• Use of this app implies acceptance of App License Agreement.
  • Baseline period based on IP claims data for federal FY09.
  • Performance period based on IP claims data for federal FY10.
  • Measures based on Hospital Compare for federal FY10.
  • Definitions based on Value Based Purchasing for FY13 per CFR 05/06/2011.
  • Methodology described in study published by HFM in January 2012.
 Baptist Health Louisville
Louisville, KY  40207
CMS Certification Number: 180130
     
 

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TPS Analyzer (Estimated FY10)

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Detail View

Definitions
Measure Definitions
Clincal Process of Care Domain
    Published by CMS Actual Hospital Performance Calculations  
Measure ID Threshold Benchmark Baseline This Period Achievement Score Improvement Score Points Earned  
(THRESH) (BENCH) (HOSPBASE) (HOSP)
AMI-7a

Definition

Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival
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AMI-8a

Definition

Primary PCI Received Within 90 Minutes of Hospital Arrival
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HF-1

Definition

Discharge Instructions
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PN-3b

Definition

Blood Cultures Performed in the ED Prior to Initial Antibiotic Received in Hospital
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PN-6

Definition

Initial Antibiotic Selection for CAP in Immunocompetent Patient
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SCIP-CARD-2

Definition

Surgery Patients on Beta Blocker Prior to Arrival That Received Beta Blocker During Perioperative Period.
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SCIP INF-1

Definition

Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision
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SCIP INF-2

Definition

Prophylactic Antibiotic Selection for Surgical Patients
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SCIP INF-3

Definition

Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time
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SCIP INF-4

Definition

Cardiac Surgery Patients with Controlled 6AM Postoperative Serum Glucose
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SCIP VTE-1

Definition

Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered
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SCIP VTE-2

Definition

Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours
### ### ### ### ### ### ###
  Total Points Earned ###  
  Highest Possible Points ###  
  Domain Score ###  
 
 
HCAHPS

Definition

Hospital Consumer Assessment of Healthcare Providers and Systems
Patient Experience of Care Domain
  Published by CMS Actual Hospital Performance Calculations
Measure ID Floor Threshold Benchmark Baseline This Period Achievement Score Improvement Score Points Earned Dimension Score
(FLOOR) (THRESH) (BENCH) (HOSPBASE) (HOSP)
HCAHPS-1

Definition

Communication with Nurses (% Always)
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HCAHPS-2

Definition

Communication with Doctors (% Always)
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HCAHPS-3

Definition

Responsiveness of hospital staff (% Always)
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HCAHPS-4

Definition

Pain management (% Always)
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HCAHPS-5

Definition

Communications about Medicines (% Always)
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HCAHPS-6-7

Definition

Hospital Cleanliness & Quietness (% Always)
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HCAHPS-8

Definition

Discharge Information (% Yes)
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HCAHPS-9-10

Definition

Overall Rating of Hospital (% 9 or 10)
### ### ### ### ### ### ### ### ###
  HCAHPS

Definition

Hospital Consumer Assessment of Healthcare Providers and Systems
Base Score 		###  
  Consistency Score ###  
  Domain Score ###  
 
  Total Performance Score ###  
  Financial Impact ###