Differential Cognitive Assessment with Safety and Risk Counseling

Percentage of patients, regardless of age, referred for evaluation due to concerns for cognitive impairment for whom 1) a standardized valid assessment of cognition was performed and 2) results of assessment informed determination of diagnosis or further clarified etiological factors of cognitive impairment or complaints, and 3) reporting of results included counseling on safety and potential risks for patents who displayed cognitive impairment that could negatively impact safety.

Use of ASPECTS (Alberta Stroke Program Early CT Score) for non-contrast CT Head performed for suspected acute stroke.

Percentage non-contrast CT Head performed for suspected acute stroke whose final reports include an ASPECTS value.

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.

Avoidance of DVT Ultrasound for Patients Diagnosed with Cellulitis

Percentage of patients aged 18 years and older with diagnosis of lower extremity cellulitis that did not have a DVT ultrasound ordered

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)

Appropriate Treatment of Psychosis and Agitation in the Emergency Department

Percentage of Adult Patients With Psychosis or Agitation Who Were Ordered an Oral Antipsychotic Medication in the Emergency Department