measure_name,measure_id,measure_start_quarter,measure_start_date,measure_end_quarter,measure_end_date
ACS Participation data,ACS_REGISTRY,4Q2016,2016-10-01,3Q2017,2017-09-30
Complication Rate Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA),COMP_HIP_KNEE,2Q2014,2014-04-01,1Q2017,2017-03-31
Communication with Nurses,Composite 1 Q1 to Q3,1Q2017,2017-01-01,4Q2017,2017-12-31
Communication with Doctors,Composite 2 Q5 to Q7,1Q2017,2017-01-01,4Q2017,2017-12-31
Responsiveness of Hospital Staff,Composite 3 Q4 to Q11,1Q2017,2017-01-01,4Q2017,2017-12-31
Communication about Medicines,Composite 5 Q16 to Q17,1Q2017,2017-01-01,4Q2017,2017-12-31
Discharge Information,Composite 6 Q19 to Q20,1Q2017,2017-01-01,4Q2017,2017-12-31
Care Transition,Composite 7 (Q23 to 25),1Q2017,2017-01-01,4Q2017,2017-12-31
Median Time from ED Arrival to ED Departure for Admitted ED Patients,ED_1b,1Q2017,2017-01-01,4Q2017,2017-12-31
Admit Decision Time to ED Departure Time for Admitted Patients,ED_2b,1Q2017,2017-01-01,4Q2017,2017-12-31
Excess Days in Acute Care after Hospitalization for Acute Myocardial Infarction,EDAC_30_AMI,3Q2014,2014-07-01,2Q2017,2017-06-30
Excess Days in Acute Care after Hospitalization for Heart Failure,EDAC_30_HF,3Q2014,2014-07-01,2Q2017,2017-06-30
Excess Days in Acute Care after Hospitalization for Pneumonia,EDAC_30_PN,3Q2014,2014-07-01,2Q2017,2017-06-30
Emergency Department Volume,EDV,1Q2016,2016-01-01,4Q2016,2016-12-31
Follow-up after Hospitalization for Mental Illness 30-Days,FUH_30,3Q2015,2015-07-01,2Q2016,2016-06-30
Follow-up after Hospitalization for Mental Illness 7-Days,FUH_7,3Q2015,2015-07-01,2Q2016,2016-06-30
CAUTI_Score,HACRP_CAUTI,1Q2015,2015-01-01,4Q2016,2016-12-31
CDI_Score,HACRP_CDI,1Q2015,2015-01-01,4Q2016,2016-12-31
CLABSI_Score,HACRP_CLABSI,1Q2015,2015-01-01,4Q2016,2016-12-31
Domain_1_Score,HACRP_D1,3Q2014,2014-07-01,3Q2015,2015-09-30
Domain_2_Score,HACRP_D2,1Q2015,2015-01-01,4Q2016,2016-12-31
MRSA_Score,HACRP_MRSA,1Q2015,2015-01-01,4Q2016,2016-12-31
AHRQ_PSI_90_Score,HACRP_PSI90,3Q2014,2014-07-01,3Q2015,2015-09-30
SSI_Score,HACRP_SSI,1Q2015,2015-01-01,4Q2016,2016-12-31
Total_HAC_Score,HACRP_Total,3Q2014,2014-07-01,4Q2016,2016-12-31
Central Line Associated Bloodstream Infection (ICU + select Wards),HAI_1,1Q2017,2017-01-01,4Q2017,2017-12-31
Central Line Associated Bloodstream Infection,HAI_1_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
Central Line Associated Bloodstream Infection,HAI_1_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
Catheter Associated Urinary Tract Infections (ICU + select Wards),HAI_2,1Q2017,2017-01-01,4Q2017,2017-12-31
Catheter Associated Urinary Tract Infections,HAI_2_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
Catheter Associated Urinary Tract Infections,HAI_2_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
SSI - Colon Surgery,HAI_3,1Q2017,2017-01-01,4Q2017,2017-12-31
SSI - Colon Surgery,HAI_3_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
SSI - Colon Surgery,HAI_3_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
SSI - Abdominal Hysterectomy,HAI_4,1Q2017,2017-01-01,4Q2017,2017-12-31
SSI - Abdominal Hysterectomy,HAI_4_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
SSI - Abdominal Hysterectomy,HAI_4_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
MRSA Bacteremia,HAI_5,1Q2017,2017-01-01,4Q2017,2017-12-31
MRSA,HAI_5_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
MRSA,HAI_5_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
Clostridium Difficile (C.Diff),HAI_6,1Q2017,2017-01-01,4Q2017,2017-12-31
CDI,HAI_6_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
CDI,HAI_6_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
Hours of physical-restraint use,HBIPS_2,1Q2016,2016-01-01,4Q2016,2016-12-31
Hours of seclusion,HBIPS_3,1Q2016,2016-01-01,4Q2016,2016-12-31
Patients discharged on multiple antipsychotic medications with appropriate justification,HBIPS_5,1Q2016,2016-01-01,4Q2016,2016-12-31
Patient satisfaction survey results,HCAHPS,1Q2017,2017-01-01,4Q2017,2017-12-31
HCAHPS Measures,HCAHPS_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
HCAHPS Measures,HCAHPS_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
Influenza Immunization,IMM_2,4Q2016,2016-10-01,1Q2017,2017-03-31
Healthcare Personnel Influenza Vaccination,IMM_3_OP_27,4Q2017,2017-10-01,1Q2018,2018-03-31
Use of an Electronic Health Record,IPFQR_EHR,1Q2016,2016-01-01,4Q2016,2016-12-31
Healthcare Personnel Influenza Vaccination,IPFQR_HCP_FluVac,4Q2016,2016-10-01,1Q2017,2017-03-31
Influenza Immunization,IPFQR_IMM_2,4Q2016,2016-10-01,1Q2017,2017-03-31
Assessment of Patient Experience of Care,IPFQR_PEoC,1Q2016,2016-01-01,4Q2016,2016-12-31
HCAHPS Linear Score for each measure,Linear Score,1Q2017,2017-01-01,4Q2017,2017-12-31
PCH HCAHPS Linear Score,Linear Score,1Q2017,2017-01-01,4Q2017,2017-12-31
Acute Myocardial Infarction (AMI) 30-Day Mortality Rate,MORT_30_AMI,3Q2014,2014-07-01,2Q2017,2017-06-30
Acute Myocardial Infarction (AMI) 30-Day Mortality Rate,MORT_30_AMI_HVBP_Baseline,4Q2009,2009-10-01,2Q2012,2012-06-30
Acute Myocardial Infarction (AMI) 30-Day Mortality Rate,MORT_30_AMI_HVBP_Performance,4Q2013,2013-10-01,2Q2016,2016-06-30
30-Day All-Cause Mortality Following Coronary Artery Bypass Graft (CABG) Surgery,MORT_30_CABG,3Q2014,2014-07-01,2Q2017,2017-06-30
Chronic Obstructive Pulmonary Disease (COPD) 30-Day Mortality Rate,MORT_30_COPD,3Q2014,2014-07-01,2Q2017,2017-06-30
Heart Failure (HF) 30-Day Mortality Rate,MORT_30_HF,3Q2014,2014-07-01,2Q2017,2017-06-30
Heart Failure (HF) 30-Day Mortality Rate,MORT_30_HF_HVBP_Baseline,4Q2009,2009-10-01,2Q2012,2012-06-30
Heart Failure (HF) 30-Day Mortality Rate,MORT_30_HF_HVBP_Performance,4Q2013,2013-10-01,2Q2016,2016-06-30
Pneumonia 30-Day Mortality Rate,MORT_30_PN,3Q2014,2014-07-01,2Q2017,2017-06-30
Pneumonia 30-Day Mortality Rate,MORT_30_PN_HVBP_Baseline,4Q2009,2009-10-01,2Q2012,2012-06-30
Pneumonia 30-Day Mortality Rate,MORT_30_PN_HVBP_Performance,4Q2013,2013-10-01,2Q2016,2016-06-30
Acute Ischemic Stroke (STK) 30-Day Mortality Rate,MORT_30_STK,3Q2014,2014-07-01,2Q2017,2017-06-30
Spending per Hospital Patient with Medicare (Medicare Spending per Beneficiary),MSPB_1,1Q2016,2016-01-01,4Q2016,2016-12-31
Spending per Hospital Patient with Medicare (Medicare Spending per Beneficiary),MSPB_1_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
Spending per Hospital Patient with Medicare (Medicare Spending per Beneficiary),MSPB_1_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
Median Time to Fibrinolysis,OP_1,1Q2017,2017-01-01,4Q2017,2017-12-31
Abdomen CT - Use of Contrast Material,OP_10,3Q2016,2016-07-01,2Q2017,2017-06-30
Thorax CT - Use of Contrast Material,OP_11,3Q2016,2016-07-01,2Q2017,2017-06-30
The Ability for Providers with HIT to Receive Laboratory Data Electronically Directly into their ONC-Certified EHR System as Discrete Searchable Data,OP_12,1Q2016,2016-01-01,4Q2016,2016-12-31
Cardiac Imaging for Preoperative Risk Assessment for Non-Cardiac Low-Risk Surgery,OP_13,3Q2016,2016-07-01,2Q2017,2017-06-30
Simultaneous Use of Brain Computed Tomography (CT) and Sinus Computed Tomography (CT),OP_14,3Q2016,2016-07-01,2Q2017,2017-06-30
Tracking Clinical Results between Visits,OP_17,1Q2016,2016-01-01,4Q2016,2016-12-31
Median Time from ED Arrival to ED Departure for Discharged ED Patients,OP_18b,1Q2017,2017-01-01,4Q2017,2017-12-31
Median Time from ED Arrival to ED Departure for Discharged ED Patients-Psychiatric/Mental Health Patients,OP_18c,1Q2017,2017-01-01,4Q2017,2017-12-31
Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival,OP_2,1Q2017,2017-01-01,4Q2017,2017-12-31
Door to Diagnostic Evaluation by a Qualified Medical Professional,OP_20,1Q2017,2017-01-01,4Q2017,2017-12-31
Median Time to Pain Management for Long Bone Fracture,OP_21,1Q2017,2017-01-01,4Q2017,2017-12-31
Left without being seen,OP_22,1Q2016,2016-01-01,4Q2016,2016-12-31
Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 Minutes of ED Arrival,OP_23,1Q2017,2017-01-01,4Q2017,2017-12-31
Safe Surgery Checklist Use,OP_25,1Q2016,2016-01-01,4Q2016,2016-12-31
Hospital Outpatient Volume on Selected Outpatient Surgical Procedures,OP_26,1Q2016,2016-01-01,4Q2016,2016-12-31
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients,OP_29,1Q2016,2016-01-01,4Q2016,2016-12-31
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use,OP_30,1Q2016,2016-01-01,4Q2016,2016-12-31
Cataracts - Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery,OP_31,1Q2016,2016-01-01,4Q2016,2016-12-31
Facility 7-Day Risk Standardized Hospital Visit Rate after Outpatient Colonoscopy,OP_32,1Q2016,2016-01-01,4Q2016,2016-12-31
External Beam Radiotherapy for Bone Metastases,OP_33,1Q2016,2016-01-01,4Q2016,2016-12-31
Median Time to Transfer to Another Facility for Acute Coronary Intervention- Reporting Rate,OP_3b,1Q2017,2017-01-01,4Q2017,2017-12-31
Aspirin at Arrival,OP_4,1Q2017,2017-01-01,4Q2017,2017-12-31
Median Time to ECG,OP_5,1Q2017,2017-01-01,4Q2017,2017-12-31
MRI Lumbar Spine for Low Back Pain,OP_8,3Q2016,2016-07-01,2Q2017,2017-06-30
Mammography Follow-up Rates,OP_9,3Q2016,2016-07-01,2Q2017,2017-06-30
Risk-Standardized Payment Associated with a 30-Day AMI Episode-of-Care for Acute Myocardial Infarction,PAYM_30_AMI,3Q2014,2014-07-01,2Q2017,2017-06-30
Risk-Standardized Payment Associated with a 30-Day Episode of Care for Heart Failure,PAYM_30_HF,3Q2014,2014-07-01,2Q2017,2017-06-30
Risk-Standardized Payment Associated with a 30-Day Episode of Care for Pneumonia,PAYM_30_PN,3Q2014,2014-07-01,2Q2017,2017-06-30
Risk-Standardized Payment Associated with a 90-Day Episode of Care for THA/TKA,PAYM_90_HIP_KNEE,2Q2014,2014-04-01,1Q2017,2017-03-31
Elective Delivery,PC_01,1Q2017,2017-01-01,4Q2017,2017-12-31
Elective Delivery,PC_01_HVBP_Baseline,1Q2014,2014-01-01,4Q2014,2014-12-31
Elective Delivery,PC_01_HVBP_Performance,1Q2016,2016-01-01,4Q2016,2016-12-31
Adjuvant Chemotherapy Colon Cancer,PCH_1,3Q2016,2016-07-01,2Q2017,2017-06-30
Radiation Dose Limits to Normal Tissues,PCH_14,1Q2016,2016-01-01,4Q2016,2016-12-31
Plan of Care for Pain - Medical Oncology and Radiation Oncology,PCH_15,1Q2016,2016-01-01,4Q2016,2016-12-31
Medical and Radiation - Pain Intensity Quantified,PCH_16,1Q2016,2016-01-01,4Q2016,2016-12-31
Adjuvant Hormonal Therapy for High Risk Prostate Cancer Patients,PCH_17,1Q2016,2016-01-01,4Q2016,2016-12-31
Avoidance of Overuse Measure - Bone Scan for Staging Low Risk Prostate Cancer Patients,PCH_18,1Q2016,2016-01-01,4Q2016,2016-12-31
Combination Chemotherapy Breast Cancer,PCH_2,3Q2016,2016-07-01,2Q2017,2017-06-30
External Beam Radiotherapy for Bone Metastases,PCH_25,1Q2016,2016-01-01,4Q2016,2016-12-31
Adjuvant Hormonal Therapy,PCH_3,1Q2016,2016-01-01,4Q2016,2016-12-31
Postoperative Acute Kidney Injury Requiring Dialysis Rate,PSI_10,4Q2015,2015-10-01,2Q2017,2017-06-30
Postoperative Respiratory Failure Rate,PSI_11,4Q2015,2015-10-01,2Q2017,2017-06-30
Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) Rate,PSI_12,4Q2015,2015-10-01,2Q2017,2017-06-30
Postoperative Sepsis Rate,PSI_13,4Q2015,2015-10-01,2Q2017,2017-06-30
Postoperative Wound Dehiscence Rate,PSI_14,4Q2015,2015-10-01,2Q2017,2017-06-30
Unrecognized Abdominopelvic Accidental Puncture/Laceration Rate,PSI_15,4Q2015,2015-10-01,2Q2017,2017-06-30
Pressure Ulcer Rate,PSI_3,4Q2015,2015-10-01,2Q2017,2017-06-30
Death among surgical inpatients with serious treatable complications Rate,PSI_4,4Q2015,2015-10-01,2Q2017,2017-06-30
"Iatrogenic pneumothorax, adult Rate",PSI_6,4Q2015,2015-10-01,2Q2017,2017-06-30
In-Hospital Fall With Hip Fracture Rate,PSI_8,4Q2015,2015-10-01,2Q2017,2017-06-30
Perioperative Hemorrhage or Hematoma Rate,PSI_9,4Q2015,2015-10-01,2Q2017,2017-06-30
Patient Safety and Adverse Events Composite,PSI_90,4Q2015,2015-10-01,2Q2017,2017-06-30
Complication/patient safety for selected indicators (composite),PSI_90_HVBP_Baseline,3Q2010,2010-07-01,2Q2012,2012-06-30
Complication/patient safety for selected indicators (composite),PSI_90_HVBP_Performance,3Q2014,2014-07-01,3Q2015,2015-09-30
Overall Rating of Hospital,Q21,1Q2017,2017-01-01,4Q2017,2017-12-31
Willingness to Recommend this Hospital,Q22,1Q2017,2017-01-01,4Q2017,2017-12-31
Cleanliness of Hospital Environment,Q8,1Q2017,2017-01-01,4Q2017,2017-12-31
Quietness of Hospital Environment,Q9,1Q2017,2017-01-01,4Q2017,2017-12-31
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate,READM_30_AMI,3Q2014,2014-07-01,2Q2017,2017-06-30
Acute Myocardial Infarction (AMI) 30-Day Readmissions,READM_30_AMI_HRRP,3Q2013,2013-07-01,2Q2016,2016-06-30
30-Day All-Cause Unplanned Readmission Following Coronary Artery Bypass Graft Surgery (CABG),READM_30_CABG,3Q2014,2014-07-01,2Q2017,2017-06-30
30-Day All-Cause Unplanned Readmission Following Coronary Artery Bypass Graft Surgery (CABG),READM_30_CABG_HRRP,3Q2013,2013-07-01,2Q2016,2016-06-30
Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate,READM_30_COPD,3Q2014,2014-07-01,2Q2017,2017-06-30
Chronic Obstructive Pulmonary Disease (COPD) 30-Day Readmission Rate,READM_30_COPD_HRRP,3Q2013,2013-07-01,2Q2016,2016-06-30
Heart Failure (HF) 30-Day Readmission Rate,READM_30_HF,3Q2014,2014-07-01,2Q2017,2017-06-30
Heart Failure (HF) 30-Day Readmissions,READM_30_HF_HRRP,3Q2013,2013-07-01,2Q2016,2016-06-30
30-Day Readmission Rate Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA),READM_30_HIP_KNEE,3Q2014,2014-07-01,2Q2017,2017-06-30
Complication Rate Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA),READM_30_HIP_KNEE_HRRP,3Q2013,2013-07-01,2Q2016,2016-06-30
30-Day Hospital-Wide All-Cause Unplanned Readmission Rate,READM_30_HOSP_WIDE,3Q2016,2016-07-01,2Q2017,2017-06-30
Pneumonia 30-Day Readmission Rate,READM_30_PN,3Q2014,2014-07-01,2Q2017,2017-06-30
Pneumonia 30-Day Readmissions,READM_30_PN_HRRP,3Q2013,2013-07-01,2Q2016,2016-06-30
Stroke (STK) 30-Day Readmission Rate,READM_30_STK,3Q2014,2014-07-01,2Q2017,2017-06-30
Severe Sepsis and Septic Shock,SEP_1,1Q2017,2017-01-01,4Q2017,2017-12-31
Safe Surgery Checklist Use,SM_5,1Q2016,2016-01-01,4Q2016,2016-12-31
Hospital Survey on Patient Safety Culture,SM_6,1Q2016,2016-01-01,4Q2016,2016-12-31
Participation in a Systematic Clinical Database Registry for General Surgery,SM_PART_GEN_SURG,1Q2016,2016-01-01,4Q2016,2016-12-31
Participation in a Systematic Clinical Database Registry for Nursing Sensitive Care,SM_PART_NURSE,1Q2016,2016-01-01,4Q2016,2016-12-31
HCAHPS Summary Star Rating,Star Rating,1Q2017,2017-01-01,4Q2017,2017-12-31
Overall Star Rating,Star Rating,2Q2016,2016-04-01,1Q2017,2017-03-31
Alcohol Use Screening,SUB_1,1Q2016,2016-01-01,4Q2016,2016-12-31
Alcohol Use Brief Intervention Provided or Offered,SUB_2,1Q2016,2016-01-01,4Q2016,2016-12-31
Alcohol Use Brief Intervention,SUB_2a,1Q2016,2016-01-01,4Q2016,2016-12-31
Tobacco Use Screening,TOB_1,1Q2016,2016-01-01,4Q2016,2016-12-31
Tobacco Use Treatment Provided or Offered,TOB_2,1Q2016,2016-01-01,4Q2016,2016-12-31
Tobacco Use Treatment (during the hospital stay),TOB_2a,1Q2016,2016-01-01,4Q2016,2016-12-31
Tobacco Use Treatment Provided or Offered at Discharge,TOB_3,1Q2016,2016-01-01,4Q2016,2016-12-31
Tobacco Use Treatment at Discharge,TOB_3a,1Q2016,2016-01-01,4Q2016,2016-12-31
Hospital Acquired Potentially-Preventable Venous Thromboembolism,VTE_6,1Q2017,2017-01-01,4Q2017,2017-12-31