGreater Detroit Hemoglobin A1c (HbA1c) Control
3024 Area Health Council 0575 (<8.0%) Health plan
MichiganGreater Detroit Well-Child Visits in the First 15
3024 Area Health Council 1392 Months of Life Health plan
3024 Area Health Council 1407 Immunizations for Adolescents Health plan
MichiganGreater Detroit Well-Child Visits in the Third, Fourth,

3024 Area Health Council 1516 Fifth and Sixth Years of Life Health plan
3024 Area Health Council N/A Breast Cancer Screening Health plan
MichiganGreater Detroit Conditions: LDL-C Screening and
3024 Area Health Council N/A LDL-C Control <100 Health plan
Late sepsis or meningitis in Very
Low Birth Weight (VLBW) neonates
3025 VON Database 0304 (risk-adjusted) Clinicians
Proportion of infants 22 to 29 weeks
gestation screened for retinopathy of
3025 VON Database 0483 prematurity. Clinicians
Page 578 of 1204

Type of
3025 VON Database No No No No No
3025 VON Database Yes No No No No
Page 579 of 1204


3025 VON Database No No No Yes
3025 VON Database No No No No
Page 580 of 1204


ACS National Surgical
Quality Improvement
3026 Program (ACS NSQIP) (none)
http://www.acsnsqip.org/ http://inspiringquality.facs.org/about/acs-nsqip/ 0697
Quality Improvement
Quality Improvement

http://www.gastro.org/practice/digestive-health-outcomes-registry 0271



Page 581 of 1204


Quality Improvement Risk Adjusted Case Mix Adjusted
3026 Program (ACS NSQIP) 0697 Elderly Surgery Outcomes Measure Hospital
Quality Improvement Risk Adjusted Colon Surgery
3026 Program (ACS NSQIP) 0706 Outcome Measure Hospital
Quality Improvement Risk Adjusted Urinary Tract Infection
3026 Program (ACS NSQIP) 0751 Outcome Measure After Surgery Hospital
Perioperative Care: Discontinuation

AGA Digestive Health of Prophylactic Parenteral Antibiotics
3027 Outcomes Registry 0271 (Non-Cardiac Procedures) Clinicians
Endoscopy/Poly Surveillance:
Colonoscopy Interval for Patients
with a History of Adenomatous
AGA Digestive Health Polyps- Avoidance of Inappropriate
3027 Outcomes Registry 0659 Use Clinicians
Corticosteroid-Sparing Agents: With
AGA Digestive Health Concurrent Corticosteroid Therapy
3027 Outcomes Registry N/A (PQRS 270) Clinicians
Hepatitis B Risk Assessment in
AGA Digestive Health Immunosuppressive Therapy (PQRS
3027 Outcomes Registry N/A 275) Clinicians
Page 582 of 1204

Type of
Quality Improvement
3026 Program (ACS NSQIP) Yes No No No No
Quality Improvement
Quality Improvement




Page 583 of 1204


Quality Improvement
3026 Program (ACS NSQIP) No No No Yes
Quality Improvement
Quality Improvement




Page 584 of 1204



Society of Thoracic
Surgeons National
Database (STS National
3028 Database) http://www.sts.org/national-database (none) 0114
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Page 585 of 1204


3027 Outcomes Registry N/A Influenza Vaccination (PQRS 272) Clinicians
Tuberculosis Screening in
AGA Digestive Health Immunosuppressive Therapy (PQRS
3027 Outcomes Registry N/A 274) Clinicians
Society of Thoracic
Surgeons National
Database (STS National Risk-Adjusted Post-operative Renal
3028 Database) 0114 Failure Other
Society of Thoracic
Surgeons National
Database (STS National Risk-Adjusted Surgical Re-
3028 Database) 0115 exploration Other
Society of Thoracic
Surgeons National
3028 Database) 0116 Anti-Platelet Medication at Discharge Other
Society of Thoracic
Surgeons National
3028 Database) 0117 Beta Blockade at Discharge Other
Page 586 of 1204

Type of

Society of Thoracic
Surgeons National
3028 Database) Yes Yes No No No
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Page 587 of 1204



Society of Thoracic
Surgeons National
3028 Database) Yes No Yes Yes
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Page 588 of 1204


Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Page 589 of 1204


Society of Thoracic
Surgeons National
3028 Database) 0118 Anti-Lipid Treatment Discharge Other
Society of Thoracic
Surgeons National
Database (STS National Risk-Adjusted Prolonged Intubation
3028 Database) 0129 (Ventilation) Other
Society of Thoracic
Surgeons National
Database (STS National Risk-Adjusted Deep Sternal Wound
3028 Database) 0130 Infection Rate Other
Society of Thoracic
Surgeons National
Database (STS National Risk-Adjusted
3028 Database) 0131 Stroke/Cerebrovascular Accident Other
Society of Thoracic
Surgeons National Use of Internal Mammary Artery
Database (STS National (IMA) in Coronary Artery Bypass
3028 Database) 0134 Graft (CABG) Other
Society of Thoracic
Surgeons National Recording of Clinical Stage Prior to
Database (STS National Surgery for Lung Cancer or
3028 Database) 0455 Esophageal Cancer Resection Other
Page 590 of 1204

Type of
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Page 591 of 1204


Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National
Page 592 of 1204


Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National

3029 Policy http://chfs.ky.gov/ohp/healthdata/IQI.htm 0231
https://prd.chfs.ky.gov/MONAHRQ/2011/Quality.html?op=0




Page 593 of 1204


Society of Thoracic
Surgeons National Recording of Performance Status
Database (STS National prior to Lung or Esophageal Cancer
3028 Database) 0457 Resection Other
Society of Thoracic Pulmonary Function Tests Before
Surgeons National Major Anatomic Lung Resection
Database (STS National (Pneumonectomy, Lobectomy, or
3028 Database) 0458 Formal Segmentectomy) Other

3029 Policy 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Kentucky Office of Health Diabetes Short-Term Complications

3029 Policy 0272 Admission Rate (PQI 1) Hospital
Kentucky Office of Health Perforated Appendix Admission Rate

3029 Policy 0273 (PQI 2) Hospital
Kentucky Office of Health Diabetes Long-Term Complications

3029 Policy 0274 Admission Rate (PQI 3) Hospital
Kentucky Office of Health Chronic obstructive pulmonary

3029 Policy 0275 disease (PQI 5) Hospital
Page 594 of 1204

Type of
Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National

3029 Policy No No Yes No No




Page 595 of 1204


Society of Thoracic
Surgeons National
Society of Thoracic
Surgeons National





Page 596 of 1204









Page 597 of 1204

Kentucky Office of Health Heart Failure Admission Rate (PQI

3029 Policy 0277 8) Hospital

3029 Policy 0278 Low Birth Weight Rate (PQI 9) Hospital
Kentucky Office of Health Bacterial Pneumonia Admission

3029 Policy 0279 Rate (PQI 11) Hospital
Kentucky Office of Health Dehydration Admission Rate (PQI

Kentucky Office of Health Urinary Tract Infection Admission

Kentucky Office of Health Asthma in Younger Adults Admission

Kentucky Office of Health Among Patients With Diabetes (PQI
Kentucky Office of Health Accidental Puncture or Laceration

3029 Policy 0345 Rate (PSI 15) Hospital
Page 598 of 1204

Type of








Page 599 of 1204










Page 600 of 1204









Page 601 of 1204

Kentucky Office of Health Iatrogenic Pneumothorax Rate (PSI

Kentucky Office of Health Death Rate in Low-Mortality

3029 Policy 0347 Diagnosis Related Groups (PSI 2) Hospital

3029 Policy 0349 Transfusion Reaction (PSI 16) Hospital
Kentucky Office of Health serious, treatable complications (PSI

3029 Policy 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
Kentucky Office of Health Bilateral Cardiac Catheterization

3029 Policy 0355 Rate (IQI 25) Hospital
Kentucky Office of Health Abdominal Aortic Aneurysm (AAA)

3029 Policy 0357 Repair Volume (IQI 4) Hospital
Kentucky Office of Health Congestive Heart Failure (CHF)

3029 Policy 0358 Mortality Rate (IQI 16) Hospital
Page 602 of 1204

Type of








Page 603 of 1204










Page 604 of 1204









Page 605 of 1204

Kentucky Office of Health Abdominal Aortic Aneurysm (AAA)

3029 Policy 0359 Repair Mortality Rate (IQI 11) Hospital
Kentucky Office of Health Esophageal Resection Mortality

3029 Policy 0360 Rate (IQI 8) Hospital
Kentucky Office of Health Foreign Body Left During Procedure

3029 Policy 0363 (PSI 5) Hospital
Kentucky Office of Health Pancreatic Resection Mortality Rate

3029 Policy 0365 (IQI 9) Hospital

3029 Policy 0366 Pancreatic Resection Volume (IQI 2) Hospital
Kentucky Office of Health or Deep Vein Thrombosis Rate (PSI

3029 Policy 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
Kentucky Office of Health Postoperative Respiratory Failure

3029 Policy 0533 Rate (PSI 11) Hospital
Page 606 of 1204

Type of








Page 607 of 1204










Page 608 of 1204









Page 609 of 1204

Kentucky Office of Health Uncontrolled Diabetes Admission

Kentucky Office of Health Acute Myocardial Infarction (AMI)

3029 Policy 0730 Mortality Rate Hospital
Kentucky Office of Health Bloodstream Infections /1000 (PSI
3029 Policy N/A 07) Hospital
Kentucky Office of Health Gastrointestinal hemorrhage

3029 Policy N/A mortality rate (IQI 18) Hospital

3029 Policy N/A Iatrogenic pneumothorax (PSI 22) Hospital
Kentucky Office of Health Postoperative hip fracture rate (PSI


3029 Policy N/A Post-operative sepsis (PSI 13) Hospital
Kentucky Office of Health Postoperative wound dehiscence

3029 Policy N/A (PSI 14) Hospital
Page 610 of 1204

Type of








Page 611 of 1204










Page 612 of 1204









Page 613 of 1204


3029 Policy N/A Pressure ulcer rate (PSI 03) Hospital
Kentucky Office of Health Accidental puncture or laceration

Kentucky Office of Health Acute adult prevention quality

3029 Policy N/A indicator composite (PQI 91) Hospital
Kentucky Office of Health All VBAC utilization (hospital-level)

3029 Policy N/A (IQI 22) Hospital
Kentucky Office of Health AMI mortality, without transfer cases

Kentucky Office of Health Angina without procedure admission

3029 Policy N/A rate (PQI 13) Hospital
Kentucky Office of Health Carotid Endarterectomy Volume (IQI

Kentucky Office of Health Central Venous Catheter related

3029 Policy N/A Bloodstream Infections (PSI 23) Hospital
Page 614 of 1204

Type of








Page 615 of 1204










Page 616 of 1204









Page 617 of 1204
Kentucky Office of Health Cesarean section delivery utilization

3029 Policy N/A (hospital-level) (IQI 21) Hospital
Kentucky Office of Health Chronic adult prevention quality

Kentucky Office of Health Coronary artery bypass graft

3029 Policy N/A mortality (IQI 12) Hospital
Kentucky Office of Health Coronary artery bypass graft rate

3029 Policy N/A (IQI 26) (area rate) Hospital
Kentucky Office of Health Coronary Artery Bypass Graft

3029 Policy N/A Volume (IQI 5) Hospital

3029 Policy N/A Craniotomy mortality (IQI 13) Hospital
Kentucky Office of Health blood vessels leading to the brain
Kentucky Office of Health First birth deliveries performed as a

3029 Policy N/A C-section (IQI 33) Hospital
Page 618 of 1204
Type of








Page 619 of 1204









Page 620 of 1204








Page 621 of 1204
Kentucky Office of Health Foreign Body Left during Procedure


3029 Policy N/A Hip replacement mortality (IQI 14) Hospital

3029 Policy N/A Hysterectomy rate (IQI 28) Hospital
Kentucky Office of Health Iatrogenic Pneumothorax Area-Level

Kentucky Office of Health elderly utilization (hospital-level) (IQI
Kentucky Office of Health Laminectomy rate (IQI 29) (area-

3029 Policy N/A level) Hospital
Kentucky Office of Health Procedure Utilization Indicator (IQI
Kentucky Office of Health Newborns with a birth injury or

3029 Policy N/A infection (PSI 17) Hospital
Page 622 of 1204
Type of








Page 623 of 1204









Page 624 of 1204







Page 625 of 1204


Kentucky Office of Health Indicator (PSI 18)
3029 Policy N/A Hospital
Kentucky Office of Health Indicator (PSI 19)
3029 Policy N/A Hospital
Kentucky Office of Health Overall adult prevention quality

Kentucky Office of Health Percutaneous transluminal coronary

3029 Policy N/A angioplasty mortality (IQI 30) Hospital
Kentucky Office of Health Percutaneous transluminal coronary

3029 Policy N/A angioplasty rate (IQI 27) Hospital
Kentucky Office of Health Percutaneous Transluminal

3029 Policy N/A Coronary Angioplasty Volume (IQI 6) Hospital
Kentucky Office of Health Postoperative Hemorrhage or

3029 Policy N/A Hematoma (PSI 9) Hospital
Page 626 of 1204

Type of







Page 627 of 1204









Page 628 of 1204






3030 Reports http://hhic.org/publicreports.asp 0231
http://www.hhicpublicreports.org/Quality.html?op=1
Page 629 of 1204

Kentucky Office of Health Postoperative Hemorrhage or

3029 Policy N/A Hematoma Areal-Level (PSI 27) Hospital
Kentucky Office of Health Metabolic Derangement Provider-
3029 Policy N/A Level Indicator (PSI 10) Hospital
Kentucky Office of Health Postoperative Wound Dehiscence

3029 Policy N/A Area-Level (PSI 24) Hospital
Kentucky Office of Health Transfusion Reaction Rate Area-

3029 Policy N/A Level (PSI 26) Hospital
Kentucky Office of Health Vaginal birth after a previous C-

3029 Policy N/A section (VBAC) IQI 34) Hospital
3030 Reports 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Corporation (HHIC) Public Diabetes Short-Term Complications
3030 Reports 0272 Admission Rate (PQI 1) Hospital
Corporation (HHIC) Public Perforated Appendix Admission Rate
3030 Reports 0273 (PQI 2) Hospital
Page 630 of 1204

Type of





3030 Reports No No Yes No No
Page 631 of 1204







Page 632 of 1204


Page 633 of 1204


Corporation (HHIC) Public Diabetes Long-Term Complications
3030 Reports 0274 Admission Rate (PQI 3) Hospital
Corporation (HHIC) Public Chronic obstructive pulmonary
3030 Reports 0275 disease (PQI 5) Hospital
Corporation (HHIC) Public Heart Failure Admission Rate (PQI
3030 Reports 0277 8) Hospital
3030 Reports 0278 Low Birth Weight Rate (PQI 9) Hospital
Corporation (HHIC) Public Bacterial Pneumonia Admission
3030 Reports 0279 Rate (PQI 11) Hospital
Corporation (HHIC) Public Dehydration Admission Rate (PQI
Corporation (HHIC) Public Urinary Tract Infection Admission
Corporation (HHIC) Public Asthma in Younger Adults Admission
Page 634 of 1204

Type of
Page 635 of 1204


Page 636 of 1204


Page 637 of 1204


Hawaii Health Information Rate of Lower-Extremity Amputation
Corporation (HHIC) Public Among Patients With Diabetes (PQI
Corporation (HHIC) Public Accidental Puncture or Laceration
3030 Reports 0345 Rate (PSI 15) Hospital
Corporation (HHIC) Public Iatrogenic Pneumothorax Rate (PSI
Corporation (HHIC) Public Death Rate in Low-Mortality
3030 Reports 0347 Diagnosis Related Groups (PSI 2) Hospital
3030 Reports 0349 Transfusion Reaction (PSI 16) Hospital
Hawaii Health Information Death among surgical inpatients with
Corporation (HHIC) Public serious, treatable complications (PSI
3030 Reports 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
Corporation (HHIC) Public Bilateral Cardiac Catheterization
3030 Reports 0355 Rate (IQI 25) Hospital
Page 638 of 1204

Type of
Page 639 of 1204


Page 640 of 1204


Page 641 of 1204


Corporation (HHIC) Public Abdominal Aortic Aneurysm (AAA)
3030 Reports 0357 Repair Volume (IQI 4) Hospital
Corporation (HHIC) Public Congestive Heart Failure (CHF)
3030 Reports 0358 Mortality Rate (IQI 16) Hospital
Corporation (HHIC) Public Abdominal Aortic Aneurysm (AAA)
3030 Reports 0359 Repair Mortality Rate (IQI 11) Hospital
Corporation (HHIC) Public Esophageal Resection Mortality
3030 Reports 0360 Rate (IQI 8) Hospital
Corporation (HHIC) Public Foreign Body Left During Procedure
3030 Reports 0363 (PSI 5) Hospital
Corporation (HHIC) Public Pancreatic Resection Mortality Rate
3030 Reports 0365 (IQI 9) Hospital
3030 Reports 0366 Pancreatic Resection Volume (IQI 2) Hospital
Hawaii Health Information Postoperative Pulmonary Embolism
Corporation (HHIC) Public or Deep Vein Thrombosis Rate (PSI
Page 642 of 1204

Type of
Page 643 of 1204


Page 644 of 1204


Page 645 of 1204


3030 Reports 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
Corporation (HHIC) Public Postoperative Respiratory Failure
3030 Reports 0533 Rate (PSI 11) Hospital
Corporation (HHIC) Public Uncontrolled Diabetes Admission
Corporation (HHIC) Public Acute Myocardial Infarction (AMI)
3030 Reports 0730 Mortality Rate Hospital
Hawaii Health Information Central Venous Catheter-related
Corporation (HHIC) Public Bloodstream Infections /1000 (PSI
3030 Reports N/A 07) Hospital
Corporation (HHIC) Public Gastrointestinal hemorrhage
3030 Reports N/A mortality rate (IQI 18) Hospital
3030 Reports N/A Iatrogenic pneumothorax (PSI 22) Hospital
Corporation (HHIC) Public Postoperative hip fracture rate (PSI
Page 646 of 1204

Type of
Page 647 of 1204


Page 648 of 1204


Page 649 of 1204


3030 Reports N/A Post-operative sepsis (PSI 13) Hospital
Corporation (HHIC) Public Postoperative wound dehiscence
3030 Reports N/A (PSI 14) Hospital
3030 Reports N/A Pressure ulcer rate (PSI 03) Hospital
Corporation (HHIC) Public Accidental puncture or laceration
Corporation (HHIC) Public Acute adult prevention quality
3030 Reports N/A indicator composite (PQI 91) Hospital
Corporation (HHIC) Public All VBAC utilization (hospital-level)
3030 Reports N/A (IQI 22) Hospital
Corporation (HHIC) Public AMI mortality, without transfer cases
Corporation (HHIC) Public Angina without procedure admission
3030 Reports N/A rate (PQI 13) Hospital
Page 650 of 1204

Type of
Page 651 of 1204


Page 652 of 1204


Page 653 of 1204


Corporation (HHIC) Public Carotid Endarterectomy Volume (IQI
Corporation (HHIC) Public Central Venous Catheter related
3030 Reports N/A Bloodstream Infections (PSI 23) Hospital
Corporation (HHIC) Public Cesarean section delivery utilization
3030 Reports N/A (hospital-level) (IQI 21) Hospital
Corporation (HHIC) Public Chronic adult prevention quality
Corporation (HHIC) Public Coronary artery bypass graft
3030 Reports N/A mortality (IQI 12) Hospital
Corporation (HHIC) Public Coronary artery bypass graft rate
3030 Reports N/A (IQI 26) (area rate) Hospital
Corporation (HHIC) Public Coronary Artery Bypass Graft
3030 Reports N/A Volume (IQI 5) Hospital
3030 Reports N/A Craniotomy mortality (IQI 13) Hospital
Page 654 of 1204

Type of
Page 655 of 1204


Page 656 of 1204


Page 657 of 1204


Hawaii Health Information an operation to open up blocked
Corporation (HHIC) Public blood vessels leading to the brain
Corporation (HHIC) Public First birth deliveries performed as a
3030 Reports N/A C-section (IQI 33) Hospital
Corporation (HHIC) Public Foreign Body Left during Procedure
3030 Reports N/A Hip replacement mortality (IQI 14) Hospital
3030 Reports N/A Hysterectomy rate (IQI 28) Hospital
Corporation (HHIC) Public Iatrogenic Pneumothorax Area-Level
Hawaii Health Information Incidental appendectomy in the
Corporation (HHIC) Public elderly utilization (hospital-level) (IQI
Page 658 of 1204

Type of

Page 659 of 1204



Page 660 of 1204





Page 661 of 1204


Corporation (HHIC) Public Laminectomy rate (IQI 29) (area-
3030 Reports N/A level) Hospital
Hawaii Health Information Rate, Provider-Level Indicator,
Corporation (HHIC) Public Procedure Utilization Indicator (IQI
Corporation (HHIC) Public Newborns with a birth injury or
3030 Reports N/A infection (PSI 17) Hospital
Hawaii Health Information with Instrument Provider-Level
Corporation (HHIC) Public Indicator (PSI 18)
3030 Reports N/A Hospital
Hawaii Health Information without Instrument Provider-Level
Corporation (HHIC) Public Indicator (PSI 19)
3030 Reports N/A Hospital
Corporation (HHIC) Public Overall adult prevention quality
Corporation (HHIC) Public Percutaneous transluminal coronary
3030 Reports N/A angioplasty mortality (IQI 30) Hospital
Page 662 of 1204

Type of



Page 663 of 1204





Page 664 of 1204


Page 665 of 1204


Corporation (HHIC) Public Percutaneous transluminal coronary
3030 Reports N/A angioplasty rate (IQI 27) Hospital
Corporation (HHIC) Public Percutaneous Transluminal
3030 Reports N/A Coronary Angioplasty Volume (IQI 6) Hospital
Corporation (HHIC) Public Postoperative Hemorrhage or
3030 Reports N/A Hematoma (PSI 9) Hospital
Corporation (HHIC) Public Postoperative Hemorrhage or
3030 Reports N/A Hematoma Areal-Level (PSI 27) Hospital
Hawaii Health Information Postoperative Physiologic and
Corporation (HHIC) Public Metabolic Derangement Provider-
3030 Reports N/A Level Indicator (PSI 10) Hospital
Corporation (HHIC) Public Postoperative Wound Dehiscence
3030 Reports N/A Area-Level (PSI 24) Hospital
Corporation (HHIC) Public Transfusion Reaction Rate Area-
3030 Reports N/A Level (PSI 26) Hospital
Corporation (HHIC) Public Vaginal birth after a previous C-
3030 Reports N/A section (VBAC) IQI 34) Hospital
Page 666 of 1204

Type of
Page 667 of 1204


Page 668 of 1204

3031 Nevada Compare Care http://www.nevadacomparecare.net/ 0231

http://www.nevadacomparecare.net/Monahrq/Quality.html?op







Page 669 of 1204

3031 Nevada Compare Care 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Diabetes Short-Term Complications

3031 Nevada Compare Care 0272 Admission Rate (PQI 1) Hospital
Perforated Appendix Admission Rate

3031 Nevada Compare Care 0273 (PQI 2) Hospital
Diabetes Long-Term Complications

3031 Nevada Compare Care 0274 Admission Rate (PQI 3) Hospital
Chronic obstructive pulmonary

3031 Nevada Compare Care 0275 disease (PQI 5) Hospital
Heart Failure Admission Rate (PQI

3031 Nevada Compare Care 0277 8) Hospital
3031 Nevada Compare Care 0278 Low Birth Weight Rate (PQI 9) Hospital
Bacterial Pneumonia Admission

3031 Nevada Compare Care 0279 Rate (PQI 11) Hospital
Page 670 of 1204

Type of
3031 Nevada Compare Care No No Yes No No
Page 671 of 1204


3031 Nevada Compare Care No No No No
Page 672 of 1204









Page 673 of 1204

Dehydration Admission Rate (PQI

Urinary Tract Infection Admission

Asthma in Younger Adults Admission

Among Patients With Diabetes (PQI

3031 Nevada Compare Care 0345 Rate (PSI 15) Hospital

Death Rate in Low-Mortality

3031 Nevada Compare Care 0347 Diagnosis Related Groups (PSI 2) Hospital
3031 Nevada Compare Care 0349 Transfusion Reaction (PSI 16) Hospital
Page 674 of 1204

Type of
Page 675 of 1204


Page 676 of 1204









Page 677 of 1204


3031 Nevada Compare Care 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
Bilateral Cardiac Catheterization

3031 Nevada Compare Care 0355 Rate (IQI 25) Hospital

3031 Nevada Compare Care 0357 Repair Volume (IQI 4) Hospital

3031 Nevada Compare Care 0358 Mortality Rate (IQI 16) Hospital

3031 Nevada Compare Care 0359 Repair Mortality Rate (IQI 11) Hospital
Esophageal Resection Mortality

3031 Nevada Compare Care 0360 Rate (IQI 8) Hospital

3031 Nevada Compare Care 0363 (PSI 5) Hospital
Page 678 of 1204

Type of
Page 679 of 1204


Page 680 of 1204









Page 681 of 1204

Pancreatic Resection Mortality Rate

3031 Nevada Compare Care 0365 (IQI 9) Hospital
3031 Nevada Compare Care 0366 Pancreatic Resection Volume (IQI 2) Hospital
3031 Nevada Compare Care 0467 Acute Stroke Mortality Rate (IQI 17) Hospital

3031 Nevada Compare Care 0533 Rate (PSI 11) Hospital
Uncontrolled Diabetes Admission


3031 Nevada Compare Care 0730 Mortality Rate Hospital
3031 Nevada Compare Care N/A 07) Hospital
Page 682 of 1204

Type of
Page 683 of 1204


Page 684 of 1204









Page 685 of 1204

3031 Nevada Compare Care N/A mortality rate (IQI 18) Hospital
3031 Nevada Compare Care N/A Iatrogenic pneumothorax (PSI 22) Hospital

3031 Nevada Compare Care N/A Post-operative sepsis (PSI 13) Hospital

3031 Nevada Compare Care N/A (PSI 14) Hospital
3031 Nevada Compare Care N/A Pressure ulcer rate (PSI 03) Hospital
Accidental puncture or laceration

Acute adult prevention quality

3031 Nevada Compare Care N/A indicator composite (PQI 91) Hospital
Page 686 of 1204

Type of
Page 687 of 1204


Page 688 of 1204









Page 689 of 1204

All VBAC utilization (hospital-level)

3031 Nevada Compare Care N/A (IQI 22) Hospital
AMI mortality, without transfer cases

Angina without procedure admission

3031 Nevada Compare Care N/A rate (PQI 13) Hospital
Carotid Endarterectomy Volume (IQI

Central Venous Catheter related

3031 Nevada Compare Care N/A Bloodstream Infections (PSI 23) Hospital
Cesarean section delivery utilization

3031 Nevada Compare Care N/A (hospital-level) (IQI 21) Hospital
Chronic adult prevention quality

Coronary artery bypass graft

3031 Nevada Compare Care N/A mortality (IQI 12) Hospital
Page 690 of 1204

Type of
Page 691 of 1204


Page 692 of 1204









Page 693 of 1204
Coronary artery bypass graft rate

3031 Nevada Compare Care N/A (IQI 26) (area rate) Hospital
Coronary Artery Bypass Graft

3031 Nevada Compare Care N/A Volume (IQI 5) Hospital
3031 Nevada Compare Care N/A Craniotomy mortality (IQI 13) Hospital
blood vessels leading to the brain
First birth deliveries performed as a

3031 Nevada Compare Care N/A C-section (IQI 33) Hospital
Foreign Body Left during Procedure

3031 Nevada Compare Care N/A Hip replacement mortality (IQI 14) Hospital
3031 Nevada Compare Care N/A Hysterectomy rate (IQI 28) Hospital
Page 694 of 1204
Type of

Page 695 of 1204


Page 696 of 1204







Page 697 of 1204

Iatrogenic Pneumothorax Area-Level

elderly utilization (hospital-level) (IQI
Laminectomy rate (IQI 29) (area-

3031 Nevada Compare Care N/A level) Hospital
Procedure Utilization Indicator (IQI
Newborns with a birth injury or

3031 Nevada Compare Care N/A infection (PSI 17) Hospital
Indicator (PSI 18)
3031 Nevada Compare Care N/A Hospital
Indicator (PSI 19)
3031 Nevada Compare Care N/A Hospital
Page 698 of 1204

Type of
Page 699 of 1204


Page 700 of 1204









Page 701 of 1204

Overall adult prevention quality

Percutaneous transluminal coronary

3031 Nevada Compare Care N/A angioplasty mortality (IQI 30) Hospital

3031 Nevada Compare Care N/A angioplasty rate (IQI 27) Hospital
Percutaneous Transluminal
3031 Nevada Compare Care N/A Coronary Angioplasty Volume (IQI 6) Hospital
Postoperative Hemorrhage or
3031 Nevada Compare Care N/A Hematoma (PSI 9) Hospital
3031 Nevada Compare Care N/A Hematoma Areal-Level (PSI 27) Hospital
Metabolic Derangement Provider-
3031 Nevada Compare Care N/A Level Indicator (PSI 10) Hospital
Postoperative Wound Dehiscence

3031 Nevada Compare Care N/A Area-Level (PSI 24) Hospital
Page 702 of 1204

Type of
Page 703 of 1204


Page 704 of 1204



California Office of the
Patient Advocate Medical
Group Ratings - Medical
3032 Group Ratings http://reportcard.opa.ca.gov/rc2013/ (none) 0002
Page 705 of 1204

Transfusion Reaction Rate Area-

3031 Nevada Compare Care N/A Level (PSI 26) Hospital
Vaginal birth after a previous C-

3031 Nevada Compare Care N/A section (VBAC) IQI 34) Hospital
Group Ratings - Medical Appropriate Testing for Children With
3032 Group Ratings 0002 Pharyngitis Clinicians
3032 Group Ratings 0033 Chlamydia screening in women Clinicians
3032 Group Ratings 0034 Colorectal Cancer Screening Clinicians
3032 Group Ratings 0038 Childhood Immunization Status Clinicians
Page 706 of 1204

Type of

3032 Group Ratings No No No No No
Page 707 of 1204



3032 Group Ratings No No No Yes
Page 708 of 1204


Page 709 of 1204


Group Ratings - Medical Use of Imaging Studies for Low Back
3032 Group Ratings 0052 Pain Clinicians
Group Ratings - Medical Comprehensive Diabetes Care:
3032 Group Ratings 0057 Hemoglobin A1c (HbA1c) testing Clinicians
Group Ratings - Medical Avoidance of Antibiotic Treatment in
3032 Group Ratings 0058 Adults with Acute Bronchitis Clinicians
Patient Advocate Medical Comprehensive Diabetes Care:
Group Ratings - Medical Blood Pressure Control (<140/90
3032 Group Ratings 0061 mm Hg) Clinicians
Group Ratings - Medical Comprehensive Diabetes Care:
3032 Group Ratings 0062 Medical Attention for Nephropathy Clinicians
Group Ratings - Medical Comprehensive Diabetes Care: LDL-
3032 Group Ratings 0063 C Screening Clinicians
Page 710 of 1204

Type of
Page 711 of 1204


Page 712 of 1204


Page 713 of 1204


Group Ratings - Medical Comprehensive Diabetes Care: LDL-
3032 Group Ratings 0064 C Control <100 mg/dL Clinicians
Group Ratings - Medical Appropriate treatment for children
3032 Group Ratings 0069 with upper respiratory infection (URI) Clinicians
Group Ratings - Medical Hemoglobin A1c (HbA1c) Control
3032 Group Ratings 0575 (<8.0%) Clinicians
3032 Group Ratings 1407 Immunizations for Adolescents Clinicians
3032 Group Ratings 1800 Asthma Medication Ratio (AMR) Clinicians
3032 Group Ratings N/A Breast Cancer Screening Clinicians
Page 714 of 1204

Type of
Page 715 of 1204


Page 716 of 1204


Physician Group Clinical
3033 Care Report Card http://iha.ncqa.org/reportcard/ (none) 0034

Page 717 of 1204


California Office of the Cholesterol Management for
Patient Advocate Medical Patients with Cardiovascular
Group Ratings - Medical Conditions: LDL-C Screening and
3032 Group Ratings N/A LDL-C Control <100 Clinicians
Group Ratings - Medical Annual Monitoring for Patients on
3032 Group Ratings N/A Persistent Medications Clinicians
3033 Care Report Card 0034 Colorectal Cancer Screening Clinicians
Physician Group Clinical Hemoglobin A1c (HbA1c) Poor
3033 Care Report Card 0059 Control (>9.0%) Clinicians
Physician Group Clinical Comprehensive Diabetes Care:
3033 Care Report Card 0062 Medical Attention for Nephropathy Clinicians
Physician Group Clinical Comprehensive Diabetes Care: LDL-
3033 Care Report Card 0063 C Screening Clinicians
Physician Group Clinical Comprehensive Diabetes Care: LDL-
3033 Care Report Card 0064 C Control <100 mg/dL Clinicians
3033 Care Report Card N/A Breast Cancer Screening Clinicians
Page 718 of 1204

Type of
3033 Care Report Card No No No No No

Page 719 of 1204


3033 Care Report Card No No No Yes

Page 720 of 1204


3034 AHRQ Quality Indicators http://qualityindicators.ahrq.gov/ 0231

http://hcupnet.ahrq.gov/HCUPnet.jsp?Id=1FA520843B2E8A3A&


Page 721 of 1204

Physician Group Clinical Conditions: LDL-C Screening and
3033 Care Report Card N/A LDL-C Control <100 Clinicians
3034 AHRQ Quality Indicators 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Diabetes Short-Term Complications

3034 AHRQ Quality Indicators 0272 Admission Rate (PQI 1) Hospital
Perforated Appendix Admission Rate

3034 AHRQ Quality Indicators 0273 (PQI 2) Hospital
Page 722 of 1204
Type of

3034 AHRQ Quality Indicators Yes Yes No No No

Page 723 of 1204


3034 AHRQ Quality Indicators No No No No

Page 724 of 1204



Page 725 of 1204

Diabetes Long-Term Complications

3034 AHRQ Quality Indicators 0274 Admission Rate (PQI 3) Hospital
Chronic obstructive pulmonary

3034 AHRQ Quality Indicators 0275 disease (PQI 5) Hospital
Heart Failure Admission Rate (PQI

3034 AHRQ Quality Indicators 0277 8) Hospital
Page 726 of 1204

Type of
Page 727 of 1204


Page 728 of 1204




Page 729 of 1204

3034 AHRQ Quality Indicators 0278 Low Birth Weight Rate (PQI 9) Hospital
Bacterial Pneumonia Admission

3034 AHRQ Quality Indicators 0279 Rate (PQI 11) Hospital
Dehydration Admission Rate (PQI

Page 730 of 1204

Type of
Page 731 of 1204


Page 732 of 1204




Page 733 of 1204

Urinary Tract Infection Admission

Asthma in Younger Adults Admission


Among Patients With Diabetes (PQI
Page 734 of 1204

Type of
Page 735 of 1204


Page 736 of 1204




Page 737 of 1204

3034 AHRQ Quality Indicators 0337 Pressure Ulcer Rate (PDI 2) Hospital
RACHS-1 Pediatric Heart Surgery

3034 AHRQ Quality Indicators 0339 Mortality Hospital
Pediatric Heart Surgery Volume (PDI

Page 738 of 1204

Type of
Page 739 of 1204


Page 740 of 1204




Page 741 of 1204


3034 AHRQ Quality Indicators 0344 Rate (PDI 1) Hospital

3034 AHRQ Quality Indicators 0345 Rate (PSI 15) Hospital

Page 742 of 1204

Type of
Page 743 of 1204


Page 744 of 1204




Page 745 of 1204


3034 AHRQ Quality Indicators 0347 Diagnosis Related Groups (PSI 2) Hospital
Iatrogenic Pneumothorax Rate (PDI

3034 AHRQ Quality Indicators 0350 Transfusion Reaction (PDI 13) Hospital
Page 746 of 1204

Type of
Page 747 of 1204


Page 748 of 1204




Page 749 of 1204


3034 AHRQ Quality Indicators 0354 Hip Fracture Mortality Rate (IQI 19) Hospital

3034 AHRQ Quality Indicators 0355 Rate (IQI 25) Hospital
Page 750 of 1204

Type of
3034 AHRQ Quality Indicators No Yes No No No
Page 751 of 1204


Page 752 of 1204




Page 753 of 1204


3034 AHRQ Quality Indicators 0358 Mortality Rate (IQI 16) Hospital

3034 AHRQ Quality Indicators 0359 Repair Mortality Rate (IQI 11) Hospital

3034 AHRQ Quality Indicators 0360 Rate (IQI 8) Hospital
Page 754 of 1204

Type of
Page 755 of 1204


Page 756 of 1204




Page 757 of 1204

Foreign Body left after procedure

3034 AHRQ Quality Indicators 0362 (PDI 3) Hospital

3034 AHRQ Quality Indicators 0365 (IQI 9) Hospital

Page 758 of 1204

Type of
Page 759 of 1204


Page 760 of 1204




Page 761 of 1204

3034 AHRQ Quality Indicators 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
Neonatal Blood Stream Infection

3034 AHRQ Quality Indicators 0478 Rate (NQI #3) Hospital

3034 AHRQ Quality Indicators 0533 Rate (PSI 11) Hospital
Page 762 of 1204

Type of
Page 763 of 1204


Page 764 of 1204




Page 765 of 1204

Uncontrolled Diabetes Admission


3034 AHRQ Quality Indicators 0730 Mortality Rate Hospital

3034 AHRQ Quality Indicators N/A 07) Hospital
Page 766 of 1204

Type of
Page 767 of 1204


Page 768 of 1204




Page 769 of 1204


3034 AHRQ Quality Indicators N/A Post-operative sepsis (PSI 13) Hospital

3034 AHRQ Quality Indicators N/A (PSI 14) Hospital
Page 770 of 1204

Type of
Page 771 of 1204


Page 772 of 1204




Page 773 of 1204

Accidental puncture or laceration

Acute adult prevention quality

3034 AHRQ Quality Indicators N/A indicator composite (PQI 91) Hospital

3034 AHRQ Quality Indicators N/A (IQI 22) Hospital
Page 774 of 1204

Type of
Page 775 of 1204


Page 776 of 1204




Page 777 of 1204


Angina without procedure admission

3034 AHRQ Quality Indicators N/A rate (PQI 13) Hospital
3034 AHRQ Quality Indicators N/A Asthma Admission Rate (PDI 14) Hospital
Page 778 of 1204

Type of
Page 779 of 1204


Page 780 of 1204




Page 781 of 1204

Central Venous Catheter related

3034 AHRQ Quality Indicators N/A Bloodstream Infections (PSI 23) Hospital

3034 AHRQ Quality Indicators N/A (hospital-level) (IQI 21) Hospital
Chronic adult prevention quality

Page 782 of 1204

Type of
Page 783 of 1204


Page 784 of 1204




Page 785 of 1204


3034 AHRQ Quality Indicators N/A mortality (IQI 12) Hospital
Coronary artery bypass graft rate

3034 AHRQ Quality Indicators N/A (IQI 26) (area rate) Hospital
3034 AHRQ Quality Indicators N/A Craniotomy mortality (IQI 13) Hospital
Page 786 of 1204

Type of
Page 787 of 1204


Page 788 of 1204




Page 789 of 1204



3034 AHRQ Quality Indicators N/A C-section (IQI 33) Hospital
Foreign Body Left during Procedure

Page 790 of 1204

Type of
Page 791 of 1204


Page 792 of 1204




Page 793 of 1204

Gastroenteritis Admission Rate (PDI

3034 AHRQ Quality Indicators N/A mortality (IQI 18) Hospital
3034 AHRQ Quality Indicators N/A Hip replacement mortality (IQI 14) Hospital
Page 794 of 1204

Type of
Page 795 of 1204


Page 796 of 1204




Page 797 of 1204

Hypertension admission rate (PQI

3034 AHRQ Quality Indicators N/A Hysterectomy rate (IQI 28) Hospital
Iatrogenic Pneumothorax Area-Level

Page 798 of 1204

Type of
Page 799 of 1204


Page 800 of 1204




Page 801 of 1204


Laminectomy rate (IQI 29) (area-

3034 AHRQ Quality Indicators N/A level) Hospital
Page 802 of 1204

Type of
Page 803 of 1204


Page 804 of 1204




Page 805 of 1204

Neonatal: Iatrogenic Pneumothorax

3034 AHRQ Quality Indicators N/A (NQI 01) Hospital
3034 AHRQ Quality Indicators N/A Neonatal: Mortality Rate (NQI 02) Hospital

3034 AHRQ Quality Indicators N/A infection (PSI 17) Hospital
Page 806 of 1204

Type of
Page 807 of 1204


Page 808 of 1204




Page 809 of 1204


Indicator (PSI 18)
3034 AHRQ Quality Indicators N/A Hospital

Indicator (PSI 19)
3034 AHRQ Quality Indicators N/A Hospital
Overall adult prevention quality

Page 810 of 1204

Type of
Page 811 of 1204


Page 812 of 1204




Page 813 of 1204

Pediatric: Central Venous Catheter-

Related Bloodstream Infection (PDI
Pediatric: Chronic Pediatric Quality

3034 AHRQ Quality Indicators N/A Indicator Composite (PDI 92) Hospital
Pediatric: Diabetes Short-Term

Complications Admission Rate (PDI
Page 814 of 1204

Type of
Page 815 of 1204


Page 816 of 1204




Page 817 of 1204

Pediatric: Overall Pediatric Quality

Pediatric: Perforated Appendix

3034 AHRQ Quality Indicators N/A Admission Rate (PDI 17) Hospital
Pediatric: Postoperative Hemorrhage

3034 AHRQ Quality Indicators N/A or Hematoma (PDI 08) Hospital
Page 818 of 1204

Type of
Page 819 of 1204


Page 820 of 1204




Page 821 of 1204

Pediatric: Postoperative Respiratory

3034 AHRQ Quality Indicators N/A Failure (PDI 09) Hospital
Pediatric: Postoperative Sepsis (PDI

Pediatric: Urinary Tract Infection

3034 AHRQ Quality Indicators N/A Admission Rate (PDI 18) Hospital
Page 822 of 1204

Type of
Page 823 of 1204


Page 824 of 1204




Page 825 of 1204


3034 AHRQ Quality Indicators N/A angioplasty mortality (IQI 30) Hospital

3034 AHRQ Quality Indicators N/A angioplasty rate (IQI 27) Hospital
3034 AHRQ Quality Indicators N/A Hematoma (PSI 9) Hospital
Page 826 of 1204

Type of
Page 827 of 1204


Page 828 of 1204




Page 829 of 1204

3034 AHRQ Quality Indicators N/A Hematoma Areal-Level (PSI 27) Hospital

3034 AHRQ Quality Indicators N/A Level Indicator (PSI 10) Hospital

3034 AHRQ Quality Indicators N/A Area-Level (PSI 24) Hospital
Page 830 of 1204

Type of
Page 831 of 1204


Page 832 of 1204




Page 833 of 1204


3034 AHRQ Quality Indicators N/A Rate (PDI 11) Hospital
Transfusion Reaction Rate Area-

3034 AHRQ Quality Indicators N/A Level (PSI 26) Hospital

3034 AHRQ Quality Indicators N/A section (VBAC) IQI 34) Hospital
Page 834 of 1204

Type of
Page 835 of 1204


Page 836 of 1204


3035 Survey (MEPS) http://meps.ahrq.gov/ (none) 3518



Page 837 of 1204

Pediatric: Acute Pediatric Quality

3035 Survey (MEPS) 0005 Rating of Doctor Other
Medical Expenditure Panel doctor's office or clinic as soon as
3035 Survey (MEPS) 0006 you thought you needed? Other
Medical Expenditure Panel things in a way that was easy to
3035 Survey (MEPS) 0009 understand? Other
Medical Expenditure Panel did your personal doctor listen
3035 Survey (MEPS) 0009 carefully to you? Other
Page 838 of 1204

Type of

3035 Survey (MEPS) Yes Yes No No No



Page 839 of 1204



3035 Survey (MEPS) No No No No



Page 840 of 1204






Page 841 of 1204


Medical Expenditure Panel did your personal doctor show
3035 Survey (MEPS) 0009 respect for what you had to say? Other
Medical Expenditure Panel did your personal doctor spend
3035 Survey (MEPS) 0009 enough time with you? Other
Medical Expenditure Panel you use to rate all your health care in
3035 Survey (MEPS) 0006 the last 6/12 months? Other
Medical Expenditure Panel CAHPS 4.0 Adult Questionnaire
3035 Survey (MEPS) 0007 (CAHPS 4.0H) Other
Medical Expenditure Panel care as soon as you thought he or
3035 Survey (MEPS) 0009 she needed? Other
Page 842 of 1204

Type of





Page 843 of 1204







Page 844 of 1204




3036 Benchmarking Tool http://data.mgma.com/ptsat/rdPage.aspx (none) 3500
Page 845 of 1204


Medical Expenditure Panel clinic as soon as you thought your
3035 Survey (MEPS) 0009 child needed? Other
Medical Expenditure Panel doctor explain things in a way that
3035 Survey (MEPS) 0009 was easy to understand? Other
Medical Expenditure Panel How often did your childs personal
3035 Survey (MEPS) 0009 doctor listen carefully to you? Other
Medical Expenditure Panel doctor spend enough time with your
3035 Survey (MEPS) 0009 child? Other
CAHPS Clinician/Group Surveys -

Patient Satisfaction (Adult Primary Care, Pediatric Care,
3036 Benchmarking Tool 0005 and Specialist Care Surveys) Clinicians
Patient Satisfaction Got appointment for urgent care as
3036 Benchmarking Tool 0005 soon as needed Clinicians
Patient Satisfaction Got appointment for check-up or
3036 Benchmarking Tool 0005 routine care as soon as needed Clinicians
Page 846 of 1204

Type of



3036 Benchmarking Tool No No No No No
Page 847 of 1204





3036 Benchmarking Tool No No No Yes
Page 848 of 1204

Page 849 of 1204

Patient Satisfaction Got answer to phone question during

3036 Benchmarking Tool 0005 regular office hours on same day Clinicians
Patient Satisfaction Got answer to phone question after
3036 Benchmarking Tool 0005 hours as soon as needed Clinicians
3036 Benchmarking Tool 0005 Doctor listened carefully Clinicians
Doctor gave easy to understand
Patient Satisfaction instructions about taking care of
3036 Benchmarking Tool 0005 health problems Clinicians
Patient Satisfaction Doctor knew important info about
3036 Benchmarking Tool 0005 medical history Clinicians
3036 Benchmarking Tool 0005 Doctor showed respect Clinicians
3036 Benchmarking Tool 0005 Doctor spent enough time Clinicians
3036 Benchmarking Tool 0005 Office staff was helpful Clinicians
Patient Satisfaction Office staff showed courtesy and
3036 Benchmarking Tool 0005 respect Clinicians
Patient Satisfaction Doctors office followed up with test
3036 Benchmarking Tool 0005 results Clinicians
3036 Benchmarking Tool 0005 Rating of Doctor Clinicians
Page 850 of 1204

Type of
Page 851 of 1204


Page 852 of 1204


IMS Performance
3037 Benchmark http://www.imshealth.com (none) 0002
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 853 of 1204


3036 Benchmarking Tool 0005 Willingness to Recommend Clinicians
Patient Satisfaction Taking the time to answer your
3036 Benchmarking Tool 0005 questions Clinicians
3036 Benchmarking Tool 0005 Waiting time in the reception area Clinicians
3036 Benchmarking Tool 0005 Waiting time in the exam room Clinicians
IMS Performance Appropriate Testing for Children With
3037 Benchmark 0002 Pharyngitis Health plan
Initiation and Engagement of Alcohol
IMS Performance and Other Drug Dependence
3037 Benchmark 0004 Treatment Health plan
IMS Performance
3037 Benchmark 0018 Controlling High Blood Pressure Health plan
IMS Performance Use of High Risk Medications in the
3037 Benchmark 0022 Elderly Health plan

IMS Performance for Nutrition and Physical Activity for
3037 Benchmark 0024 Children/Adolescents Health plan
Page 854 of 1204

Type of
IMS Performance
3037 Benchmark Yes Yes Yes Yes Yes
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 855 of 1204


IMS Performance
3037 Benchmark Yes Yes Yes Yes
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 856 of 1204

IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 857 of 1204

Counseling on physical activity in

IMS Performance older adults - a. Discussing Physical
3037 Benchmark 0029 Activity, b. Advising Physical Activity Health plan
IMS Performance
3037 Benchmark 0032 Cervical Cancer Screening Health plan
IMS Performance
3037 Benchmark 0033 Chlamydia screening in women Health plan
IMS Performance
3037 Benchmark 0034 Colorectal Cancer Screening Health plan
IMS Performance Use of appropriate medications for
3037 Benchmark 0036 people with asthma Health plan
IMS Performance
3037 Benchmark 0038 Childhood Immunization Status Health plan
IMS Performance Use of Imaging Studies for Low Back
3037 Benchmark 0052 Pain Health plan
IMS Performance Osteoporosis Management in
3037 Benchmark 0053 Women Who Had a Fracture Health plan
Disease Modifying Anti-Rheumatic
IMS Performance Drug Therapy for Rheumatoid
3037 Benchmark 0054 Arthritis Health plan
IMS Performance Comprehensive Diabetes Care: Eye
3037 Benchmark 0055 Exam Health plan
Page 858 of 1204

Type of
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 859 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 860 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 861 of 1204


IMS Performance
3037 Benchmark 0056 Diabetes: Foot exam Health plan
IMS Performance Comprehensive Diabetes Care:
3037 Benchmark 0057 Hemoglobin A1c (HbA1c) testing Health plan
IMS Performance Avoidance of Antibiotic Treatment in
3037 Benchmark 0058 Adults with Acute Bronchitis Health plan
IMS Performance Hemoglobin A1c (HbA1c) Poor
3037 Benchmark 0059 Control (>9.0%) Health plan
IMS Performance Hemoglobin A1c (HbA1c) Testing for
3037 Benchmark 0060 Pediatric Patients Health plan
IMS Performance Blood Pressure Control (<140/90
3037 Benchmark 0061 mm Hg) Health plan
IMS Performance Comprehensive Diabetes Care:
3037 Benchmark 0062 Medical Attention for Nephropathy Health plan
IMS Performance Comprehensive Diabetes Care: LDL-
3037 Benchmark 0063 C Screening Health plan
IMS Performance Comprehensive Diabetes Care: LDL-
3037 Benchmark 0064 C Control <100 mg/dL Health plan
IMS Performance Appropriate treatment for children

3037 Benchmark 0069 with upper respiratory infection (URI) Health plan
Page 862 of 1204

Type of
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 863 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 864 of 1204

IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 865 of 1204


IMS Performance Persistence of Beta-Blocker
3037 Benchmark 0071 Treatment After a Heart Attack Health plan
IMS Performance
3037 Benchmark 0073 IVD: Blood Pressure Management Health plan
IMS Performance IVD: Complete Lipid Profile and LDL
3037 Benchmark 0075 Control <100 Health plan
IMS Performance
3037 Benchmark 0097 Medication Reconciliation Health plan
IMS Performance Antidepressant Medication
3037 Benchmark 0105 Management Health plan
IMS Performance Follow-Up Care for Children

3037 Benchmark 0108 Prescribed ADHD Medication (ADD) Health plan
IMS Performance
3037 Benchmark 0326 Advance Care Plan Health plan
IMS Performance Proportion of Days Covered (PDC):

3037 Benchmark 0541 5 Rates by Therapeutic Category Health plan
IMS Performance Diabetes: Appropriate Treatment of
3037 Benchmark 0546 Hypertension Health plan
Suboptimal Asthma Control (SAC)
IMS Performance and Absence of Controller Therapy
3037 Benchmark 0548 (ACT) Health plan
Page 866 of 1204

Type of
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 867 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 868 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 869 of 1204


IMS Performance Care for Older Adults Medication
3037 Benchmark 0553 Review Health plan
IMS Performance Medication Reconciliation Post-
3037 Benchmark 0554 Discharge Health plan
IMS Performance Hemoglobin A1c (HbA1c) Control
3037 Benchmark 0575 (<8.0%) Health plan
IMS Performance Follow-Up After Hospitalization for
3037 Benchmark 0576 Mental Illness Health plan
IMS Performance Use of Spirometry Testing in the

3037 Benchmark 0577 Assessment and Diagnosis of COPD Health plan
IMS Performance
3037 Benchmark 1388 Annual Dental Visit Health plan
IMS Performance
3037 Benchmark 1391 Frequency of Ongoing Prenatal Care Health plan
IMS Performance Well-Child Visits in the First 15
3037 Benchmark 1392 Months of Life Health plan
IMS Performance
3037 Benchmark 1407 Immunizations for Adolescents Health plan
IMS Performance Well-Child Visits in the Third, Fourth,

3037 Benchmark 1516 Fifth and Sixth Years of Life Health plan
Page 870 of 1204

Type of
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 871 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 872 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 873 of 1204


IMS Performance
3037 Benchmark 1517 Prenatal & Postpartum Care Health plan
IMS Performance Relative Resource Use for People
3037 Benchmark 1557 with Diabetes (RDI) Health plan
3037 Benchmark 1558 with Cardiovascular Conditions Health plan
3037 Benchmark 1560 with Asthma Health plan
3037 Benchmark 1561 with COPD Health plan
IMS Performance
3037 Benchmark 1768 Plan All-Cause Readmissions Health plan
IMS Performance Medication Management for People
3037 Benchmark 1799 with Asthma (MMA) Health plan
IMS Performance
3037 Benchmark 1800 Asthma Medication Ratio (AMR) Health plan
Cardiovascular health screening for

people with schizophrenia or bipolar
IMS Performance disorder who are prescribed
3037 Benchmark 1927 antipsychotic medications Health plan
Page 874 of 1204

Type of
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 875 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance
Page 876 of 1204

IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance

Alliance for Nursing
3038 Outcomes) http://calnoc.org/displaycommon.cfm?an=1&subarticlenbr=8 (none) 0138

Page 877 of 1204


Diabetes screening for people with
schizophrenia or bipolar disorder
IMS Performance who are prescribed antipsychotic
3037 Benchmark 1932 medications (SSD) Health plan
Cardiovascular monitoring for people
IMS Performance with cardiovascular disease and
3037 Benchmark 1933 schizophrenia (SMC) Health plan
IMS Performance Diabetes monitoring for people with

3037 Benchmark 1934 diabetes and schizophrenia (SMD) Health plan
IMS Performance Human Papillomavirus Vaccine for
3037 Benchmark 1959 Female Adolescents Health plan
IMS Performance Antipsychotic Use in Persons with
3037 Benchmark 2111 Dementia Health plan
CALNOC (the Collaborative (NHSN) Catheter-associated Urinary
Alliance for Nursing Tract Infection (CAUTI) Outcome
3038 Outcomes) 0138 Measure Hospital
CALNOC (the Collaborative (NHSN) Central line-associated
Alliance for Nursing Bloodstream Infection (CLABSI)
3038 Outcomes) 0139 Outcome Measure Hospital
Page 878 of 1204

Type of
IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance

3038 Outcomes) No Yes Yes Yes Yes

Page 879 of 1204


IMS Performance
IMS Performance
IMS Performance
IMS Performance
IMS Performance

3038 Outcomes) Yes Yes Yes Yes

Page 880 of 1204



Page 881 of 1204


3038 Outcomes) 0141 Patient Fall Rate Hospital
Alliance for Nursing Pressure ulcer prevalence (hospital
3038 Outcomes) 0201 acquired) Hospital
3038 Outcomes) 0202 Falls with injury Hospital
3038 Outcomes) 0203 Restraint prevalence (vest and limb) Hospital
Skill mix (Registered Nurse [RN],

CALNOC (the Collaborative Licensed Vocational/Practical Nurse
Alliance for Nursing [LVN/LPN], unlicensed assistive
3038 Outcomes) 0204 personnel [UAP], and contract) Hospital
3038 Outcomes) 0205 Nursing Hours per Patient Day Hospital
Alliance for Nursing Median Time from ED Arrival to ED
3038 Outcomes) 0495 Departure for Admitted ED Patients Hospital
Page 882 of 1204

Type of

Page 883 of 1204



Page 884 of 1204




3039 CalHospitalCompare.org 0201

http://www.chcf.org/projects/2009/calhospitalcompareorg-online-report-card-simplifies-the-search-for-quality-ho
Page 885 of 1204


Alliance for Nursing Admit Decision Time to ED
3038 Outcomes) 0497 Departure Time for Admitted Patients Hospital

(NHSN) Facility-wide Inpatient
CALNOC (the Collaborative Hospital-onset Methicillin-resistant
Alliance for Nursing Staphylococcus aureus (MRSA)
3038 Outcomes) 1716 Bacteremia Outcome Measure Hospital

CALNOC (the Collaborative (NHSN) Facility-wide Inpatient
Alliance for Nursing Hospital-onset Clostridium difficile
3038 Outcomes) 1717 Infection (CDI) Outcome Measure Hospital
Alliance for Nursing Door to diagnostic evaluation by a
3038 Outcomes) N/A qualified medical professional Hospital
3038 Outcomes) N/A Patient left without being seen Hospital
Pressure ulcer prevalence (hospital

3039 CalHospitalCompare.org 0201 acquired) Hospital
Page 886 of 1204

Type of


3039 CalHospitalCompare.org No No Yes No No
Page 887 of 1204




3039 CalHospitalCompare.org No No No Yes
Page 888 of 1204







Page 889 of 1204

Surgery patients with appropriate

3039 CalHospitalCompare.org 0301 hair removal Hospital
3039 CalHospitalCompare.org 0354 Hip Fracture Mortality Rate (IQI 19) Hospital

3039 CalHospitalCompare.org 0359 Repair Mortality Rate (IQI 11) Hospital

3039 CalHospitalCompare.org 0360 Rate (IQI 8) Hospital

3039 CalHospitalCompare.org 0365 (IQI 9) Hospital
3039 CalHospitalCompare.org 0470 Incidence of Episiotomy Hospital
Page 890 of 1204

Type of
Page 891 of 1204


Page 892 of 1204






3040 (EmEx) (none)
http://www.emergencyexcellence.com/emergency-department-benchmarking.html 0164

3040 (EmEx) (none) 0495
Page 893 of 1204
3039 CalHospitalCompare.org 0471 PC-02 Cesarean Section Hospital
PC-05 Exclusive Breast Milk

3039 CalHospitalCompare.org 0480 Feeding Hospital
Intensive Care: In-hospital mortality

3039 CalHospitalCompare.org 0703 rate Hospital
Hospital-Wide All-Cause Unplanned

3039 CalHospitalCompare.org 1789 Readmission Measure (HWR) Hospital

3039 CalHospitalCompare.org N/A mortality (IQI 12) Hospital
Emergency Excellence Data Fibrinolytic Therapy received within Emergency
3040 (EmEx) 0164 30 minutes of hospital arrival Department
Emergency Excellence Data Median Time from ED Arrival to ED Emergency

3040 (EmEx) 0495 Departure for Admitted ED Patients Department
Page 894 of 1204
Type of

3040 (EmEx) No No No No No

Page 895 of 1204


3040 (EmEx) Yes No No No

Page 896 of 1204

3040 (EmEx) (none) 0496

3040 (EmEx) (none) 0497
3040 (EmEx) (none) 6015
3040 (EmEx) (none) 9004
Medical Outcomes
Research for Effectiveness
and Economics Registry
(MORE2 Registry
3041 Database) (none)
http://www.inovalon.com/howwehelp/pages/more2-registry-database.aspx 0002
Medical Outcomes
(MORE2 Registry
Page 897 of 1204


Emergency Excellence Data Departure for Discharged ED Emergency
3040 (EmEx) 0496 Patients Department
Emergency Excellence Data Admit Decision Time to ED Emergency

3040 (EmEx) 0497 Departure Time for Admitted Patients Department
Emergency Excellence Data Door to diagnostic evaluation by a Emergency
3040 (EmEx) N/A qualified medical professional Department
Emergency Excellence Data Emergency
3040 (EmEx) N/A AMI-08 Median Time to Primary PCI Department
Medical Outcomes
(MORE2 Registry Appropriate Testing for Children With
3041 Database) 0002 Pharyngitis Health plan
Medical Outcomes
and Economics Registry Initiation and Engagement of Alcohol
(MORE2 Registry and Other Drug Dependence
3041 Database) 0004 Treatment Health plan
Page 898 of 1204

Type of


Medical Outcomes
(MORE2 Registry
3041 Database) Yes Yes Yes Yes Yes
Medical Outcomes
(MORE2 Registry
Page 899 of 1204




Medical Outcomes
(MORE2 Registry
3041 Database) Yes Yes Yes Yes
Medical Outcomes
(MORE2 Registry
Page 900 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 901 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) 0018 Controlling High Blood Pressure Health plan
Medical Outcomes
(MORE2 Registry Use of High Risk Medications in the
3041 Database) 0022 Elderly Health plan
Medical Outcomes
and Economics Registry Weight Assessment and Counseling
(MORE2 Registry for Nutrition and Physical Activity for
3041 Database) 0024 Children/Adolescents Health plan
Medical Outcomes
and Economics Registry Counseling on physical activity in
(MORE2 Registry older adults - a. Discussing Physical
3041 Database) 0029 Activity, b. Advising Physical Activity Health plan
Page 902 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 903 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 904 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 905 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) 0032 Cervical Cancer Screening Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 0033 Chlamydia screening in women Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 0034 Colorectal Cancer Screening Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 0035 Fall Risk Management Health plan
Page 906 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 907 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 908 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 909 of 1204

Medical Outcomes
(MORE2 Registry Use of appropriate medications for
3041 Database) 0036 people with asthma Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 0038 Childhood Immunization Status Health plan
Medical Outcomes
(MORE2 Registry Pneumonia vaccination status for
3041 Database) 0043 older adults Health plan
Medical Outcomes
Research for Effectiveness Osteoporosis: Management
and Economics Registry Following Fracture of Hip, Spine or
(MORE2 Registry Distal Radius for Men and Women
3041 Database) 0048 Aged 50 Years and Older Health plan
Page 910 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 911 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 912 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 913 of 1204

Medical Outcomes
(MORE2 Registry Use of Imaging Studies for Low Back
3041 Database) 0052 Pain Health plan
Medical Outcomes
(MORE2 Registry Osteoporosis Management in
3041 Database) 0053 Women Who Had a Fracture Health plan
Medical Outcomes
and Economics Registry Disease Modifying Anti-Rheumatic
(MORE2 Registry Drug Therapy for Rheumatoid
3041 Database) 0054 Arthritis Health plan
Medical Outcomes
(MORE2 Registry Comprehensive Diabetes Care: Eye
3041 Database) 0055 Exam Health plan
Page 914 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 915 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 916 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 917 of 1204

Medical Outcomes
(MORE2 Registry Comprehensive Diabetes Care:
3041 Database) 0057 Hemoglobin A1c (HbA1c) testing Health plan
Medical Outcomes
(MORE2 Registry Avoidance of Antibiotic Treatment in
3041 Database) 0058 Adults with Acute Bronchitis Health plan
Medical Outcomes
(MORE2 Registry Comprehensive Diabetes Care:
3041 Database) 0062 Medical Attention for Nephropathy Health plan
Medical Outcomes
(MORE2 Registry Comprehensive Diabetes Care: LDL-
3041 Database) 0064 C Control <100 mg/dL Health plan
Page 918 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 919 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 920 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 921 of 1204

Medical Outcomes
(MORE2 Registry Appropriate treatment for children
3041 Database) 0069 with upper respiratory infection (URI) Health plan
Medical Outcomes
and Economics Registry Acute Myocardial Infarction (AMI):
(MORE2 Registry Persistence of Beta-Blocker
3041 Database) 0071 Treatment After a Heart Attack Health plan
Medical Outcomes
(MORE2 Registry Antidepressant Medication
3041 Database) 0105 Management Health plan
Medical Outcomes
(MORE2 Registry Follow-Up Care for Children
3041 Database) 0108 Prescribed ADHD Medication (ADD) Health plan
Page 922 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 923 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 924 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 925 of 1204

Medical Outcomes
(MORE2 Registry Proportion of Days Covered (PDC):
3041 Database) 0541 5 Rates by Therapeutic Category Health plan
Medical Outcomes
(MORE2 Registry Diabetes: Appropriate Treatment of
3041 Database) 0546 Hypertension Health plan
Medical Outcomes
(MORE2 Registry Care for Older Adults Medication
3041 Database) 0553 Review Health plan
Medical Outcomes
(MORE2 Registry Medication Reconciliation Post-
3041 Database) 0554 Discharge Health plan
Page 926 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 927 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 928 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 929 of 1204

Medical Outcomes
and Economics Registry Comprehensive Diabetes Care:
(MORE2 Registry Hemoglobin A1c (HbA1c) Control
3041 Database) 0575 (<8.0%) Health plan
Medical Outcomes
(MORE2 Registry Follow-Up After Hospitalization for
3041 Database) 0576 Mental Illness Health plan
Medical Outcomes
(MORE2 Registry Use of Spirometry Testing in the
3041 Database) 0577 Assessment and Diagnosis of COPD Health plan
Medical Outcomes
and Economics Registry Percent of Residents Assessed and
(MORE2 Registry Appropriately Given the Seasonal
3041 Database) 0681 Influenza Vaccine (Long-Stay) Health plan
Page 930 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 931 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 932 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 933 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) 1388 Annual Dental Visit Health plan
Medical Outcomes
(MORE2 Registry Well-Child Visits in the First 15
3041 Database) 1392 Months of Life Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 1407 Immunizations for Adolescents Health plan
Medical Outcomes
(MORE2 Registry Well-Child Visits in the Third, Fourth,
3041 Database) 1516 Fifth and Sixth Years of Life Health plan
Page 934 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 935 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 936 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 937 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) 1517 Prenatal & Postpartum Care Health plan
Medical Outcomes
(MORE2 Registry Relative Resource Use for People
3041 Database) 1557 with Diabetes (RDI) Health plan
Medical Outcomes
3041 Database) 1558 with Cardiovascular Conditions Health plan
Medical Outcomes
3041 Database) 1560 with Asthma Health plan
Page 938 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 939 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 940 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 941 of 1204

Medical Outcomes
3041 Database) 1561 with COPD Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 1768 Plan All-Cause Readmissions Health plan
Medical Outcomes
(MORE2 Registry Medication Management for People
3041 Database) 1799 with Asthma (MMA) Health plan
Medical Outcomes
(MORE2 Registry Human Papillomavirus Vaccine for
3041 Database) 1959 Female Adolescents Health plan
Page 942 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 943 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 944 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 945 of 1204

Medical Outcomes
(MORE2 Registry CAHPS Health Plan Survey v 4.0 -
3041 Database) 0006 Adult questionnaire Health plan
Medical Outcomes where 0 is the worst health care
Research for Effectiveness possible and 10 is the best health
and Economics Registry care possible, what number would
(MORE2 Registry you use to rate all your health care in
3041 Database) 0006 the last 6/12 months? Health plan
Medical Outcomes Using any number from 0 to 10,

Research for Effectiveness where 0 is the worst health plan
and Economics Registry possible and 10 is the best health
(MORE2 Registry plan possible, what number would
3041 Database) 0006 you use to rate your health plan? Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 0006 Rating of Drug Plan Health plan
Page 946 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 947 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 948 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 949 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) 0007 Getting Information From Drug Plan Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) 0007 Getting Needed Prescription Drugs Health plan
Medical Outcomes
and Economics Registry CAHPS Health Plan Survey v 3.0
(MORE2 Registry children with chronic conditions
3041 Database) 0009 supplement Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Adolescent Well Care Visit Health plan
Page 950 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 951 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 952 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 953 of 1204

Medical Outcomes
and Economics Registry Adult Access to
(MORE2 Registry Preventive/Ambulatory Care 20-44,
3041 Database) N/A 45-64, 65+ Health plan
Medical Outcomes
and Economics Registry Adult Access to
(MORE2 Registry Preventive/Ambulatory Care 20-44,
3041 Database) N/A 45-64, 65+ Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Breast Cancer Screening Health plan
Medical Outcomes
(MORE2 Registry Child and Adolescent Access to
3041 Database) N/A Primary Care Health plan
Page 954 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 955 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 956 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 957 of 1204

Medical Outcomes
Research for Effectiveness Cholesterol Management for
and Economics Registry Patients with Cardiovascular
(MORE2 Registry Conditions: LDL-C Screening and
3041 Database) N/A LDL-C Control <100 Health plan
Medical Outcomes
(MORE2 Registry Annual Monitoring for Patients on
3041 Database) N/A Persistent Medications Health plan
Medical Outcomes
(MORE2 Registry Annual Monitoring for Patients on
3041 Database) N/A Persistent Medications Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Adult BMI Assessment Health plan
Page 958 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 959 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 960 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 961 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) N/A Antiretroviral Medication Adherence Health plan
Medical Outcomes
and Economics Registry Blood Pressure Medication
(MORE2 Registry Recommended for People with
3041 Database) N/A Diabetes Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Care Coordination Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Diabetes Medication Dosing Health plan
Page 962 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 963 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 964 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 965 of 1204

Medical Outcomes
(MORE2 Registry
3041 Database) N/A Drug-Drug Interactions Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Lead Screening in Children Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A Osteoporosis Testing Health plan
Medical Outcomes
(MORE2 Registry Pharmacotherapy of COPD
3041 Database) N/A Exacerbation Health plan
Page 966 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 967 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 968 of 1204

Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 969 of 1204

Medical Outcomes
(MORE2 Registry Potentially Harmful Drug-Disease
3041 Database) N/A Interactions in the Elderly Health plan
Medical Outcomes
3041 Database) N/A with Hypertension Health plan
Medical Outcomes
(MORE2 Registry
3041 Database) N/A C05 - Glaucoma Testing Health plan
Medical Outcomes
(MORE2 Registry C07 - Improving or Maintaining
3041 Database) N/A Physical Health (HOS) Health plan
Page 970 of 1204

Type of
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 971 of 1204


Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Medical Outcomes
(MORE2 Registry
Page 972 of 1204

Medical Outcomes
(MORE2 Registry
3042 Data Analytic Interface (DAI) http://www.kdheks.gov/hcf/data_consortium/default.htm (none) 0002
Page 973 of 1204

Medical Outcomes
(MORE2 Registry C08 - Improving or Maintaining
3041 Database) N/A Mental Health (HOS) Health plan
3042 Data Analytic Interface (DAI) 0002 Pharyngitis Other
3042 Data Analytic Interface (DAI) 0033 Chlamydia screening in women Other
3042 Data Analytic Interface (DAI) 0036 people with asthma Other
3042 Data Analytic Interface (DAI) 0052 Pain Other

3042 Data Analytic Interface (DAI) 0069 with upper respiratory infection (URI) Other
Follow-Up After Hospitalization for
3042 Data Analytic Interface (DAI) 0576 Mental Illness Other
3042 Data Analytic Interface (DAI) 0731 Comprehensive Diabetes Care Other
Medication Management for People
3042 Data Analytic Interface (DAI) 1799 with Asthma (MMA) Other
Page 974 of 1204

Type of
Medical Outcomes
(MORE2 Registry
3042 Data Analytic Interface (DAI) No No Yes No No
Page 975 of 1204


Medical Outcomes
(MORE2 Registry
3042 Data Analytic Interface (DAI) No No No No
Page 976 of 1204


3043 Database http://www.cahps.ahrq.gov/health_plan/ (none) 3600



Page 977 of 1204


Child and Adolescent Access to
3042 Data Analytic Interface (DAI) N/A Primary Care Other
CAHPS Health Plan Survey CAHPS Health Plan Survey v 4.0 -
3043 Database 0006 Adult questionnaire Health plan
3043 Database 0006 Getting Needed Care Health plan
CAHPS Health Plan Survey was it easy to get appointments with
3043 Database 0006 specialists? Health plan
was it easy to get the care, tests, or
CAHPS Health Plan Survey treatment you thought you needed
3043 Database 0006 through your health plan? Health plan
3043 Database 0006 Getting Care Quickly Health plan
In the last 6/12 months, when you
CAHPS Health Plan Survey did you get care as soon as you
3043 Database 0006 thought you needed? Health plan
Page 978 of 1204

Type of




Page 979 of 1204



3043 Database No No No Yes



Page 980 of 1204






Page 981 of 1204


CAHPS Health Plan Survey doctor's office or clinic as soon as
3043 Database 0006 you thought you needed? Health plan
3043 Database 0006 How Well Doctors Communicate Health plan
CAHPS Health Plan Survey things in a way that was easy to
3043 Database 0006 understand? Health plan
CAHPS Health Plan Survey did your personal doctor listen
3043 Database 0006 carefully to you? Health plan
CAHPS Health Plan Survey did your personal doctor show
3043 Database 0006 respect for what you had to say? Health plan
CAHPS Health Plan Survey did your personal doctor spend
3043 Database 0006 enough time with you? Health plan
CAHPS Health Plan Survey Health Plan Information & Customer
3043 Database 0006 Service Health plan
Page 982 of 1204

Type of





Page 983 of 1204







Page 984 of 1204





Page 985 of 1204


CAHPS Health Plan Survey service give you the information or
3043 Database 0006 help you needed? Health plan
CAHPS Health Plan Survey service staff treat you with courtesy
3043 Database 0006 and respect? Health plan
CAHPS Health Plan Survey you use to rate all your health care in
3043 Database 0006 the last 6/12 months? Health plan
CAHPS Health Plan Survey you use to rate your personal
3043 Database 0006 doctor? Health plan
Page 986 of 1204

Type of




Page 987 of 1204






Page 988 of 1204



VHA Facility Quality and

3044 Safety Report 0018
http://www.va.gov/HEALTH/docs/2012_VHA_Facility_Quality_and_Safety_Report_FINAL508.pdf



Page 989 of 1204


CAHPS Health Plan Survey possible, what number would you
3043 Database 0006 use to rate the specialist? Health plan
CAHPS Health Plan Survey plan possible, what number would
3043 Database 0006 you use to rate your health plan? Health plan

3044 Safety Report 0018 Controlling High Blood Pressure Hospital
VHA Facility Quality and Medical Assistance With Smoking

3044 Safety Report 0027 and Tobacco Use Cessation Hospital

3044 Safety Report 0032 Cervical Cancer Screening Hospital

3044 Safety Report 0034 Colorectal Cancer Screening Hospital
Page 990 of 1204

Type of



3044 Safety Report Yes No No No No



Page 991 of 1204





3044 Safety Report No No No No



Page 992 of 1204









Page 993 of 1204

VHA Facility Quality and Flu Shots for Adults Ages 50 and
3044 Safety Report 0039 Over Hospital
VHA Facility Quality and Pneumonia vaccination status for

3044 Safety Report 0043 older adults Hospital
VHA Facility Quality and Comprehensive Diabetes Care: Eye

3044 Safety Report 0055 Exam Hospital
VHA Facility Quality and Comprehensive Diabetes Care:

3044 Safety Report 0057 Hemoglobin A1c (HbA1c) testing Hospital
VHA Facility Quality and Hemoglobin A1c (HbA1c) Poor
3044 Safety Report 0059 Control (>9.0%) Hospital
VHA Facility Quality and Blood Pressure Control (<140/90
3044 Safety Report 0061 mm Hg) Hospital
VHA Facility Quality and Comprehensive Diabetes Care:

3044 Safety Report 0062 Medical Attention for Nephropathy Hospital
VHA Facility Quality and Comprehensive Diabetes Care: LDL-

3044 Safety Report 0063 C Screening Hospital
Page 994 of 1204

Type of








Page 995 of 1204










Page 996 of 1204









Page 997 of 1204

VHA Facility Quality and Comprehensive Diabetes Care: LDL-

3044 Safety Report 0064 C Control <100 mg/dL Hospital
VHA Facility Quality and IVD: Complete Lipid Profile and LDL
3044 Safety Report 0075 Control <100 Hospital
VHA Facility Quality and Communication with nurses

3044 Safety Report 0166 (summary measure) Hospital
VHA Facility Quality and Communication with doctors

VHA Facility Quality and Responsiveness of hospital staff

VHA Facility Quality and Pain management (summary

3044 Safety Report 0166 measure) Hospital
VHA Facility Quality and Communication about medicines

VHA Facility Quality and Cleanliness of hospital environment

3044 Safety Report 0166 (individual measure) Hospital
Page 998 of 1204

Type of








Page 999 of 1204










Page 1000 of 1204








Page 1001 of 1204

VHA Facility Quality and Quietness of hospital environment

3044 Safety Report 0166 (individual measure) Hospital
VHA Facility Quality and Discharge information (summary

VHA Facility Quality and Overall rating of hospital (global

VHA Facility Quality and Willingness to recommend the

3044 Safety Report 0166 hospital (global measure) Hospital

3044 Safety Report 0006 Getting Needed Care Hospital

3044 Safety Report 0006 Getting Care Quickly Hospital

3044 Safety Report 0006 How Well Doctors Communicate Hospital
Page 1002 of 1204

Type of







Page 1003 of 1204









Page 1004 of 1204






Page 1005 of 1204


VHA Facility Quality and you use to rate your personal
3044 Safety Report 0006 doctor? Hospital

VHA Facility Quality and possible, what number would you
3044 Safety Report 0006 use to rate the specialist? Hospital
VHA Facility Quality and plan possible, what number would
3044 Safety Report 0006 you use to rate your health plan? Hospital

3044 Safety Report N/A Breast Cancer Screening Hospital

3044 Safety Report N/A Flu Shots for Older Adults Hospital
Page 1006 of 1204

Type of





Page 1007 of 1204







Page 1008 of 1204


ORYX Core Measure
3045 Download) http://www.healthcarequalitydata.org/ (none) 0132
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

Page 1009 of 1204


ORYX Core Measure
Database ( Quality Data Aspirin at arrival for acute
3045 Download) 0132 myocardial infarction (AMI) Hospital
ORYX Core Measure
Database ( Quality Data Evaluation of Left ventricular systolic
3045 Download) 0135 function (LVS) Hospital
ORYX Core Measure ACEI or ARB for left ventricular

Database ( Quality Data systolic dysfunction- Acute
3045 Download) 0137 Myocardial Infarction (AMI) Patients Hospital
ORYX Core Measure
Database ( Quality Data Aspirin prescribed at discharge for
3045 Download) 0142 AMI Hospital
ORYX Core Measure
Database ( Quality Data CAC-1: Relievers for Inpatient
3045 Download) 0143 Asthma Hospital
ORYX Core Measure
Database ( Quality Data CAC-2 Systemic corticosteroids for
3045 Download) 0144 Inpatient Asthma Hospital
ORYX Core Measure Initial antibiotic selection for

Database ( Quality Data community-acquired pneumonia
3045 Download) 0147 (CAP) in immunocompetent patients Hospital
Page 1010 of 1204

Type of
ORYX Core Measure
3045 Download) Yes No Yes No No
ORYX Core Measure
3045 Download) Yes No No No No
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

3045 Download) No No No No No
Page 1011 of 1204


ORYX Core Measure
3045 Download) No No Yes No
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

Page 1012 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure

Page 1013 of 1204


ORYX Core Measure
Database ( Quality Data Beta-blocker prescribed at discharge
3045 Download) 0160 for AMI Hospital
ORYX Core Measure ACEI or ARB for left ventricular
Database ( Quality Data systolic dysfunction - Heart Failure
3045 Download) 0162 (HF) Patients Hospital
ORYX Core Measure
Database ( Quality Data Primary PCI received within 90
3045 Download) 0163 minutes of Hospital Arrival Hospital
ORYX Core Measure
Database ( Quality Data Fibrinolytic Therapy received within
3045 Download) 0164 30 minutes of hospital arrival Hospital
Appropriate Venous
ORYX Core Measure Prophylaxis Within 24 Hours Prior to
Database ( Quality Data Surgery to 24 Hours After Surgery
3045 Download) 0218 End Time Hospital
ORYX Core Measure therapy prior to admission who
Database ( Quality Data received a beta blocker during the
3045 Download) 0284 perioperative period Hospital
Page 1014 of 1204

Type of
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure

Page 1015 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure

Page 1016 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1017 of 1204


ORYX Core Measure Cardiac Surgery Patients With
Database ( Quality Data Controlled Postoperative Blood
3045 Download) 0300 Glucose Hospital
ORYX Core Measure
Database ( Quality Data Surgery patients with appropriate
3045 Download) 0301 hair removal Hospital
PN3a--Blood Cultures Performed
Within 24 Hours Prior to or 24 Hours
After Hospital Arrival for Patients
ORYX Core Measure Who Were Transferred or Admitted
Database ( Quality Data to the ICU Within 24 Hours of
3045 Download) 0356 Hospital Arrival Hospital
ORYX Core Measure
Database ( Quality Data Venous Thromboembolism
3045 Download) 0371 Prophylaxis Hospital
ORYX Core Measure
Database ( Quality Data Intensive Care Unit Venous
3045 Download) 0372 Thromboembolism Prophylaxis Hospital
ORYX Core Measure
Database ( Quality Data Venous Thromboembolism Patients
3045 Download) 0373 with Anticoagulant Overlap Therapy Hospital
ORYX Core Measure
Database ( Quality Data STK-01: Venous Thromboembolism
3045 Download) 0434 (VTE) Prophylaxis Hospital
Page 1018 of 1204

Type of
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1019 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1020 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1021 of 1204


ORYX Core Measure
Database ( Quality Data STK 02: Discharged on
3045 Download) 0435 Antithrombotic Therapy Hospital
ORYX Core Measure
Database ( Quality Data STK-03: Anticoagulation Therapy for
3045 Download) 0436 Atrial Fibrillation/Flutter Hospital
ORYX Core Measure
3045 Download) 0437 STK 04: Thrombolytic Therapy Hospital
ORYX Core Measure
Database ( Quality Data STK 05: Antithrombotic Therapy By
3045 Download) 0438 End of Hospital Day Two Hospital
ORYX Core Measure
Database ( Quality Data STK-06: Discharged on Statin
3045 Download) 0439 Medication Hospital
ORYX Core Measure
3045 Download) 0441 STK-10: Assessed for Rehabilitation Hospital
ORYX Core Measure
Database ( Quality Data Surgery Patients with Perioperative
3045 Download) 0452 Temperature Management Hospital
ORYX Core Measure
3045 Download) 0469 PC-01 Elective Delivery Hospital
Page 1022 of 1204

Type of
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1023 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1024 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1025 of 1204


ORYX Core Measure
3045 Download) 0471 PC-02 Cesarean Section Hospital
ORYX Core Measure
3045 Download) 0476 PC-03 Antenatal Steroids Hospital
ORYX Core Measure
Database ( Quality Data PC-05 Exclusive Breast Milk
3045 Download) 0480 Feeding Hospital
ORYX Core Measure
Database ( Quality Data Prophylactic antibiotic received
3045 Download) 0527 within 1 hour prior to surgical incision Hospital
ORYX Core Measure
Database ( Quality Data Prophylactic antibiotic selection for
3045 Download) 0528 surgical patients Hospital
ORYX Core Measure Prophylactic antibiotics discontinued
Database ( Quality Data within 24 hours after surgery end
3045 Download) 0529 time Hospital
ORYX Core Measure
Database ( Quality Data HBIPS-4: Patients discharged on
3045 Download) 0552 multiple antipsychotic medications. Hospital
ORYX Core Measure
Database ( Quality Data HBIPS-6 Post discharge continuing
3045 Download) 0557 care plan created Hospital
Page 1026 of 1204

Type of
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1027 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1028 of 1204

ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1029 of 1204

ORYX Core Measure HBIPS-7 Post discharge continuing

Database ( Quality Data care plan transmitted to next level of
3045 Download) 0558 care provider upon discharge Hospital
ORYX Core Measure HBIPS-5 Patients discharged on
Database ( Quality Data multiple antipsychotic medications
3045 Download) 0560 with appropriate justification Hospital
ORYX Core Measure
3045 Download) 0639 Statin Prescribed at Discharge Hospital
ORYX Core Measure
Database ( Quality Data HBIPS-2 Hours of physical restraint
3045 Download) 0640 use Hospital
ORYX Core Measure
3045 Download) 0641 HBIPS-3 Hours of seclusion use Hospital
ORYX Core Measure
Database ( Quality Data Pneumococcal Immunization (PPV
3045 Download) 1653 23) Hospital
ORYX Core Measure
3045 Download) 1659 Influenza Immunization Hospital
Page 1030 of 1204

Type of
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
Page 1031 of 1204


ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
3045 Download) No No Yes Yes
ORYX Core Measure
3045 Download) No No Yes Yes
ORYX Core Measure
ORYX Core Measure
Page 1032 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

Page 1033 of 1204


ORYX Core Measure
Database ( Quality Data Health Care-Associated
3045 Download) 1731 Bloodstream Infections in Newborns Hospital
ORYX Core Measure
3045 Download) N/A Breast Cancer Screening Hospital
ORYX Core Measure
3045 Download) N/A Discharge instructions Hospital
ORYX Core Measure Home Management Plan of Care
Database ( Quality Data (HMPC) document given to
3045 Download) N/A patient/caregiver Hospital
ORYX Core Measure
Database ( Quality Data Incidence of Potentially Preventable
3045 Download) N/A VTE Hospital
Patients having surgery who had
treatment prescribed for the
prevention of blood clots. Note:
ORYX Core Measure Treatment may be medication,
Database ( Quality Data stockings, or mechanical devices for
3045 Download) N/A exercising the legs. Hospital
Page 1034 of 1204

Type of
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

Page 1035 of 1204


ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure
ORYX Core Measure

Page 1036 of 1204

ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
3046 Midas+ DataVision https://www.midasplus.com/Pages/Products/UpdateDV.aspx (none) 0132
Page 1037 of 1204

ORYX Core Measure Patients Receiving Unfractionated

Database ( Quality Data Heparin with Dosages/Platelet Count
3045 Download) N/A Monitoring by Protocol or Nomogram Hospital
ORYX Core Measure
3045 Download) N/A Stroke Education Hospital
ORYX Core Measure
3045 Download) N/A VTE Discharge Instructions Hospital
Aspirin at arrival for acute
3046 Midas+ DataVision 0132 myocardial infarction (AMI) Hospital
Evaluation of Left ventricular systolic
3046 Midas+ DataVision 0135 function (LVS) Hospital
ACEI or ARB for left ventricular

systolic dysfunction- Acute
3046 Midas+ DataVision 0137 Myocardial Infarction (AMI) Patients Hospital
Tract Infection (CAUTI) Outcome
3046 Midas+ DataVision 0138 Measure Hospital
Aspirin prescribed at discharge for
3046 Midas+ DataVision 0142 AMI Hospital
Page 1038 of 1204

Type of
ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
3046 Midas+ DataVision Yes Yes Yes No Yes
Page 1039 of 1204


ORYX Core Measure

ORYX Core Measure
ORYX Core Measure
Page 1040 of 1204

Page 1041 of 1204


CAC-1: Relievers for Inpatient
3046 Midas+ DataVision 0143 Asthma Hospital
CAC-2 Systemic corticosteroids for
3046 Midas+ DataVision 0144 Inpatient Asthma Hospital
Initial antibiotic selection for

community-acquired pneumonia
3046 Midas+ DataVision 0147 (CAP) in immunocompetent patients Hospital
Beta-blocker prescribed at discharge
3046 Midas+ DataVision 0160 for AMI Hospital
3046 Midas+ DataVision 0163 minutes of Hospital Arrival Hospital
Fibrinolytic Therapy received within
3046 Midas+ DataVision 0164 30 minutes of hospital arrival Hospital
Appropriate Venous
Surgery to 24 Hours After Surgery
3046 Midas+ DataVision 0218 End Time Hospital
3046 Midas+ DataVision 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Page 1042 of 1204

Type of
Page 1043 of 1204


Page 1044 of 1204

Page 1045 of 1204

Perioperative Care: Selection of

Prophylactic Antibiotic: First OR
3046 Midas+ DataVision 0268 Second Generation Cephalosporin Hospital
Perioperative Care: Timing of
Prophylactic Parenteral Antibiotics
3046 Midas+ DataVision 0270 Ordering Physician Hospital
therapy prior to admission who
received a beta blocker during the
3046 Midas+ DataVision 0284 perioperative period Hospital
3046 Midas+ DataVision 0286 Aspirin at Arrival Hospital
3046 Midas+ DataVision 0287 Median to Fibrinolysis Hospital

Fibrinolytic Therapy Received Within
3046 Midas+ DataVision 0288 30 Minutes of ED Arrival Hospital
3046 Midas+ DataVision 0289 Median Time to ECG Hospital

Median Time to Transfer to Another
Facility for Acute Coronary
3046 Midas+ DataVision 0290 Intervention Hospital
Page 1046 of 1204

Type of
Page 1047 of 1204


Page 1048 of 1204

Page 1049 of 1204


3046 Midas+ DataVision 0300 Glucose Hospital
Surgery patients with appropriate
3046 Midas+ DataVision 0301 hair removal Hospital
(RSRR) following heart failure
3046 Midas+ DataVision 0330 hospitalization Hospital
3046 Midas+ DataVision 0337 Pressure Ulcer Rate (PDI 2) Hospital

RACHS-1 Pediatric Heart Surgery
3046 Midas+ DataVision 0339 Mortality Hospital
Pediatric Heart Surgery Volume (PDI
3046 Midas+ DataVision 0340 7) Hospital
3046 Midas+ DataVision 0344 Rate (PDI 1) Hospital
3046 Midas+ DataVision 0345 Rate (PSI 15) Hospital
3046 Midas+ DataVision 0347 Diagnosis Related Groups (PSI 2) Hospital
Page 1050 of 1204

Type of
Page 1051 of 1204


Page 1052 of 1204

Page 1053 of 1204


Iatrogenic Pneumothorax Rate (PDI
3046 Midas+ DataVision 0349 Transfusion Reaction (PSI 16) Hospital
3046 Midas+ DataVision 0350 Transfusion Reaction (PDI 13) Hospital

3046 Midas+ DataVision 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
3046 Midas+ DataVision 0355 Rate (IQI 25) Hospital
PN3a--Blood Cultures Performed
Within 24 Hours Prior to or 24 Hours
After Hospital Arrival for Patients
Who Were Transferred or Admitted
to the ICU Within 24 Hours of
3046 Midas+ DataVision 0356 Hospital Arrival Hospital
3046 Midas+ DataVision 0357 Repair Volume (IQI 4) Hospital
3046 Midas+ DataVision 0358 Mortality Rate (IQI 16) Hospital
Page 1054 of 1204

Type of
Page 1055 of 1204


Page 1056 of 1204

Page 1057 of 1204


3046 Midas+ DataVision 0359 Repair Mortality Rate (IQI 11) Hospital
3046 Midas+ DataVision 0360 Rate (IQI 8) Hospital
Esophageal Resection Volume (IQI
Foreign Body left after procedure
3046 Midas+ DataVision 0362 (PDI 3) Hospital
3046 Midas+ DataVision 0363 (PSI 5) Hospital
3046 Midas+ DataVision 0365 (IQI 9) Hospital
3046 Midas+ DataVision 0366 Pancreatic Resection Volume (IQI 2) Hospital

Venous Thromboembolism
3046 Midas+ DataVision 0371 Prophylaxis Hospital
Venous Thromboembolism Patients

3046 Midas+ DataVision 0373 with Anticoagulant Overlap Therapy Hospital
STK-01: Venous Thromboembolism

3046 Midas+ DataVision 0434 (VTE) Prophylaxis Hospital
STK 02: Discharged on
3046 Midas+ DataVision 0435 Antithrombotic Therapy Hospital
Page 1058 of 1204

Type of
Page 1059 of 1204


Page 1060 of 1204

Page 1061 of 1204


STK-03: Anticoagulation Therapy for
3046 Midas+ DataVision 0436 Atrial Fibrillation/Flutter Hospital
3046 Midas+ DataVision 0437 STK 04: Thrombolytic Therapy Hospital

STK 05: Antithrombotic Therapy By
3046 Midas+ DataVision 0438 End of Hospital Day Two Hospital
STK-06: Discharged on Statin
3046 Midas+ DataVision 0439 Medication Hospital
3046 Midas+ DataVision 0441 STK-10: Assessed for Rehabilitation Hospital

Surgery Patients with Perioperative

3046 Midas+ DataVision 0452 Temperature Management Hospital
3046 Midas+ DataVision 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
3046 Midas+ DataVision 0469 PC-01 Elective Delivery Hospital
3046 Midas+ DataVision 0471 PC-02 Cesarean Section Hospital
3046 Midas+ DataVision 0476 PC-03 Antenatal Steroids Hospital
Page 1062 of 1204

Type of
Page 1063 of 1204


Page 1064 of 1204

Page 1065 of 1204


PC-05 Exclusive Breast Milk
3046 Midas+ DataVision 0480 Feeding Hospital

3046 Midas+ DataVision 0495 Departure for Admitted ED Patients Hospital
Departure for Discharged ED
3046 Midas+ DataVision 0496 Patients Hospital
Admit Decision Time to ED

3046 Midas+ DataVision 0497 Departure Time for Admitted Patients Hospital
Hospital 30-day all-cause risk-
(RSRR) following acute myocardial
3046 Midas+ DataVision 0505 infarction (AMI) hospitalization. Hospital
Thirty-day all-cause risk

3046 Midas+ DataVision 0506 following pneumonia hospitalization. Hospital
Prophylactic antibiotic received

3046 Midas+ DataVision 0527 within 1 hour prior to surgical incision Hospital
Prophylactic antibiotic selection for
3046 Midas+ DataVision 0528 surgical patients Hospital
Page 1066 of 1204

Type of
Page 1067 of 1204


Page 1068 of 1204

Page 1069 of 1204


3046 Midas+ DataVision 0529 time Hospital
3046 Midas+ DataVision 0530 Mortality for Selected Conditions Hospital

Patient Safety for Selected
3046 Midas+ DataVision 0531 Indicators Hospital
3046 Midas+ DataVision 0533 Rate (PSI 11) Hospital
HBIPS-4: Patients discharged on
3046 Midas+ DataVision 0552 multiple antipsychotic medications. Hospital
HBIPS-6 Post discharge continuing
3046 Midas+ DataVision 0557 care plan created Hospital
HBIPS-7 Post discharge continuing

care plan transmitted to next level of
3046 Midas+ DataVision 0558 care provider upon discharge Hospital
HBIPS-5 Patients discharged on
multiple antipsychotic medications
3046 Midas+ DataVision 0560 with appropriate justification Hospital
Heart Failure - Use of ACE Inhibitor
(ACEI) or Angiotensin Receptor
3046 Midas+ DataVision 0610 Blocker (ARB) Therapy Hospital
Page 1070 of 1204

Type of
Page 1071 of 1204


Page 1072 of 1204

Page 1073 of 1204

3046 Midas+ DataVision 0639 Statin Prescribed at Discharge Hospital

HBIPS-2 Hours of physical restraint
3046 Midas+ DataVision 0640 use Hospital
3046 Midas+ DataVision 0641 HBIPS-3 Hours of seclusion use Hospital

Transition Record with Specified
Elements Received by Discharged
Patients (Emergency Department
Discharges to Ambulatory Care
[Home/Self Care] or Home Health
3046 Midas+ DataVision 0649 Care) Hospital
Head CT or MRI Scan Results for
Acute Ischemic Stroke or
Hemorrhagic Stroke Patients who
Received Head CT or MRI Scan
Interpretation Within 45 minutes of
3046 Midas+ DataVision 0661 ED Arrival. Hospital
Median Time to Pain Management
3046 Midas+ DataVision 0662 for Long Bone Fracture Hospital
3046 Midas+ DataVision 0730 Mortality Rate Hospital
Page 1074 of 1204

Type of
Page 1075 of 1204


Page 1076 of 1204

Page 1077 of 1204

Hospital-level 30-day, all-cause risk-

(RSRR) following elective primary
total hip arthroplasty (THA) and/or
3046 Midas+ DataVision 1551 total knee arthroplasty (TKA) Hospital
Pneumococcal Immunization (PPV
3046 Midas+ DataVision 1659 Influenza Immunization Hospital
Health Care-Associated
3046 Midas+ DataVision 1731 Bloodstream Infections in Newborns Hospital
Communication with nurses
3046 Midas+ DataVision 0166 (summary measure) Hospital
Communication with doctors
Responsiveness of hospital staff
Pain management (summary
3046 Midas+ DataVision 0166 measure) Hospital
Communication about medicines
Page 1078 of 1204

Type of
Page 1079 of 1204


Page 1080 of 1204

Page 1081 of 1204


Cleanliness of hospital environment
3046 Midas+ DataVision 0166 (individual measure) Hospital
Quietness of hospital environment
3046 Midas+ DataVision 0166 (individual measure) Hospital
Discharge information (summary
Overall rating of hospital (global
Blood cultures performed in the

emergency department prior to initial
3046 Midas+ DataVision N/A antibiotic received in hospital Hospital
3046 Midas+ DataVision N/A 07) Hospital
3046 Midas+ DataVision N/A Discharge instructions Hospital

Door to diagnostic evaluation by a
3046 Midas+ DataVision N/A qualified medical professional Hospital
3046 Midas+ DataVision N/A mortality rate (IQI 18) Hospital
Home Management Plan of Care
(HMPC) document given to
3046 Midas+ DataVision N/A patient/caregiver Hospital
Page 1082 of 1204

Type of
Page 1083 of 1204


Page 1084 of 1204

Page 1085 of 1204


3046 Midas+ DataVision N/A Post-operative sepsis (PSI 13) Hospital

3046 Midas+ DataVision N/A (PSI 14) Hospital
3046 Midas+ DataVision N/A Pressure ulcer rate (PSI 03) Hospital
Adult Complications of Anesthesia /
3046 Midas+ DataVision N/A 1000 (PSI 01) Hospital
3046 Midas+ DataVision N/A (IQI 22) Hospital
3046 Midas+ DataVision N/A (hospital-level) (IQI 21) Hospital
Core HBIPS TEST-1a Admission
3046 Midas+ DataVision N/A Screening Hospital
Core HBIPS-1a Admission
3046 Midas+ DataVision N/A Screening Hospital
Core OP-16a Troponin Results
3046 Midas+ DataVision N/A within 60 Minutes Arrival Hospital
Page 1086 of 1204

Type of
Page 1087 of 1204


Page 1088 of 1204

Page 1089 of 1204


Core PN-2 Pneumococcal
3046 Midas+ DataVision N/A Vaccination Hospital
Core PN-4 Adult Smoking Cessation
3046 Midas+ DataVision N/A Advice Hospital
Core PN-5 Median Time to
3046 Midas+ DataVision N/A Antibiotics Hospital
3046 Midas+ DataVision N/A Core PN-7 Influenza Vaccination Hospital

Core PR-1 Vaginal Birth after
3046 Midas+ DataVision N/A Cesarean Hospital
Core PR-2 Inpatient Neonatal
3046 Midas+ DataVision N/A Mortality All birthweights Hospital
Core PR-3 Third or Fourth Degree
3046 Midas+ DataVision N/A Laceration Hospital
3046 Midas+ DataVision N/A mortality (IQI 12) Hospital
3046 Midas+ DataVision N/A Volume (IQI 5) Hospital
3046 Midas+ DataVision N/A Craniotomy mortality (IQI 13) Hospital

DVT/PE, Orthopedic Per 1000
3046 Midas+ DataVision N/A Inpatients Hospital
Page 1090 of 1204

Type of
Page 1091 of 1204


Page 1092 of 1204

Page 1093 of 1204


3046 Midas+ DataVision N/A C-section (IQI 33) Hospital
3046 Midas+ DataVision N/A Hip replacement mortality (IQI 14) Hospital
Hospital Acquired Injuries Per
3046 Midas+ DataVision N/A 1000 Inpatients Hospital
Infection from Central Venous
3046 Midas+ DataVision N/A Catheter Per 1000 Inpatients Hospital
Inpatient Quality Composite -
3046 Midas+ DataVision N/A Procedures Mortality (IQI 90) Hospital
Mediastinitis After Coronary Artery

3046 Midas+ DataVision N/A Bypass Graft Per 1000 Inpatients Hospital
Page 1094 of 1204

Type of
Page 1095 of 1204


Page 1096 of 1204

Page 1097 of 1204


3046 Midas+ DataVision N/A infection (PSI 17) Hospital
Obstetric Trauma - Cesarean
3046 Midas+ DataVision N/A Delivery /1000 (PSI 20) Hospital
Indicator (PSI 18)
3046 Midas+ DataVision N/A Hospital
Indicator (PSI 19)
3046 Midas+ DataVision N/A Hospital
Patients Receiving Unfractionated

Heparin with Dosages/Platelet Count
3046 Midas+ DataVision N/A Monitoring by Protocol or Nomogram Hospital
Pediatric: Central Venous Catheter-
Related Bloodstream Infection (PDI
Pediatric: Postoperative Hemorrhage

3046 Midas+ DataVision N/A or Hematoma (PDI 08) Hospital
Pediatric: Postoperative Respiratory
3046 Midas+ DataVision N/A Failure (PDI 09) Hospital
Page 1098 of 1204

Type of
Page 1099 of 1204


Page 1100 of 1204

Page 1101 of 1204


Pediatric: Postoperative Sepsis (PDI

3046 Midas+ DataVision N/A angioplasty mortality (IQI 30) Hospital
3046 Midas+ DataVision N/A Coronary Angioplasty Volume (IQI 6) Hospital
3046 Midas+ DataVision N/A Hematoma (PSI 9) Hospital
3046 Midas+ DataVision N/A Level Indicator (PSI 10) Hospital
3046 Midas+ DataVision N/A Rate (PDI 11) Hospital
Pressure Ulcers NPOA, All Stages
3046 Midas+ DataVision N/A Per 1000 Inpatients Hospital
Stroke Certification Core STK-7
3046 Midas+ DataVision N/A Dysphagia Screening Hospital
Stroke Certification Core STK-9
Smoking Cessation
3046 Midas+ DataVision N/A Advice/Counseling Hospital
Surgical Site Infections, Bariatric
Page 1102 of 1204

Type of
Page 1103 of 1204


Page 1104 of 1204

3047 QualityAdvisor Database https://www.premierinc.com (none) 0231
Page 1105 of 1204


Surgical Site Infections, Orthopedic
3046 Midas+ DataVision N/A section (VBAC) IQI 34) Hospital
3046 Midas+ DataVision N/A VTE Discharge Instructions Hospital

Core VTE-6 Hospital Acquired
Potentially Preventable Venous
3046 Midas+ DataVision N/A Thromboembolism Hospital
3046 Midas+ DataVision N/A Air Embolism Hospital

AMI-04 Adult smoking cessation
3046 Midas+ DataVision N/A advice/counseling Hospital
3046 Midas+ DataVision N/A Blood Incompatibility Hospital

HF-04 Adult smoking cessation
3046 Midas+ DataVision N/A advice/counseling Hospital
Manifestations of Poor Glycemic
3046 Midas+ DataVision N/A Control Hospital
3046 Midas+ DataVision N/A Pressure Ulcer Stages III & IV Hospital
3047 QualityAdvisor Database 0231 Pneumonia Mortality Rate (IQI #20) Hospital
Page 1106 of 1204

Type of
3047 QualityAdvisor Database Yes Yes Yes Yes Yes
Page 1107 of 1204


3047 QualityAdvisor Database No No No Yes
Page 1108 of 1204



Page 1109 of 1204


3047 QualityAdvisor Database 0345 Rate (PSI 15) Hospital
3047 QualityAdvisor Database 0346 6) Hospital
3047 QualityAdvisor Database 0347 Diagnosis Related Groups (PSI 2) Hospital
3047 QualityAdvisor Database 0349 Transfusion Reaction (PSI 16) Hospital
3047 QualityAdvisor Database 0354 Hip Fracture Mortality Rate (IQI 19) Hospital
3047 QualityAdvisor Database 0355 Rate (IQI 25) Hospital
3047 QualityAdvisor Database 0357 Repair Volume (IQI 4) Hospital
3047 QualityAdvisor Database 0358 Mortality Rate (IQI 16) Hospital
3047 QualityAdvisor Database 0359 Repair Mortality Rate (IQI 11) Hospital
3047 QualityAdvisor Database 0360 Rate (IQI 8) Hospital
Esophageal Resection Volume (IQI
Page 1110 of 1204

Type of


Page 1111 of 1204




Page 1112 of 1204


Page 1113 of 1204


3047 QualityAdvisor Database 0363 (PSI 5) Hospital
3047 QualityAdvisor Database 0365 (IQI 9) Hospital
3047 QualityAdvisor Database 0366 Pancreatic Resection Volume (IQI 2) Hospital

3047 QualityAdvisor Database 0467 Acute Stroke Mortality Rate (IQI 17) Hospital
3047 QualityAdvisor Database 0533 Rate (PSI 11) Hospital
3047 QualityAdvisor Database 0730 Mortality Rate Hospital
3047 QualityAdvisor Database N/A 07) Hospital
3047 QualityAdvisor Database N/A mortality rate (IQI 18) Hospital
3047 QualityAdvisor Database N/A Post-operative sepsis (PSI 13) Hospital
Page 1114 of 1204

Type of

Page 1115 of 1204



Page 1116 of 1204




Page 1117 of 1204


3047 QualityAdvisor Database N/A (PSI 14) Hospital
3047 QualityAdvisor Database N/A Pressure ulcer rate (PSI 03) Hospital
3047 QualityAdvisor Database N/A (IQI 22) Hospital
3047 QualityAdvisor Database N/A (hospital-level) (IQI 21) Hospital
3047 QualityAdvisor Database N/A mortality (IQI 12) Hospital
3047 QualityAdvisor Database N/A Volume (IQI 5) Hospital
3047 QualityAdvisor Database N/A Craniotomy mortality (IQI 13) Hospital
3047 QualityAdvisor Database N/A C-section (IQI 33) Hospital
3047 QualityAdvisor Database N/A Hip replacement mortality (IQI 14) Hospital
Page 1118 of 1204

Type of



Page 1119 of 1204





Page 1120 of 1204

Page 1121 of 1204


3047 QualityAdvisor Database N/A infection (PSI 17) Hospital
Indicator (PSI 18)
3047 QualityAdvisor Database N/A Hospital
Indicator (PSI 19)
3047 QualityAdvisor Database N/A Hospital

3047 QualityAdvisor Database N/A angioplasty mortality (IQI 30) Hospital
3047 QualityAdvisor Database N/A Coronary Angioplasty Volume (IQI 6) Hospital
Page 1122 of 1204

Type of
Page 1123 of 1204


Page 1124 of 1204

PatientCentral--What
Patients Say About Their
3048 Doctors www.checkbook.org/patientcentral (none) 3500
Page 1125 of 1204


3047 QualityAdvisor Database N/A Hematoma (PSI 9) Hospital
3047 QualityAdvisor Database N/A Level Indicator (PSI 10) Hospital
3047 QualityAdvisor Database N/A section (VBAC) IQI 34) Hospital
PatientCentral--What CAHPS Clinician/Group Surveys -
Patients Say About Their (Adult Primary Care, Pediatric Care,
3048 Doctors 0005 and Specialist Care Surveys) Clinicians
Patients Say About Their Getting Timely Appointments, Care,
3048 Doctors 0005 and Information Clinicians
Patients Say About Their How Well Doctors Communicate
3048 Doctors 0005 With Patients Clinicians
Page 1126 of 1204

Type of
3048 Doctors No No No Yes Yes
Page 1127 of 1204


3048 Doctors No No No Yes
Page 1128 of 1204

3049 Annuitants http://www.checkbook.org/newhig2/hig.cfm (none) 0002
Page 1129 of 1204

Patients Say About Their Helpful, Courteous, and Respectful
3048 Doctors 0005 Office Staff Clinicians
Patients Say About Their Doctors office followed up with test
3048 Doctors 0005 results Clinicians
3048 Doctors 0005 Rating of Doctor Clinicians
3048 Doctors 0005 Willingness to Recommend Clinicians
Federal Employees and Appropriate Testing for Children With
3049 Annuitants 0002 Pharyngitis Health plan
Page 1130 of 1204

Type of
3049 Annuitants No No No No No
Page 1131 of 1204


3049 Annuitants No No No Yes
Page 1132 of 1204


Page 1133 of 1204


3049 Annuitants 0032 Cervical Cancer Screening Health plan
3049 Annuitants 0034 Colorectal Cancer Screening Health plan
Federal Employees and Use of appropriate medications for
3049 Annuitants 0036 people with asthma Health plan
3049 Annuitants 0038 Childhood Immunization Status Health plan
Federal Employees and Use of Imaging Studies for Low Back
3049 Annuitants 0052 Pain Health plan
Federal Employees and Comprehensive Diabetes Care: Eye
3049 Annuitants 0055 Exam Health plan
Page 1134 of 1204

Type of
Page 1135 of 1204


Page 1136 of 1204


Page 1137 of 1204


Federal Employees and Comprehensive Diabetes Care:
3049 Annuitants 0057 Hemoglobin A1c (HbA1c) testing Health plan
Federal Employees and Avoidance of Antibiotic Treatment in
3049 Annuitants 0058 Adults with Acute Bronchitis Health plan
Guide to Health Plans for Comprehensive Diabetes Care:
Federal Employees and Hemoglobin A1c (HbA1c) Poor
3049 Annuitants 0059 Control (>9.0%) Health plan
Guide to Health Plans for Comprehensive Diabetes Care:
Federal Employees and Blood Pressure Control (<140/90
3049 Annuitants 0061 mm Hg) Health plan
Federal Employees and Comprehensive Diabetes Care:
3049 Annuitants 0062 Medical Attention for Nephropathy Health plan
Federal Employees and Comprehensive Diabetes Care: LDL-
3049 Annuitants 0063 C Screening Health plan
Page 1138 of 1204

Type of
Page 1139 of 1204


Page 1140 of 1204


Page 1141 of 1204


Federal Employees and Appropriate treatment for children
3049 Annuitants 0069 with upper respiratory infection (URI) Health plan
Guide to Health Plans for Acute Myocardial Infarction (AMI):
Federal Employees and Persistence of Beta-Blocker
3049 Annuitants 0071 Treatment After a Heart Attack Health plan
Federal Employees and Antidepressant Medication
3049 Annuitants 0105 Management Health plan
Federal Employees and Follow-Up After Hospitalization for
3049 Annuitants 0576 Mental Illness Health plan
Federal Employees and Use of Spirometry Testing in the
3049 Annuitants 0577 Assessment and Diagnosis of COPD Health plan
3049 Annuitants 1517 Prenatal & Postpartum Care Health plan
Page 1142 of 1204

Type of
Page 1143 of 1204


Page 1144 of 1204


Page 1145 of 1204


Federal Employees and CAHPS Health Plan Survey v 4.0 -
3049 Annuitants 0006 Adult questionnaire Health plan
3049 Annuitants 0006 Getting Needed Care Health plan
Guide to Health Plans for In the last 6/12 months, how often
Federal Employees and was it easy to get appointments with
3049 Annuitants 0006 specialists? Health plan
Consumers' CHECKBOOK In the last 6/12 months, how often
Guide to Health Plans for was it easy to get the care, tests, or
Federal Employees and treatment you thought you needed
3049 Annuitants 0006 through your health plan? Health plan
3049 Annuitants 0006 Getting Care Quickly Health plan
Consumers' CHECKBOOK In the last 6/12 months, when you
Guide to Health Plans for needed care right away, how often
Federal Employees and did you get care as soon as you
3049 Annuitants 0006 thought you needed? Health plan
Page 1146 of 1204

Type of
Page 1147 of 1204


Page 1148 of 1204

Page 1149 of 1204


Consumers' CHECKBOOK away, how often did you get an
Guide to Health Plans for appointment for your health care at a
Federal Employees and doctor's office or clinic as soon as
3049 Annuitants 0006 you thought you needed? Health plan
3049 Annuitants 0006 How Well Doctors Communicate Health plan
Guide to Health Plans for did your personal doctor explain
Federal Employees and things in a way that was easy to
3049 Annuitants 0006 understand? Health plan
Federal Employees and did your personal doctor listen
3049 Annuitants 0006 carefully to you? Health plan
Federal Employees and did your personal doctor show
3049 Annuitants 0006 respect for what you had to say? Health plan
Page 1150 of 1204

Type of
Page 1151 of 1204


Page 1152 of 1204


Page 1153 of 1204


Federal Employees and did your personal doctor spend
3049 Annuitants 0006 enough time with you? Health plan
Guide to Health Plans for did your health plans customer
Federal Employees and service give you the information or
3049 Annuitants 0006 help you needed? Health plan
Guide to Health Plans for did your health plans customer
Federal Employees and service staff treat you with courtesy
3049 Annuitants 0006 and respect? Health plan
Consumers' CHECKBOOK possible and 10 is the best personal
Guide to Health Plans for doctor possible, what number would
Federal Employees and you use to rate your personal
3049 Annuitants 0006 doctor? Health plan

Consumers' CHECKBOOK where 0 is the worst specialist
Guide to Health Plans for possible and 10 is the best specialist
Federal Employees and possible, what number would you
3049 Annuitants 0006 use to rate the specialist? Health plan
Page 1154 of 1204

Type of
Page 1155 of 1204


Page 1156 of 1204

Page 1157 of 1204


Consumers' CHECKBOOK where 0 is the worst health plan
Guide to Health Plans for possible and 10 is the best health
Federal Employees and plan possible, what number would
3049 Annuitants 0006 you use to rate your health plan? Health plan
Federal Employees and Percent of members giving plan high
3049 Annuitants 0006 rating overall Health plan
3049 Annuitants 0007 Shared Decision Making Composite Health plan
Consumers' CHECKBOOK Survey Item: Did a doctor or other
Guide to Health Plans for health provider talk with you about
Federal Employees and the pros and cons of each choice for
3049 Annuitants 0007 your treatment or health care? Health plan
Consumers' CHECKBOOK Survey Item: How often did the

Guide to Health Plans for written materials or the Internet
Federal Employees and provide the information you needed
3049 Annuitants 0007 about how your health plan works? Health plan
Page 1158 of 1204

Type of
Page 1159 of 1204


Page 1160 of 1204

Page 1161 of 1204


Consumers' CHECKBOOK personal doctor seem informed and
Guide to Health Plans for up-to-date about the care you got
Federal Employees and from these doctors or other health
3049 Annuitants 0007 providers? Health plan
Consumers' CHECKBOOK Survey Item: How often were you

Guide to Health Plans for able to find out from your health plan
Federal Employees and how much you would have to pay for
3049 Annuitants 0007 a health care service or equipment? Health plan
Consumers' CHECKBOOK Survey Item: How often were you

Guide to Health Plans for able to find out from your health plan
Federal Employees and how much you would have to pay for
3049 Annuitants 0007 specific prescription medicines? Health plan
Survey Item: When there was more

Consumers' CHECKBOOK than one choice for your treatment or
Guide to Health Plans for health care, did a doctor or other
Federal Employees and health provider ask which choice you
3049 Annuitants 0007 thought was best for you? Health plan
Page 1162 of 1204

Type of
Page 1163 of 1204


Page 1164 of 1204


Page 1165 of 1204


Federal Employees and How often were the forms from your
3049 Annuitants 0009 childs health plan easy to fill out? Health plan
3049 Annuitants N/A Breast Cancer Screening Health plan
Consumers' CHECKBOOK Cholesterol Management for
Guide to Health Plans for Patients with Cardiovascular
Federal Employees and Conditions: LDL-C Screening and
3049 Annuitants N/A LDL-C Control <100 Health plan
Guide to Health Plans for NCQA Supplemental items for
Federal Employees and CAHPS 4.0 Adult Questionnaire
3049 Annuitants N/A Claims Processing Composite Health plan
Consumers' CHECKBOOK Claims Processing Composite
Guide to Health Plans for Survey Item: How often did your
Federal Employees and health plan handle your claims
3049 Annuitants N/A quickly? Health plan
Page 1166 of 1204

Type of
Page 1167 of 1204


Page 1168 of 1204


3050 Network (NHSN) http://www.cdc.gov/nhsn/dataStat.html (none) 0138

3050 Network (NHSN) http://www.cdc.gov/nhsn/dataStat.html (none) 0139
Group Ratings - Health Plan
3932 Ratings http://reportcard.opa.ca.gov/rc2013/ (none) 0002
Page 1169 of 1204


Consumers' CHECKBOOK Claims Processing Composite
Guide to Health Plans for Survey Item: How often did your
Federal Employees and health plan handle your claims
3049 Annuitants N/A correctly? Health plan
National Healthcare Safety Tract Infection (CAUTI) Outcome
3050 Network (NHSN) 0138 Measure Hospital
(NHSN) Central line-associated
National Healthcare Safety Bloodstream Infection (CLABSI)
3050 Network (NHSN) 0139 Outcome Measure Hospital
Group Ratings - Health Plan Appropriate Testing for Children With
3932 Ratings 0002 Pharyngitis Health plan
Patient Advocate Medical Initiation and Engagement of Alcohol
Group Ratings - Health Plan and Other Drug Dependence
3932 Ratings 0004 Treatment Health plan
Page 1170 of 1204

Type of

3050 Network (NHSN) Yes No Yes No No

3050 Network (NHSN) Yes No Yes No No
3932 Ratings No No No Yes No
Page 1171 of 1204



3050 Network (NHSN) Yes Yes Yes Yes

3050 Network (NHSN) Yes Yes Yes Yes
3932 Ratings No No No Yes
Page 1172 of 1204


Page 1173 of 1204


3932 Ratings 0018 Controlling High Blood Pressure Health plan
Patient Advocate Medical Weight Assessment and Counseling
Group Ratings - Health Plan for Nutrition and Physical Activity for
3932 Ratings 0024 Children/Adolescents Health plan
Group Ratings - Health Plan Medical Assistance With Smoking
3932 Ratings 0027 and Tobacco Use Cessation Health plan
3932 Ratings 0032 Cervical Cancer Screening Health plan
3932 Ratings 0033 Chlamydia screening in women Health plan
3932 Ratings 0034 Colorectal Cancer Screening Health plan
Page 1174 of 1204

Type of
Page 1175 of 1204


Page 1176 of 1204


Page 1177 of 1204


Group Ratings - Health Plan Use of appropriate medications for
3932 Ratings 0036 people with asthma Health plan
3932 Ratings 0038 Childhood Immunization Status Health plan
Group Ratings - Health Plan Flu Shots for Adults Ages 50 and
3932 Ratings 0039 Over Health plan
Group Ratings - Health Plan Use of Imaging Studies for Low Back
3932 Ratings 0052 Pain Health plan
Patient Advocate Medical Disease Modifying Anti-Rheumatic
Group Ratings - Health Plan Drug Therapy for Rheumatoid
3932 Ratings 0054 Arthritis Health plan
Group Ratings - Health Plan Comprehensive Diabetes Care: Eye
3932 Ratings 0055 Exam Health plan
Page 1178 of 1204

Type of
Page 1179 of 1204


Page 1180 of 1204


Page 1181 of 1204


Group Ratings - Health Plan Comprehensive Diabetes Care:
3932 Ratings 0057 Hemoglobin A1c (HbA1c) testing Health plan
Group Ratings - Health Plan Avoidance of Antibiotic Treatment in
3932 Ratings 0058 Adults with Acute Bronchitis Health plan
Group Ratings - Health Plan Blood Pressure Control (<140/90
3932 Ratings 0061 mm Hg) Health plan
Group Ratings - Health Plan Comprehensive Diabetes Care:
3932 Ratings 0062 Medical Attention for Nephropathy Health plan
Group Ratings - Health Plan Comprehensive Diabetes Care: LDL-
3932 Ratings 0063 C Screening Health plan
Group Ratings - Health Plan Comprehensive Diabetes Care: LDL-
3932 Ratings 0064 C Control <100 mg/dL Health plan
Page 1182 of 1204

Type of
Page 1183 of 1204


Page 1184 of 1204


Page 1185 of 1204


Group Ratings - Health Plan Appropriate treatment for children
3932 Ratings 0069 with upper respiratory infection (URI) Health plan
Patient Advocate Medical Acute Myocardial Infarction (AMI):
Group Ratings - Health Plan Persistence of Beta-Blocker
3932 Ratings 0071 Treatment After a Heart Attack Health plan
Group Ratings - Health Plan Antidepressant Medication
3932 Ratings 0105 Management Health plan
Group Ratings - Health Plan Follow-Up Care for Children
3932 Ratings 0108 Prescribed ADHD Medication (ADD) Health plan
Group Ratings - Health Plan Hemoglobin A1c (HbA1c) Control
3932 Ratings 0575 (<8.0%) Health plan
Group Ratings - Health Plan Follow-Up After Hospitalization for
3932 Ratings 0576 Mental Illness Health plan
Page 1186 of 1204

Type of
Page 1187 of 1204


Page 1188 of 1204


Page 1189 of 1204


Group Ratings - Health Plan Use of Spirometry Testing in the
3932 Ratings 0577 Assessment and Diagnosis of COPD Health plan
3932 Ratings 1407 Immunizations for Adolescents Health plan
3932 Ratings 1517 Prenatal & Postpartum Care Health plan
3932 Ratings N/A Breast Cancer Screening Health plan
California Office of the Cholesterol Management for
Patient Advocate Medical Patients with Cardiovascular
Group Ratings - Health Plan Conditions: LDL-C Screening and
3932 Ratings N/A LDL-C Control <100 Health plan
3932 Ratings N/A Adult BMI Assessment Health plan
Page 1190 of 1204

Type of
Page 1191 of 1204


Page 1192 of 1204


Page 1193 of 1204


3932 Ratings N/A Aspirin Use and Discussion Health plan
Page 1194 of 1204

Type of
Page 1195 of 1204


Page 1196 of 1204

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Website that allows for comparison of nursing homes on the

Database Sponsoring Data Values

Centers for Medicare & Medicaid

Centers for Medicare & Medicaid

3001 Nursing Home Compare Free No No No Yes

3002 Dialysis Facility Compare Free No No No Yes

3001 Nursing Home Compare http://www.medicare.gov/nursinghomecompare/search.html (none)

3002 Dialysis Facility Compare http://www.medicare.gov/DialysisFacilityCompare/Data/About-Data.html

3001 Nursing Home Compare National No No No

3002 Dialysis Facility Compare National No No No

3001 Nursing Home Compare No No No No

3002 Dialysis Facility Compare No No No No

Data Source - Data Source - Data Source -

3001 Nursing Home Compare Yes No No No No

3002 Dialysis Facility Compare Yes Yes No No No

Data Source - Data Source -

3001 Nursing Home Compare No Yes No Yes Yes

3002 Dialysis Facility Compare No Yes No Yes Yes

Population Age Population Age

3001 Nursing Home Compare Yes No Approximately 16,000 Nursing Homes

Approximately 5,800 Dialysis Facilities

3002 Dialysis Facility Compare 2013 Other Yes No

3001 Nursing Home Compare No

3002 Dialysis Facility Compare No

Website that allows for comparison of Medicare-certified

Database Sponsoring Data Values

Centers for Medicare & Medicaid

3003 Home Health Compare Free No No No Yes

3004 Community Checkup Free No No No Yes

3005 Minnesota Health Scores Free No No No Yes

3003 Home Health Compare http://www.medicare.gov/homehealthcompare/ https://data.medicare.gov/browse?tags=hhc

3004 Community Checkup http://www.wacommunitycheckup.org/?hsearch=mg (none)

3005 Minnesota Health Scores http://www.mnhealthscores.org/ (none)

3003 Home Health Compare National No Yes Yes

3003 Home Health Compare Yes No No No

3004 Community Checkup Yes Yes No No

3005 Minnesota Health Scores Yes Yes Yes No

Data Source - Data Source - Data Source -

3003 Home Health Compare No Yes Yes No No

3004 Community Checkup No Yes Yes No No

3005 Minnesota Health Scores No Yes Yes Yes No

Data Source - Data Source -

3003 Home Health Compare No Yes No No Yes

3004 Community Checkup Yes No No Yes Yes

3005 Minnesota Health Scores Yes Yes No Yes Yes

Population Age Population Age

3004 Community Checkup No No Data on over 2 million patients

3005 Minnesota Health Scores Yes No Information not available

3003 Home Health Compare 2013 Not specified Yes No

3004 Community Checkup 2012 Annually Yes Yes

3005 Minnesota Health Scores 2012 Annually Yes No

3003 Home Health Compare No

3004 Community Checkup No

3005 Minnesota Health Scores No

The Quality Insights: Clinical Quality in Primary Care Report

Website that allows for comparison of individual hospitals on

Database Sponsoring Data Values

Oregon Health Care Quality Multistakeholder

Quality Insights: Clinical Massachusetts Health Quality Multistakeholder

Centers for Medicare & Medicaid

3006 Partner for Quality Care Free No No No Yes

Quality Insights: Clinical

3008 Hospital Compare Free No No No Yes