CROUSE HOSPITAL QUALITY IMPROVEMENT PLAN 2013
2012Family of Measures
Important Functions
Dimension of Performance
Indicator
Frequency
Vision1
Vision 2
Vision 3
Vision 4
Vision 5
Clinical
Service
Safety
Efficiency
3M PPC UTI, Stroke, Pressure
Monthly
√
√
√
√
√
√
Ulcer, Transfusion/hemorrhage,
PE
Root Cause Analyses
√
√
√
√
√
√
√
Reportable NYPORTS
√
√
√
√
√
√
√
Wound Infection Knees/Colons
Monthly
√
√
√
√
√
√
√
NYS DOH
JCAHO CORE MEASURES
Acute Myocardial Infarction
Monthly
√
√
√
√
Congestive Heart Failure
Monthly
√
√
√
√
Community Acquired Pneumonia
Monthly
√
√
√
√
Surgical Infection Prevention
Monthly
√
√
√
√
EFFICIENCY
Cost per Case
Monthly
√
√
√
√
√
√
√
Overall Length of Stay
Monthly
√
√
√
√
√
√
√
Average Medicine Length of Stay
Monthly
√
√
√
√
√
√
√
Average Surgery Length of Stay
Monthly
√
√
√
√
√
√
√
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