Detailed comparison of domains
Measure Definitions
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Baptist Health Louisville
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Base
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Current
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Base
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Current
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Clinical Process of Care
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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
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CPOC
Definition
Clinical Process of Care
Domain Score
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Patient Experience of Care
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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)
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PEOC
Definition
Patient Experience of Care
Consistancy Score
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PEOC
Definition
Patient Experience of Care
Domain Score
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TPS
Definition
Total Performance Score
Score
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Financial Impact
Definition
Includes 1% program adjustment
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