Quality Improvement Plan Page 20

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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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