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Hospital Quality Awards

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2017 Nevada and Utah Hospital Quality Award Criteria

Hospital recipients of the 2017 HealthInsight Hospital Quality Awards will be selected based on the following criteria for Nevada and Utah:

  • National rankings based on hospital performance on healthcare-associated infections (HAI), a national survey of patient experience of hospital care (HCAHPS), 30-day hospitalwide readmissions (HWR), and mortality measures. The HAI, HCAHPS, HWR and mortality measure ranks are combined into a single weighted composite ranking, with the HAI measures contributing 45 percent, the survey results 35 percent, HWR 10 percent and mortality rank 10 percent. Hospitals at or above the 75th percentile nationally on this combined ranking receive a HealthInsight Quality Award.

2017 HCAHPS Performance Recognition Certificate

Hospitals demonstrating a specified level of achievement in national performance rankings over a one-year time frame will be recognized for providing patients with an excellent experience of hospital care.

2017 New Mexico Hospital Quality Award Criteria

Hospital recipients of the 2017 HealthInsight Hospital Quality Awards will be selected based on the following criteria for New Mexico:

  • National rankings based on hospital performance on healthcare-associated infections (HAI), a national survey of patient experience of hospital care (HCAHPS), 30-day hospitalwide readmissions (HWR), and mortality measures. The HAI, HCAHPS, HWR and mortality measure ranks are combined into a single weighted composite ranking, with the HAI measures contributing 45 percent, the survey results 35 percent, HWR 10 percent and mortality rank 10 percent. Hospitals at or above the 75th percentile nationally on this combined ranking receive a HealthInsight Quality Award.

HCAHPS Performance Recognition and Excellence in Quality Improvement Certificates will also be awarded.

HCAHPS Performance Recognition Certificate: Hospitals demonstrating a specified level of achievement over a one-year time frame will be recognized for providing patients with an excellent experience of hospital care. Eligibility for the recognition would include:

  • No Condition of Participation level deficiencies on their last CMS survey
  • A hospital must rank in the top 25 percent on HCAHPS scores

Certificate for Excellence in Quality Improvement: This certificate requires an application from the hospital, which will include a description of improvement efforts related to a nationally recognized quality measure. Positive trending is required to meet this portion of the award criteria, but all positive trends are welcome (no minimum improvement is required). Data shared must represent a minimum of two full quarters and must occur within the previous 12 months.

Hospitals will select a quality measure from the following categories:

  1. Hospital Acquired Conditions – for example, Hospital-Acquired-Stage 2+ Pressure Ulcer Prevalence (NQF 0201)
  2. CMS Inpatient Quality Measures – for example, Influenza immunization – IMM-2
  3. CMS Outpatient Quality Measures – for example, median time to transfer to another facility for acute coronary intervention – OP-3
  4. CDC- or HHS-endorsed Community Health Measures – for example, Adults with hypertension whose blood pressure is under control (a Healthy People 2020 leading health indicator)

In applying for this certificate, hospitals will need to share, at minimum:

  1. How was the need for improvement identified?
  2. How did your hospital organize around the effort? Was a team formed? Who were the members? What role did leadership play in the project?
  3. How was performance measured? How did your facility know that the interventions were appropriate? How did your facility know if the interventions were working or not working?
  4. What were the interventions? What did you do and how did you do it? What is different today as a result of this project that was not occurring before it began?
  5. What were the results? What percentage of improvement did you experience? What was your rate before the initiative (baseline) and what were your results after the initiative (remeasurement)?
  6. Did you partner with any local nursing