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CMS Core Measures Guide

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The document discusses "core measures", which are evidence-based guidelines established by CMS and the Joint Commission for treating patients with certain diagnoses. The core measure patient groups include CHF, pneumonia, AMI, surgical care improvement, psychiatry, and patient satisfaction. Hospitals must follow specific treatment protocols for these patients and are audited to ensure compliance. Identifying core measure patients early and using established protocols and tools is key to improving outcomes and quality measures.

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CORE MEASURES 2009
What are “core measures”? ,[object Object],[object Object],[object Object]
Which Patient Groups Are “Core Measures”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Is Expected? ,[object Object],[object Object],[object Object],[object Object]
What Is the Key to Improvement? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Do We Do This? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Forms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tools to Use in Treating Congestive Heart Failure
What Kind of Tools? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How Do I Get Started? ,[object Object],[object Object],[object Object],[object Object],[object Object]
IT’S UP TO ME TO IDENTIFY THE CHF PATIENT? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Are the Requirements? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tools to Use in Treating Community Acquired Pneumonia
How Do I Get Started? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Kind of Tools? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Are the Requirements? ,[object Object],[object Object],[object Object],[object Object]
Tools to Use in Treating Acute Coronary Syndrome (All AMI & angina patients)
AMI & ACS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How Do I Get Started? ,[object Object],[object Object],[object Object],[object Object]
Important Tools to Use in Treating The Surgical Patient (SCIP…Surgical Care Improvement Project)
Key Documentation for All Surgery Patients ,[object Object],[object Object],[object Object],[object Object],[object Object]
Which Surgical Inpatients? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANTIBIOTIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANTIBIOTIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
ANTIBIOTIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
VTE PROPHYLAXIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VTE PROPHYLAXIS ,[object Object],[object Object],[object Object],[object Object]
VTE PROPHYLAXIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Which Surgical Outpatients? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Elements for Outpatients ,[object Object],[object Object],[object Object]
ADDITIONAL TOOLS ,[object Object],[object Object],[object Object]
New Tools to Use in Treating Psychiatry Inpatients
What are the requirements for admission screening? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are the requirements for discharge information? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are the expectations for patients discharged on multiple antipsychotic medications? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Final Outcome? ,[object Object],[object Object],[object Object],[object Object]
Key Points! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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CMS Core Measures Guide

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  • 8. Tools to Use in Treating Congestive Heart Failure
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  • 13. Tools to Use in Treating Community Acquired Pneumonia
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  • 17. Tools to Use in Treating Acute Coronary Syndrome (All AMI & angina patients)
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  • 20. Important Tools to Use in Treating The Surgical Patient (SCIP…Surgical Care Improvement Project)
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  • 32. New Tools to Use in Treating Psychiatry Inpatients
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