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Health Care Excel (HCE) Indiana Update Indiana Rural Health Association (IRHA) Critical Access Hospital (CAH) Benchmarking Program. Rebecca Royer, RN, MSN Director, Hospital and Review Services. HCE Update. Data from QIO Clinical Warehouse Aggregate data for only CAHs Displayed by quarter.

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Health Care Excel (HCE) Indiana UpdateIndiana Rural Health Association (IRHA) Critical Access Hospital (CAH) Benchmarking Program

Rebecca Royer, RN, MSN

Director, Hospital and Review Services


Hce update
HCE Update

  • Data from QIO Clinical Warehouse

    • Aggregate data for only CAHs

    • Displayed by quarter



Ami 1 aspirin at arrival
AMI 1Aspirin at Arrival


Ami 2 aspirin at discharge
AMI 2Aspirin at Discharge


Ami 3 acei for lvsd
AMI 3ACEI for LVSD


Ami 4 adult smoking cessation advice counseling
AMI 4Adult Smoking Cessation Advice/Counseling


Ami 5 beta blocker at discharge
AMI 5Beta Blocker at Discharge


Ami 6 beta blocker at arrival
AMI 6Beta Blocker at Arrival


Surgical care improvement project scip

Surgical Care Improvement Project (SCIP)


Scip inf 1 prophylactic antibiotic within 1 hour prior to surgical incision
SCIP Inf 1Prophylactic Antibiotic within 1 Hour Prior to Surgical Incision


Scip inf 2 prophylactic antibiotic selection
SCIP Inf 2Prophylactic Antibiotic Selection


Scip inf 3 prophylactic antibiotics discontinued within 24 hours after surgery end time
SCIP Inf 3Prophylactic Antibiotics Discontinued within 24 Hours After Surgery End Time


Scip inf 6 surgery patients with appropriate hair removal
SCIP Inf 6Surgery Patients with Appropriate Hair Removal


Scip card 2 patients who receive appropriate beta blocker during perioperative period
SCIP Card 2Patients Who Receive Appropriate Beta Blocker During Perioperative Period


Scip vte 1 recommended venous thromboembolism prophylaxis ordered
SCIP VTE 1Recommended Venous Thromboembolism Prophylaxis Ordered


Scip vte 2 appropriate venous thromboembolism prophylaxis within 24 hours of surgery
SCIP VTE 2Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours of Surgery



Hf 1 discharge instructions
HF 1Discharge Instructions


Hf 2 lvf assessment
HF 2LVF Assessment


Hf 3 ace arb for lvsd
HF 3ACE/ARB for LVSD


Hf 4 adult smoking cessation advice counseling
HF 4Adult Smoking Cessation Advice/Counseling



Pn 1 oxygenation assessment
PN 1Oxygenation Assessment


Pn 2 pneumococcal vaccination
PN 2Pneumococcal Vaccination


Pn 3a blood culture within 24 hours prior to or after arrival
PN 3a Blood Culture within 24 Hours Prior to or After Arrival


Pn 3b blood culture before first antibiotic
PN 3bBlood Culture Before First Antibiotic


Pn 4 adult smoking cessation advice counseling
PN 4Adult Smoking Cessation Advice/Counseling


Pn 5b initial antibiotic received within 4 hours of arrival
PN 5bInitial Antibiotic Received Within 4 Hours of Arrival


Pn 6 initial antibiotic selection for cap in immunocompetent patients
PN 6Initial Antibiotic Selection for CAP in Immunocompetent Patients


Pn 7 influenza vaccination
PN 7Influenza Vaccination


Contact information
Contact Information

Rebecca Royer, RN, MSN

Director, Hospital and Review Services

Provider Help Desk: 1-800-300-8190

E-mail: [email protected]

This material was prepared by Health Care Excel, the Medicare Quality Improvement Organization (QIO) for Indiana, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 8SOW-IN-HOS-07-45 07/19/2007


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