-
Not until 1997 did JCAHO incorporate the use of outcomes
and other performance measures into the accreditation process
-
Current indicators are evidence-based and relate to
high-volume, high-risk diagnoses or procedures. The number of indicators
required increases annually
-
UNMHSC reports indicators to JCAHO, CMS, and University
Health Systems Consortium (UHC) for benchmarking:
- Acute Myocardial Infarction (AMI)
- Aspirin at arrival; Aspirin prescribed at
discharge; ACEI for LVSD; adult smoking cessation advice/counseling;
beta blocker prescribed at discharge; beta blocker at arrival;
time to thrombolysis; time to PTCA; inpatient mortality
- Heart Failure
- Discharge instructions; LVF assessment; ACEI
for LVSD; adult smoking cessation advice/counseling; oxygenation
assessment
- Pneumonia
- Pneumococcal screening and/or vaccination;
blood cultures; adult smoking cessation advice/counseling;
pediatric smoking cessation advice/counseling; antibiotic
timing
