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Your Medicare QIO* Answers Your Questions The SCIP Card-2 Beta-Blocker Measure . Susan Hiyama, RN, MSN, CPHQ Health Services Advisory Group of California, Inc. Henrietta Hight, RN, BA, BSN FMQAI, Inc.
Susan Hiyama, RN, MSN, CPHQ
Health Services Advisory Group of California, Inc.
Henrietta Hight, RN, BA, BSN
*QIO = Quality Improvement Organization. This Presentation is brought to you by the QIOs of California, Arizona, and Florida
Preventable Complication Measures
Surgical infection prevention
Cardiovascular complication prevention
Venous thromboembolism prevention
Description: Surgery patients on a beta- blocker prior to arrival who received a beta- blocker during the perioperative period.
[The information on this and the following slides is adapted from the Specifications Manual for National Hospital Inpatient Quality Measures, version 3.0b. You can always find the most up-to-date information about quality measures in the Specifications Manual, which can be found by going to www.qualitynet.org, clicking on the “Hospitals-Inpatient” tab, then clicking on the Specifications Manual option.]
Q4: My patient’s home medications include antihypertensive and cardiac medications, as well as a beta-blocker. Why the concern for beta- blockers specifically?
Beta-blocker documentation should:
Check any and all History & Physical documentation (medicine, surgery, anesthesia):
Compare the patient’s home medication list to the CMS source:
If a beta-blocker is not ordered within this time frame:
If a beta-blocker is not administered within this time frame:
NOTE: NPO status is not a contraindication to the patient receiving a beta-blocker medication.
Educate staff on the benefits to the patient of continued beta-blocker therapy.
Provide staff education on the beta-blocker measure as it pertains to morbidity, cost, and care measures.
Post beta-blocker reminder signs in very visible areas around the pre-op area, OR, PACU, physician call-rooms and nurses stations.
Provide clear documentation of home beta-blocker therapy
Computer decision support systems
Protocols, preprinted orders
Periodic audit and feedback
For additional SCIP resources, including the supporting documents for this Webinar, go to:
Arizona = http://www.hsag.com/azhospitals/scip/resources.aspx
California = http://www.hsag.com/cahospitals/scip/resources.aspx
Over 1 million drug-related injuries occur every year in health care settings. The Institute of Medicine estimates that at least a quarter of these injuries are preventable. To find out how to prevent medication errors, go to
(Florida) http://www.fmqai.com/PatientSafety-FMSI.aspx,(Arizona) http://www.hsag.com/azproviders/drugsafety.aspx, or (California) http://www.hsag.com/caproviders/drugsafety.aspx.
This material was prepared by Health Services Advisory Group of California, Inc., the Medicare Quality Improvement Organization for California; Health Services Advisory Group, Inc., the Medicare Quality Improvement Organization for Arizona; and FMQAI, Inc., the Medicare Quality improvement Organization for Florida, 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. Publication Nos. CA-9SOW-6.2.3-122109-01, AZ-9SOW-6.2.3-122109-01, FL2009F62ST1611497