Illinois Department of Public HealthBruce Rauner, Governor

Glossary

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A

ACEI or ARB for LVSD
Heart failure patients with left ventricular systolic dysfunction (LVSD) who are prescribed an angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) medication at hospital discharge.
Accidental Puncture and Laceration
The number of cases of accidental cut, puncture, perforation, or laceration during procedure per 1,000 discharges. (PSI 15)
Accidental Puncture and Laceration, Pediatric
This measure is used to assess the number of cases of an accidental cut or laceration during a procedure per 1000 discharges (Pediatric).
Acute Mental Illness Beds
Amount of Acute Mental Illness Beds for an entity
Acute conditions

Acute conditions are severe and sudden in onset. Some examples of acute conditions are a heart attack, influenza or broken bone.

Admission from another hospital

Admission from another hospital indicates the patient was admitted to the hospital from another short term, acute-care hospital. This usually signifies that the patient required the transfer in order to obtain more specialized services that the originating hospital could not provide.

Admission from long term care facility

Admission from long term care facility indicates the patient was admitted to a hospital from a long term care facility, such as a nursing home.

Admit decision time to ED departure time for admitted patients
Average (median) time (in minutes) patients spent in the ED, after the doctor decided to admit them as an inpatient, before leaving the ED for their inpatient room.
Adult Asthma Admissions

Asthma is a disease that affects the lungs. It can cause repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing. Asthma can be controlled by taking medicine and avoiding the triggers that can cause an attack. People with asthma need to identify and remove any triggers in the environment that can make their asthma worse.

Aggregate

An aggregate represents the sum total or the whole. For example, infection rate data displayed in aggregate for the state of Illinois cannot be used to determine the infection rate of a specific health care facility.
 

Air Pollution/Fine Particulate Matter Days
The annual number of unhealthy fine particulate matter days as reported by the CDC.
Air Pollution/Ozone Days
The annual number of unhealthy ozone days as reported by the CDC.
Ambulatory Surgical Treatment Centers (ASTCs)

These are outpatient facilities that perform specific non-complicated procedures.
 

Angina Admissions
This measure is used to assess the number of admissions for angina (without procedures) per 100,000 population.
Angioplasty

In angioplasty, a catheter is used to insert a balloon that is inflated to open a blocked blood vessel.  Percutaneous transluminal coronary angioplasty (PTCA) is one of several procedures used to open a blocked blood vessel, known collectively as a percutaneous coronary intervention or PCI.

Angiotensin Converting Enzyme Inhibitor (ACEI)

This is a group of medications used to treat heart attacks, heart failure, or decreased function of the left heart.  They stop production of a hormone that can narrow blood vessels.  This helps reduce the pressure in the heart and lower blood pressure.

Angiotensin Receptor Blocker (ARB)

This is a group of medications used to treat patients with heart failure and a decreased function of the left heart.  ARBs block the action of a hormone that can narrow blood vessels.  This helps reduce the pressure in the heart and lower blood pressure.

Antibiotic

An antibiotic is a medicine used to fight bacteria in the body.

Appendectomy

An appendectomy is the surgical removal of an inflamed or infected appendix.

Asthma

Asthma is a disease that affects the lungs.  It can cause repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing.  Asthma can be controlled by taking medicine and avoiding the triggers that can cause an attack.  People with asthma need to identify and remove any triggers in the environment that can make their asthma worse.

Asthma Prevalence
The percentage of the adult population that reported having Asthma.
Asthma in Younger Adults - Black
The rate of preventable hospitalizations for Asthma in Younger Adults for the black population, expressed as an area-level rate. This rate is compared to the total population and expressed per 100,000 people.
Asthma in Younger Adults - Hispanic
The rate of preventable hospitalizations for Asthma in Younger Adults for the hispanic population, expressed as an area-level rate. This rate is compared to the total population and expressed per 100,000 people.
Asthma in Younger Adults - White
The rate of preventable hospitalizations for Asthma in Younger Adults for the white population, expressed as an area-level rate. This rate is compared to the total population and expressed per 100,000 people.
Asthma in Younger Adults Admissions
This measure is used to assess the number of admissions for asthma in Younger adults per 100,000 population.
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B

Baby Friendly

Scientific evidence currently demonstrates that breast feeding has important health benefits to both mothers and babies.  Breast milk contains antibodies that can protect infants from bacterial and viral infections, and breastfed infants are at lower risk of certain chronic diseases, including diabetes, obesity and asthma.  Research indicates that women who breastfeed may also have lower risk of some health problems, including certain breast and ovarian cancers, obesity and diabetes.

Despite the numerous benefits of breastfeeding, the number of women who breastfeed continues to lag behind national health objectives.  A complex variety of factors have contributed to the barriers women face in breastfeeding.  Nearly all births in the U.S. occur in hospitals, and hospitals can play an important role in supporting a mother's decision to breastfeed.  The Baby Friendly Hospital Initiative, established by the United Nations Children's Fund (UNICEF) and the World Health Organization, is designed to encourage and recognize hospitals that offer an optimal level of care for breast feeding.  Over 20,000 hospitals across the world have been recognized as "Baby Friendly".  The essential components of the Baby Friendly Hospital Initiative involve implementation of the 'Ten Steps to Successful Breastfeeding".  The ten steps include: 
  1. Hospitals have a written breastfeeding policy that is routinely communicated to all health care staff.
  2. Train all health care staff in the skills necessary to implement this policy.
  3. Inform all pregnant women about the benefits and management of breastfeeding.
  4. Help mothers initiate breastfeeding within one hour of birth.
  5. Show mothers how to breastfeed and how to maintain lactation even if they are separated from their infants.
  6. Give infants no food or drink other than breast milk unless medically indicated.
  7. Practice rooming-in - allow mothers and infants to remain together twenty four hours a day.
  8. Encourage breastfeeding on demand.
  9. Give no pacifiers or artificial nipples to breastfeeding infants.
  10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or birth center.
Bacterial Pneumonia Admissions
This measure is used to assess the number of admissions for bacterial pneumonia per 100,000 population.
Beta Blocker

A beta blocker is a type of medicine that is used to lower blood pressure, treat chest pain and heart failure, and to help prevent a heart attack.  Beta blockers relieve the stress on the heart by slowing the heart rate and reducing the force with which the heart muscles contract to pump blood.  They also help keep blood vessels from constricting in the heart, brain, and body.

Bi-Lateral Cardiac Catheterization
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of hospital-level bilateral cardiac catheterizations per 1000 discharges with procedure code of heart catheterization. (IQI 25)
Birth Trauma
The number of cases of injury to newborn babies, per 1,000 liveborn births. (PSI 17)
Blood Culture

A blood culture is a blood test that shows if there are bacteria in the blood, and if so, what type of bacteria.  It helps health care providers  determine which antibiotic to use to treat a bacterial infection.
 

Blood Transfusion Reaction
This measure is used to assess the number of cases of transfusion reaction either from incompatible or mismatched blood.
Bypass Hours
This measure shows the number of hours an emergency room was placed on bypass status, diverting ambulances to other local emergency rooms. Not all hospitals experience the need to go on bypass.
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C

CCS

The Clinical Classifications Software (CCS) is used to categorize diagnoses and procedures so that the data can be analyzed.

COPD (Chronic Obstructive Pulmonary Disease)

Chronic obstructive pulmonary disease, or COPD, refers to a group of diseases that cause airflow blockage and breathing-related problems.  It includes emphysema, chronic bronchitis, and in some cases asthma.
 

COPD or Asthma in Older Adults
This measure is used to assess the number of admissions for chronic obstructive pulmonary disease (COPD) per 100,000 population.
COPD or Asthma in Older Adults - Black
The rate of preventable hospitalizations for Chronic Obstructive Pulmonary Disease or Asthma in Older Adults for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 100,000 people.
COPD or Asthma in Older Adults - Hispanic
The rate of preventable hospitalizations for Chronic Obstructive Pulmonary Disease or Asthma in Older Adults for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 100,000 people.
COPD or Asthma in Older Adults - White
The rate of preventable hospitalizations for Chronic Obstructive Pulmonary Disease or Asthma in Older Adults for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 100,000 people.
Cases with Principal Diagnosis Indicating Alcohol-related Health as a Crude rate per 10,000 area population.
This measure shows the cases with the principal diagnosis indicating alcohol-related health tabulated separately and not included in the emergent classification scheme, expressed as a crude rate per 10,000 area population.
Cases with Principal Diagnosis Indicating Alcohol-related Health as a percentage of all ED cases in the area.
This measure shows the cases with the principal diagnosis indicating alcohol-related health tabulated separately and not included in the emergent classification scheme, expressed as a percentage of all ED cases in the area.
Cases with Principal Diagnosis Indicating Drug-related Health as a Crude rate per 10,000 area population.
This measure shows the cases with the principal diagnosis indicating drug-related health tabulated separately and not included in the emergent classification scheme, expressed as a crude rate per 10,000 area population.
Cases with Principal Diagnosis Indicating Drug-related Health as a percentage of all ED cases in the area.
This measure shows the cases with the principal diagnosis indicating drug-related health tabulated separately and not included in the emergent classification scheme, expressed as a percentage of all ED cases in the area.
Cases with Principal Diagnosis Indicating Injury as a Crude rate per 10,000 area population.
Cases with Principal Diagnosis Indicating Injury tabulated separately and not included in the emergent classification scheme as a Crude rate per 10,000 area population.
Cases with Principal Diagnosis Indicating Injury as a percentage of all ED cases in the area.
This measure shows the cases with the principal diagnosis indicating injury tabulated separately and not included in the emergent classification scheme, expressed as a percentage of all ED cases in the area.
Cases with Principal Diagnosis Indicating Mental Health as a Crude rate per 10,000 area population.
This measure shows the cases with the principal diagnosis indicating mental health tabulated separately and not included in the emergent classification scheme expressed as a crude rate per 10,000 area population.
Cases with Principal Diagnosis Indicating Mental Health as a percentage of all ED cases in the area.
This measures shows the cases with the principal diagnosis indicating mental health tabulated separately and not included in the emergent classification scheme expressed as a percentage of all ED cases in the area.
Cases with Unclassified Principal Diagnosis as a Crude rate per 10,000 area population.
This measure shows the cases with unclassified principal diagnosis tabulated separately and not included in the emergent classification scheme, expressed as a crude rate per 10,000 area population.
Cases with Unclassified Principal Diagnosis as a percentage of all ED cases in the area.
This measure shows the cases with unclassified principal diagnosis tabulated separately and not included in the emergent classification scheme, expressed as a percentage of all ED cases in the area.
Central Line Associated Bloodstream Infections in Pediatric Medical ICU
Central Line-associated Bloodstream Infection data in the Medical Pediatric ICU summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Burn ICU
Central Line-associated Bloodstream Infection data in the Adult Burn ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Medical Cardiac ICU
Central Line-associated Bloodstream Infection data in the Adult Medical Cardiac ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Medical ICU
Central Line-associated Bloodstream Infection data in the Adult Medical ICU summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Medical/Surgical ICU
Central Line-associated Bloodstream Infection data in the Adult Medical/Surgical ICU summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Neurologic ICU
Central Line-associated Bloodstream Infection data in the Adult Neurologic ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Neurosurgical ICU
Central Line-associated Bloodstream Infection data in the Adult Neurosurgical ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Surgical Cardiothoracic ICU
Central Line-associated Bloodstream Infection data in the Adult Surgical Cardiothoracic ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Surgical Cardiothoracic ICU, Second Unit
Central Line-associated Bloodstream Infection data in the Adult Surgical Cardiothoracic ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Surgical ICU
Central Line-associated Bloodstream Infection data in the Adult Surgical ICU summarized as a Standardized Infection Ratio.
Central Line Associated Bloodstream Infections in the Adult Trauma ICU
Central Line-associated Bloodstream Infection data in the Adult Trauma ICU Summarized as a Standardized Infection Ratio.
Central Line Associated Infections in the Level II/III Neonatal ICU
Central Line-associated Bloodstream Infection data in the Level II/III Neonatal ICU summarized as a Standardized Infection Ratio.
Central Line Associated Infections in the Level III Neonatal ICU
Central Line-associated Bloodstream Infection data in the Level III Neonatal ICU summarized as a Standardized Infection Ratio.
Central Line Associated Infections in the Pediatric Cardiothoracic ICU
Central Line-associated Bloodstream Infection data in the Pediatric Cardiothoracic ICU summarized as a Standardized Infection Ratio.
Central Line Associated Infections in the Pediatric Medical-Surgical ICU
Central Line-associated Bloodstream Infection (CLABSI) data in the Medical-Surgical Pediatric ICU summarized as a Standardized Infection Ratio.
Central line

A central line is a flexible tube that is inserted near a patient's heart or into one of the large blood vessels near the heart.  A central line can be used to administer fluids, antibiotics or medical treatment such as chemotherapy.  If a central line is inserted incorrectly or not cared for properly, a bloodstream infection can result.

Central line-associated blood stream infection (CLABSI)

The National Healthcare Safety Network defines a CLABSI as a primary blood stream infection in a patient that had a central line in place, at the time of or within, 48-hours before the development of the bloodstream infection.

Cesarean Section Delivery
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of hospital-level Cesarean deliveries per 1000 deliveries. (IQI 21)
Charge

Charge is the amount the hospital charged for the entire hospital stay. It does not include professional (MD) fees. If you asked for information about procedures, charges will reflect the total hospital charge, not just the charge for that procedure. Charges are not necessarily how much was reimbursed.

Charges: CT Scan Head (Inpatient)
Charges associated with procedures for Inpatient CT Scans of the head
Charges: CT Scan Head (Outpatient)
Charges associated with procedures for Outpatient CT Scans of the head
Children's Acute Care Hospital

A Children’s Acute Care Hospital is a hospital that provides a wide array of specialized medical, surgical and psychological services for children with serious health care needs.

Children's Speciality Hospital

A children’s specialty hospital is a hospital that provides services for one or more focused health problems, such as spinal cord injuries, orthopedic conditions, certain chronic diseases like sickle cell disease, etc.   Usually an array of medical, surgical and/or rehabilitative services for these conditions is provided.

Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease, or COPD, refers to a group of diseases that cause airflow blockage and breathing-related problems. It includes emphysema, chronic bronchitis, and in some cases asthma.
 

Chronic Obstructive Pulmonary Disease Admissions
Chronic obstructive pulmonary disease, or COPD, refers to a group of diseases that cause airflow blockage and breathing-related problems. It includes emphysema, chronic bronchitis, and, in some cases, asthma.
Chronic condition

Chronic condition is defined as one condition that lasts over a long period of time.

Collapsed Lung caused by Medical Care
This measure is used to assess the number of cases of collapsed lung caused by medical care per 1,000 patients. (PSI 06)
Composite measure

A composite measure is a single measure that is created by combining different measures together.
 

Confidence Intervals

The confidence interval for a hospital's standardized infection ratio(SIR) is the range of possible SIRs within which there is a 95 percent confidence that the real SIR for that hospital lies, given the number of infections and procedures that were observed in that hospital in a specific time period.

Congestive Heart Failure

Congestive heart failure (CHF) is a condition in which the heart cannot pump enough blood to the body's other organs and is a progressive, chronic disease. CHF has substantial short-term mortality, which can vary from provider to provider.
 

Congestive Heart Failure Admissions
This measure is used to assess the number of admissions for congestive heart failure (CHF) per 100,000 population.
Coronary artery bypass surgery

Coronary artery bypass surgery re-establishes effective  blood flow in the heart, when one or more heart blood vessels (arteries) are blocked by deposits and build up of a substance called plaque.  New blood vessels are grafted inside the heart that help circulate blood more effectively.

Costs
Costs tend to reflect the actual costs of production (while charges represent what the hospital billed for the case). Total charges were converted to costs using cost-to-charge ratios based on hospital accounting reports from the Centers for Medicare and Medicaid Services (CMS). In general, costs are less than charges.
Crude Rate ED
This measure shows the Crude rate per 10,000 population for outpatient emergency room patient visits that were not admitted to the hospital.
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D

Death rate

Death rate is how often patients who were treated for a particular illness or who had a particular procedure died before leaving the hospital. Usually the death rate is displayed as the number of deaths out of 100 or 1,000 patients discharged from the hospital. This information is noted at the bottom of each chart.

Deep Vein Thrombosis

A deep vein thrombosis, (also called DVT or blood clot) occurs when a blood clot forms in a large vein.  These clots usually develop in the lower leg, thigh or pelvis and can cause serious illness, disability or in some cases death.  A DVT is preventable and treatable if diagnosed correctly and early.

Dehydration Admissions
This measure is used to assess the number of admissions for dehydration per 100,000 population.
Denominator

This is the number of people (population) who are potentially capable of experiencing the event or outcome of interest. The denominator, along with the numerator, is used to calculate rates. The denominator is the bottom half of a fraction.

Diabetes

Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should. This causes sugar to build up in your blood. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the sixth leading cause of death in the United States.
 

Diabetes Long-term Complications Admissions
This measure is used to assess the number of admissions for diabetic long-term complications per 100,000 population.
Diabetes Prevalence
The percentage of the adult population that reported having Diabetes.
Diabetes Short-term Complications Admissions
This measure is used to assess the number of admissions for diabetes short-term complications per 100,000 population.
Diagnosis Related Groups
Diagnosis Related Groups (DRGs) are the diagnosis codes doctors and hospitals put on patient's medical bills that Medicare uses to decide how much to pay the hospital.
Died

This generally indicates in-hospital mortality. Please note, some unknown number of cases may have died outside the hospital but may still be included.

Discharge Instructions
Heart failure patients discharged home with written instructions or educational material given to patient or caregiver addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.
Discharge status
Discharge status indicates the disposition of the patient at discharge from the hospital, e.g., routine (home); to another short term hospital; to a nursing home; to home health care; or against medical advice (AMA).
Doctors Always Communicated Well
This measure is used to assess the percentage of respondents who reported their doctors always communicated well.
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E

Emergency Department Asthma Visit Rate
The rate of ED visits for Asthma, expressed as an area-level rate. This rate is compared to the total population and expressed per 10,000 people.
Emergency Department Asthma Visit Rate: Black
The rate of Asthma ED visits for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 10,000 people.
Emergency Department Asthma Visit Rate: Hispanic
The rate of Asthma ED visits for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 10,000 people.
Emergency Department Asthma Visit Rate: White
The rate of Asthma ED visits for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 10,000 people.
Emergency Department Type 2 Diabetes Visit Rate
The rate of ED visits for Type 2 Diabetes, expressed as an area-level rate. This rate is compared to the total population and expressed per 10,000 people.
Emergency Department Type 2 Diabetes Visit Rate: Black
The rate of Type 2 Diabetes ED visits for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 10,000 people.
Emergency Department Type 2 Diabetes Visit Rate: Hispanic
The rate of Type 2 Diabetes ED visits for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 10,000 people.
Emergency Department Type 2 Diabetes Visit Rate: White
The rate of Type 2 Diabetes ED visits for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 10,000 people.
Emergency Department Visits, Inpatient
This measure shows the number of emergency department patients who were admitted to the hospital for treatment.
Emergency Department Visits, Outpatient
This measure shows the number of emergency department patients who were treated and released as outpatients.
Emergency Department Visits, Total
This measure shows the total number of emergency department patient visits, including both those admitted to the hospital and those treated as outpatients.
Emergency Medical System for Children

Since 1998, more than 100 hospitals in Illinois have received recognition by the Illinois Department of Public Health and the Emergency Medical Services for Children (EMSC) program for having the essential resources and capabilities in place to meet the emergency and critical care needs of seriously ill and injured children.

Hospitals can apply for one of three levels of voluntary recognition. Facilities that have a pediatric intensive care unit and can provide specialty inpatient services for the pediatric patient can seek recognition as a Pediatric Critical Care Center (PCCC). Hospitals that provide comprehensive emergency services and meet defined pediatric emergency care requirements can seek recognition as an Emergency Department Approved for Pediatrics (EDAP). The Standby Emergency Department for Pediatrics (SEDP) recognition is for hospitals that provide stabilization measures and have transfer guidelines in place when more definitive pediatric care is needed. Hospitals seeking this designation receive a site visit by the EMSC program staff to verify that the emergency department and pediatric department are capable of meeting the following key pediatric care standards:

  • Professionals specially trained in pediatric emergency and critical care;
  • Adequate staffing and provisions for pediatric consultation and backup support;
  • Availability of essential pediatric equipment, supplies and medication;
  • Protocols for the treatment of the abused child, of critically ill and injured children and of those children requiring transfer to a specialized care center; and
  • Conduction of pediatric quality improvement activities.

The specific definitions of each level of recognition are outlined below:

  • PCCC - Pediatric Critical Care Center.  A hospital participating in an approved emergency medical system and designated by the Department to provide optimal critical and specialty care services to pediatric patients, and to provide all essential services either in-house or readily available 24 hours per day.  Hospitals that are designated at the PCCC level must also meet all EDAP requirements.
  • EDAP – Emergency Department Approved for Pediatrics.  A hospital participating in an approved emergency medical system and designated by the Department pursuant to Section 515.4000 of the Illinois Emergency Medical Services and Trauma Code, to provide optimal emergency department care to pediatric patients 24 hours per day.
  • SEDP – Standby Emergency Department for Pediatrics.  A hospital participating in an approved emergency medical system and designated by the Department pursuant to Section 515.4010 of the Illinois Emergency Medical Services and Trauma Code, to provide optimal emergency department care to pediatric patients; and have transfer agreement(s) and transfer mechanisms in place when more definitive pediatric care is needed.

For more information on the Emergency Medical System for Children, visit http://www.luhs.org/emsc

List of all Emergency Medical System for Children

Emergent - ED Care Needed - NOT Preventable/Avoidable Cases as a Crude rate per 10,000 area population.
Cases where emergency department care was required and ambulatory care treatment could not have prevented the condition as a Crude rate per 10,000 area population.
Emergent - ED Care Needed - NOT Preventable/Avoidable Cases as a percentage of all ED cases in the area.
Cases where emergency department care was required and ambulatory care treatment could not have prevented the condition as a percentage of all ED cases in the area.
Emergent - ED Care Needed - Preventable/Avoidable Cases as a Crude rate per 10,000 area population.
Cases where care was required based on the complaint or procedures performed/resources used, but the emergent nature of the condition was potentially preventable/avoidable as a Crude rate per 10,000 area population.
Emergent - ED Care Needed - Preventable/Avoidable Cases as a percentage of all ED cases in the area.
Cases where care was required based on the complaint or procedures performed/resources used, but the emergent nature of the condition was potentially preventable/avoidable as a percentage of all ED cases in the area.
Emergent/Primary Care Treatable Cases as a Crude rate per 10,000 area population.
Total Charges for Cases where treatment was required within 12 hours, but care could have been provided effectively and safely in a primary care setting.
Emergent/Primary Care Treatable Cases as a percentage of all ED cases in the area.
Cases where treatment was required within 12 hours, but care could have been provided effectively and safely in a primary care setting, as a percentage of all ED cases in the area.
Evaluation of LVS Function
Heart failure patients with documentation in the hospital record that left ventricular systolic (LVS) function (pumping action of the heart) was evaluated before arrival, during hospitalization, or is planned for after discharge.
Expected rate

The expected rate is the rate the facility would have if it performed the same as the reference population given the facility's actual case-mix (e.g., age, gender, DRG, and comorbidity categories).

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F

Fibrinolytic Drugs

These are "clot-busting" medicines that can help dissolve blood clots in blood vessels and improve blood flow to your heart.  They are important for treating heart attacks.  If you have a heart attack, your doctor may give you a fibrinolytic drug, perform a percutaneous coronary intervention, or both.

Foreign Body Left During Procedure
This measure is used to assess the number of discharges with a foreign body accidentally left in during a surgical procedure.
Fruit and Vegetable Consumption
The percentage of the adult population that reported consuming 2 or more servings of fruit and 3 or more servings of vegetables a day.
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G

Gender

Gender is coded as male or female, and appears as provided in the medical record.

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H

Health care-associated infections (HAI)

Health care-associated infections are infections that patients acquire during the course of receiving treatment for other conditions within a health care setting.

Healthcare Facility Onset Incidence Rate of Clostridium difficile infections (CDI)
Clostridium difficile infections summarized as a Standardized Infection Ratio
Healthcare Facility Onset Incidence Rate of Clostridium difficile infections (CDI)

The number of lab results (from non-duplicate specimens) positive for Clostridium difficile identified 4 or more days after a patient was admitted to the facility, divided by number of patient days, multiplied by 10,000. For calculation of CDI rates, patient days for newborn populations (neonatal intensive care units, special care nurseries, well-baby nurseries, and newborns in labor and delivery units) are not included in the denominator. The standardized infection ratio for Healthcare Facility Onset Incidence Rate of CDI adjusts for the type of testing used at the facility, medical school affiliation, facility bed size, and the prevalence rate of Community Onset CDI.

Healthcare Facility Onset Incidence Rate of Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections
Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio
Healthcare Facility Onset Incidence Rate of Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections

The number of positive lab culture results for MRSA (from non-duplicate unique blood source specimens) occurring hospital-wide identified 4 or more days after a patient was admitted to the facility, divided by total number of patient days, multiplied by 1,000. The standardized infection ratio for Healthcare Facility Onset Incidence Rate of MRSA bloodstream infections adjusts for medical school affiliation, facility bed size, and the prevalence rate of Community Onset MRSA.

Heart Attack

A heart attack or acute myocardial infarction (AMI) occurs when the arteries leading to the heart become blocked and the blood supply is slowed or stopped. When the heart muscle cannot get the oxygen and nutrients it needs, the part of the heart tissue that is affected may die. Timely and effective treatments for a heart attack, which are essential for patient survival, include appropriate use of thrombolytic therapy to prevent blood clots and revascularization or opening of clogged blood vessels.

Heart Attack 30-Day Mortality Rate
This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart attack.
Heart Attack Patients Readmitted to Hospital Within 30 Days
This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart attack.
Heart Failure 30-Day Mortality Rate
This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart failure.
Heart Failure Patients Readmitted to Hospital Within 30 Days
This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart failure.
Hip Fracture

A hip fracture is a fracture (break) in a bone in the hip.

Hip Replacement

A hip arthroplasty (joint surgery) is an elective procedure performed to improve function and relieve pain among patients with chronic osteoarthritis, rheumatoid arthritis, or other degenerative processes involving the hip joint.

Hospital CLABSI rate per 1000

The total number of CLABSIs/Central-line days divided by 1,000.

Hospital Central Line Associated Bloodstream Infections (CLABSI) rate per 1000

The total number of CLABSIs/Central-line days divided by 1,000.

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

HCAHPS is a standardized survey instrument and data collection methodology for measuring patients' perspectives of hospital care.
 

Hospital Service Areas

Hospital Service Areas (HSAs) are based on the Dartmouth Atlas Hospital Service Areas, which are defined as local health care markets for hospital care. HSAs are based on the collection of ZIP codes whose residents receive most of their hospitalizations from the hospitals in that area. HSAs were defined by assigning ZIP codes to the hospital area where the greatest proportion of their Medicare residents were hospitalized.

Hospital charge

Hospital charge is the amount the hospital charged for the entire hospital stay. It does not include professional fees. If you asked for information about procedures, charges will reflect the total hospital charge, not just the charge for that procedure. Charges are not necessarily how much was reimbursed.

Hospital costs
Hospital costs tend to reflect the actual costs of production (while charges represent what the hospital billed for the case). Total charges were converted to costs using cost-to-charge ratios based on hospital accounting reports from the Centers for Medicare and Medicaid Services (CMS). In general, costs are less than charges.
Hypertension

Hypertension is high blood pressure.  Having high blood pressure raises your risk for heart disease and stroke, the first and third leading causes of death in the United States.

Hypertension Admissions
This measure is used to assess the number of admissions for hypertension per 100,000 population.
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I

ICD-9-CM
ICD-9-CM stands for the "International Classification of Diseases - 9th revision - Clinical Modification."" All diagnoses (or conditions) and all procedures that patients receive in the hospital are assigned an ICD-9-CM code. Codes for diagnoses can be up to 5 digits long and codes for procedures can be up to 4 digits long. There are about 12
Incidental Appendectomy in the Elderly
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of incidental appendectomies per 1000 elderly with intra-abdominal procedure. (IQI 24)
Infection

An infection is a harmful colonization of the body by a foreign species (e.g. viruses, bacteria, parasites, etc.).

Infection Rate

An infection rate is the number of infections reported in a specified period of time divided by the number of exposures to an infection during the same specified period of time.

Influenza

Influenza or "flu" is a serious and sometimes deadly lung infection that can spread quickly in a community.  Symptoms include fever - often a high temperature of more than 102 degrees Fahrenheit (38.9 degrees Celsius), headache, muscle aches and pains, chills, cough and chest pain when you take a breath (pleuritic chest pain).  Although most people recover from the illness, the Centers for Disease Control and Prevention estimates that in the United States more than 200,000 people are hospitalized and about 36,000 people die from the flu and its complications every year.

Inpatient Quality Indicators

Inpatient Quality Indicators (IQIs) The IQIs are a set of measures that can be used with hospital inpatient discharge data to provide a perspective on quality. The IQIs include a variety of indicators, which are measured at the provider, hospital, or area level. Additional information can be found at http://www.qualityindicators.ahrq.gov/.

Intensive Care Beds
Amount of Intensive Care Beds
Intensive Care Unit (ICU) (a/k/a Critical Care Unit)

ICUs are hospital units that provide intensive observation and treatment of patients either dealing with or at risk of developing life-threatening problems.  Smaller hospitals typically care for both medical and surgical patients in a combined medical/surgical ICU.  Larger hospitals typically have separate ICUs.

Ischemic or hemorrhagic stroke patients or caregivers who received written educational materials about stroke care and prevention during the hospital stay
This measure is used to assess the percentage of patients 18 years of age and older with ischemic or hemorrhagic stroke, or their caregivers, who were given educational materials during the hospital stay addressing all of the following: Activation of emergency medical system Follow-up after discharge Medications prescribed at discharge Risk factors for stroke Warning signs and symptoms of stroke
Ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of arriving at the hospital
This measure is used to assess the percentage of patients 18 years of age and older with an ischemic stroke or a hemorrhagic stroke who received venous thromboembolism (VTE) prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission.
Ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services
This measure is used to assess the percentage of patients 18 years of age and older with ischemic or hemorrhagic stroke who were assessed for rehabilitation services.
Ischemic stroke patients needing medicine to lower cholesterol, who were given a prescription for this medicine before discharge
This measure is used to assess the percentage of ischemic stroke patients 18 years of age and older with low-density lipoprotein (LDL) greater than or equal to 100 mg/dL, or LDL not measured, or who were on a lipid-lowering medication prior to hospital arrival, who are prescribed a statin medication at hospital discharge
Ischemic stroke patients who got medicine to break up a blood clot within 3 hours after symptoms started
This measure is used to assess the percentage of acute ischemic stroke patients 18 years of age and older who arrive at the hospital within 120 minutes (2 hours) of time last known well and for whom intravenous recombinant tissue plasminogen activator (IV r-TPA or t-PA) was initiated at this hospital within 180 minutes (3 hours) of time last known well.
Ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots before discharge
This measure is used to assess the percentage of patients 18 years of age and older hospitalized with ischemic stroke who are prescribed antithrombotic therapy at hospital discharge.
Ischemic stroke patients who received medicine known to prevent complications caused by blood clots within 2 days of arriving at the hospital
This measure is used to assess the percentage of ischemic stroke patients 18 years of age and older administered antithrombotic therapy by the end of hospital day 2.
Ischemic stroke patients with a type of irregular heartbeat who were given a prescription for a blood thinner at discharge
This measure is used to assess the percentage of patients with both an ischemic stroke and atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge.
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L

Laparoscopic Cholecystectomy

A laparoscopic cholecystectomy is the removal of the gall bladder (cholecystectomy) performed with a laparoscope (a surgical instrument used to make small incisions).   Laparoscopic cholecystectomy, which has been identified as an underused procedure, is associated with less morbidity in less severe cases.

Laparoscopic Cholecystectomy (minimally-invasive gallbladder removal)
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of laparoscopic cholecystectomies (minimally-invasive gall bladder removal) per 1000 cholecystectomies. (IQI 23)
Length of stay
Length of stay (LOS) is the number of nights the patient remained in the hospital for this stay. A patient admitted and discharged on the same day has a length of stay = 0.
Level II/III Neonatal ICU

Combined nursery  housing both Level II and III newborns and infants.  These nurseries  are located in hospitals  categorized as “Level 2 with Extended Capabilities (ll/lll)”:  Hospitals with extended neonatal capabilities that provide an intermediate level of care to pregnant women and more complex care to newborns, when required. These hospitals do not have a neonatal intensive care nursery, but they do maintain a special care nursery that is covered by a neonatologist who is specifically trained to treat newborns requiring special care.

Level III Neonatal ICU

A hospital neonatal care unit (NICU organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness.  Level III is subdivided into four levels differentiated by the capability to provide advanced medical  and surgical care as defined by the American Academy of Pediatrics.  These units, located in hospitals designated as Level 3 hospitals,.  provide an intensive care approach for high-risk women who are vulnerable to complicated pregnancies and for at-risk newborns. They provide sub-specialty care for both high-risk pregnancies and for newborns at-risk, and are equipped with neonatal intensive care units.

Long Term Complications of Diabetes - Black
The rate of preventable hospitalizations for long term complications from Diabetes for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 100,000 people.
Long Term Complications of Diabetes - Hispanic
The rate of preventable hospitalizations for long term complications from Diabetes for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 100,000 people.
Long Term Complications of Diabetes - White
The rate of preventable hospitalizations for long term complications from Diabetes for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 100,000 people.
Long-Term Care Acute Care Beds
Amount of Long-Term Care Acute Care Beds for an entity
Long-Term Care Beds
Amount of Long-Term Care Beds for an entity
Low Birth Weight
This measure is used to assess the number of low birth weight infants per 100 births.
Lower Extremity Amputations
This measure is used to assess the number of admissions for lower-extremity amputation among patients with diabetes per 100,000 population.
Lower Extremity Amputations - Black
The rate of preventable hospitalizations for lower extremity amputations linked to Diabetes for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 100,000 people.
Lower Extremity Amputations - Hispanic
The rate of preventable hospitalizations for lower extremity amputations linked to Diabetes for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 100,000 people.
Lower Extremity Amputations - White
The rate of preventable hospitalizations for lower extremity amputations linked to Diabetes for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 100,000 people.
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M

MS DRG

Medicare Severity Diagnosis Related Groups are the diagnosis codes doctors and hospitals put on patient's medical bills that Medicare uses to decide how much to pay the hospital.

Magnet Recognition

The magnet recognition program was developed by the American Nurses Credentialing Center, a subsidiary of the American Nurses Association.  It recognizes health care organizations that demonstrate excellence in nursing practice and quality patient care as a driving force.  Organizations that are formally recognized must possess a number of specific qualities;

  • Strong nursing leadership, shared organizational decision-making and effective communication;
  • A model of patient care that emphasizes nursing accountability, coordination of patient care and vision of patient advocacy;
  • Commitment to professional nursing “best practices” and professional growth;
  • Continuous quality improvement in practice;
  • Interdisciplinary relationships.

For more information about the Magnet program, click here:  www.nursecredentialing.org

Major Diagnostic Categories
Major Diagnostic Categories (MDCs) are broad groups of Diagnosis Related Groups (DRGs) that relate to an organ or a system (such as the digestive system) and not to an etiology. Examples include MDC 01 - Diseases and Disorders of the Nervous System, MDC 02 - Diseases and Disorders of the Eye, MDC 03 - Diseases and Disorders of the Ear, Nose, Mouth and Throat. Each hospital stay has one DRG and one MDC assigned to it.
Median

The median refers to the midpoint of all charges or lengths of stay for a particular measure.  Half of the charges or lengths of stay were lower than the median and the other half were higher than the median.

Median Charge for DRG 637, Diabetes with Major Complications
Median amount charged for Diabetes with Major Complications
Median Charge for DRG 638, Diabetes with Complications
Median amount charged for Diabetes with Complications
Median Charges: Uterine Procedures for Nonmalignancy without Multiple Complications
Median Charges for Uterine Procedures for Nonmalignancy without Multiple Complications (MS-DRG 743). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Alcohol/Drug Abuse
Median Charges for Alcohol/Drug Abuse (MS-DRG 897). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Appendectomy
Median Charges for Appendectomy without complications or comorbidities (MS-DRG 397). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Arthroscopy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Bronchitis and Asthma
Median Charges for Bronchitis and Asthma without complications or comorbidities (MS-DRG 203). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Bronchitis and Asthma (Pediatric)
Median Charges for Bronchitis and Asthma (Pediatric) without complications or comorbidities (MS-DRG 203). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Bunionectomy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Caesarian Section
Median Charges for Caesarian Section without complications or comorbidities (MS-DRG 766). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Cardiac Catheterization
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Cellulitis
Median Charges for Cellulitis (MS-DRG 603). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Cesarean with Multiple Complications
Median Charges for Cesarean Section with multiple complications (MS-DRG 765). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Chest Pain
Median Charges for Chest Pain without complications or comorbidities (MS-DRG 313). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Chronic Obstructive Pulmonary Disease
Median Charges for Chronic Obstructive Pulmonary Disease without complications or comorbidities (MS-DRG 192). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Colonoscopy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Decompression Peripheral Nerve
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Diabetes
Median Charges for Diabetes without complications or comorbidities (MS-DRG 639). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Diagnostic procedures, male genital
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Digestive Disorders
Median Charges for Digestive Disorders (MS-DRG 392). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Gallbladder Removal By Laparoscope
Median Charges for Gallbladder Removal By Laparoscope without complications or comorbidities (MS-DRG 419). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Heart Failure
Median Charges for Heart Failure without complications or comorbidities (MS-DRG 293). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Heart Failure with Complications
Median Charges for Heart Failure with Complications (MS-DRG 292). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Heart Failure with Multiple Complications
Median Charges for Heart Failure with Multiple Complications (MS-DRG 291). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Inguinal Hernia Repair
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Insertion of catheter or spinal stimulator and injection into spinal canal
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Knee Cartilage Excision
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Laparoscopic Cholecystectomy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Lens Procedures
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Lesion Excision
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Lumpectomy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Major Joint Replacement
Median Charges for Major Joint Replacement (MS-DRG 470). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Metabolic Disorders
Median Charges for Metabolic Disorders (MS-DRG 641). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Myringotomy (Pediatric)
Median Charges for Myringotomy (CCS23). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Neonate with Other Significant Problems (Pediatric)
Median Charges for Neonate with Other Significant Problems (MS-DRG 794). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Normal Newborn
Median Charges for Normal Newborn without complications or comorbidities (MS-DRG 795). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Other non-OR therapeutic procedures, male genital
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Other therapeutic procedures on muscles and tendons
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: PTCA
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Pneumonia
Median Charges for Pneumonia without complications or comorbidities (MS-DRG 195). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Psychoses
Median Charges for Psychoses (MS-DRG 885). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Psychoses (Pediatric)
Median Charges for Psychoses (Pediatric) (MS-DRG 885). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Rehabilitation Multiple Complications
Median Charges for Rehabilitation with Multiple Complications (MS-DRG 945). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Septicemia with Multiple Complications
Median Charges for Septicemia with Multiple Complications (MS-DRG 871). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Tonsillectomy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Tonsillectomy (Pediatric)
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Upper GI Endoscopy
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Urinary Tract Infections
Median Charges for Urinary Tract Infections (MS-DRG 690). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Vaginal Birth
Median Charges for Vaginal Birth without complications or comorbidities (MS-DRG 775). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges: Vaginal Birth (Pediatric)
Median Charges for Vaginal Birth (Pediatric) without complications or comorbidities (MS-DRG 775). Hospital list prices (more commonly referred to as gross charges) are standard prices established by hospitals each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Charges:Lesion Excision
List prices (more commonly referred to as gross charges) are standard prices established by facilities each year for all services. All patients are charged the same list price for the same service before applying discounts. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.
Median Length of Stay for DRG 637, Diabetes with Major Complications
Median Length of Stay for Diabetes with Major Complications
Median Length of Stay for DRG 638, Diabetes with Complications
Median Length of Stay for Diabetes with Complications
Median Length of Stay: Uterine Procedures for Nonmalignancy without Multiple Complications
Median Length of Stay for Uterine Procedures for Nonmalignancy without Multiple Complications (MS-DRG 743)
Median Length of Stay: Alcohol/Drug Abuse
Median Length of Stay for Alcohol/Drug Abuse (MS-DRG 897)
Median Length of Stay: Cellulitis
Median Length of Stay for Cellulitis (MS-DRG 603)
Median Length of Stay: Cesarean with Multiple Complications
Median Length of Stay for with Multiple Complications (MS-DRG 765)
Median Length of Stay: Digestive Disorders
Median Length of Stay for Digestive Disorders (MS-DRG 392)
Median Length of Stay: Heart Failure with Complications
Median Length of Stay for Heart Failure with Complications (MS-DRG 292)
Median Length of Stay: Heart Failure with Multiple Complications
Median Length of Stay for Heart Failure with Multiple Complications (MS-DRG 291)
Median Length of Stay: Major Joint Replacement
Median Length of Stay for Major Joint Replacement (MS-DRG 470)
Median Length of Stay: Metabolic Disorders
Median Length of Stay for Metabolic Disorders (MS-DRG 641)
Median Length of Stay: Neonate with Other Significant Problems (Pediatric)
Median Length of Stay for Neonate with Other Significant Problems (MS-DRG 794)
Median Length of Stay: Psychoses
Median Length of Stay for Psychoses (MS-DRG 885)
Median Length of Stay: Psychoses (Pediatric)
Median Length of Stay for Psychoses (Pediatric) (MS-DRG 885)
Median Length of Stay: Rehabilitation Multiple Complications
Median Length of Stay for Rehabilitation Multiple Complications (MS-DRG 945)
Median Length of Stay: Septicemia with Multiple Complications
Median Length of Stay for Septicemia with Multiple Complications (MS-DRG 871)
Median Length of Stay: Urinary Tract Infections
Median Length of Stay for Urinary Tract Infections (MS-DRG 690)
Median Stay: Appendectomy
Median Length of Stay for Appendectomy without complications or comorbidities (MS-DRG 343).
Median Stay: Bronchitis and Asthma
Median Length of Stay for Bronchitis and Asthma without complications or comorbidities (MS-DRG 203).
Median Stay: Bronchitis and Asthma (Pediatric)
Median Length of Stay for Bronchitis and Asthma (Pediatric) without complications or comorbidities (MS-DRG 203).
Median Stay: Caesarian Section
Median Length of Stay for Caesarian Section without complications or comorbidities (MS-DRG 766).
Median Stay: Chest Pain
Median Length of Stay for Chest Pain without complications or comorbidities (MS-DRG 313).
Median Stay: Chronic Obstructive Pulmonary Disease
Median Length of Stay for Chronic Obstructive Pulmonary Disease without complications or comorbidities (MS-DRG 192).
Median Stay: Diabetes
Median Length of Stay for Diabetes without complications or comorbidities (MS-DRG 639).
Median Stay: Gallbladder Removal By Laparoscope
Median Length of Stay for Gallbladder Removal By Laparoscope without complications or comorbidities (MS-DRG 419).
Median Stay: Heart Failure
Median Length of Stay for Heart Failure without complications or comorbidities (MS-DRG 293).
Median Stay: Normal Newborn
Median Length of Stay for Normal Newborn without complications or comorbidities (MS-DRG 795).
Median Stay: Pneumonia
Median Length of Stay for Pneumonia without complications or comorbidities (MS-DRG 195).
Median Stay: Vaginal Birth
Median Length of Stay for Vaginal Birth without complications or comorbidities (MS-DRG 775).
Median Stay: Vaginal Birth (Pediatric)
Median Length of Stay for Vaginal Birth (Pediatric) without complications or comorbidities (MS-DRG 775).
Median charges

Charges are the undiscounted "list price" that a facility would charge someone with no insurance. The median refers to the midpoint of all charges. Charges are for facility services and accommodation and may not include physician or surgeon fees.

Median length of stay

The median length of stay for patients who had each condition or procedure.

Medicaid
Medicaid A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.
Medical-Surgical Beds
Amount of Medical-Surgical Beds
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N

NHSN CLABSI rate per 1000

CLABSI rate for all participating NHSN hospitals of that location type (the patient care area to which a patient is assigned while receiving care while in the facility, e.g. ICU).  This can be viewed as a "standard population" to which hospital specific rates are compared.

National Healthcare Safety Network (NHSN)

The National Healthcare Safety Network (NHSN) is a voluntary, secure, internet-based surveillance system that integrates and expands legacy patient and health care personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention.

The reporting criteria and methods required by NHSN are detailed on the NHSN Web site  at http://www.cdc.gov/nhsn.

National Healthcare Safety Network (NHSN) Central Line-Associated Bloodstream Infections (CLABSI) rate per 1000

An aggregate central line-associated bloodstream infection (CLABSI) rate for all hospitals participating in the National Healthcare Safety Network (NHSN) with the location type adult ICU. This can be viewed as a "standard" population to which hospital specific rates are compared.

Neonatal ICU Beds
Amount of Neonatal ICU Beds for an entity
Non-Emergent Cases as a Crude rate per 10,000 area population.
Emergency department visits for cases where the patient's condition and age indicated that immediate medical care was not needed as a Crude rate per 10,000 area population.
Non-Emergent Cases as a percentage of all ED cases in the area.
Emergency department visits for cases where the patient's condition and age indicated that immediate medical care was not needed as a percentage of all ED visits
Number of Infection Prevention and Control Staff per 100 Beds
This measure shows the total number of hospital Infection Prevention and Control (IP&C) staff per 100 authorized beds.
Number of Infection Prevention and Control Staff per 100 Beds who are Certified in Infection Control (CIC)
This measure shows the total number of certified (CIC) hospital Infection Prevention and Control (IP&C) staff per 100 authorized beds.
Number of International Board Certified Lactation Consultant Staff per 1000 Live Births
This measure shows the total number of International Board Certified Lactation Consultant staff per 1000 live births.
Number of Patients: Uterine Procedures for Nonmalignancy without Multiple Complications
Number of Patients for Uterine Procedures for Nonmalignancy without Multiple Complications (MS-DRG 743)
Number of Patients: Alcohol/Drug Abuse
Number of Patients for Alcohol/Drug Abuse (MS-DRG 897)
Number of Patients: Appendectomy
Number of Patients with an Appendectomy without complications or comorbidities (MS-DRG 343).
Number of Patients: Arthroscopy
The number of patients who received an Arthroscopy (CCS 149).
Number of Patients: Bronchitis and Asthma
Number of Patients with Bronchitis and Asthma without complications or comorbidities (MS-DRG 203).
Number of Patients: Bronchitis and Asthma (Pediatric)
Number of Patients with Bronchitis and Asthma (Pediatric) without complications or comorbidities (MS-DRG 203).
Number of Patients: Bunionectomy
The number of patients who received a Bunionectomy (CCS 143).
Number of Patients: Caesarian Section
Number of Patients with Caesarian Section without complications or comorbidities (MS-DRG 766).
Number of Patients: Cardiac Catheterization
The number of patients who received Diagnostic Cardiac Catheterization (CCS 47)
Number of Patients: Cellulitis
Number of Patients for Cellulitis (MS-DRG 603)
Number of Patients: Cesarean with Multiple Complications
Number of Patients for with Multiple Complications (MS-DRG 765)
Number of Patients: Chest Pain
Number of Patients with Chest Pain without complications or comorbidities (MS-DRG 313).
Number of Patients: Chronic Obstructive Pulmonary Disease
Number of Patients with Chronic Obstructive Pulmonary Disease without complications or comorbidities (MS-DRG 192).
Number of Patients: Colonoscopy
The number of patients who received a Colonoscopy with Biopsy (CCS 76).
Number of Patients: Decompression Peripheral Nerve
The number of patients who received treatment for a Decompression Peripheral Nerve (CCS 6).
Number of Patients: Diabetes
Number of Patients with Diabetes without complications or comorbidities (MS-DRG 639).
Number of Patients: Diabetes with Complications
Number of Patients with Diabetes with Complications (MS-DRG 638).
Number of Patients: Diabetes with Major Complications
Number of Patients with Diabetes with Major Complications (MS-DRG 637).
Number of Patients: Diagnostic procedures, male genital
The number of Patients who received diagnostic procedures, male genital (CCS 116)
Number of Patients: Digestive Disorders
Number of Patients for Digestive Disorders (MS-DRG 392)
Number of Patients: Gallbladder Removal
Number of Patients with Gallbladder Removal By Laparoscope without complications or comorbidities (MS-DRG 419).
Number of Patients: Heart Failure
Number of Patients with Heart Failure without complications or comorbidities (MS-DRG 293).
Number of Patients: Heart Failure with Complications
Number of Patients for Heart Failure with Complications (MS-DRG 292)
Number of Patients: Heart Failure with Multiple Complications
Number of Patients for Heart Failure with Multiple Complications (MS-DRG 291)
Number of Patients: Inguinal Hernia Repair
The number of patients who received an Inguinal and Femoral Hernia Repair (CCS 85).
Number of Patients: Insertion of catheter or spinal stimulator and inj
The number of patients who received an insertion of catheter or spinal stimulator and injection (CCS 5)
Number of Patients: Knee Cartilage Excision
The number of patients who received an Excision of Semilunar Knee Cartilage (CCS 151).
Number of Patients: Laparoscopic Cholecystectomy
The Number of Patients for Laparoscopic Cholecystectomy (CCS 84)
Number of Patients: Lens Procedures
The number of patients who received Lens and Cataract Procedures (CCS 15).
Number of Patients: Lesion Excision
The number of patients who received an Excision of Skin Lesion (CCS 170).
Number of Patients: Lumpectomy
The number of patients who received a Lumpectomy, Breast Quadrantectomy (CCS 166)
Number of Patients: Major Joint Replacement
Number of Patients for Major Joint Replacement (MS-DRG 470)
Number of Patients: Metabolic Disorders
Number of Patients for Metabolic Disorders (MS-DRG 641)
Number of Patients: Myringotomy (Pediatric)
This measure counts the number of patients classified into this APR DRG
Number of Patients: Neonate with Other Significant Problems (Pediatric)
Number of Patients for Neonate with Other Significant Problems (MS-DRG 794)
Number of Patients: Normal Newborn
Number of Patients with Normal Newborn without complications or comorbidities (MS-DRG 795). This measure counts the number of patients classified into this DRG.
Number of Patients: Other Therapeutic Procedures on Muscles and Tendons
The number of patients who received treatment for Other Therapeutic Procedures on Muscles and Tendons (CCS 160).
Number of Patients: Other non-OR therapeutic procedures, male genital
The number of patients other non-OR therapeutic procedures, male genital (CCS 117)
Number of Patients: PTCA
The number of patients who received percutaneous transluminal coronary angioplasty (CCS 45)
Number of Patients: Pneumonia
Number of Patients with Pneumonia without complications or comorbidities (MS-DRG 195).
Number of Patients: Psychoses
Number of Patients for Psychoses (MS-DRG 885)
Number of Patients: Psychoses (Pediatric)
Number of Patients for Psychoses (Pediatric) (MS-DRG 885)
Number of Patients: Rehabilitation Multiple Complications
Number of Patients for Rehabilitation Multiple Complications (MS-DRG 945)
Number of Patients: Septicemia with Multiple Complications
Number of Patients for Septicemia with Multiple Complications (MS-DRG 871)
Number of Patients: Tonsillectomy
The number of patients who received a Tonsillectomy and/or Adenoidectomy (CCS 30).
Number of Patients: Tonsillectomy (Pediatric)
The number of patients who received a Tonsillectomy and/or Adenoidectomy (Pediatric) (CCS 30).
Number of Patients: Upper GI Endoscopy
The number of patients who received an Upper Gastrointestinal Endoscopy with Biopsy (CCS 70).
Number of Patients: Urinary Tract Infections
Number of Patients for Urinary Tract Infections (MS-DRG 690)
Number of Patients: Vaginal Birth
Number of Patients with Vaginal Birth without complications or comorbidities (MS-DRG 775).
Number of Patients: Vaginal Birth (Pediatric)
Number of Patients with Vaginal Birth (Pediatric) without complications or comorbidities (MS-DRG 775).
Number of Specially Trained Lactation Consultant Staff per 1000 Live Births
This measure shows the total number of specially trained Lactation Consultant staff per 1000 live births.
Number of central line days

The total number of days of exposure to the device (central line) by all of the patients in the selected population (ICU) during the selected time period.

Numerator
Numerator the number of individuals who actually experience the event or outcome of interest. The numerator, along with the denominator, is used to calculate rates. The numerator is the top half of a fraction.
Nurses Always Communicated Well
This measure is used to assess the percentage of respondents who reported their nurses always communicated well.
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OB/Gynecology Beds
Amount of Obstetrician/Gynecological Beds for an entity
Obstetric Trauma - Instrument-assisted Vaginal Delivery
This measure is used to assess the number of cases of obstetric trauma per 1,000 instrument-assisted vaginal deliveries. (PSI 18)
Obstetric Trauma - Vaginal Delivery without Instrument
This measure is used to assess the number of cases of obstetric trauma (3rd or 4th degree lacerations) per 1,000 vaginal deliveries without instrument assistance. (PSI 19)
Operating Room Count
The amount of operating rooms an asc is reported as having
Overall Blood Clot Care
A composite score given to an entity based on the outcome of all available and relevant Blood Clot measure data
Overall Heart Failure Care
Several treatments have been proven to give the best results to most adults with heart failure. The measure shows how often a hospital gave these treatments to their patients for this condition. All reported process measures were included in the composite.
Overall Preventive Care
AHRQ collects various measures related to preventive quality improvement. This measure is a weighted average of those measures collected by AHRQ.
Overall Stroke Care
A composite score given to an entity based on the outcome of all available and relevant Stroke measure data
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PTCA (Percutaneous Transluminal Coronary Angioplasty)

PTCA, Percutaneous Transluminal Coronary Angioplasty, often called angioplasty is a procedure that can be performed to open up or enlarge narrowed arteries in the heart.  When the arteries in the heart become narrowed, blood will not flow through as effectively.

Pain Was Always Well Controlled
This measure is used to assess the percentage of respondents who reported their pain was always well controlled.
Patient Safety Indicators

PSIs are a set of measures that screen for adverse events that patients experience as a result of exposure to the health care system. These events are likely amenable to prevention by changes at the system or provider level. Additional information can be found at http://www.qualityindicators.ahrq.gov/.

Patient age in years
Patient age in years is calculated on the basis of the admission date to the hospital and date of birth. Information is listed as provided in the medical record.
Patient's Room Always Kept Quiet At Night
This measure is used to assess the percentage of respondents who reported their room was always kept quiet at night.
Patient's Room and Bathroom Always Kept Clean
This measure is used to assess the percentage of respondents who reported their room and bathroom were always kept clean.
Patients Always Received Help As Soon As They Wanted
This measure is used to assess the percentage of respondents who reported that they always received help as soon as they wanted.
Patients Given Information About Recovery At Home
This measure is used to assess the percentage of respondents who reported whether ("Yes" or "No") they were provided specific discharge information.
Patients Would Definitely Recommend This Hospital to Friends and Family
This measure is used to assess the percentage of respondents who reported whether ("Definitely No," "Probably No," "Probably Yes," or "Definitely Yes") they were willing to recommend this hospital to their family and friends.
Patients who "Strongly Agree" they understood their care when they left the hospital
This measure is used to assess the percentage of respondents who strongly agreed that they understood their care when leaving the hospital
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it
This measure is used to assess the percent of patients diagnosed with confirmed venous thromboembolism (VTE) during hospitalization (not present at admission) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnosis testing order date.
Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery
Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to Surgical Incision Time to 24 hours after Surgery End Time.
Patients who got treatment to prevent blood clots on the day of or day after being admitted to the intensive care unit (ICU)
This measure is used to assess the percent of patients who received venous thromboembolism (VTE) prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after initial admission (or transfer) to the intensive care unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer).
Patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery
This measure is used to assess the percent of patients who received venous thromboembolism (VTE) prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission.
Patients with blood clots who got the recommended treatment, which includes using two different blood thinner medicines at the same time
This measure is used to assess the number of patients diagnosed with confirmed venous thromboembolism (VTE) who received an overlap of parenteral (intravenous [IV] or subcutaneous [subcu]) anticoagulation and warfarin therapy. For patients who received less than five days of overlap therapy, they must be discharged on both medications or have a Reason for Discontinuation of Overlap Therapy. Overlap therapy must be administered for at least five days with an international normalized ratio (INR) greater than or equal to 2 prior to discontinuation of the parenteral anticoagulation therapy or the patient must be discharged on both medications or have a Reason for Discontinuation of Overlap Therapy.
Patients with blood clots who were discharged on a blood thinner medicine and received written instructions about that medicine
This measure is used to assess the percent of patients diagnosed with confirmed venous thromboembolism (VTE) that are discharged to home, home care, court/law enforcement or home on hospice care on warfarin with written discharge instructions that address all four criteria: compliance issues, dietary advice, follow-up monitoring, and information about the potential for adverse drug reactions/interactions.
Patients with blood clots who were treated with an intravenous blood thinner, and then were checked to determine if the blood thinner was putting the patient at an increased risk of bleeding
This measure is used to assess the percent of patients diagnosed with confirmed venous thromboembolism (VTE) who received intravenous (IV) unfractionated heparin (UFH) therapy dosages AND had their platelet counts monitored using defined parameters such as a nomogram or protocol.
Pediatric Beds
Amount of Pediatric Beds
Pediatric Cardiothoracic ICU

Critical care area specializing in the care of patients < 18 years old following cardiac and thoracic surgery.

Pediatric Emergency Department Asthma Visit Rate
The rate of pediatric ED visits for Asthma, expressed as an area-level rate. This rate is compared to the total population and expressed per 10,000 people.
Pediatric Emergency Department Asthma Visit Rate: Black
The rate of pediatric Asthma ED visits for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 10,000 people.
Pediatric Emergency Department Asthma Visit Rate: Hispanic
The rate of pediatric Asthma ED visits for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 10,000 people.
Pediatric Emergency Department Asthma Visit Rate: White
The rate of pediatric Asthma ED visits for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 10,000 people.
Pediatric Iatrogenic Pneumothorax (health care-associated collapsed lung) in Non-Neonates
This measure is used to assess the number of cases of iatrogenic pneumothorax (health care-associated collapsed lung) per 1000 Pediatric patients who are considered Non-Neonates.
Pediatric Medical ICU

Critical care area for patients < 18 years old who are being treated for nonsurgical conditions.

Pediatric Medical-Surgical ICU

An area where critically ill patients <18 years old with medical and/or surgical conditions are managed.

Pediatric heart surgery mortality
This measure is used to assess the number of in-hospital deaths in patients undergoing surgery for congenital heart disease per 1,000 patients.
Pediatric heart surgery: volume
This measure is used to assess the number of patients undergoing surgery for congenital heart disease
Percent Bypass Hours
This measure shows the percentage of hours an emergency room was placed on bypass status, diverting ambulances to other local emergency rooms. Not all hospitals experience the need to go on bypass.
Percent LPN Nursing Staff Hours (Critical Care)
The percentage of nursing staff hours that are staffed by licensed practical nurses.
Percent LPN Nursing Staff Hours (Medical-Surgical)
The percentage of nursing staff hours that are staffed by licensed practical nurses.
Percent LPN Nursing Staff Hours (Mother/Baby)
The percentage of nursing staff hours that are staffed by licensed practical nurses.
Percent Nursing Assistant Staff Hours (Critical Care)
The percentage of nursing staff hours that are staffed by nurse assistants.
Percent Nursing Assistant Staff Hours (Medical-Surgical)
The percentage of nursing staff hours that are staffed by nurse assistants (Medical-Surgical).
Percent Nursing Assistant Staff Hours (Mother/Baby)
The percentage of nursing staff hours that are staffed by nurse assistants.
Percent Patients Charity Care: Hospital Inpatient
What portion of the patients have this source as their payor.
Percent Patients Charity Care: Hospital Outpatient
What portion of the patients have this source as their payor.
Percent Patients Medicaid
What portion of the patients have this source as their payor.
Percent Patients Medicaid: Hospital Inpatient
What portion of the patients have this source as their payor.
Percent Patients Medicaid: Hospital Outpatient
What portion of the patients have this source as their payor
Percent Patients Medicare
What portion of the patients have this source as their payor.
Percent Patients Medicare: Hospital Inpatient
What portion of the patients have this source as their payor.
Percent Patients Medicare: Hospital Outpatient
What portion of the patients have this source as their payor
Percent Patients Other Public Financing
What portion of the patients have this source as their payor.
Percent Patients Other Public Financing: Hospital Inpatient
What portion of the patients have this source as their payor.
Percent Patients Other Public Financing: Hospital Outpatient
What portion of the patients have this source as their payor
Percent Patients Private Insurance
What portion of the patients have this source as their payor.
Percent Patients Private Insurance: Hospital Inpatient
What portion of the patients have this source as their payor.
Percent Patients Private Insurance: Hospital Outpatient
What portion of the patients have this source as their payor
Percent Patients Private Pay: Hospital Inpatient
What portion of the patients have this source as their payor.
Percent Patients Private Pay: Hospital Outpatient
What portion of the patients have this source as their payor
Percent Patients Self Pay
What portion of the patients have this source as their payor.
Percent RN Nursing Staff Hours (Critical Care)
The percentage of nursing staff hours that are staffed by registered nurses.
Percent RN Nursing Staff Hours (Medical-Surgical)
The percentage of nursing staff hours that are staffed by registered nurses.
Percent RN Nursing Staff Hours (Mother/Baby)
The percentage of nursing staff hours that are staffed by registered nurses.
Percent Revenue Medicaid
What portion of the revenue comes from this source.
Percent Revenue Medicaid: Hospital Inpatient
What portion of the revenue comes from this source
Percent Revenue Medicaid: Hospital Outpatient
What portion of the revenue comes from this source
Percent Revenue Medicare
What portion of the revenue comes from this source.
Percent Revenue Medicare: Hospital Inpatient
What portion of the revenue comes from this source
Percent Revenue Medicare: Hospital Outpatient
What portion of the revenue comes from this source
Percent Revenue Other Public Financing
What portion of the revenue comes from this source.
Percent Revenue Other Public Financing: Hospital Inpatient
What portion of the revenue comes from this source
Percent Revenue Other Public Financing: Hospital Outpatient
What portion of the revenue comes from this source
Percent Revenue Private Insurance
What portion of the revenue comes from this source.
Percent Revenue Private Insurance: Hospital Inpatient
What portion of the revenue comes from this source
Percent Revenue Private Insurance: Hospital Outpatient
What portion of the revenue comes from this source
Percent Revenue Private Pay
What portion of the revenue was from this source.
Percent Revenue Private Pay: Hospital Inpatient
What portion of the revenue comes from this source
Percent Revenue Private Pay: Hospital Outpatient
What portion of the revenue comes from this source
Percent of Emergency Department Asthma Visits: Medicaid
The percentage of ED visits for Asthma where Medicaid was the primary payer.
Percent of Emergency Department Asthma Visits: Medicare
The percentage of ED visits for Asthma where Medicare was the primary payer.
Percent of Emergency Department Asthma Visits: Private Insurance
The percentage of ED visits for Asthma where Private Insurance was the primary payer.
Percent of Emergency Department Asthma Visits: Uninsured/Other
The percentage of ED visits for Asthma where patient was Uninsured (either Other or Self Pay).
Percent of Emergency Department Type 2 Diabetes Visits: Medicaid
The percentage of ED visits for Type 2 Diabetes where Medicaid was the primary payer.
Percent of Emergency Department Type 2 Diabetes Visits: Medicare
The percentage of ED visits for Type 2 Diabetes where Medicare was the primary payer.
Percent of Emergency Department Type 2 Diabetes Visits: Private Insurance
The percentage of ED visits for Type 2 Diabetes where Private Insurance was the primary payer.
Percent of Emergency Department Type 2 Diabetes Visits: Uninsured/Other
The percentage of ED visits for Type 2 Diabetes where patient was Uninsured (either Other or Self Pay).
Percent of Households: Income 100000 to 149999
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income 150000 to 199999
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income 20000 to 39999
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income 200000 or more
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income 40000 to 59999
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income 60000 to 74999
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income 75000 to 99999
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Households: Income under 20000
The amount of households within a given income bracket standardized by the total households within a predetermined region
Percent of Patients Highly Satisfied
This measure is used to assess adult inpatients' perception of their hospital. Patients rate their hospital on a scale from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospital possible.
Percent of Patients that Discontinued Care or Left Against Medical Advice
This measures shows the percent of emergency department patients that discontinued care or left against medical advice.
Percent of Pediatric Emergency Department Asthma Visits: Medicaid
The percentage of pediatric ED visits for Asthma where Medicaid was the primary payer.
Percent of Pediatric Emergency Department Asthma Visits: Medicare
The percentage of pediatric ED visits for Asthma where Medicare was the primary payer.
Percent of Pediatric Emergency Department Asthma Visits: Private Insurance
The percentage of pediatric ED visits for Asthma where Private Insurance was the primary payer.
Percent of Pediatric Emergency Department Asthma Visits: Uninsured/Other
The percentage of pediatric ED visits for Asthma where patient was Uninsured (either Other or Self Pay).
Percent of Population 16 years and over: In the Labor Force
The percent of population who are 16 years of age or over and in the labor force
Percent of Population 25 and older with a Graduate Degree
The percent of the population that is over 25 with a Graduate Degree
Percent of Population 25 and older with no degree but some college education
The percent of the population that is over 25 with no college degree but some college education
Percent of Population 25 and older with no diploma, educational attainment up to 12th grade
The percent of the population that is over 25 with no high school diploma but some high school education
Percent of Population 25 years and over
The percent of population who are 25 years of age or over
Percent of adults aged 18 or older who are current smokers
Measure of the percentage of the population that are currently smokers
Percent of adults aged 18 or older who are obese
Measure of the percentage of the population that is considered obese (BMI>30)
Percent of population 25 and older with a Bachelors degree
Percentage of population that has received a Bachelors degree
Percent of population 25 and older with a high school (or equivalent) degree
Percentage of population that has received a high school diploma or equivalent
Percent of population Asian
Percentage of population of asian descent
Percent of population Black
Percentage of population of black descent
Percent of population Latino or Hispanic
Percentage of population of latino or hispanic descent
Percent of population Other
Percentage of population of other descent
Percent of population White
Percentage of population of white descent
Percent of population aged 0 to 17
Percentage of population within a given age bracket
Percent of population aged 25 to 34
Percentage of population within a given age bracket
Percent of population aged 35 to 49
Percentage of population within a given age bracket
Percent of population aged 50 to 64
Percentage of population within a given age bracket
Percent of population aged 65 and over
Percentage of population within a given age bracket
Percent of population aged18 to 24
Percentage of population within a given age bracket
Percentage of Nursing Hours Worked by Contractual RNs (Critical Care)
Hospitals employ nurses directly and also contract staff from outside agencies. This measure shows what percentage of RNs in the Critical Care unit are contracted or from agencies. Contracted nurses are used to fill short or long term gaps in nurse staffing.
Percentage of Nursing Hours Worked by Contractual RNs (Medical-Surgical)
Hospitals employ nurses directly and also contract staff from outside agencies. This measure shows what percentage of RNs in the Medical-Surgical unit are contracted or from agencies. Contracted nurses are used to fill short or long term gaps in nurse staffing.
Percentage of Nursing Hours Worked by Contractual RNs (Mother/Baby)
Hospitals employ nurses directly and also contract staff from outside agencies. This measure shows what percentage of RNs in the Mother/Baby unit are contracted or from agencies. Contracted nurses are used to fill short or long term gaps in nurse staffing.
Percentage of Nursing Hours Worked by Hospital Employed RNs (Critical Care)
Hospitals employ nurses directly and also contract staff from outside agencies. This measure shows what percentage of RNs in the Critical Care unit are employed directly by the hospital.
Percentage of Nursing Hours Worked by Hospital Employed RNs (Medical-Surgical)
Hospitals employ nurses directly and also contract staff from outside agencies. This measure shows what percentage of RNs in the Medical-Surgical unit are employed directly by the hospital.
Percentage of Nursing Hours Worked by Hospital Employed RNs (Mother/Baby)
Hospitals employ nurses directly and also contract staff from outside agencies. This measure shows what percentage of RNs in the Mother-Baby unit are employed directly by the hospital.
Percentage of babies exclusively breast fed
This measure shows the percentage of newborns discharged from the hospital that are exclusively breast fed
Percentage of babies exclusively formula fed
This measure shows the percentage of newborns discharged from the hospital that are exclusively fed formula
Percentage of babies with "any" breast feeding
This measure shows the percentage of newborns discharged from the hospital with "any" breast feeding, including exclusive breast feeding or mixed breast and formula feeding
Percutaneous Coronary Interventions (PCI)

The procedures called Percutaneous Coronary interventions (PCI), such as angioplasty and atherectomy ,are among those that are the most effective for opening blocked blood vessels that cause heart attacks.  Doctors may perform a PCI, or give medicine to open the blockage, and in some cases, may do both.

Perforated Appendix
This measure is used to assess the number of admissions for perforated appendix per 100 admissions for appendicitis within a county.
Perinatal

The Illinois Regionalized Perinatal System was developed to improve perinatal outcomes by ensuring an appropriate level of care is provided for all pregnant women, and by effectively meeting the needs of the patient. The system aims to reduce the incidence of perinatal complications through early identification and treatment of the high-risk woman of childbearing age, fetus and newborn.

The system is a specifically coordinated program that combines medical, nursing and other ancillary services to focus on risk factors of pregnancy, potential complications of labor and delivery, and high-risk neonatal procedures. It consists of 10 administrative perinatal centers; each connected to its group of network hospitals.

Illinois's perinatal system distinguishes between three major levels of care. The levels vary by the type and complexity of patients served, the availability of sub-specialists, and access to specialized equipment and facilities. The specifically designated administrative perinatal centers oversee 133 hospitals, providing each with high-risk medical services, meeting the educational needs of hospital staff, reviewing the quality of services provided, and preparing them for designation or re-designation of specific Perinatal care level status.

The levels of perinatal care in Illinois hospitals are

  • Level 1: Hospitals provide care to women with uncomplicated pregnancies and no history of medical complications. These do not contain special care or neonatal intensive care nurseries.
     
  • Level 2: Hospitals provide care to pregnant women and newborns with a selected level of risk for medical complications. They have additional facilities and services, but they do not contain special care or neonatal intensive care nurseries.

    Level 2 with Extended Capabilities: Hospitals with extended neonatal capabilities that provide an intermediate level of care to pregnant women and more complex care to newborns, when required. These hospitals do not have a neonatal intensive care nursery, but they do maintain a special care nursery that is covered by a neonatologist who is specifically trained to treat newborns requiring special care.
     
  • Level 3: Hospitals provide an intensive care approach for high-risk women who are vulnerable to complicated pregnancies and for at-risk newborns. They provide sub-specialty care for both high-risk pregnancies and for newborns at-risk, and are equipped with neonatal intensive care units.

List of all perinatal centers

Physical Inactivity
The percentage of the adult population that reported having no leisure time physical activity.
Pneumonia

Pneumonia is an infection of the lungs that can cause mild to severe illness in people of all ages.  Signs of pneumonia can include coughing, fever, fatigue, nausea, vomiting, rapid breathing or shortness of breath, chills, or chest pain. Certain people are more likely to become ill with pneumonia. This includes adults 65 years of age or older and children younger than 5 years of age.  People younger than 64 years of age who have underlying medical conditions (like diabetes or HIV/AIDS) and people 19 through 64 who smoke cigarettes or have asthma are also at increased risk for getting pneumonia.

Pneumonia (pneumococcal) Vaccination

This is a vaccine given to prevent pneumonia, estimated to protect against 80 percent of bacteria causing pneumonia.

Pneumonia 30-Day Mortality Rate
This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for pneumonia.
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)
Pneumonia patients given the most appropriate initial antibiotic regimen during the first 24 hours of hospitalization that is consistent with current guidelines.
Pneumonia Patients Readmitted to Hospital Within 30 Days
This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for pneumonia.
Postoperative Hemorrhage or Hematoma
The number of cases of hematoma or hemorrhage requiring a procedure per 1,000 surgical discharges. (PSI 09)
Postoperative Hip Fracture
The number of cases of in-hospital hip fracture per 1,000 surgical discharges(PSI 08).
Postoperative Lung Embolism or Deep Vein Thrombosis (clotting)
The number of cases of deep vein thrombosis or pulmonary embolism per 1,000 surgical discharges (PSI 12).
Postoperative Respiratory Failure
The number of cases of acute respiratory failure per 1,000 elective surgical discharges. (PSI 11)
Pre-surgical antibiotic given at the right time
This measure shows the percentage of patients having surgery who received preventive antibiotic(s) one hour before the incision.
Preventive antibiotics stopped at right time
This measure shows the percentage of patients having surgery whose preventive antibiotics were stopped no later than 24 hours after surgery.
Primary Cesarean Delivery Rate
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of Cesarean deliveries per 1000 deliveries in women with no history of previous Cesarean delivery. (IQI 33)
Primary PCI Received Within 90 Minutes of Hospital Arrival
Heart attack patients who receive procedures called Percutaneous Coronary Interventions (PCI) that open blocked blood vessels, within 90 minutes of arrival at the hospital.
Principal diagnosis
Principal diagnosis The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. The principal diagnosis is always the reason for admission.
Principal procedure
Principal procedure The procedure that was performed for definitive treatment rather than one performed for diagnostic or exploratory purposes, or the procedure that was necessary to take care of a complication. If two procedures appear to meet this definition, then the one most related to the principal diagnosis should be selected as the principal procedure.
Procedure Room Count
The number of procedure rooms an ambulatory surgery center reports having.
Pulmonary Edema

Pulmonary edema (PE), or fluid in the lungs, can occur for a variety of reasons.   One cause is when part of a clot in a vein or from a deep vein thrombosis breaks off and travels through the bloodstream to the lungs.  Pulmonary edema can cause serious illness, disability or death.  Symptoms can include difficulty breathing, breathing faster than normal, chest pain and coughing up blood.  Immediate medical attention is indicated.

p value

The probability value from a significance test comparing the local hospital to the NHSN aggregate rate.

patients

These measures count the number of patients classified into each Diagnosis Related Group.

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R

RN Turnover Rate in the Critical Care Unit
Registered Nurse Turnover Rate in the Critical Care Unit
RN Turnover Rate in the Medical-Surgical Unit
Registered Nurse Turnover Rate in the Medical-Surgical Unit
RN Turnover Rate in the Mother/Baby Unit
Registered Nurse Turnover Rate in the Mother/Baby Unit
Rate

A rate is an expression of probability of occurrence of an event.  It is usually expressed as (x/y)k, where x, the numerator, is the number of times an event has occurred during a specified time period; y, the denominator, equals the population from which those experiencing the event were derived during the same time period; and k is the base or a round number (e.g., 100, 1000, or 10,000) that can help express the rate as a whole integer.  The time period must be specified and be identical for the numerator and denominator for the rate to be meaningful.
 

Rehabilitation Beds
Amount of Rehabilitation Beds for an entity
Risk Adjustment

Some hospitals tend to treat higher-risk patients who have a greater chance of dying following a surgical procedure or treatment for a serious medical condition. To assure all Illinois hospitals are assessed fairly, IDPH uses statistical risk adjustment to account for patient differences. Inpatient mortality indicators and patient safety indicators presented here have been risk-adjusted using the All Patient Refined Diagnosis Related Groups (APR-DRGs), a proprietary tool of the 3M Health Information Systems Corporation. Risk-adjusted rates are the estimated performance of hospitals if they had an ‘average’ mix of patients, known as "case mix".  Estimates of the average case mix reflect the distribution in age, sex, and risk of mortality and severity of illness.

For specific information about the adjustments used, please consult http://www.qualityindicators.ahrq.gov/pqi_overview.htm

Risk-adjusted Mortality Rate: Congestive heart failure
Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 discharges with principal diagnosis code of congestive heart failure (CHF) (IQI 16).
Risk-adjusted Mortality Rate: Heart Attack Deaths, Not Including Transfers
Timely and effective treatments for heart attack, which are essential for patient survival, include appropriate therapy to dissolve blood clots and reopen blood vessels. Better processes of care may reduce mortality for heart attack, which represents better quality. This measure is used to assess the number of deaths per 1000 discharges with the principle diagnosis of heart attack (acute myocardial infarction). (IQI 32)
Risk-adjusted Mortality Rate: Hip Fracture
Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 discharges with principal diagnosis code of hip fracture (IQI 19).
Risk-adjusted Mortality Rate: Hip Replacement
Total hip arthroplasty (without hip fracture) is an elective procedure performed to improve function and relieve pain among patients with chronic osteoarthritis, rheumatoid arthritis, or other degenerative processes involving the hip joint. Better processes of care may reduce mortality for hip replacement, which represents better quality care. This measure is used to assess the number of deaths per 1000 patients with discharge procedure code of partial or full hip replacement.(IQI 14)
Risk-adjusted Mortality Rate: Inpatient Bypass Graft Deaths
Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 patients with discharge procedure code coronary artery bypass graft. (IQI 12)
Risk-adjusted Mortality Rate: Inpatient Heart Attack Deaths
Timely and effective treatments for heart attack, which are essential for patient survival, include appropriate therapy to dissolve blood clots and reopen blood vessels. Better processes of care may reduce mortality for heart attack, which represents better quality. This measure is used to assess the number of deaths per 1000 discharges with the principle diagnosis of heart attack (acute myocardial infarction) (IQI 15).
Risk-adjusted Mortality Rate: Pneumonia
Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess mortality per 1000 discharges with principal diagnosis code of pneumonia (IQI 20).
Risk-adjusted Mortality Rate: Stroke
Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 discharges with principal diagnosis code of stroke (IQI 17).
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S

Short Term Complications of Diabetes - Black
The rate of preventable hospitalizations for short term complications from Diabetes for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 100,000 people.
Short Term Complications of Diabetes - Hispanic
The rate of preventable hospitalizations for short term complications from Diabetes for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 100,000 people.
Short Term Complications of Diabetes - White
The rate of preventable hospitalizations for short term complications from Diabetes for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 100,000 people.
Staff Always Explained About Medicines
This measure is used to assess the percentage of respondents who reported that the staff always explained about medicines.
Standardized Infection Ratio

The Standardized Infection Ratio (SIR) is a summary measure used to compare the central line associated bloodstream infection (CLABSI) experience among one or more groups of patients to that of a standard population.  It is the observed number of infections divided by the expected number of infections.

For health care associated infection reports, the standard population comes from National Health Safety Network (NHSN) data reported from all hospitals using the system.  "Expected" is based on historical data for those procedures at the national level.

A general interpretation of the SIR is as follows:

If the SIR equals 1.0 (observed number of CLABSI infections equals the expected number of CLABSI infections based on the NHSN data) there is no difference between the observed number and the expected number.

If the SIR is greater than 1.0, the number of CLABSI infections observed in a specific hospital is greater than the number of CLABSI infections expected based on the NHSN pooled data.

If the SIR is less than 1.0, the number CLABSI infections observed in a specific hospital is less than the number of CLABSI infections expected based on the NHSN pooled data.

To assess whether the difference between the observed number of CLABSI infections is significantly different from the expected number of CLABSI infections, a 95% confidence interval for the SIR is calculated.  The confidence interval for a hospital’s SIR is the range of possible SIRS within which there is a 95% confidence that the real SIR for that hospital lies, given the number of infections and procedures that were observed in that hospital in a specific time period.

If the 95% confidence interval includes 1.0, the hospital’s infection rate is similar (not statistically significantly different) from the “expected” (predicted).

If the SIR is greater than 1.0 and the 95% confidence interval does not include 1.0, the hospital’s infection rate is statistically significantly higher than “expected” (predicted).

If the SIR is less than 1.0 and the 95% confidence interval does not include 1.0, the hospital’s infection rate is statistically significantly lower than “expected” (predicted).

All conclusions are based on the assumption that the hospital’s patient population is similar to the NHSN pooled patient population.
 

Stroke

A stroke occurs either when the blood supply to part of the brain is blocked or when a blood vessel in or around the brain bursts, causing damage to a part of the brain. A stroke is also sometimes called a brain attack.

Surgery Patients on a Beta-Blocker Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period
Surgery patients who were taking heart drugs called beta-blockers before coming to the hospital, who were kept on the beta-blockers during the period just before and after their surgery.
Surgery patients whose urinary catheters were removed on the first or second day after surgery
Shows the percent of surgery patients whose urinary catheters were removed on the first or second day after surgery.
Surgical Care Improvement Project (SCIP)

The Surgical Care Improvement Project is a national quality partnership of organizations that are dedicated to improving surgical care.  SCIP develops evidence-based measures to determine how well hospitals care for their surgical patients.
 

Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery
Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio
Surgical Site Infections Associated with Total Knee Replacement Surgery
Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio
Surgical patients who were given the right kind of antibiotic
Certain antibiotics are recommended to help prevent wound infection for particular types of surgery. This measure shows the percentage of patients who received the appropriate preventive antibiotic(s) for their surgery.
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T

Time from ED arrival to ED departure for admitted ED patients
Average (median) time, in minutes, patients spent in the ED before they were admitted to the hospital as an inpatient.
Time from ED arrival to ED departure for discharged ED patients
Average (median) time patients spent in the emergency department before being sent home
Time from ED arrival to diagnostic evaluation by a qualified medical professional
Average (median) time patients spent in the emergency department before they were seen by a healthcare professional
Time from ED arrival to pain medication for long bone fractures
Average (median) time patients who came to the emergency department with broken bones had to wait before receiving pain medication.
Total Beds
The number of Beds in an entity for the state of Illinois as reported by IDPH
Total Cases ED
This measure shows the number of outpatient emergency room patient visits that were not admitted to the hospital.
Total Charges ED
This measure shows the total charges for outpatient emergency room patient visits that were not admitted to the hospital.
Total Charges for Cases with Principal Diagnosis Indicating Alcohol-related Health.
This measure shows the total charges for cases with the principal diagnosis indicating alcohol-related health tabulated separately and not included in the emergent classification scheme.
Total Charges for Cases with Principal Diagnosis Indicating Drug-related Health.
This measure shows the total charges for cases with the principal diagnosis indicating drug-related health tabulated separately and not included in the emergent classification scheme.
Total Charges for Cases with Principal Diagnosis Indicating Injury.
Total Charges for cases with Principal Diagnosis Indicating Injury tabulated separately and not included in the emergent classification scheme.
Total Charges for Cases with Principal Diagnosis Indicating Mental Health.
This measure shows the total charges for cases with the principal diagnosis indicating mental health tabulated separately and not included in the emergent classification scheme.
Total Charges for Cases with Unclassified Principal Diagnosis.
This measure shows the total charges for cases with unclassified principal diagnosis tabulated separately and not included in the emergent classification scheme
Total Charges for Emergent - ED Care Needed - NOT Preventable/Avoidable Cases
Total charges for cases where emergency department care was required and ambulatory care treatment could not have prevented the condition.
Total Charges for Emergent - ED Care Needed - Preventable/Avoidable Cases
Total charges for cases where care was required based on the complaint or procedures performed/resources used, but the emergent nature of the condition was potentially preventable/avoidable.
Total Charges for Emergent/Primary Care Treatable Cases
Total Charges for Cases where treatment was required within 12 hours, but care could have been provided effectively and safely in a primary care setting.
Total Charges for Non-Emergent Cases
Total Emergency Room charges for cases where the patient's condition and age indicated that immediate medical care was not needed.
Total ED Charges Asthma
Charges shown for hospitalizations and outpatient visits are the posted normal or list price of services provided. These charges include only those services provided by the facility during a patientís stay or visit.
Total ED Charges Diabetes Type II
Charges shown for hospitalizations and outpatient visits are the posted normal or list price of services provided. These charges include only those services provided by the facility during a patientís stay or visit.
Total ED Charges Pediatric Asthma
Charges shown for hospitalizations and outpatient visits are the posted normal or list price of services provided. These charges include only those services provided by the facility during a patientís stay or visit.
Total Nursing Hours per Patient Day (Critical Care)
This measure represents the total combined hours worked by all registered nurses, licensed practical nurses and nurse assistants in the Critical Care unit divided by the number of Critical Care unit patient days in the reporting period.
Total Nursing Hours per Patient Day (Medical-Surgical)
This measure represents the total combined hours worked by all registered nurses, licensed practical nurses and nurse assistants in the Medical/Surgical unit divided by the number of Medical/Surgical unit patient days in the reporting period.
Total Nursing Hours per Patient Day (Mother/Baby)
This measure represents the total combined hours worked by all registered nurses, licensed practical nurses and nurse assistants in the Mother/Baby unit divided by the number of Mother/Baby unit patient days in the reporting period.
Total RN Nursing Hours per Patient Day (Critical Care)
This measure represents the total hours worked by all registered nurses in the Critical Care unit divided by the number of Critical Care unit patient days in the reporting period.
Total RN Nursing Hours per Patient Day (Medical-Surgical)
This measure represents the total hours worked by all registered nurses in the Medical/Surgical unit divided by the number of Medical/Surgical unit patient days in the reporting period.
Total RN Nursing Hours per Patient Day (Mother/Baby)
This measure represents the total hours worked by all registered nurses in the Mother/Baby unit divided by the number of Mother/Baby unit patient days in the reporting period.
Total Vaginal Births After Cesarean
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of All hospital-level Vaginal deliveries (Uncomplicated plus Complicated) after Cesarean per 1000 deliveries. (IQI 34)
Trauma Center

The Illinois trauma system coordinates activities within the state involving pre-hospital and inter-hospital emergency medical services, and is an integral part of the overall emergency medical system. The trauma system is divided into 11 regions and its purpose is to ensure that each region has the necessary resources to deliver high quality trauma care.

A trauma surgeon serves as the medical director for each center, which provides special trauma services. An array of additional specialized services are provided including sub-specialty surgical care, emergency medicine, anesthesiology services, radiology and intensive care.

Trauma centers can focus on either adults or children, and are categorized by levels:

  • Level I trauma centers must provide all essential services in-house 24 hours a day and must have helicopter landing capacity.
     
  • Level II trauma centers must have some these essential services available in-house 24 hours a day and others readily available (within 60 minutes) 24 hours a day.


There are more than 60 trauma centers in Illinois, all of which are classified as either Level I or Level II adult trauma centers or Level I pediatric trauma centers. The Illinois Department of Public Health performs verification of the resource and process requirements for Level I and Level II trauma center designations.

Specific criteria for attaining Level I or II trauma center designation is outlined in Section 515.2030 – 2045 of the EMS and Trauma Center Administrative Code.

List of all Trauma Centers

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U

Uncomplicated Vaginal Births After Cesarean
Utilization indicators examine procedures whose use varies significantly across hospitals and for which questions have been raised about overuse, underuse, or misuse. This measure is used to assess the number of hospital-level Uncomplicated Vaginal deliveries after Cesarean per 1000 deliveries. (IQI 22)
Uncontrolled Diabetes - Black
The rate of preventable hospitalizations for short term complications from Diabetes for the black population, expressed as an area-level rate. This rate is compared to the total black population and expressed per 100,000 people
Uncontrolled Diabetes - Hispanic
The rate of preventable hospitalizations for short term complications from Diabetes for the hispanic population, expressed as an area-level rate. This rate is compared to the total hispanic population and expressed per 100,000 people
Uncontrolled Diabetes - White
The rate of preventable hospitalizations for short term complications from Diabetes for the white population, expressed as an area-level rate. This rate is compared to the total white population and expressed per 100,000 people
Uncontrolled Diabetes Admissions
Uncontrolled diabetes should be used in conjunction with short-term complications of diabetes, which include diabetic ketoacidosis, hyperosmolarity, and coma. This indicator is designed to be combined with the short-term complications of diabetes measure (see the related National Quality Measures Clearinghouse [NQMC] summary of the Agency for Healthcare Research and Quality [AHRQ] indicator Diabetes Mellitus: Hospital Admission Rate for Short-term Complications) to create the Healthy People 2010 indicator. To do so, users may simply add the rates of the two indicators together. Proper outpatient treatment and adherence to care may reduce the incidence of uncontrolled diabetes
Unexpected Deaths
The number of in-hospital deaths per 1,000 patients with low risk of death. (PSI 02)
Urinary Tract Infection Admissions
This measure is used to assess the number of admissions for urinary tract infection per 100,000 population.
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V

Volume: CT Scan Head (Inpatient)
The number of inpatient Head CT tests performed (Revenue Code #351)
Volume: CT Scan Head (Outpatient)
The number of outpatient Head CT tests performed (Revenue Code #351)
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W

Wound Complications in Abdominal Wall Surgery
The number of cases of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic surgery. (PSI 14)
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