| Oracle® Healthcare Data Model Reference 11g Release 2 (11.2) Part Number E18026-02 |
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| Oracle® Healthcare Data Model Reference 11g Release 2 (11.2) Part Number E18026-02 |
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View PDF |
This chapter describes the Oracle Healthcare Data Model example Key Performance Indicators (KPIs).
This chapter includes the following sections:
Table 8-1 shows the Oracle Healthcare Data Model example KPIs and provides the source for the KPIs.
Table 8-1 KPI Summary
| KPI | Source |
|---|---|
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KPI 1 (#8) Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
Physician Quality Reporting Initiative (PQRI) |
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Physician Quality Reporting Initiative (PQRI) |
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Physician Quality Reporting Initiative (PQRI) |
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KPI 4 (#28) Aspirin at Arrival for Acute Myocardial Infarction (AMI) |
Physician Quality Reporting Initiative (PQRI) |
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Physician Quality Reporting Initiative (PQRI): AMA-PCPI/NCQA |
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Physician Quality Reporting Initiative (PQRI) |
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Physician Quality Reporting Initiative (PQRI) |
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KPI 13 (#175) Pediatric End Stage Renal Disease (ESRD): Influenza Immunization |
Physician Quality Reporting Initiative (PQRI) |
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KPI 16 (#112) Preventive Care and Screening: Screening Mammography |
Physician Quality Reporting Initiative (PQRI) |
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KPI 18 (#114) Preventive Care and Screening: Inquiry Regarding Tobacco Use |
Physician Quality Reporting Initiative (PQRI) |
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Physician Quality Reporting Initiative (PQRI) |
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AHA-GWTG- American Heart Association-Get with the Guidelines (CAD) |
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AHA-GWTG- American Heart Association-Get with the Guidelines (Stroke) |
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AHA-GWTG- American Heart Association-Get with the Guidelines (Stroke) |
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CMS and Joint Commission Aligned Measures version 3.1a Acute Myocardial Infarction National Hospital Inpatient Quality Measures |
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CMS and Joint Commission Aligned Measures version 3.1a Acute Myocardial Infarction National Hospital Inpatient Quality Measures |
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KPI 34 (SCIP-Inf-6) Surgery Patients with Appropriate Hair Removal |
CMS and Joint Commission Aligned Measures version 3.1a Surgical Care Improvement Project National Hospital Inpatient Quality Measures |
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CMS and Joint Commission Aligned Measures version 3.1a Surgical Care Improvement Project National Hospital Inpatient Quality Measures |
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Joint Commission- Specifications Manual for Joint Commission National Quality Core Measures (2010A2) Hospital Based Inpatient Psychiatric Services |
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Joint Commission- Specifications Manual for Joint Commission National Quality Core Measures (2010A2) Hospital Based Inpatient Psychiatric Services |
Provides the percentage of patients aged 18 years and older with a diagnosis of heart failure who also have LVSD (LVEF < 40%) and who were prescribed beta-blocker therapy.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Calculation and Reporting:
(Numerator / Denominator) reported as a percentage.
Measure:
Count of distinct Encounters.
Sample Report:
PQRI-Heart Failure: Heart Failure Patients Prescribed a Beta Blocker
Specifies the percentage of patients aged 18 years and older with a diagnosis of heart failure who were provided with patient education on disease management and health behavior changes during one or more visit(s) within 12 months.
Measure Source: Physician Quality Reporting Initiative (PQRI).
Sample Report:
PQRI Heart Failure: HF Patients Received Disease Management Education
Percentage of patients aged 18 years and older undergoing isolated CABG surgery who received a beta-blocker within 24 hours prior to surgical incision.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of distinct Cases
Sample Report:
Percentage of patients, regardless of age, with an emergency department discharge diagnosis of AMI who had documentation of receiving aspirin within 24 hours before emergency department arrival or during emergency department stay.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of distinct Encounters.
Sample Report:
PQRI- Cardiac AMI Patients That Received Aspirin Within 24 Hours
Percentage of final reports for CT or MRI studies of the brain performed either:
In the hospital within 24 hours of arrival, OR
In an outpatient imaging center to confirm initial diagnosis of stroke, transient ischemic attack (TIA) or intracranial hemorrhage.
For patients aged 18 years and older with either a diagnosis of ischemic stroke or TIA or intracranial hemorrhage OR at least one documented symptom consistent with ischemic stroke or TIA or intracranial hemorrhage that includes documentation of the presence or absence of each of the following: hemorrhage and mass lesion and acute infarction.
Measure Source:
PQRI: AMA-PCPI/NCQA.
Measure:
Count of distinct Observations related to Intervention in a Patient Encounter
Sample Report:
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of distinct patient
Sample Report:
PQRI- Diabetes: Diabetes Patients That Have Had a Lower Extremity Neurologic Exam
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence whose urinary incontinence was characterized at least once within 12 months.
Measure Source:
Physician Quality Reporting Initiative (PQRI)
Measure:
Count of Encounters
Sample Report:
Percentage of patients aged 6 months through 17 years with a diagnosis of ESRD and receiving dialysis seen for a visit between November 1 and February 15 who have documented administration of influenza immunization OR patient reported receipt of an influenza immunization from another provider.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of distinct Patients
Sample Report:
Percentage of women aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of distinct patients
Sample Report:
Percentage of patients aged 18 years or older who were queried about tobacco use one or more times within 24 months.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of Patients
Sample Report:
Percentage of patients aged birth and older who have disease of the ear and mastoid processes referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation subsequent to an audiologic evaluation after presenting with a history of active drainage from the ear within the previous 90 days.
Measure Source:
Physician Quality Reporting Initiative (PQRI).
Measure:
Count of distinct patients
Sample Report:
PQRI General: Patients Otologic Evaluation for Ear Active Drainage
Percent of patients with LDL > 100 who received lipid-lowering therapies or percent of patients who received lipid lowering therapies.
Measure Source:
AHA-GWTG- American Heart Association-Get with the Guidelines (CAD).
Calculation and Reporting:
(Numerator / Denominator) reported as a percentage
Measure:
Count of distinct Encounters
Sample Report:
AHA- Cardiac: Cardiac Patients That Receive Lipid-Lowering Therapies
For acute stroke patients. Door-to-CT=25 min: Percent of patients who receive brain imaging within 25 minutes of arrival.
Measure Source:
AHA-GWTG- American Heart Association-Get with the Guidelines (Stroke).
Calculation and Reporting:
(Numerator / Denominator) reported as a percentage
Measure:
Count of distinct Encounters
Sample Report:
AHA- Stroke: Stroke Patients That Receive CT Within 25 Minutes of Arrival
Diabetic Teaching: Percent of diabetic patients or newly diagnosed diabetics receiving diabetes teaching at discharge.
Measure Source:
AHA-GWTG- American Heart Association-Get with the Guidelines (Stroke).
Calculation and Reporting:
(Numerator / Denominator) reported as a percentage
Measure:
Count of distinct Encounters
Sample Report:
AHA-Diabetes: Diabetic Patients That Receive Diabetic Education on Discharge
Median time from hospital arrival to primary percutaneous coronary intervention (PCI) in acute myocardial infarction (AMI) patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.
Measure Source:
CMS and Joint Commission Aligned Measures version 3.1a
Acute Myocardial Infarction National Hospital Inpatient Quality Measures
Calculation and Reporting:
Within the selected Encounters, report Median (Door to Primary PCI) as a numeric value with minutes UoM.
Where Door to Primary PCI = Case Event Date and Time minus Encounter Start Date and Time
Measure:
Median time of Encounters
Sample Report:
Median time from arrival to administration of fibrinolytic therapy in acute myocardial infarction (AMI) patients with ST-segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.
Measure Source:
Centers for Medicare and Medicaid Services (CMS) and Joint Commission Aligned Measures version 3.1a.
Acute Myocardial Infarction National Hospital Inpatient Quality Measures.
Calculation and Reporting:
Within the selected Encounters, report Median, Door to Finbrolysis, as a numeric value with minutes UoM.
Where Door to Fibrinolysis= Intervention Start Date and Time minus Encounter Start Date and Time.
Sample Report:
CMS/JCAHO Cardiac: Acute MI Patients Median Fibrinolytic Agent Administration Time
Surgery patients with appropriate surgical site hair removal. No hair removal, hair removal with clippers or depilatory is considered appropriate. Shaving is considered inappropriate.
Measure Source:
CMS and Joint Commission Aligned Measures version 3.1a
Surgical Care Improvement Project National Hospital Inpatient Quality Measures
Calculation and Reporting:
(Numerator / Denominator) reported as a percentage
Measure:
Count of distinct Encounters
Sample Report:
Surgical CMS/JCAHO-SCIP: Surgery Patients with Appropriate Hair Removal
Surgical patients with urinary catheter removed on Postoperative Day 1 or Postoperative Day 2 with day of surgery being day zero.
Measure Source:
CMS and Joint Commission Aligned Measures version 3.1a
Surgical Care Improvement Project National Hospital Inpatient Quality Measures
Calculation and Reporting:
(Numerator / Denominator) reported as a percentage
Measure:
Count of distinct Encounters
Sample Report:
Surgical CMS/JCAHO-SCIP: Patients with Urinary Catheter Removed on Postop Day 1/2
The total numbers of hours that all patients admitted to a hospital-based inpatient psychiatric setting were maintained in physical restraint.
Measure Source:
Joint Commission- Specifications Manual for Joint Commission National Quality Core Measures (2010A2)
Hospital Based Inpatient Psychiatric Services
Calculation and Reporting:
(Sum of hours of Physical Restraint usage within Encounters in the numerator / Number of Reporting Days in denominator) reported as a ratio of hours/days.
Measure:
Aggregate rate
Sample Report:
CMS/JCAHO: Hospital Based Inpatient Psychiatric Services Hours of Physical Restraint Use
The total numbers of hours that all patients admitted to a hospital-based inpatient psychiatric setting were here held in seclusion.
Measure Source:
Joint Commission- Specifications Manual for Joint Commission National Quality Core Measures (2010A2)
Hospital Based Inpatient Psychiatric Services
Calculation and Reporting:
(Sum of hours of Seclusion Use within Encounters in the numerator / Number of Reporting Days in denominator) reported as a ratio of hours/days.
Measure:
Aggregate rate
Sample Report:
CMS/JCAHO: Hospital Based Inpatient Psychiatric Services Hours of Seclusion Use
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