Avoidance of Sliding-Scale Insulin Monotherapy for Admitted Diabetic Patients

Percentage of patients aged 18 years and older admitted to the hospital with diagnosis of diabetes mellitus that received order for basal insulin therapy

Point-of-Care Ultrasound for Evaluation and Management of Shock

Percentage of patients aged 18 years and older with diagnosis of Shock and that had Point-of-Care Ultrasound performed.

Medication for Alcohol Use Disorder (MAUD) for Patients with Alcohol Use Disorder

Percentage of patients diagnosed with Alcohol Use Disorder who were prescribed a Medication for Alcohol Use Disorder (MAUD)

Functional Status Change for Patients with Vestibular Dysfunction

Percentage of patients aged 14 years and older diagnosed with vestibular dysfunction who achieve a Minimal Clinically Important Difference (MCID) as measured via the validated Dizziness Handicap Inventory or equivalent instrument to indicate functional, emotional, and physical improvement
·        Submission Age Criteria 1: Patients aged 14-17 years of age
·        Submission Age Criteria 2: Patients aged 18-64 years of age
·        Submission Age Criteria 3: Patients aged 65 years and older
·        Submission Criteria 4: Overall total rate of patients aged 14 years and older
The measure is adjusted to patient characteristics known to be associated with functional status and quality of life outcomes (risk adjusted) and used as a performance measure at the patient level, at the individual clinician, and at the clinic level to assess quality.

Endothelial Keratoplasty – Post-operative improvement in best corrected visual acuity to 20/40 or better

Percentage of endothelial keratoplasty patients with a best corrected visual acuity of 20/40 or better within 90 days after surgery

Physician’s Orders for Life-Sustaining Treatment (POLST) Form

Percentage of Patients with Advanced Illness with Physician’s Orders for Life-Sustaining Treatment (POLST) Forms Completed.

Point-of-Care Ultrasound: Evaluation for Pneumothorax after Central Venous Catheter (CVC) Placement

Percentage of Patients Aged 18 years and Older Who Undergo Central Venous Catheter (CVC) Insertion for Whom Point-of-Care Ultrasound Was Performed to Evaluate for Pneumothorax.

Heart Failure (HF): SGLT-2 Inhibitor Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) less than or equal to 40% who were prescribed SGLT-2 Inhibitors during their SNF stay or at the time of discharge.

Opioid Withdrawal: Initiation of Medication for Opioid Use Disorder (MOUD) and Referral to Outpatient Opioid Treatment

Percentage of Patients Presenting with Opioid Withdrawal Who Were Given Medication for Opioid Use Disorder (MOUD) and Referred to Outpatient Opioid Treatment

Patient-Reported Understanding of Discharge Diagnosis and Plan of Care

Percentage of Adult Patients Who Completed a Survey Regarding Their Care Visit Who Reported Understanding of Their Discharge Diagnosis and Plan of Care