Measure Comparison Selection
select measure Patient Safety for Selected Procedures Composite
Pressure Ulcer
Collapsed Lung caused by Medical Care
Central Venous Catheter-related Bloodstream Infections
Postoperative Hip Fracture
Postoperative Hemorrhage or Hematoma
Postoperative Respiratory Failure
Postoperative Physiologic and Metabolic Derangement
Postoperative Lung Embolism or Deep Vein Thrombosis (clotting)
Postoperative Sepsis
Wound Complications in Abdominal Wall Surgery
Accidental Puncture and Laceration
select measure Bypass operations only
Valve operations or valve/bypass operations
Angioplasty Mortality Rate
select measure Mortality for Selected Conditions Composite
Acute Myocardial Infarction (AMI) Mortality Rate
Heart Failure Mortality Rate
Gastrointestinal Hemorrhage Mortality Rate
Hip Fracture Mortality Rate
Pneumonia Mortality Rate
Carotid Endarterectomy Mortality Rate
select measure Acute Stroke Mortality
select measure Time from ED arrival to ED departure for admitted ED patients
Admit decision time to ED departure time for admitted patients
Median time from ED arrival to ED departure for discharged ED patients
Door to diagnostic evaluation by a qualified medical professional
Median time to pain medication for long bone fractures
select measure CLABSIs, Coronary ICU
CLABSIs, Cardiothoracic ICU
CLABSIs, Medical ICU
CLABSIs, Surgical ICU
CLABSIs, Neurosurgical ICU
CLABSIs, Pediatric ICU
CLABSIs, Newborns Level II/III Perinatal Centers
CLABSIs, Newborns Level III Perinatal Centers
CLABSIs, Newborns Regional Perinatal Centers
All Blood Stream Infections
CLABSIs, Medical-Surgical ICU
select measure Colon Surgery Infections
Hip Replacement Surgery Infections
CABG, Chest Site Infections
CABG, Donor Site Infections
Hysterectomy Surgery Infections
All Surgical Site Infections
select measure Percent of Patients Highly Satisfied
Doctors Always Communicated Well
Nurses Always Communicated Well
Patients Always Received Help As Soon As They Wanted
Staff Always Explained About Medicines
Pain Was Always Well Controlled
Patient's Room Always Kept Quiet At Night
Patient's Room and Bathroom Always Kept Clean
Patients Given Information About Recovery At Home
Patients Would Definitely Recommend This Hospital to Friends and Family
Patient Satisfaction Composite
select measure Pneumonia Patients Readmitted to Hospital Within 30 Days
Heart Failure Patients Readmitted to Hospital Within 30 Days
Heart Attack Patients Readmitted to Hospital Within 30 Days
Hospital-wide 30-day unplanned readmission rate
select measure Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it
select measure Total Births
Forceps
Low/outlet forceps
Mid forceps
Outlet forceps
Internal fetal monitoring
External fetal monitoring
Induction - Artificial Rupture of Membranes
Induction
Induction - Medicinal
Augmented Labor
Analgesia
Attended by Licensed Midwife
select measure Vaginal Birth After Prior Cesarean
Breech births
Episiotomy
General Anesthesia
Spinal Anesthesia
Epidural Anesthesia
Local/Other Anesthesia
Paracervical Anesthesia
Pudendal Anesthesia
Vaginal Births
select measure Primary Cesarean
Repeat Cesarean
General Anesthesia
Spinal Anesthesia
Epidural/Local Anesthesia
Cesarean Births
select measure Fed Any Breast Milk
Fed Exclusively Breast Milk
Breast Fed Infants Supplemented w/Formula
select measure Miscellaneous diagnostic and therapeutic procedures, Procedure Count
Magnetic resonance imaging, Procedure Count
Computerized axial tomography (CT) scan, Procedure Count
Radioisotope scan, Procedure Count
Psychological and psychiatric evaluation and therapy, Procedure Count
Alcohol and drug rehabilitation/ detoxification, Procedure Count
Cancer chemotherapy, Procedure Count
Obstetrical procedures, Procedure Count
Vaginal deliveries, Procedure Count
Cesarean section, Procedure Count
Diagnostic amniocentesis, Procedure Count
Operations on the cardiovascular system, Procedure Count
Heart valve procedures, Procedure Count
Coronary artery bypass graft (CABG), Procedure Count
Interventional angioplasty (PTCA), Procedure Count
Diagnostic cardiac catheterization: coronary arteriography, Procedure Count
Insertion: revision: replacement: removal of cardiac pacemaker or cardioverter/defibrillator, Procedure Count
Carotid endarterectomy: vessel of head and neck, Procedure Count
Operations on the digestive system, Procedure Count
Appendectomy, Procedure Count
Endoscopic retrograde cannulation of pancreas (ERCP), Procedure Count
Gallbladder removal and common duct exploration, Procedure Count
Other hernia repair, Procedure Count
Upper gastrointestinal endoscopy: biopsy, Procedure Count
Other OR gastrointestinal therapeutic procedures, Procedure Count
Colonoscopy and biopsy, Procedure Count
Operations on the ear, Procedure Count
Tympanoplasty, Procedure Count
Myringotomy, Procedure Count
Mastoidectomy, Procedure Count
Operations on the endocrine system, Procedure Count
Thyroidectomy: partial or complete, Procedure Count
Operations on the eye, Procedure Count
Operations on the female genital organs, Procedure Count
Repair of cystocele and rectocele: obliteration of vaginal vault, Procedure Count
Ligation of fallopian tubes, Procedure Count
Hysterectomy: abdominal and vaginal, Procedure Count
Operations on the hemic and lymphatic system, Procedure Count
Bone marrow biopsy, Procedure Count
Operations on the male genital organs, Procedure Count
Transurethral resection of prostate (TURP), Procedure Count
Open prostatectomy, Procedure Count
Operations on the musculoskeletal system, Procedure Count
Amputation of lower extremity, Procedure Count
Spinal fusion, Procedure Count
Other therapeutic procedures on muscles and tendons, Procedure Count
Arthroplasty, Procedure Count
Operations on the nervous system, Procedure Count
Incision and excision of CNS, Procedure Count
Laminectomy: excision intervertebral disc, Procedure Count
Operations on the nose, mouth, and throat, Procedure Count
Tonsillectomy and/or adenoidectomy, Procedure Count
Other OR therapeutic procedures on nose, mouth and pharynx, Procedure Count
Operations on the respiratory system, Procedure Count
Tracheostomy: temporary and permanent, Procedure Count
Tracheoscopy and laryngoscopy with biopsy, Procedure Count
Lobectomy or pneumonectomy, Procedure Count
Operations on the skin, Procedure Count
Procedures on the breast, Procedure Count
Operations on the urinary system, Procedure Count
Cystoscopy and other transurethral procedures, Procedure Count
Nephrectomy: partial or complete, Procedure Count
Kidney transplant, Procedure Count
Corneal transplant
Glaucoma procedures
Repair of retinal tear; detachment
Destruction of lesion of retina and choroid
Diagnostic procedures on eye
Other therapeutic procedures on eyelids, conjunctiva, cornea
Other intraocular therapeutic procedures
Other extraocular muscle and orbit therapeutic procedures
select measure Pediatric Miscellaneous diagnostic and therapeutic procedures, Procedure Count
Pediatric Magnetic resonance imaging, Procedure Count
Pediatric Computerized axial tomography (CT) scan, Procedure Count
Pediatric Radioisotope scan, Procedure Count
Pediatric Psychological and psychiatric evaluation and therapy, Procedure Count
Pediatric Alcohol and drug rehabilitation/ detoxification, Procedure Count
Pediatric Cancer chemotherapy, Procedure Count
Pediatric Obstetrical procedures, Procedure Count
Pediatric Vaginal deliveries, Procedure Count
Pediatric Cesarean section, Procedure Count
Pediatric Diagnostic amniocentesis, Procedure Count
Pediatric Operations on the cardiovascular system, Procedure Count
Pediatric Heart valve procedures, Procedure Count
Pediatric Coronary artery bypass graft (CABG), Procedure Count
Pediatric Interventional angioplasty (PTCA), Procedure Count
Pediatric Diagnostic cardiac catheterization: coronary arteriography, Procedure Count
Pediatric Insertion: revision: replacement: removal of cardiac pacemaker or cardioverter/defibrillator, Procedure Count
Pediatric Carotid endarterectomy: vessel of head and neck, Procedure Count
Pediatric Operations on the digestive system, Procedure Count
Pediatric Appendectomy, Procedure Count
Pediatric Endoscopic retrograde cannulation of pancreas (ERCP), Procedure Count
Pediatric Gallbladder removal and common duct exploration, Procedure Count
Pediatric Other hernia repair, Procedure Count
Pediatric Upper gastrointestinal endoscopy: biopsy, Procedure Count
Pediatric Other OR gastrointestinal therapeutic procedures, Procedure Count
Pediatric Colonoscopy and biopsy, Procedure Count
Pediatric Operations on the ear, Procedure Count
Pediatric Tympanoplasty, Procedure Count
Pediatric Myringotomy, Procedure Count
Pediatric Mastoidectomy, Procedure Count
Pediatric Operations on the endocrine system, Procedure Count
Pediatric Thyroidectomy: partial or complete, Procedure Count
Pediatric Operations on the eye, Procedure Count
Pediatric Operations on the female genital organs, Procedure Count
Pediatric Repair of cystocele and rectocele: obliteration of vaginal vault, Procedure Count
Pediatric Ligation of fallopian tubes, Procedure Count
Pediatric Hysterectomy: abdominal and vaginal, Procedure Count
Pediatric Operations on the hemic and lymphatic system, Procedure Count
Pediatric Bone marrow biopsy, Procedure Count
Pediatric Operations on the male genital organs, Procedure Count
Pediatric Transurethral resection of prostate (TURP), Procedure Count
Pediatric Open prostatectomy, Procedure Count
Pediatric Operations on the musculoskeletal system, Procedure Count
Pediatric Amputation of lower extremity, Procedure Count
Pediatric Spinal fusion, Procedure Count
Pediatric Other therapeutic procedures on muscles and tendons, Procedure Count
Pediatric Arthroplasty, Procedure Count
Pediatric Operations on the nervous system, Procedure Count
Pediatric Incision and excision of CNS, Procedure Count
Pediatric Laminectomy: excision intervertebral disc, Procedure Count
Pediatric Operations on the nose, mouth, and throat, Procedure Count
Pediatric Tonsillectomy and/or adenoidectomy, Procedure Count
Pediatric Other OR therapeutic procedures on nose, mouth and pharynx, Procedure Count
Pediatric Operations on the respiratory system, Procedure Count
Pediatric Tracheostomy: temporary and permanent, Procedure Count
Pediatric Tracheoscopy and laryngoscopy with biopsy, Procedure Count
Pediatric Lobectomy or pneumonectomy, Procedure Count
Pediatric Operations on the skin, Procedure Count
Pediatric Procedures on the breast, Procedure Count
Pediatric Operations on the urinary system, Procedure Count
Pediatric Cystoscopy and other transurethral procedures, Procedure Count
Pediatric Nephrectomy: partial or complete, Procedure Count
Pediatric Kidney transplant, Procedure Count
Pediatric Corneal transplant
Pediatric Glaucoma procedures
Pediatric Repair of retinal tear; detachment
Pediatric Destruction of lesion of retina and choroid
Pediatric Diagnostic procedures on eye
Pediatric Other therapeutic procedures on eyelids, conjunctiva, cornea
Pediatric Other intraocular therapeutic procedures
Pediatric Other extraocular muscle and orbit therapeutic procedures
= High Performer 
= Average Performer 
= Poor Performer 
= No Comparison Available 
