| Timely Heart Attack Care |
| AMI-7a. Fibrinolytic Medication Within 30 Minutes Of Arrival | 4/1/2011 | 3/31/2012 |
| AMI-8a. PCI Within 90 Minutes Of Arrival | 4/1/2011 | 3/31/2012 |
| OP-2. Fibrinolytic Therapy received within 30 minutes | 4/1/2011 | 3/31/2012 |
| OP-3b. Median Time to transfer patients for Acute Coronary Intervention | 4/1/2011 | 3/31/2012 |
| OP-4. Aspirin at Arrival | 4/1/2011 | 3/31/2012 |
| OP-5. Median Time to ECG | 4/1/2011 | 3/31/2012 |
| Effective Heart Attack Care |
| AMI-2. Aspirin at Discharge | 4/1/2011 | 3/31/2012 |
| AMI-10. Heart Attack Patients Given a Prescription for a Statin at Discharge | 4/1/2011 | 3/31/2012 |
| Effective Heart Failure Care |
| HF-1. Discharge Instructions | 4/1/2011 | 3/31/2012 |
| HF-2. Evaluation of Left Ventricular Systolic (LVS) Function | 4/1/2011 | 3/31/2012 |
| HF-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) | 4/1/2011 | 3/31/2012 |
| Effective Pneumonia Care |
| PN-3b. Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospita | 4/1/2011 | 3/31/2012 |
| PN-6. Appropriate Initial Antibiotic Selection | 4/1/2011 | 3/31/2012 |
| Emergency Department: AMI Cardiac Care |
| OP-1. Median Time to Fibrinolysis | 4/1/2011 | 3/31/2012 |
| Timely Surgical Care |
| OP-6. Timing of Antibiotic Prophylaxis | 4/1/2011 | 3/31/2012 |
| SCIP-INF-1. Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision | 4/1/2011 | 3/31/2012 |
| SCIP-INF-3. Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time | 4/1/2011 | 3/31/2012 |
| SCIP-VTE-2. Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery | 4/1/2011 | 3/31/2012 |
| Effective Surgical Care |
| OP-7. Prophylactic Antiobiotic Selection | 4/1/2011 | 3/31/2012 |
| SCIP-CARD-2. Patients on beta blocker at admission who received beta blocker during perioperative period | 4/1/2011 | 3/31/2012 |
| SCIP-INF-2. Prophylactic Antibiotic Selection | 4/1/2011 | 3/31/2012 |
| SCIP-INF-4. Blood glucose controlled in days following heart surgery | 4/1/2011 | 3/31/2012 |
| SCIP-INF-9. Urinary catheter removed within two days following surgery | 4/1/2011 | 3/31/2012 |
| SCIP-INF-10. Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery | 4/1/2011 | 3/31/2012 |
| SCIP-VTE-1. Recommended Venous Thromboembolism Prophylaxis Ordered | 4/1/2011 | 3/31/2012 |
| Timely Emergency Department Care |
| ED-1b. Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient | 1/1/2012 | 3/31/2012 |
| ED-2b. Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room | 1/1/2012 | 3/31/2012 |
| OP-18b. Average time patients spent in the emergency department before being sent home | 1/1/2012 | 3/31/2012 |
| OP-20. Average time patients spent in the emergency department before they were seen by a healthcare professional | 1/1/2012 | 3/31/2012 |
| OP-21. Average time patients who came to the emergency department with broken bones had to wait before receiving pain medication | 1/1/2012 | 3/31/2012 |
| OP-23. Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival | 1/1/2012 | 3/31/2012 |
| Preventative Care |
| IMM-1a. Patients assessed and given pneumonia vaccination | 1/1/2012 | 3/31/2012 |
| IMM-2. Patients assessed and given influenza vaccination | 1/1/2012 | 3/31/2012 |
| Effective Children's Asthma Care |
| CAC-1. Reliever Medication | 4/1/2011 | 3/31/2012 |
| CAC-2. Systemic Corticosteroid Medication | 4/1/2011 | 3/31/2012 |
| CAC-3. Home Management Plan | 4/1/2011 | 3/31/2012 |
| Survey of Patient Hospital Experiences |
| HCAHPS. Patient Survey Results | 4/1/2011 | 3/31/2012 |
| 30-Day Risk Adjusted Mortality Rates |
| MORT-AMI. Heart Attack | 7/1/2008 | 6/30/2011 |
| MORT-HF. Heart Failure | 7/1/2008 | 6/30/2011 |
| MORT-PN. Pneumonia | 7/1/2008 | 6/30/2011 |
| 30-Day Risk Adjusted Readmission Rates |
| READM-AMI. Heart Attack | 7/1/2008 | 6/30/2011 |
| READM-HF. Heart Failure | 7/1/2008 | 6/30/2011 |
| READM-PN. Pneumonia | 7/1/2008 | 6/30/2011 |
| Hospital Acquired Conditions |
| HAC-1. Foreign object retained after surgery | 7/1/2009 | 6/30/2011 |
| HAC-2. Air embolism | 7/1/2009 | 6/30/2011 |
| HAC-3. Blood incompatibility | 7/1/2009 | 6/30/2011 |
| HAC-4. Pressure ulcer stages III and IV | 7/1/2009 | 6/30/2011 |
| HAC-5. Falls and trauma | 7/1/2009 | 6/30/2011 |
| HAC-6. Vascular catheter-associated infection | 7/1/2009 | 6/30/2011 |
| HAC-7. Catheter-associated urinary tract infection | 7/1/2009 | 6/30/2011 |
| HAC-8. Manifestations of poor glycemic control | 7/1/2009 | 6/30/2011 |
| Serious Complications and Deaths |
| IQI-11. Death after surgery to repair a weakness in the abdominal aorta | 7/1/2009 | 6/30/2011 |
| IQI-19. Deaths after admission for a broken hip | 7/1/2009 | 6/30/2011 |
| PSI-4. Death from serious treatable complications after surgery | 7/1/2009 | 6/30/2011 |
| PSI-6. Collapsed lung due to medical treatment | 7/1/2009 | 6/30/2011 |
| PSI-11. Breathing failure after surgery | 7/1/2009 | 6/30/2011 |
| PSI-12. Serious blood clots after surgery | 7/1/2009 | 6/30/2011 |
| PSI-14. A wound that splits open after surgery | 7/1/2009 | 6/30/2011 |
| PSI-15. Accidental cuts and tears from medical treatment | 7/1/2009 | 6/30/2011 |
| PSI-90. Serious Complications | 7/1/2009 | 6/30/2011 |
| Healthcare Associated Infections |
| HAI-1-SIR. Central Line Associated Blood Stream Infections (CLABSI) | 4/1/2011 | 3/31/2012 |
| HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) | 1/1/2012 | 3/31/2012 |
| HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) | 1/1/2012 | 3/31/2012 |
| HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) | 1/1/2012 | 3/31/2012 |
| Use of Medical Imaging |
| OP-8. MRI Lumbar Spine for Low Back Pain | 1/1/2010 | 12/31/2010 |
| OP-9. Mammography Follow-up Rates | 1/1/2010 | 12/31/2010 |
| OP-10. Abdomen CT - Use of Contrast Material | 1/1/2010 | 12/31/2010 |
| OP-11. Thorax CT - Use of Contrast Material | 1/1/2010 | 12/31/2010 |
| OP-13. Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery | 1/1/2010 | 12/31/2010 |
| OP-14. Outpatients with brain CT scans who got a sinus CT scan at the same time | 1/1/2010 | 12/31/2010 |
| Medicare Spending Per Patient |
| SPP-1. Spending per Hospital Patient with Medicare (displayed in ratio) | 5/1/2011 | 12/31/2011 |
