1 Mortality rates*

69 Lung cancer survival rate over time*

2 Morbidity rates

70 Pressure ulcers-percent of ADC*

2 Medical mortality rate*

71 Knee replacement patients discharged home after surgery (%)

3 JCAHO Core Measures-CHF (% patients)*

72 Hip replacement patients-return to unassisted ambulation (days)

4 Percent of CHF patients receiving weighing instructions*

73 Outpatient Radiology cycle time-from when test was performed to when it was delivered to physician

5 Percent of CHF patients on Coumadin*

74 C-Section rate (% of total deliveries in comparison to safe rate)

6 CHF patients treated with lipid lowering agents (LLAs)*

75 Mammography rate (% women 40 and older with biannual mammograms)

7 CHF readmissions (rate) within 31 days*

76 PAP screening rate (% of women 18 and older screened within three years)

8 CHF mortality rate*

77 Patient falls (falls per 1,000 days)*

9 CHF treatment indicators (% compliance)*

78 Percent of complete medication sheets at time of discharge

10 CHF-LFEV assessment (%)*

79 NPSG-RVVO

11 CHF-ACEI for LVSD*

80 NPSG-use of high risk abbreviations (rate)

12 Percent of CHF patients following clinical pathways

81 Percent of prescriptions with dangerous abbreviations*

13 CHF treatment-angiotensin Rx (%)

82 Medication errors that did not reach the patient as a percent of total medications dispensed*

14 Heart failure-discharge instructions provided (%)

83 Medication event rate per 10,000 doses dispensed*

15 Heart failure-LVF assessment (patients)

84 Effectiveness of safety steps and safeguards (reports/1,000 patients)*

16 AMI-beta blockers on arrival (%)*

85 Percent of nursing home physical restraints used*

17 AMI-ASA at arrival (%)*

86 Percent compliance with restraint usage policy*

18 AMI-smoking cessation counseling (%)*

87 Use of restraints (restraints per 1,000 patient days)*

19 AMI infection rate*

88 Patient Falls Rate (falls per 1,000 patient days)

20 AMI treatment indicators (% compliance)*

89 Comparative health care outcomes and service delivery results

21 AMI-ASA at discharge (%)*

90 Unplanned readmissions within __ days*

22 AMI-Beta blocker at discharge (%)*

91 Home care patients that needed to be admitted (%)

23 AMI-(heart attack)-ACEI for LVS*

92 Rates of seclusion for behavioral medicine patients*

24 AMI (heart attack)-aspirin given at time of arrival

93 Seclusion (events per 1,000 discharges)

25 AMI (heart attack)-aspirin given at time of discharge

94 Rates of restraints for behavioral medicine patients (%)*

26 AMI (heart attack)-smoking cessation (number of patients)

95 Patients referred to Memory Loss Clinic after Alzheimer's diagnosis (%)

27 Ischemic heart disease patients discharged on aspirin/antiplatelet medicines*

96 CARE overall score*

28 JCAHO Core Measures-Community Acquired Pneumonia (%)*

97 Hospitalists significantly impact ALOS-ALOS across high volume DRGs*

29 PneuPonia-ABX within 4 hours of arrival*

98 Hospitalists mitigate costs of inpatient care-variable cost per case*

30 Community acquired pneumonia-blood cultures obtained*

99 Open heart program-elective CABG*

31 Pneumonia-median time to ATB (minutes)

100 Scores on standardized health care proficiency tests

32 Pneumococcal screen/vaccination (patients)*

101 Patient and other customer treatment/service effectiveness perception determined from related questions in internal surveys

33 Pneumonia-oxygenation assessment*

102 Patient and other customer treatment/service effectiveness perception from related questions in external surveys

34 Pneumonia-patient screened for flu vaccine (%)

103 Passing rates on exams required to obtain licenses or certification

35 Pneumonia-blood cultures taken prior to antibiotics given (patients)

104 Attainment, accreditation of competencies

36 Pneumonia- timely antibiotics given (%)

105 Other health care outcomes and service delivery failure rates

37 Pneumonia-smoking cessation (patients)

106 Other health care outcomes and service delivery failure severity

38 VAP rate per 1,000 ventilator days

107 Other health care outcomes and service delivery failure duration

39 Rate of ventilator-related pneumonia for ICCU*

108 Health care outcomes and service delivery failure costs

40 Rate of ventilator-related pneumonia for SINU*

109 Accreditation score*

41 Pneumonia mortality rates*

110 Accreditation and/or certification achievements

42 Percent of Pneumonia patients using clinical pathways

111 Patient and other customer support center and/or help desk effectiveness

43 Intensive care unit central line-associated bacteremia rates

112 Information from external sources (e.g., employers)

44 Surgical mortality rate*

113 Health care outcomes and treatment/service delivery measures performance in relation to competitors

45 SIP-antibiotic given within one hour of incision

114 Health care industry performance statistics

46 SIP-antibiotic select for surgery

115 Health care professional organizations research findings

47 SIP-antibiotic discontinued less than 24 hours after surgery

116 External assessment of services

48 Surgical verification of ‘right patient’ - percent compliance

117 Independent agency assessments/reviews

49 Surgical verification of ‘correct procedure’ - percent compliance

118 Relative performance of departments

50 Surgical verification of ‘correct site’ - percent compliance

119 Relative performance of branches or related facilities (as appropriate)

51 Surgical verification of ‘correct documentation’ - percent compliance

120 Performance in relation to health care industry

52 Central line-related blood stream infections for SINU*

121 Reputation leadership

53 VHA surgical infection project (CABG/Cardiac)-antibiotics received within one hour of incision*

122 Professional organization recognition and/or awards

54 VHA surgical infection project (Hip/Knee Arthopasty)-antibiotics received within one hour of incision*

123 Related health care outcomes and service delivery measures from your organization’s list of knowledge assets

55 Catheter-related UTI for SINU*

124 Benchmark/comparison data available for any of the above or other related results measures

56 Stroke treatment-antiplatelet Rx

125 Health care field leadership awards and/or recognition

57 Stroke treatment-anticoagulation with atrial fibrillation (%)

126 Award-Women’s heart/best __ in nation*

58 Stroke mortality rate*

127 Award-best place to work for information services*

59 Percent patients diagnosed with Ischemic stroke receiving tPA*

128 Award-best hospital in areas served*

60 Patients with complete recovery or require minimal assistance (%)

129 Award-best hospital in state*

61 Arthoscopy-average number of days to full ambulation without assistance following arthoscopic surgery

130 Award-consumer preference award*

62 Trauma-average number of months to return to pre-injury occupational status for major trauma patients

132 Award-__ best hospital in nation*

63 Trauma-patients whose pain was self-characterized as well-controlled (%)

132 Award-ASHP Best Practices Award in health system pharmacy*

64 Oncology-patients whose pain was self-characterized as well-controlled (%)

133 Inpatient length of stay

65 Adverse drug events (number)

134 Percent ER readmissions within 72 hours

66 Potential adverse drug events intercepted before incident led to complication (number)

135 Percent increase in number of patient safety (incidents and/or errors) reported from year to year

67 Adverse drug events that prolonged hospitalization (number)

136 Savings from real-time education of medical staff and intervention at the point of care to ensure correct clinical documentation

68 Nosocomial infection rates

Thousands more metrics are available

Key: AMI-acute myocardial infarction; CHF - congestive heart failure; LVEF - left ventricular ejection fraction