Value Based Payment Quality Improvement Program (VBP QIP)

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Pay for Performance Measure Selections as of June 20, 2017

FACILITY Acute MI
Mortality
(IQI #51)		 Stroke
Mortality
(IQI #17)		 Pneumonia
Mortality
(IQI #20)		 CAUTI Rate
per 10,000
Patient Days
(Population
Rate)		 CAUTI
Rate per
Device
Days		 CLASBI per
10,000
Patient Days
(Population
Rate)		 CLASBI
Rate per
Device
Days		 CDI
Healthcare
Facility –
Onset
Incidence
Rate per
10,000
Patient Days		 Falls with
Injury		 3 Hour
Sepsis
Bundle		 Pressure
Ulcer Rate,
Stage 2 or
Higher		 Episiotomy
Rate		 Primary C –
Section (IQI
#33)		 Avoidable
ED Use		 Avoidable
Admission		 Fibrinolytic
Therapy Received
with 30 minutes of
ED Arrival (OP–2) –
RH CAH Only		 Median Time to
Transfer to Another
Facility for Acute
Coronary
Intervention (OP–3) –
RH CAH Only		 Median
Time to
ECG (OP–
5) – RH
CAH Only		 EDTC
Emergency
Department
Transfer
Communication
(All or None) –
RH CAH Only		 Alternate 1 Alternate 2
AO Fox Memorial Hospital       X       X X X               X   X  
Bon Secours Charity Health       X   X     X X                   X X
Brookdale Hospital X     X   X   X   X                   X  
Good Samaritan Hospital Suffern       X   X     X   X X X                
Health and Hospitals Corporation         X   X     X X                 X X
Health Alliance (Benedictine) X X X         X   X     X                
Interfaith Medical Center       X   X   X   X                   X X
Kingsbrook Jewish Medical Center   X X X       X   X                   X  
Lewis County General Hospital                   X     X         X X X X
Montefiore–Mount Vernon               X     X     X X         X X
Montefiore–New Rochelle               X   X X   X             X X
Nassau University Medical Center       X   X       X X     X X            
Nyack Hospital       X   X   X   X                   X X
Orleans Community Hospital                 X         X X     X X X  
Rome Memorial Hospital       X   X           X X       X X      
St. Luke´s Cornwall Hospital       X       X X   X                 X X
St. James Mercy Hospital                 X         X       X X X X
St. John´s Episcopal             X       X X     X         X X
St. Joseph´s Hospital       X       X   X X                 X X
Wyckoff Heights Medical Center     X X             X X X             X  
Wyoming County Community Hospital     X                   X   X       X X X

Note 1: Measure selections should be final for the duration of the program barring corporate restructuring or reorganization.

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