Core measures

List of current core measures

What is a “Core measure”?

An evidenced based indicator that is used to measure the quality of patient care.

Call the core measure hotline at 815-759-4448 for more information.

Why do Hospitals Perform Core Measures?

  • To provide the best care to our patients according to evidence based research.
  • The hospital’s results are reported to the Joint Commission and CMS where they are compared to other hospitals.
  • Receive higher reimbursement from Medicare and other payers.
  • Hospitals that do not participate in the initiative will receive a reduction of 2 percent in their Medicare Annual Payment.

Why has Medicare selected certain areas of focus?

Medicare has selected serveral areas of focus areas because they have high patient volume and opportunites for improvement these may be:

  • Conditions that contribute to the morbidity and mortality of the most Medicare and Medicaid beneficiaries
  • Conditions that represent national public health priorities
  • Conditions that are common to health disparities
  • Conditions that disproportionately drive healthcare costs and could improve with better quality measurement
  • Measures that would enable CMS, States, and the provider community to measure quality of care in new dimensions, with a stronger focus on parsimonious measurement
  • Measures that include patient and/or caregiver engagement

Heart Failure

  • Discharge instructions
    • Diet
    • Activity level
    • Follow up appt
    • What to do if symptoms worsen
    • Weight monitoring
    • Discharge medications
  • Evaluation of Left Ventricular Function
  • Agiotension converting enzyme inhibitor (ACEI) or Angiotension receptor blocker (ARB) for LVSD
  • Beta blocker prescribed at discharge for LVSD
  • Smoking cessation

Acute MI

  • Asprin on arrival
  • Asprin prescribed at discharge
  • ACI or ARB for LVSD (EF<40%)
  • Beta blocker prescribed at discharge
  • Fibrinolytic therapy received withing 30 minutes of hospital arrival
  • Primary percutaneous coronary intervention (PCI) received within 90 min of hospital arrival
  • Statin prescribed at discharge

Pneumonia