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 Admit decision time to ED departure time for admitted patients
Median time from ED arrival to ED departure for discharged ED patients
Patient left without being seen
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
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
Patients who "Agree" they understood their care when they left the hospital
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
Internal fetal monitoring
External fetal monitoring
Induction - Artificial Rupture of Membranes
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 Administration of therapeutic substances, procedure count
Transfusion of blood and blood products
Transfusion of plasma
Infusion of vasopressor
Intravenous induction of labor
Cervical ripening
Vaccinations
Chemotherapy
Regional anesthesia
Administration of antibiotics
Administration of anti-inflammatory agents
Administration of nutritional and electrolytic substances
Administration of therapeutic substances, NEC
select measure Cardiovascular procedures, procedure count
Percutaneous coronary interventions (PCI)
Angioplasty and related vessel procedures (endovascular; excluding carotid)
Saphenous vein harvest and other therapeutic vessel removal
Venous and arterial catheter placement
Placement of tunneled or implantable portion of a vascular access device
Pacemaker and defibrillator procedures
select measure Central nervous system procedures, procedure count
Lumbar puncture
select measure Extracorporeal or systemic assistance and performance, procedure count
Hemodialysis
Mechanical ventilation
Non-invasive ventilation
Open heart cardiopulmonary bypass
select measure Female reproductive system procedures, procedure count
Salpingectomy
select measure Gastrointestinal system procedures, procedure count
Esophagogastroduodenoscopy (EGD) with biopsy
Colonoscopy and proctoscopy with biopsy
GI system endoscopy without biopsy (diagnostic)
Paracentesis
GI system drainage (excluding paracentesis)
Colectomy
Gastrectomy
Gastrostomy
GI system lysis of adhesions
select measure General region procedures, procdedure count
Abdominal wall repair (including hernia)
select measure Hepatobiliary and pancreas procedures, procedure count
Cholecystectomy
select measure Imaging, procedure count
Cardiac and coronary fluoroscopy
Fluoroscopic angiography (excluding coronary)
Fluoroscopy of non-circulatory organs
Magnetic resonance imaging (MRI)
Computerized tomography (CT) with contrast
Computerized tomography (CT) without contrast
Ultrasonography
select measure Lymphatic and hemic system procedures, procedure count
Lymph node biopsy
select measure Measurement and monitoring, procedure count
Measurement during cardiac catheterization
Electroencephalogram (EEG)
Monitoring of peripheral nerves
select measure Mental health therapy, procedure count
Pharmacotherapy for mental health (excluding substance use)
Psychotherapy for mental health (excluding substance use)
select measure Musculoskeletal, subcutaneous tissue, and fascia procedures, procedure count
Knee arthroplasty
Hip arthroplasty
Femur fixation
Spine fusion
Vertebral discectomy
Bone excision
Subcutaneous tissue and fascia excision
Perineal muscle laceration repair (2nd degree obstetrical and other)
Subcutaneous tissue and fascia procedures, NEC
Musculoskeletal procedures, NEC
select measure Other procedures, procedure count
Robotic-assisted procedures
Isolation procedures
select measure Pediatric administration of therapeutic substances, procedure count
Pediatric transfusion of blood and blood products
Pediatric transfusion of plasma
Pediatric administration of albumin and globulin
Pediatric intravenous induction of labor
Pediatric vaccinations
Pediatric chemotherapy
Pediatric regional anesthesia
Pediatric administration of antibiotics
Pediatric administration of anti-inflammatory agents
Pediatric administration of nutritional and electrolytic substances
Pediatric irrigation (diagnostic and therapeutic)
Pediatric administration of therapeutic substances, NEC
select measure Pediatric cardiovascular procedures, procedure count
Pediatric ligation and embolization of vessels
Pediatric septal repair and other therapeutic heart procedures
Pediatric venous and arterial catheter placement
Pediatric placement of tunneled or implantable portion of a vascular access device
Pediatric cardiovascular device procedures, NEC
select measure Pediatric central nervous system procedures, procedure count
Pediatric lumbar puncture
Pediatric CNS procedures, NEC
select measure Pediatric dressings and other placements, procedure count
Pediatric immobilization by splint or other external device
select measure Pediatric ear, nose, and throat procedures, procedure count
Pediatric laryngoscopy (diagnostic)
Pediatric diagnostic audiology
Pediatric myringotomy
Pediatric tonsillectomy and adenoidectomy
Pediatric frenectomy
Pediatric ENT procedures, NEC
select measure Pediatric extracorporeal or systemic assistance and performance, procedure count
Pediatric mechanical ventilation
Pediatric non-invasive ventilation
Pediatric open heart cardiopulmonary bypass
select measure Pediatric extracorporeal or systemic therapies, procedure count
Pediatric phototherapy
Pediatric ultraviolet light therapy
select measure Pediatric gastrointestinal system procedures, procedure count
Pediatric esophagogastroduodenoscopy (EGD) with biopsy
Pediatric colonoscopy and proctoscopy with biopsy
Pediatric GI system drainage (excluding paracentesis)
Pediatric appendectomy
Pediatric gastrostomy
Pediatric other GI system device procedures
Pediatric upper GI therapeutic procedures, NEC (open and laparoscopic)
select measure Pediatric imaging, procedure count
Pediatric fluoroscopic angiography (excluding coronary)
Pediatric fluoroscopy of non-circulatory organs
Pediatric magnetic resonance imaging (MRI)
Pediatric ultrasonography
Pediatric plain radiography
select measure Pediatric lymphatic and hemic system procedures, procedure count
Pediatric bone marrow biopsy
select measure Pediatric male reproductive system procedures, procedure count
Pediatric circumcision
select measure Pediatric measurement and monitoring, procedure count
Pediatric arterial oxygen saturation monitoring
Pediatric measurement during cardiac catheterization
Pediatric cardiac monitoring
Pediatric other cardiovascular system measurement and monitoring
Pediatric electroencephalogram (EEG)
Pediatric monitoring of peripheral nerves
select measure Pediatric mental health therapy, procedure count
Pediatric pharmacotherapy for mental health (excluding substance use)
Pediatric psychotherapy for mental health (excluding substance use)
select measure Pediatric musculoskeletal, subcutaneous tissue, and fascia procedures, procedure count
Pediatric incision and drainage of subcutaneous tissue and fascia
Pediatric fixation of upper extremity bones
Pediatric femur fixation
Pediatric fixation of leg and foot bones
Pediatric bone fixation (excluding extremities)
Pediatric spine fusion
Pediatric bone excision
Pediatric subcutaneous tissue and fascia excision
Pediatric subcutaneous tissue and fascia procedures, NEC
Pediatric musculoskeletal device procedures, NEC
Pediatric musculoskeletal procedures, NEC
select measure Pediatric osteopathic treatment, procedure count
Pediatric osteopathic treatment
select measure Pediatric other procedures, procedure count
Pediatric isolation procedures
select measure Pediatric pregnancy-related procedures, procedure count
Pediatric fetal heart rate monitoring
Pediatric spontaneous vaginal delivery
Pediatric assisted vaginal delivery
select measure Pediatric rehabilitation, evaluation, and treatment, procedure count
Pediatric physical, occupational, and respiratory therapy treatment
select measure Pediatric respiratory system procedures, procedure count
Pediatric bronchoscopy (diagnostic)
Pediatric chest tube placement and therapeutic thoracentesis
Pediatric airway intubation
Pediatric tracheostomy
select measure Pediatric skin and breast procedures, procedure count
Pediatric skin excision and debridement
select measure Peripheral nervous system procedures, procedure count
Lumbosacral nerve decompression
select measure Pregnancy-related procedures, procedure count
Fetal heart rate monitoring
Spontaneous vaginal delivery
Cesarean section
Assisted vaginal delivery
select measure select measure select measure Rehabilitation, evaluation, and treatment, procedure count
Physical, occupational, and respiratory therapy treatment
select measure Respiratory system procedures, procedure count
Bronchoscopy (diagnostic)
Chest tube placement and therapeutic thoracentesis
Airway intubation
select measure Skin and breast procedures, procedure count
Perineal skin repair (1st degree obstetrical and other)
select measure Substance use disorder treatment, procedure count
Substance use detoxification
Pharmacotherapy for substance use
Counseling for substance use
select measure Urinary system procedures, procedure count
Ureter and other urinary tract dilation
Bladder catheterization and drainage
= High Performer 
= Average Performer 
= Poor Performer 
= No Comparison Available 
