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surgical care improvement
cancer care improvementcardiac surgery outcomescare coordinationcommunity acquired pneumonia
compliance with medical staff influenza vaccination policycongestive heart failure outcomes
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depression screening for the chronically illeffective use of hospital resources
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Objective: To prevent post operative infections by the timely administration and discontinuation of prophylactic antibiotics in the course of surgical treatment in both the inpatient and outpatient setting. Appropriate antibiotic utilization has been shown to reduce the risk of infection and complications from surgery.

Outcome:

Measure

Year over Year Performance Indicator

Pre-surgical Prophylactic Antiobiotic Administration*

Performance equal to or above 2010 APP result

Post-surgical Discontinuation of Antibiotics in Specified Time-frames* Performance equal to or above 2010 APP result
Prophylactic Antibiotic Selection for Surgical Patients

Performance equal to or above 2010 APP result

Cardiac Surgery Patients with Controlled Post-operative Serum Glucose*

Performance equal to or above 2010 APP result

Perioperative Temperature Management*

Performance equal to or above 2010 APP result 

Surgery Patients with Appropriate Hair Removal  Performance equal to or above 2010 APP result
Surgery Patients with Appropriate DVT Prophylaxis Ordered*  Performance equal to or above 2010 APP result
Surgery Patients with Appropriate DVT Prophylaxis Received in a Timely Manner  Performance equal to or above 2010 APP result
Surgery Patients on Beta Blocker Therapy Prior to Admission Who Received Beta Blocker During the Perioperative Period* Performance equal to or above 2010 APP result
Post-operative Urinary Catheter Removal New Measure 
Outpatient: Surgical Timing of Antibiotic Prophylaxis* Performance equal to or above 2010 APP result 
Outpatient: Pre-Surgical Prophylactic Antibiotic Selection  Performance equal to or above 2010 APP result

 *Measure had an increased performance threshold in 2011. 

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