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Wisconsin Collaborative for Healthcare Quality
(WCHQ)

– Wisconsin WCHQ 2006 –
List of 56 Performance Measures
Sorted by IOM AIM Category

Clinical Topics Measure
Category
Developer Description of Measures
IOM Measures of SAFETY (N = 8)
Surgery Hospital Leapfrog
1.Abdominal Aortic Aneurysm Repair
2.Coronary Angioplasty (Artery Widening)
3.Coronary Artery Bypass Graft (CABG)
4.Esophageal Cancer Surgery
5.0Pancreatic Resection
Critical Care Hospital Leapfrog
1.0Intensive Care Unit (ICU) Physician Staffing
Women's
Health
Hospital Leapfrog
1.0NICU Average Daily Census
Health
Information
Technology
Hospital Leapfrog
1.0Computerized Physician Order Entry (CPOE)
IOM Measures of EFFICIENCY (N = 6)
Heart Care Hospital WCHQ
1.Heart Attack Care Hospital Charges and Quality Comparison
2.Heart Attack Care Hospital Length of Stay and Quality Comparison
3.Heart Failure Care Hospital Charges and Quality Comparison
4.0Heart Failure Care Hospital Length of Stay and Quality Comparison
Pneumonia Hospital WCHQ
1.Pneumonia Care Hospital Charges and Quality Comparison
2.0Pneumonia Care Hospital Length of Stay and Quality Comparison
IOM Measures of TIMELINESS (N = 2)
Patient
Satisfaction
Health
Plan
CAHPS
1.0Getting Care Quickly
Access Physician
Group
WCHQ
1.0Time to Third Next Available Appointment
IOM Measures of EFFECTIVENESS (N = 37)
Heart Care Hospital CMS/
JCAHO
1.Adult Smoking Cessation Advice/Counseling for Heart Attack Patients
2.Adult Smoking Cessation Advice/Counseling for Heart Failure Patients
3.Angiotensin Converting Enzyme Inhibitor (ACEI) Medication for Heart Attack Patients with with Left Ventricular Systolic Dysfunction (LVSD)
4.Angiotensin Converting Enzyme Inhibitor (ACEI) Medication for Heart Failure Patients with Left Ventricular Systolic Dysfunction (LVSD)
5.Aspirin at Discharge for Heart Attack Patients
6.Aspirin Received at Arrival for Heart Attack Patients
7.Beta-Blocker Medication Prescribed at Arrival for Heart Attack Patients
8.Beta-Blocker Medication Prescribed at Discharge for Heart Attack Patients
9.Discharge Instructions for Heart Failure Patients
10.Left Ventricular Function (LVF) Assessment for Heart Failure Patients
11.PCI within 120 Minutes for Heart Attack Patients
Health
Plan
HEDIS
1.Beta-Blocker Medication Treatment after a Heart Attack
2.Blood Pressure Control (< 140/90) in Hypertensive Patients (Duplicate measure: Also measured as Clinical Measure of Hypertension)
3.LDL Cholesterol Control (< 130 mg/dl) in Patients with Cardiovascular Disease
4.0LDL Cholesterol Testing within 60 - 365 Days Post Cardiac Event for Patients with Cardiovascular Disease
Pneumonia Hospital CMS/
JCAHO
1.Adult Smoking Cessation Advice/Counseling for Pneumonia Patients
2.Antibiotic within 4 Hours for Pneumonia Patients
3.Oxygenation Assessment for Pneumonia Patients
4.0Pneumococcal Screening and/or Vaccination
Hospital CMS
1.0Blood Cultures Before Antibiotic for Pneumonia Patients
Surgery Hospital N/A
1.Knee Replacement Hospital Charge
2.0Knee Replacement Hospital Length of Stay
Women's Health Hospital JCAHO
1.0Vaginal Delivery Laceration - Third or Fourth Degree
Hospital N/A
1.Obstetric Care Hospital Charge (normal vaginal delivery)
2.0Obstetric Care Hospital Length of Stay (normal vaginal delivery)
Physician
Group
WCHQ
1.0Post-partum Care: The percentage of women greater than or equal to 18 years of age who delivered a live birth in the designated time frame and who have had a postpartum visit on or between 7 and 56 days after delivery.
Diabetes Physician
Group
WCHQ
1.Blood Sugar (A1c) Control
2.Blood Sugar (A1c) Screening within the last 12 months
3.Kidney Function Monitored within the last 12 months
4.LDL Cholesterol Control
5.0LDL Cholesterol Testing within the last 12 months
Health
Plan
HEDIS
1.Blood Sugar (A1c) Screening within the last 12 months
2.Kidney Function Monitored within the last 12 months
3.LDL Cholesterol Control (< 130 mg/dl) in Diabetes Patients in Diabetes Patients
4.LDL Cholesterol Testing within the last 24 months for Diabetes Patients
5.0Poor Blood Sugar (A1c) Control (> 9%) in Diabetes Patients in Diabetes Patients
Hypertension Physician
Group
WCHQ
1.0Controlling Uncomplicated Essential Hypertension
Health
Plan
HEDIS
1.0Blood Pressure Control (< 140/90) in Hypertensive Patients (Duplicate measure: Also measured as Clinical Measure of Heart Care)
IOM Measures of PATIENT-CENTEREDNESS (N = 3)
Patient
Satisfaction
Health
Plan
CAHPS
1.How well Doctor Communicates
2.Rating of Personal Doctor
3.0Rating of Specialist Seen Most often
IOM Measures of EQUITY (N = 0)
NONE

– Wisconsin WCHQ 2006 –
List of 56 Performance Measures
Sorted by Clinical Category

IOM AIM Measure
Category
Developer Description of Measures
Clinical Measures for SURGERY (N = 7)
Safety Hospital Leapfrog
1.Abdominal Aortic Aneurysm Repair
2.Coronary Angioplasty (Artery Widening)
3.Coronary Artery Bypass Graft (CABG)
4.Esophageal Cancer Surgery
5.0Pancreatic Resection
Effectiveness Hospital N/A
1.Knee Replacement Hospital Charge
2.0Knee Replacement Hospital Length of Stay
Clinical Measures for CRITICAL CARE (N = 1)
Critical Care Hospital Leapfrog
1.0Intensive Care Unit (ICU) Physician Staffing
Clinical Measures for WOMEN'S HEALTH (N = 5)
Safety Hospital Leapfrog
1.0NICU Average Daily Census
Effectiveness Hospital JCAHO
1.0Vaginal Delivery Laceration - Third or Fourth Degree
Hospital N/A
1.Obstetric Care Hospital Charge (Normal Vaginal Delivery)
2.0Obstetric Care Hospital Length of Stay (Normal Vaginal Delivery)
Physician
Group
WCHQ
1.0Post-partum Care: The percentage of women greater than or equal to 18 years of age who delivered a live birth in the designated time frame and who have had a postpartum visit on or between 7 and 56 days after delivery.
Clinical Measures for HEALTH INFORMATION TECHNOLOGY (N = 1)
Safety Hospital Leapfrog
1.0Computerized Physician Order Entry (CPOE)
Clinical Measures of HEART CARE (N = 19)
Efficiency Hospital WCHQ
1.Heart Attack Care Hospital Charges and Quality Comparison
2.Heart Attack Care Hospital Length of Stay and Quality Comparison
3.Heart Failure Care Hospital Charges and Quality Comparison
4.0Heart Failure Care Hospital Length of Stay and Quality Comparison
Effectiveness Hospital CMS/
JCAHO
1.Adult Smoking Cessation Advice/Counseling for Heart Attack Patients
2.Adult Smoking Cessation Advice/Counseling for Heart Failure Patients
3.Angiotensin Converting Enzyme Inhibitor (ACEI) Medication for Heart Attack Patients with with Left Ventricular Systolic Dysfunction (LVSD)
4.Angiotensin Converting Enzyme Inhibitor (ACEI) Medication for Heart Failure Patients with Left Ventricular Systolic Dysfunction (LVSD)
5.Aspirin at Discharge for Heart Attack Patients
6.Aspirin Received at Arrival for Heart Attack Patients
7.Beta-Blocker Medication Prescribed at Arrival for Heart Attack Patients
8.Beta-Blocker Medication Prescribed at Discharge for Heart Attack Patients
9.Discharge Instructions for Heart Failure Patients
10.Left Ventricular Function (LVF) Assessment for Heart Failure Patients
11.PCI within 120 Minutes for Heart Attack Patients
Health
Plan
HEDIS
1.Beta-Blocker Medication Treatment after a Heart Attack
2.Blood Pressure Control (< 140/90) in Hypertensive Patients (Duplicate measure: Also measured as Clinical Measure of Hypertension)
3.LDL Cholesterol Control (< 130 mg/dl) in Patients with Cardiovascular Disease
4.0LDL Cholesterol Testing within 60 - 365 Days Post Cardiac Event for Patients with Cardiovascular Disease
Clinical Measures of PNEUMONIA (N = 7)
Efficiency Hospital WCHQ
1.Pneumonia Care Hospital Charges and Quality Comparison
2.0Pneumonia Care Hospital Length of Stay and Quality Comparison
Effectiveness Hospital CMS/
JCAHO
1.Adult Smoking Cessation Advice/Counseling for Pneumonia Patients
2.Antibiotic within 4 Hours for Pneumonia Patients
3.Oxygenation Assessment for Pneumonia Patients
4.0Pneumococcal Screening and/or Vaccination
Hospital CMS
1.0Blood Cultures Before Antibiotic for Pneumonia Patients
Clinical Measures of PATIENT SATISFACTION (N = 4)
Timeliness Health
Plan
CAHPS
1.0Getting Care Quickly
Patient
Centeredness
Health
Plan
CAHPS
1.How well Doctor Communicates
2.Rating of Personal Doctor
3.0Rating of Specialist Seen Most often
Clinical Measures of ACCESS (N = 1)
Timeliness Physician
Group
WCHQ
1.0Time to Third Next Available Appointment
Clinical Measures of DIABETES (N = 10)
Effectiveness Physician
Group
WCHQ
1.Blood Sugar (A1c) Control
2.Blood Sugar (A1c) Screening within the last 12 months
3.Kidney Function Monitored within the last 12 months
4.LDL Cholesterol Control
5.0LDL Cholesterol Testing within the last 12 months
Health
Plan
HEDIS
1.Blood Sugar (A1c) Screening within the last 12 months
2.Kidney Function Monitored within the last 12 months
3.LDL Cholesterol Control (< 130 mg/dl) in Diabetes Patients in Diabetes Patients
4.LDL Cholesterol Testing within the last 24 months for Diabetes Patients
5.0Poor Blood Sugar (A1c) Control (> 9%) in Diabetes Patients in Diabetes Patients
Clinical Measures of HYPERTENSION (N = 2)
Effectiveness Physician
Group
WCHQ
1.0Controlling Uncomplicated Essential Hypertension
Health
Plan
HEDIS
1.0Blood Pressure Control (< 140/90) in Hypertensive Patients (Duplicate measure: Also measured as Clinical Measure of Heart Care)

– Wisconsin WCHQ 2006 –
List of 56 Performance Measures
Sorted by Group Being Measured

IOM AIM Measure
Category
Developer Description of Measures
Clinical Measures for Hospitals (N = 35)
Safety Surgery Leapfrog
1.Abdominal Aortic Aneurysm Repair
2.Coronary Angioplasty (Artery Widening)
3.Coronary Artery Bypass Graft (CABG)
4.Esophageal Cancer Surgery
5.0Pancreatic Resection
Critical Care Leapfrog
1.0Intensive Care Unit (ICU) Physician Staffing
Women's Health Leapfrog
1.0NICU Average Daily Census
Health Information Technology Leapfrog
1.0Computerized Physician Order Entry (CPOE)
Efficiency Heart Care WCHQ
1.Heart Attack Care Hospital Charges and Quality Comparison
2.Heart Attack Care Hospital Length of Stay and Quality Comparison
3.Heart Failure Care Hospital Charges and Quality Comparison
4.0Heart Failure Care Hospital Length of Stay and Quality Comparison
Pneumonia WCHQ
1.Pneumonia Care Hospital Charges and Quality Comparison
2.0Pneumonia Care Hospital Length of Stay and Quality Comparison
Effectiveness Surgery N/A
1.Knee Replacement Hospital Charge
2.0Knee Replacement Hospital Length of Stay
Heart Care CMS/
JCAHO
1.Adult Smoking Cessation Advice/Counseling for Heart Attack Patients
2.Adult Smoking Cessation Advice/Counseling for Heart Failure Patients
3.Angiotensin Converting Enzyme Inhibitor (ACEI) Medication for Heart Attack Patients with with Left Ventricular Systolic Dysfunction (LVSD)
4.Angiotensin Converting Enzyme Inhibitor (ACEI) Medication for Heart Failure Patients with Left Ventricular Systolic Dysfunction (LVSD)
5.Aspirin at Discharge for Heart Attack Patients
6.Aspirin Received at Arrival for Heart Attack Patients
7.Beta-Blocker Medication Prescribed at Arrival for Heart Attack Patients
8.Beta-Blocker Medication Prescribed at Discharge for Heart Attack Patients
9.Discharge Instructions for Heart Failure Patients
10.Left Ventricular Function (LVF) Assessment for Heart Failure Patients
11.PCI within 120 Minutes for Heart Attack Patients
Pneumonia CMS/
JCAHO
1.Adult Smoking Cessation Advice/Counseling for Pneumonia Patients
2.Antibiotic within 4 Hours for Pneumonia Patients
3.Oxygenation Assessment for Pneumonia Patients
4.0Pneumococcal Screening and/or Vaccination
CMS
1.0Blood Cultures Before Antibiotic for Pneumonia Patients
Women's Health JCAHO
1.0Vaginal Delivery Laceration - Third or Fourth Degree
N/A
1.Obstetric Care Hospital Charge (Normal Vaginal Delivery)
2.0Obstetric Care Hospital Length of Stay (Normal Vaginal Delivery)
Clinical Measures for Health Plans (N = 13)
Timeliness Patient Satisfaction CAHPS
1.0Getting Care Quickly
Effectiveness Heart Care HEDIS
1.Beta-Blocker Medication Treatment after a Heart Attack
2.Blood Pressure Control (< 140/90) in Hypertensive Patients (Duplicate measure: Also measured as Clinical Measure of Hypertension)
3.LDL Cholesterol Control (< 130 mg/dl) in Patients with Cardiovascular Disease
4.0LDL Cholesterol Testing within 60 - 365 Days Post Cardiac Event for Patients with Cardiovascular Disease
Diabetes HEDIS
1.Blood Sugar (A1c) Screening within the last 12 months
2.Kidney Function Monitored within the last 12 months
3.LDL Cholesterol Control (< 130 mg/dl) in Diabetes Patients in Diabetes Patients
4.LDL Cholesterol Testing within the last 24 months for Diabetes Patients
5.0Poor Blood Sugar (A1c) Control (> 9%) in Diabetes Patients in Diabetes Patients
Hypertension HEDIS
1.0Blood Pressure Control (< 140/90) in Hypertensive Patients (Duplicate measure: Also measured as Clinical Measure of Heart Care)
Patient
Centeredness
Patient Satisfaction CAHPS
1.How well Doctor Communicates
2.Rating of Personal Doctor
3.0Rating of Specialist Seen Most often
Clinical Measures for Physician Groups (N = 8)
Timeliness Access WCHQ
1.0Time to Third Next Available Appointment
Effectiveness Diabetes WCHQ
1.Blood Sugar (A1c) Control
2.Blood Sugar (A1c) Screening within the last 12 months
3.Kidney Function Monitored within the last 12 months
4.LDL Cholesterol Control
5.0LDL Cholesterol Testing within the last 12 months
Women's Health WCHQ
1.0Post-partum Care: The percentage of women greater than or equal to 18 years of age who delivered a live birth in the designated time frame and who have had a postpartum visit on or between 7 and 56 days after delivery.
Physician
Group
WCHQ
1.0Controlling Uncomplicated Essential Hypertension
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