Quality Indicator Definitions


CareChex® provides a comprehensive evaluation of inpatient hospital quality performance using a variety of outcomes of care measures identified below.

Outcomes of Care Measures

  1. Overall Mortality (for all diagnoses/procedures in the clinical category)
  2. Overall Complications (for all diagnoses/procedures in the clinical category)
  3. Overall All-Site Readmissions (for all diagnoses/procedures in the clinical category)
  4. Inpatient Quality Indicators (relevant indicators screened for each clinical category)
    • Acute myocardial infarction
    • AMI, Without Transfer Cases
    • Congestive heart failure
    • Stroke
    • Gastrointestinal hemorrhage
    • Hip fracture
    • Pneumonia
    • Esophageal resection
    • Pancreatic resection
    • Abdominal aortic aneurysm repair
    • Coronary artery bypass graft
    • Percutaneous transluminal coronary angioplasty
    • Carotid endarterectomy
    • Craniotomy
    • Hip replacement
  5. Patient Safety Indicators (relevant indicators screened for each clinical category)
    • Pressure ulcer (bed sores)
    • Foreign body left in during procedure
    • Iatrogenic pneumothorax (punctured lung as a result of hospital care)
    • Selected infections due to medical care
    • Postoperative hip fracture
    • Postoperative hemorrhage or hematoma
    • Postoperative respiratory failure
    • Postoperative pulmonary embolism or deep vein thrombosis (blood clots)
    • Postoperative sepsis (blood poisoning)

Patient Satisfaction Measures*

  1. Overall Hospital Rating
    • Hospital rating on a scale of 1 to 10 (with "10" being the best)
    • Would recommend hospital to a friend or family member
  2. Doctor Communication
  3. Nurse Communication
  4. Staff Responsiveness
  5. Medication Explanation
  6. Pain Control
  7. Hospital Environment
    • Quietness (Use % of Patients Responding "Always Quiet at Night")
    • Cleanliness (Use % of Patients Responding "Room was Always Clean")
  8. Given Post-Discharge Information
  9. Care Transition

* Evaluated only for annual CareChex Patient Satisfaction Awards for clinical categories of Overall Hospital Care