The measures of timely and effective care httpswwwmedicarego

The measures of timely and effective care (https://www.medicare.gov/HospitalCompare/data/measures-displayed.html#TEC) (also known as “process of care” measures) -show:

   - The percentage of hospital patients who receive treatments known to get the best results for certain common, serious medical conditions or surgical procedures.

   - How quickly hospitals treat patients who come to the hospital with certain medical emergencies.

The measures only apply to patients for whom the recommended treatment would be appropriate. By law, any measures reported on the Hospital Compare website must reflect accepted standards of care, based on current scientific evidence. The measures are regularly reviewed and revised to ensure that they are up-to-date, and new measures and types of conditions and treatments are added over time.

For more detail about the timely and effective care measures, please refer to QualityNet (http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1138115987129)

Using the dataset “Performance data by HIV ambulatory care programs. All HIV ambulatory programs throughout New York State” (Link to the dataset: https://health.data.ny.gov/Health/HIV-Ambulatory-Care-Quality-of-Care-Performance-Re/bbkg-kmnd), determine the sensitivity and specificity, for each HIV option treatment for the Bronx and Queens. Then answer these questions.

   - Which treatment has the greatest sensitivity?

   - Which treatment has the greatest specificity?

   - Describe the tradeoffs between maximizing sensitivity versus specificity. Which one might be most important when evaluating treatments for HIV?

The data also can be downloaded from here: https://health.data.ny.gov/api/views/bbkg-kmnd/rows.csv?accessType=DOWNLOAD

Solution

Measure category Measure identifier Technical measure title Measure as posted on Hospital Compare Update frequency General information Structural measures SM-PART-CARD Participation in a systematic database for cardiac surgery Cardiac Surgery Registry Annually December SM-PART-NURSE Participation in a systematic database for nursing sensitive care Nursing Care Registry Annually December ACS-REGISTRY Participation in a multispecialty surgical registry Multispecialty Surgical Registry Semi-Annually July, December SM-PART-GEN-SURG Participation in general surgery registry General Surgery Registry Annually December OP-12 The ability for providers with HIT to receive laboratory data electronically directly into their qualified/certified EHR system as discrete searchable data Able to receive lab results electronically Annually July OP-17 Tracking clinical results between visits Able to track patients’ lab results, tests, and referrals electronically between visits Annually July OP-25 Safe surgery checklist use (outpatient) Uses outpatient safe surgery checklist Annually July SM-SS-CHECK Safe surgery checklist use (inpatient) Uses inpatient safe surgery checklist Annually December Survey of Patients\' Experiences Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) H-COMP-1-A-P Communication with nurses (composite measure) Patients who reported that their nurses \"Always\" communicated well Quarterly (April, July, October, December) H-COMP-1-U-P Communication with nurses (composite measure) Patients who reported that their nurses \"Usually\" communicated well Quarterly (April, July, October, December) H-COMP-1-SN-P Communication with nurses (composite measure) Patients who reported that their nurses \"Sometimes\" or \"Never\" communicated well Quarterly (April, July, October, December) H-COMP-2-A-P Communication with doctors (composite measure) Patients who reported that their doctors \"Always\" communicated well Quarterly (April, July, October, December) H-COMP-2-U-P Communication with doctors (composite measure) Patients who reported that their doctors \"Usually\" communicated well Quarterly (April, July, October, December) H-COMP-2-SN-P Communication with doctors (composite measure) Patients who reported that their doctors \"Sometimes\" or \"Never\" communicated well Quarterly (April, July, October, December) H-COMP-3-A-P Responsiveness of hospital staff (composite measure) Patients who reported that they \"Always\" received help as soon as they wanted Quarterly (April, July, October, December) H-COMP-3-U-P Responsiveness of hospital staff (composite measure) Patients who reported that they \"Usually\" received help as soon as they wanted Quarterly (April, July, October, December)