The healthcare world is changing rapidly. Subjective quality ratings of medical facilities and physicians are being replaced by objective measurements. One fact is clear: the quantification of “Quality” is here to stay and is probably in its infancy. In addition, P4P (Pay For Performance) measures instituted by CMS have started to reduce reimbursement to facilities that do not comply with CMS recommendations.
In the surgical area, SCIP (Surgical Care Improvement Program) is the most obvious example of this new trend. Thus far, the following metrics are being analyzed in surgery:
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| 1. Inf-1 Prophylactic antibiotic received within one hour prior to surgical incision (2 hours for vancomycin) |
| 2. Inf-2 Prophylactic antibiotic selection for surgical patients |
| 3. Inf-3 Prophylactic antibiotics discontinued within 24 hours after surgery end time |
| 4. Inf-4 Cardiac surgery patients with controlled 6 a.m. postoperative serum glucose |
| 5. Inf-6 Surgery patients with appropriate hair removal |
| 6. Inf-9 Urinary catheter removed on postoperative day 1 or postoperative day 2 with day of surgery being day 0 |
| 7. Inf-10 Surgery patients with perioperative temperature management |
| 8. VTE-1 Surgery patients with recommended venous thromboembolism prophylaxis ordered |
| 9. VTE-2 Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery and up to 24 hours after surgery |
| 10. Card-2 Surgery patients on beta-blocker therapy prior to admission who received a beta-blocker during the perioperative period |
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Of the 10 items listed above, One Medical Passport can help significantly.
For example:
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| • A patient’s One Medical Passport medication allergy information can be used to make sure that the right antibiotic for the scheduled procedure is ordered in advance. |
| • VTE (venous thrombo embolism) prevention can be implemented in a comprehensive fashion where prophylaxis is customized based on the individual risk profile that is generated by One Medical Passport for each patient. |
| • Patients who are taking beta-blockers preoperatively can be easily identified and selected for perioperative beta-blocker protocols. |
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