Acute myocardial infarction (AMI) patients without aspirin contraindications who received aspirin within 24 hours before or after hospital arrival.

Acute myocardial infarction (AMI) patients without aspirin contraindications who are prescribed aspirin at hospital discharge.

Acute myocardial infarction (AMI) patients without beta-blocker contraindications who are prescribed a beta-blocker at hospital discharge.

Acute myocardial infarction (AMI) patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge.

Acute myocardial infarction (AMI) patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during hospital stay. For the purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

Acute myocardial infarction (AMI) patients receiving primary percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less.

Pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated.

Blood cultures performed within 24 hours prior to or 24 hours after hospital arrival for patients who were transferred or admitted to the ICU within 24 hours of hospital arrival.

Blood cultures performed in the Emergency Department prior to initial antibiotic received in hospital.

Pneumonia patients with a history of smoking cigarettes who are given smoking cessation advice or counseling during hospital stay.

Pneumonia patients who receive their first dose of antibiotics within 6 hours after arrival at the hospital.

initial antibiotic selection for Community-Acquired Pneumonia (CAP) in immunocompetent patients – Intensive Care Unit (ICU) patients.

Initial antibiotic selection for Community-Acquired Pneumonia (CAP) in immunocompetent patients – non ICU patients.

Pneumonia patients age 50 years and older, hospitalized during October, November, December, January, February or March who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated.

Heart failure patients discharged home with written instructions or educational material given to patient or caregiver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.

Heart failure patients with documentation in the hospital record that left ventricular systolic (LVS) function was evaluated before arrival, during hospitalization, or is planned for after discharge

Heart failure patients with left ventricular systolic dysfunction (LVSD) and without contraindications who are prescribed an ACEI or ARB at hospital discharge.

Heart failure patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during hospital stay. For purposes of this measure, a smoker is defined as someone who has smoked cigarettes anytime during the year prior to hospital arrival.

Surgery patients on beta blockers who received a BB peri-operatively.

Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision.

Surgical patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time

Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

Surgery patients with appropriate surgical site hair removal. No hair removal, or hair removal with clippers or depilatory is considered appropriate. Shaving is considered inappropriate.

Urinary cath removed postoperative day 1 or 2.

Surgery patients with perioperative temperature management.

Surgery patients with recommended venous thromboembolism (VTE) prophylaxis ordered anytime from hospital arrival to 48 hours after surgery end time.

Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to surgical incision time to 24 hours after surgery end time.