Question 4507

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Question Answered step-by-step Hospital Name Measure Name Measure ID Measure Start Date Measure… Hospital Name  Measure Name Measure ID Measure Start Date Measure End Date National Benchmark  Score Footnote ABC Health  Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/2015 9/30/2015 2.548 3.555 ABC Health  Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/2015 9/30/2015 3.422 3.422 ABC Health  Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/2015 9/30/2015 1.231 0.466 ABC Health  Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/2015 9/30/2015 2.703 4.608 ABC Health  Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/2014 12/31/2014 2.319 2.487 ABC Health  Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/2014 12/31/2014 3.063 3.063 ABC Health  Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/2014 12/31/2014 1.089 0.567 ABC Health  Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/2014 12/31/2014 2.512 3.697 ABC Health  Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 3/1/2013 11/30/2013 2.219 2.219 ABC Health  Central line-associated blood stream infections (CLABSI) HAI_1_SIR 3/1/2013 11/30/2013 3.128 3.062 ABC Health  Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 3/1/2013 11/30/2013 Not available  Not available  4 – Data suppressed by CMS for one or more quarters. ABC Health  Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 3/1/2013 11/30/2013 2.094 2.094 ABC Health  Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/2012 12/31/2012 2.136 0.174 ABC Health  Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/2012 12/31/2012 2.089 2.203 ABC Health  Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/2012 12/31/2012 0.827 0.827 ABC Health  Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/2012 12/31/2012 2.132 2.132 ABC Health  Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/2011 12/31/2011 2.234 0.273 ABC Health  Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/2011 12/31/2011 2.234 2.845 ABC Health  Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/2011 12/31/2011 1.879 2.814 ABC Health  Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/2011 12/31/2011 2.133 1.148 Scenario:You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders. Include in your information the following:What conclusions can be drawn for each quality measure over the 5-year period?What trends do you see for each quality measure over the 5-year period?When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?Based on your examination of the data, which of the quality measures should you prioritize and why?Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.Explain how you would monitor the metric and use collected data for improvement.   Health Science Science Nursing NURSING MS NUR 630 Share QuestionEmailCopy link Comments (0)

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