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