Core measure memo cards
Core Measures Memo Cards
Congestive Heart Failure
Pneumonia - patients 18 & older
● Physician orders complete on CHF standing order set
● Obtain blood cultures before administering first antibiotic
● ECHO ordered or previous copy to chart and
● Initial antibiotics received within 6 hours of arrival;
Acute RN to ask ED RN if cx and abx completed
● ACE Inhibitors/ARBS for LVSD prescribed at DC
● Physician orders completed on Pneumonia standing
● Review physicians orders for correct antibiotic
● Contraindications for not prescribing ACE/ARBS
selection for admission(non-ICU pt or ICU pt) correct
must be documented in medical record
antibiotic must be administered within 24 hours of arrival
● High creatinine ● Angioedema with ACE/ARBS
● Bilateral renal stenosis ● Hypotension
● Hyperkalemia ● Patient/family refusal
● Adult smoking cessation advice/counseling
including anyone who has quit within 12 months
● CHF booklet reviewed with patient - document on DC
● Pneumococcal vaccine (year round) / Influenza
(October 1 through March 31); document on DC orders
● Adult smoking cessation advice/counseling
including
anyone who has quit within 12 months
● Pneumococcal vaccine/Influenza (October 1 through
●●DC instruction must be reviewed by a CN
before the patient leaves!
March 31) document on DC orders when completed
●
DC instructions include:
● Diet ● Activity ● Follow-up appt
●●DC instructions must be reviewed by a CN
before the patient leaves!●●
Acute Myocardial Infarction
Children's Asthma Care
● Aspirin at
arrival and
DC
● Review physician's orders for reliever medications
(Contraindication for not prescribing ASA must be
ordered (e.g., Atrovent, Maxair, Albutol Sulfate)
● Review physician's orders for corticosteroids ordered
● Physician orders completed on AMI standing order set
(e.g., Decadron, Prednisone, Solu-Medrol)
● Adult smoking cessation advice/counseling
● Home management plan of care
MUST be completed by
including anyone who has quit within 12 months
physician with documentation that the patient/caregivers
were given a written plan of care that addresses
ALL of
● LV Function assessment/documentation
● ACE Inhibitors/ARBS for LVSD prescribed at DC
▪ Arrangements for follow-up care
▪ Environmental control and control of other
● Contraindications for not prescribing ACE/ARBS
triggers
must be documented in medical record
▪ Method and timing of rescue actions
● High creatinine ● Angioedema with ACE/ARBS
▪ Use of controllers
● Bilateral renal stenosis ● Hypotension
● Hyperkalemia ● Patient/family refusal
▪ Use of relievers
●●DC instructions must be reviewed by the CN
● Pneumococcal vaccine/Influenza (October 1 through
before the patient leaves!●●
March 31) document on DC orders when completed
● Beta-blocker prescribed at discharge
(or documentation
in medical record for contraindication for not
prescribing)
●●DC instruction must be reviewed by a CN
before the patient leaves!●●
Source: http://www.hospitaloqr.net/media/Core-Measure-Memo-Cards-508.pdf
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