Core Measures / Quality Indicators

This reference material has been assembled to provide the healthcare provider with some detailed information on Meridian's quality indicators. These indicators represent best practice evidence based care for selected groups of patients (Acute Myocardial Infarction, Heart Failure, Pneumonia, Surgical Care Improvement, Children's Asthma, Stroke, Outpatient Surgery, and Outpatient Chest Pain/AMI). Meridian submits data on these indicators as required to Centers for Medicare and Medicaid (CMS) and The Joint Commission (TJC) for public reporting.                  


Visit websites such CMS's www.hospitalcompare.gov and TJC's www.qualitycheck.org to view Meridian Hospital's publicly reported data.                  

Recently, CMS has issued a proposed rule that would establish a new hospital value-based purchasing program rewarding hospitals that perform well on quality measures relating both to clinical process of care and to patient experience of care, or those making improvements in their performance on those measures. Hospitals that meet performance criteria would receive higher payments. The hospital value-based purchasing program, which would apply beginning in the fiscal year (FY) 2013 to payments for discharges occurring on or after Oct. 1, 2012, would make value-based incentive payments to acute care hospitals, based either on how well the hospitals perform on certain quality measures or how much the hospitals' performance improves on certain quality measures from their performance during a baseline period. The higher a hospital's performance or improvement during the performance period for a fiscal year, the higher the hospital's value-based incentive payment for the fiscal year would be, according to CMS.

In addition, CMS launched Physician Compare, an online tool which provides detailed information about physicians and other healthcare workers. The Physician Compare tool expands and updates CMS' Healthcare Provider Directory, which currently helps Medicare beneficiaries find participating doctors online. The new tool expands the doctor-specific information and eventually, Physician Compare will include information about the quality of care Medicare beneficiaries receive from physicians and the other healthcare professionals profiled on the site. The expansion will include information on quality of care and patient experience that can help consumers learn more about the care provided by Medicare-participating physicians. 

It is the goal of the Clinical Excellence committee to provide our physicians and other caregivers with the tools necessary to keep pace with the changing expectations of CMS and our community. As the number of reported "quality indicators" continues to climb, we are increasingly challenged to keep up with the evolving science. This reference will be available online as a resource to the medical and nursing staffs- and will be updated as new practices become the expected standard. We welcome your input on future editions and thank the many clinicians who continue to contribute their time, expertise and passion.

Acknowledgement:
These guidelines and the information contained on this website are based on Centers for Medicare & Medicaid Services and The Joint Commission's Specifications Manual for National Hospital Quality Measures.  

The Specifications Manual for National Hospital Inpatient Quality Measures [Version 3.3a, April 2011] is the collaborative work of the Centers for Medicare & Medicaid Services and The Joint Commission. The Specifications Manual is periodically updated by the Centers for Medicare & Medicaid Services and The Joint Commission. Users of the Specifications Manual for National Hospital Inpatient Quality Measures must update their software and associated documentation based on the published manual production timelines.  

The Specifications Manual for Hospital Outpatient Department Quality Measures [Version 4.1, July 2011] is periodically updated by the Centers for Medicare & Medicaid Services. Users of the Specifications Manual for Hospital Outpatient Department Quality Measures must update their software and associated documentation based on the published manual production timelines.