AQAF Medicaid Focus Studies 20062007

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Population/Sampling Measure Designation 2Q08
due November 1, 2008 Hospital or Vendor
performs updates Roles must be assigned to your
QNET Administrator to access screens.
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Qualitynet.org
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Click on View/Edit Population Sampling
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Select Provider Name
Robinson Hospital 010000
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Select Reporting Time Period
Robinson Hospital 010000
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Due 15 Day Prior to QNET Warehouse Transmission
Date.
Robinson Hospital
010000
123456789
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Select Edit
Medicare Medicare Beneficiary. (Can be any
payment source doesnt have to be primary)
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Example Sampling Monthly
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Enter Total Population Counts
Enter 0 for which there is no data
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Enter Sample Size Counts
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Compare Population to Sample Size Requirements
If the sample size is smaller than expected from
the specs manual, a soft edit message will appear.
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Update Successful
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Example Not Sampled
Only chose Not Sampled if you did not sample
for (3) consecutive months.
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Enter Total Population Counts
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Total Population Counts will match Sample Size
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Update Successful
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View History
View History button displays when changes have
been made.
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Submission History
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Print History
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Return to Start
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Exit to My Tasks
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Click on View/Edit Measure Designation
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Select Provider Name
Robinson Hospital 010000
Measures must be selected prior to data
submission to the warehouse
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Select Reporting Time Period
Robinson Hospital 010000
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Due prior to Data Submission
Robinson Hospital
010000
123456789
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Select Edit to Select/Unselect Measures
Selected Measures on the Left and Unselected
Measures on the Right.
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Check Selected Measures
Optional Select/Un-Select Non RHQDAPU Measures.
RHQDAPU Measures
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Update Successful
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View History
When change occurs View History button will
display
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Displays History
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Return to Start
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Exit to My Tasks
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Indicates
RHQDAPU AMI-1 Aspirin at Arrival AMI-2
Aspirin Prescribed at Discharge AMI-3 ACEI or
ARB for LVSD AMI-4 Adult Smoking Cessation
Advice/Counseling AMI-5 Beta Blocker Prescribed
at Discharge AMI-6 Beta Blocker at Arrival  
AMI-7 Median Time to Fibrinolysis AMI-7a
Fibrinolytic Therapy Received Within 30 Mins of
Hosp Arrival   AMI-8 Median Time to Primary
PCI AMI-8a Primary PCI Received Within 90 Mins
of Hospital Arrival   AMI-T1a LDL Cholesterol
Assessment   AMI-T2 Lipid Lowering Therapy at
Discharge
Measure Designation - AMI
Note Measures underlined can be de-selected
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Measure Designation - HF
Indicates RHQDAPU
Designation - HF-1 Discharge Instructions
HF-2 Evaluation of LVS Function HF-3 ACEI or
ARB for LVSD HF-4 Adult Smoking Cessation
Advice/Counseling
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Measure Designation - PN

• Indicates RHQDAPU
• PN-1 Oxygenation Assessment
• PN-2 Pneumococcal Vaccination
• PN-3a Bld Culture w/in 24H Prior
  To/After Arrival for Pts Who Transfer or Admit to
  ICU w/in 24H of Arrival
• PN-3b Blood Culture Performed in the
  Emergency Department Prior to Initial Antibiotic
  Received in Hospital
• PN-4 Adult Smoking Cessation
  Advice/Counseling
• PN-5b Initial Antibiotic Received Within
  Four Hours of Hospital ArrivalPN-5c Initial
  Antibiotic Received Within Six Hours of Hospital
  Arrival
• PN-6 Initial Antibiotic Selection for CAP
  in Immunocompetent Patients
• PN-7 Influenza Vaccination

Note Measures underlined can be de-selected
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Measure Designation - SCIP

• Indicates
  RHQDAPU
• SCIP-Card-2 Surgery Patients on BB
  Therapy Prior to Admission Who Received a BB
  During the Perioperative Period
• SCIP-Inf-1 Prophylactic Antibiotic
  Received Within One Hour
• Prior to Surgical Incision
• SCIP-Inf-2 Prophylactic Antibiotic
  Selection for Surgical Patients
• SCIP-Inf-3 Prophylactic Antibiotics
  Discontinued Within 24 Hours After Surgery End
  Time
• SCIP-Inf-4 Cardiac Surgery Patients with
  Controlled 6 A.M.
• Postoperative Blood GlucoseSCIP-Inf-6
  Surgery Patients with Appropriate Hair
  RemovalSCIP-Inf-7 Colorectal Surgery Patients
  with Immediate Postoperative Normothermia
• SCIP-VTE-1 Surgery Patients with
  Recommended Venous Thromboembolism Prophylaxis
  Ordered
• SCIP-VTE-2 Surgery Pts Who Rec Approp VTE
  Prophylaxis Within 24 Hrs Prior to Surgery to 24
  Hrs After Surgery

Note Measures underlined can be de-selected..
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Population Sampling Report
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Click Run under Reports
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Select QIO Clinical Warehouse Feedback Reports
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Select ICD Population Sampling Summary Report
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ICD Population Sampling Summary Report
Highlight Your Hospital
Select Discharge Quarter Request Report
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Confirm Counts for each Topic
Robinson Hospital 010000
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Please contact Debra Robinson if you have any
questions 1-800-760-4550, ext. 3210
This material was prepared by the HR QIOSC and
AQAF, the Medicare Quality Improvement
Organization for Alabama, under a contract with
the Centers for Medicare Medicaid Services,
(CMS), an agency of the U.S. Department of Health
and Human Services. Contents do not necessarily
reflect CMS policy.. 9SOW-AL-GEN-08-03