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Reporting And Data

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MBQIP - Antibiotic Stewardship

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Patient Safety/Inpatient domain, the Antibiotic Stewardship measure assesses the core elements of hospital antibiotic stewardship programs: leadership, accountability, drug expertise, action, tracking, reporting, and education.

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MBQIP - Emergency Department Transfer Communication (EDTC)

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), the Emergency Department Transfer Communication (EDTC) quality measure is National Quality Forum (NQF) endorsed (NQF #291), and relevant to small rural hospitals. This measure is being implemented by critical access hospitals (CAHs) in the Medicare Beneficiary Quality Improvement Project (MBQIP) because small rural hospitals frequently transfer […]

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MBQIP - HCP/IMM-3: Influenza Vaccination Among Healthcare Personnel

(Note: Formerly OP-27) Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Patient Safety/Inpatient domain, CAHs must report on the influenza vaccination data for HCP physically working in the inpatient and outpatient hospital units for at least one working day between October 1 through March 31, regardless of clinical responsibility or patient contact. […]

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MBQIP - Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), the intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients’ perspectives on hospital care. While many hospitals have collected information on patient satisfaction, prior to HCAHPS there was no national standard for collecting or publicly reporting […]

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MBQIP - OP-18: Median Time from ED Arrival to ED Departure for Discharged ED Patients

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on the average time patients spent in the emergency department before being sent home. Reducing the time patients remain in the emergency department (ED) canimprove access to treatment and increase quality of care, potentially improves access to care specific to the […]

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MBQIP - OP-2: Fibrinolytic Therapy Received Within 30 Minutes

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on time-to-fibrinolytic therapy, which is a strong predictor of outcome in patients with AMI.

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MBQIP - OP-22: Patient Left Without Being Seen

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on the percentage of patients who left the emergency department before being seen. Reducing patient wait time in the ED helps improve access to care, increase capability to provide treatment, reduce ambulance refusals/diversions, reduce rushed treatment environments, reduce delays in […]

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MBQIP - OP-3: Median Time to Transfer to Another Facility for Acute Coronary Intervention

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), within the Outpatient domain, CAHs must report on the median number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital. The early use of primary angioplasty in patients with STEMI results in a significant reduction in […]

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DISCLAIMER
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.