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Patient Safety

These resources focus on quality improvement related to patient safety and inpatient care. The current MBQIP measures that fall under this domain are HCP/IMM-3 and Antibiotic Stewardship. Safe Use of Opioids (eCQM) will be added as soon as data is received.

View the patient safety report of your hospital

Reports

The MBQIP Patient Safety and Inpatient Care Quality Reports include data from CMS Hospital Compare measures that are relevant for CAHs under the MBQIP domains of patient safety/inpatient care. The reports include data from all CAHs that have signed a MBQIP Memorandum of Understanding (MOU) and have submitted data. Thus, the reports include data from CAHs that have not agreed to publicly report on Hospital Compare, in addition to data from CAHs that don’t have enough cases to be publically reported on Hospital Compare, providing a more complete picture of performance across CAHs nationally.

Using Compairson Data for Patient Safety and Inpatient/Outpatient Measures

MBQIP Patient Safety and Inpatient/Outpatient Care Quality Reports summarize process-based quality measures that evaluate implementation of clinically proven best practices of care. Hospitals should strive to provide these best practices in clinical care to every patient, 100 percent of the time. Each measure includes the following comparison groups:

  • all reporting CAHs by state, under the column header CAH State Current Quarter
  • all reporting CAHs nationally, under the column header CAH National Current Quarter
  • all reporting hospitals nationally (both Prospective Payment System hospitals and CAHs), under the column header All National Current Quarter (unavailable for Antibiotic Stewardship)

Although it can be helpful to understand performance in comparison to those norms, averages represent the middle ground for performance and everyone should strive to achieve at least the 90th percentile for each measure. For quality improvement purposes, such data benchmarks are more useful than average comparison data.

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Measure Information