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3rd Qtr Final / 4th Qtr Draft 2010 Core Measure Update

Mission “possible”. 3rd Qtr Final / 4th Qtr Draft 2010 Core Measure Update. 3 rd Qtr Final /4 th Qtr Draft 2010. Mission “possible”. AMI 100% since Nov 2009 PN 100% since Feb 2010 3 rd Qtr 100% all measure yes - even CHF for the first time ever!!. AMI Core Measures.

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3rd Qtr Final / 4th Qtr Draft 2010 Core Measure Update

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  1. Mission “possible” 3rd Qtr Final / 4th Qtr Draft 2010 Core Measure Update 3rd Qtr Final /4th Qtr Draft 2010

  2. Mission “possible” AMI 100% since Nov 2009 PN 100% since Feb 2010 3rd Qtr 100% all measure yes - even CHF for the first time ever!!

  3. AMI Core Measures • Aspirin on arrival and discharge • Beta Blocker at discharge • PCI in 90 minutes • ACEI or ARB if LV function is < 40 • Smoking cessation counseling.

  4. Perfect Care - AMI

  5. Ami Be suspicious of chest pain, acs, r/o mi, elevated troponin pts. Asa within 24 hours Your Mission “possible”

  6. PN Core Measures ER/ICU blood cultures Antibiotic in 6 hours Antibiotic selection Smoking cessation counseling Pneumonia vaccine Influenza vaccine

  7. Perfect Care - PN

  8. pneumonia Goal is to start abx w/in 4 hours Clear documentation with date, name, route, initials Know what was done in ed – do you need to hang zithromax or was it done? Smoking cessation – preferably in hx screen Vaccines – especially weekends Your Mission “possible”

  9. History screen

  10. Vaccine screen

  11. CHF Core Measures • Evaluation of LV function • ACEI or ARB if LVF < 40 • Smoking cessation counseling • Discharge instructions (6 elements)

  12. Perfect Care - CHF

  13. chf Smoking cessation completed Pt discharge medication list co-signed – clarify any uncertainty Must have follow-up plan Your Mission “possible”

  14. System Scorecard

  15. Every Core Measure pt is tracked……

  16. Every fall out will get a call to potentially satisfy/clarify issue – We are the radar  Call anytime – 24/7 Our mission “possible” al marci

  17. Teamwork Became…. mission possible

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