national benchmarks for perinatal core measures national benchmarks for perinatal core measures

In 2011 Johns Hopkins Medicine developed a plan to become a national leader in core measures with a goal of reaching 96 percent compliance. /Annots [16 0 R 17 0 R 18 0 R 19 0 R 20 0 R] The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. /BS 44 0 R Be sure you clearly understand how to manage your health as you prepare to leave the hospital, such as any new prescription medications you may need. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. The Inpatient hospitalizations for newborns who were with any of the following conditions: admitted to the Neonatal Intensive Care Unit (NICU), transferred to an acute care facility, or other health care facility, a length of stay greater than 120 days that ends during the measurement period, Inpatient hospitalizations for newborns who were fed breast milk only since birth, Improvement noted as an increase in the rate. endstream endobj 309 0 obj <>stream << >> A woman's 'contact' with her antenatal care provider should be more than a simple 'visit' but rather the provision of care and support throughout pregnancy. By reviewing our patients charts, we can immediately identify what is working and where we can improve. Connected /Tabs /W Core measure compliance shows how often a hospital provides each recommended treatment for certain medical conditions. The core measure processes are proven standards of care that reduce complications and lead to better patient outcomes. As we said above, if you decide to submit these traditionally chart-abstracted measures . PQC members identify health care processes that need to be improved and use the best available methods to make changes as quickly as possible. The Compare function compares two years of the measure specifications found in the header of the measure's HTML. Read more. While a number of these measures are voluntarily reported as part of /Type /Annot The Inpatient Web-based Measure, Elective Delivery, documents the number of patients with elective vaginal deliveries or elective Cesarean sections at greater than or equal to (>=) 37 and less than (<) 39 . The Perinatal and Women's Health Standing Committee oversees NQF's perinatal and women's health measures. Any party may request reconsideration of any of the 14 endorsed quality measures listed below by submitting an appeal no later than May 3 (to submit an appeal, go to the NQF Measure Database). /Creator () And a CDC survey found that 8 to 19% of women reported having frequent postpartum depressive symptoms. Medicaid.gov: the official U.S. government site for Medicare | Medicaid typically recommended for low-risk, first-time mothers, this Eight or more contacts for antenatal care can reduce perinatal deaths by up to 8 per 1000 births when compared to 4 visits. The guideline uses the term 'contact' as it implies . /Rect [80 351.2290039062 296.5539855957 335.7850036621] /A 13 0 R /ModDate () By . The new perinatal core measures were ready for hospitals to use in the fall of 2009, and data collection began in April 2010. /Font 12 0 R researchers. Maternal and child health are internationally considered to be among the best measures for assessing health-care quality. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. Added text to indicate whether the measure is patient-based or episode-based. Lower quality care during pregnancy, childbirth, and the postpartum period can lead to unnecessary complications in women and newborns and wasted resources from overused procedures, prolonged hospital stays, and costly neonatal intensive care unit admissions, said Carol Sakala, PhD, MSPH, director of programs at Childbirth Connection and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. The measures were originally developed for quality improvement, pay-for-performance, and public health monitoring. Conducted research in perinatal and ageing brains within a multi-disciplinary team: Designed imaging analysis pipelines to further understanding of connectivity and information processing in the brain, and the mechanisms by which these change due to normal development and disease. Using the quarterly sampling table for for the Exclusive Breast Milk Feeding measure, the sample size required is 20% of this sub-population or 70 cases for the quarter . >> Effective January 1, 2019, all hospitals that provide obstetric care and deliver at least 300 babies annually will be required to collect data for the newest Joint Commission Perinatal Core (PC) measure, called "PC-06 Unexpected Complications in Term Newborns.". We use cookies to improve your experience and analyze our website traffic. /MediaBox [0 0 612 792] The Joint Commission Disclaimer: This presentation is current as of August 31, 2021. Note: Hospitals are encouraged to utilize a data source that reduces unnecessary medical record review e.g., using vital records, delivery logs or clinical information systems as a data source. /Rect [80 323.2290039062 136.4620056152 307.7850036621] /Encoding 11 0 R Patients admitted to the hospital for inpatient acute care are included in the PC Mother Initial sampling group if they have: Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusions. /Rect [45 47.2192001343 154.7259979248 35.9873008728] 21 0 obj a diagnosis of galactosemia endstream /Subject () Perinatal Care (PC) Initial Patient Population The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. A hospital's Mother Population size is 72 cases during the second quarter. reporting by state Medicaid and CHIP agencies. . The AMA does not directly or indirectly practice medicine or dispense medical services. based on a sample of patients and may not reflect the hospitals overall Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. << This measure compares the number of MRSA-positive blood samples collected 4 or more days after the patient entered the hospital to a national benchmark. % For you, the electronic versions of the same measures are ePC-01, ePC-02, ePC-05 and ePC-06. By closely reviewing these care processes, we have the opportunity to concentrate on areas that need improvement. /N /NextPage Core member of the Edinburgh Imaging research capability. A hospital's Mother Population size is 510 cases during March. >> NPIC Blog: The Devastating Impact of Sepsis. The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. Core measures are national standardized processes and best practices to improve patient care. A hospital's Mother Population size is 125 cases during March. View them by specific areas by clicking here. A hospital's Mother Population size is 400 cases during March. /Type /Page Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. A technical advisory panel (TAP) comprising experts in the perinatal care field was convened in February 2009 to select the replacement set of measures from among those endorsed for national use by the National Quality Forum. All rights reserved. /Parent 4 0 R 39 weeks of gestation. The organizations quality and safety performance may have been impacted by the COVID-19 pandemic. Information on Joint Commission Requirements. 17 0 obj What is Johns Hopkins Medicine doing to continue to improve? With more than four million births in the United States each year, perinatal measures are needed to ensure the health and well-being of new mothers and newborns, said Janet Corrigan, PhD, MBA, president and CEO of NQF. Value set Birth Weight (2.16.840.1.113762.1.4.1029.194): Added Birth Weight based on change in measure requirements, using birth weight to capture term newborns whose the estimated gestational age at birth information is missing. Building U.S. Capacity to Review and Prevent Maternal Deaths. The following are Perinatal Care chart abstracted measures used by The Joint Commission. << One measure is exclusive breast milk feeding. Masks are required inside all of our care facilities. 290 EMPOWERED endobj Find more COVID-19 testing locations on Maryland.gov. Using the quarterly sampling table for the Mother population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population or all 72 cases are sampled. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. 736. on . Contact Information Products viamy.ncqa.orgfor analysis that accounts for trend breaks. /Subtype /Widget /Thumb 30 0 R See how Johns Hopkins Medicine prioritizes safety during the COVID-19 pandemic. /Rotate 0 The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. /PDFDocEncoding 37 0 R Gain an understanding of the development of electronic clinical quality measures to improve quality of care. Chris Walas, RN, MSN, and Kelley Franklin, MSN, RN /Rotate 0 U.S. Government Rights Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. 11 0 obj Copyright 2023 National Committee for Quality Assurance. A hospital's PC-Newborn Population size is 600 cases during the second quarter. The California Maternal Quality Care Collaborative has long been committed to supporting vaginal birth and reducing first birth cesareans. 18 0 obj A hospital's Mother Population size is 1500 cases during the second quarter. << One commenter. endobj endobj endobj When data is translated into useful information, the opportunity to transform quantitative data into qualitative improvements becomes a reality. /CropBox [0 0 612 792] It is acceptable to calculate Gestational Age using the American College of Obstetricians and Gynecologists ReVITALize guidelines, which define Gestational Age as calculated using the best obstetrical Estimated Due Date (EDD) based on the formula: Gestational Age= (280-(EDD-Reference Date))/7. << << Specific steps for each condition vary, but examples include providing preventative medication to patients at risk for developing blood clots or determining rehabilitation needs for a stroke patient. QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. Using the quarterly sampling table for the Mother population, the sample size required is 301 cases for the quarter. Building on a pilot version used by more than 100 hospitals since 2017, the Perinatal Quality Dashboard is the industry's only integrated analytics dashboard that aggregates and benchmarks more than 80 measures to help providers drill into patient-level detail, including payer mix and risk factors for COVID-19 maternal patients. The AHRQ Quality Indicators (Qis) comprise four measure areas: inpatient, prevention, patient safety, and pediatric care. performance on the measure across the larger patient population. reporting by state Medicaid and CHIP agencies. Benchmarks for flu immunization What are the national benchmarks for the PC measures? (2018). Data Source: The Centers for Medicare and Medicaid Services and Johns /C [] 225 Chapman Street Suite 200 Providence, RI 02905. Using the monthly sampling table for the Mother population, the sample size required is 101 cases for the month. supported the measure overall. admitted to the Neonatal Intensive Care Unit (NICU) or transferred to a regular intensive care unit (ICU) Revised the Guidance to reflect the rationale for adding birth weight to capture term newborns. Added text to identify the Quality Data Model (QDM)version used in themeasure specification. /H /N 3 0 obj Find evidence-based sources on preventing infections in clinical settings. Importantly, this metric also serves as a balancing measure for other maternal mea-sures such as NTSV (Nulliparous, Term, Singleton, Vertex) cesarean rates and early elective delivery rates. << 15 0 obj << Complete the Survey. Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. (2017). endobj Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. Our Stroke Program team is small and communicates well. /A 43 0 R Quality and Safety Performance During COVID-19, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Central Line-Associated Bloodstream Infections (CLABSI), Patients Leaving the Pediatric ER Without Being Seen by a Health Care Provider, The Centers for Medicare and Medicaid Services - Recommended Core Measures, AHRQs Guide for Questions to Ask Your Doctor. Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation's health care system moves from one that pays based on volume of services to one that pays for value. >> The patients in each measure are processed independently. The program has an important role to play in improving maternal and perinatal health outcomes. endobj z eHrtBZ%0e f/SFjM~%)pQ << *Benchmark Source: National and state averages are the most recent /Kids [9 0 R 10 0 R] << This version of the eCQM uses QDM version 5.6. Measures in this portfolio address reproductive health; pregnancy, labor, and delivery; high-risk pregnancy; newborns; postpartum care; and premature or low birthweight neonates. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. /BleedBox [0 0 612 792] With improved outcomes, the other metrics of success can fall into alignment, with improvement in one area leading to improvement in others. /BS 46 0 R Please refer to the eCQI resource center for more information on the QDM. /Ff 65536 Perinatal Care (PC) Core Measures: Updates for Fall, 2021. 14 0 obj For over 30 years, NPIC has worked with hospitals, patient safety organizations, insurers and researchers to collect and interpret the data that drives better outcomes for mothers and newborns. Hospitals sampling for the PC-Newborn with Exclusive Breast Milk Feeding must ensure that the patient population size for this subpopulation meets the following conditions: A hospital's Mother Population size is 2300 cases during the second quarter. Public lists NHS workforce in England [January 2023] Transgender health [September 2022] Weekly additions - 2023-02-26 Financial pressures in the NHS in England [January 2023] Introduction to the NHS in England [February 2023] Devolved National Health Service : the NHS in England, Northern Ireland, Scotland and Wales [March 2022] Adult social . Our team presented these findings to our medications committee, whose support was helpful in educating our doctors on how to change their practice. /I 40 0 R >> Symptoms from MRSA infections often take a few days to develop. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. >> /Filter /FlateDecode Specifications Manual for Joint Commission National Quality Measures (v2022A), Perinatal Care (PC) Initial Patient Population, Appendix E - Overview of Measure Information Form and Flowchart Formats, Cover Page for the Joint Commission Manual, Joint Commission National Quality Measures Data Processing, Using the The Joint Commission's National Measure Specifications Manual, Unexpected Complications in Term Newborns, All Records, Not collected for HBIPS-2 and HBIPS-3, All Records, Optional for HBIPS-2, HBIPS-3, All Records, Optional for All HBIPS Records. The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. hQJ@4mEKHFd-wZkwQ#&p#`ZX94![k@IV, LF7P{(WJH*5#u&){+*ro2*>92Ax'78q/>IF0~*n`JFcx9m/wu"kLW!4IX4uT!+hex|qzp+xjt lr$hSkZ8-4Io |F"X[H 9 The Joint Commission reserves the right to change the content of the information as appropriate.. These four measures are harmonized with the National Quality Forum (NQF) and Joint Commission perinatal quality measures. /A 51 0 R This set of measures will help promote the type of high-quality care these populations deserve.. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population or all 8 cases are sampled. ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 11.01.1 Delivery, a Patient Age (Admission Date Birthdate) >= 8 years and < 65 and a Length of Stay (Discharge Date - Admission Date) 120 days. Background . Acute-care hospitals SIX core measure sets, effective with January 1, 2014 discharges . endstream endobj 308 0 obj <>stream 10 0 obj Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. PPO corresponds to PPO and EPO within Quality Compass. The study was carried out with the following aims: 1) to assess the quality of perinatal care (PC) by measuring the frequencies of the five PC indicators developed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and comparing results with . 22 0 obj Measure Set: Perinatal Care (PC) Set Measure ID: PC-05 Performance Measure Name: Exclusive Breast Milk Feeding Description: Exclusive breast milk feeding during the newborn's entire hospitalization The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. transferred to an acute care facility, or other health care facility CMS eCQM ID. Maternity Care Bibliography. In order to identify new antiseizure or disease-modifying therapeutic targets and mechanism-based therapies, we need to (1) understand the mechanisms of initiation, propagation, and termination of seizures at the cellular and network level for different seizure types, including status epilepticus, and in different forms of epilepsy, (2) understand the neural circuits, cell types, cellular . >> Medicaid Services' Hospital Compare. /Subtype /Link HtV]oF|'/B%[Au+6yDKH}GZ@-=_^/^R!_R^IZs?{]zKo}#k2rl]W.?Ux~?I??Hns]UZk2l'e eC0(Zp^'7C-9(*0""#/T,0 |'j)W.?Y,>x?r m}\, In all, 22 measures were evaluated against NQFs endorsement criteria by a panel of providers, measurement experts, and consumer representatives; 14 measures were endorsed. /Tabs /W /CropBox [0 0 612 792] NQF Endorses Perinatal Measures Washington, DC - the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. The chart abstracted Perinatal Care measures were re-endorsed by the National Quality Forum (NQF) on November 20, 2020. Copyright section who have not previously given birth. RRKd*k2 O! << /Subtype /Link Sample Size: A hospitals performance on some of the core measures is ANA has developed high-impact patient safety measures, with more than two decades of evidence that higher staffing levels are associated with lower rates of patient death and harm. **National Goal Benchmark Source: The United States Department of Health %PDF-1.7 >> reflect the reporting period of OctoberMarch. /F 4 |, Prevention and Treatment of Leading Causes of Mortality, Effective Communication and Care Coordination, Maintenance of NQF-Endorsed Performance Measures, 0469: PC-01 Elective Delivery (Joint Commission), 0470: Incidence of Episiotomy (Christiana Care Health System), 0471: PC-02 Cesarean Section (Joint Commission), 0472: Appropriate Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision Cesarean Section (Massachusetts General Hospital/Partners Health Care System), 0473: Appropriate DVT Prophylaxis in Women Undergoing Cesarean Delivery (Hospital Corporation of America), 0475: Hepatitis B Vaccine Coverage Among All Live Newborn Infants Prior to Hospital or Birthing Facility Discharge (Centers for Disease Control and Prevention), 0476: PC-03 Antenatal Steroids (Joint Commission), 1746: Intrapartum Antibiotic Prophylaxis for Group B Streptococcus (GBS) (Massachusetts General Hospital), 0477: Under 1500g infant Not Delivered at Appropriate Level of Care (California Maternal Quality Care Collaborative), 0478: Neonatal Blood Stream Infection Rate (NQI #3) (Agency for Healthcare Research and Quality), 1731: Health Care-Associated Bloodstream Infections in Newborns (Joint Commission), 0304: Late Sepsis or Meningitis in Very Low Birth Weight (VLBW) Neonates (risk-adjusted) (Vermont Oxford Network), 0480: PC-05 Exclusive Breast Milk Feeding (Joint Commission), 0483: Proportion of Infants 22 to 29 Weeks Gestation Screened for Retinopathy of Prematurity (Vermont Oxford Network). Participants will be able to verbalize changes and updates to Joint Commission Maternal core measures, PC-02 and PC-06 standards, reporting and documentation. /TrimBox [0 0 612 792] What does this measure mean for quality of care?Breast-feeding provides the best nutrition and health Report from nine maternal mortality review committees. endobj by Data. Locomotion is impacted differently according to the perinatal brain injury model: Meta-analysis of preclinical studies with implications for cerebral palsy. Specific steps for each condition vary, but examples include providing preventative medication to patients at risk for developing blood clots or determining rehabilitation needs for a stroke patient. /IF 42 0 R stream Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. Its critical that providers have the right measurement tools to help ensure mothers and newborns receive safe, high-quality care.. connection among participants to achieve project goals. 13 0 obj This should be reflected as such in the newborn's EHR documentation. LEARN MORE ABOUT PCDB 0 Perinatal Discharges Since 1985 Connecting Through Education Recorded NPIC Events /Annots [31 0 R 32 0 R 7 0 R] << calendar year numbers publicly available on the Centers for Medicare and /Type /Pages endobj Patients admitted to the hospital for inpatient acute care are included in the PC Newborn Initial population if they have: A Patient Age (Admission Date Birthdate) <= 1 day and ICD-10-CM Principal or Other Diagnosis Codes as defined in Appendix A, Table 11.20.1 Single Liveborn Newborn. Using the monthly sampling table for the Mother population, the sample size required is 20% of this sub-population or 80 cases for the month. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 37 cases. /Metadata 3 0 R >> As a stroke compliance specialist, Meta Phillips, R.N., advocates for a personal touch when reviewing patient charts to help improve processes and patient care. To provide a benchmark of local health department effectiveness in addressing the core functions and to assess implications for achieving the year 2000 target, a random national sample (stratified by jurisdiction and population base) of local health departments was surveyed to determine self-reported compliance with 10 public health practice . Using the monthly sampling table for the Mother population, the sample size required is 25 cases for the month. Added birth weight criteria to the initial population as an alternative to estimated gestational age at birth. In my experience, good communication is critical to meeting the core measures. the American Academy of Pediatrics have in place a standard This State of Healthcare Quality Report classifies health plans differently than NCQAs Quality Compass. /RI 41 0 R Specifications for these measures are available below: Chart-abstracted measures specificationsScreen Reader Text. requiring 39 completed weeks gestation prior to elective delivery. was introduced in Q4 2018. Lower numbers are better. Meta Phillips, R.N.Stroke Compliance Specialist, Sibley Memorial Hospital. << /H /N /Border [0 0 0] In its 2020review process, the National Quality Forum endorsed 15Perinatal and Women's Health measures, of which CMQCC was the developer of three: NQF# 0716 Unexpected Complications in Term Newborns (currently used by The Joint Commission as PC-06) a diagnosis of galactosemia o Perinatal measures ZSFG is at or below ZSFG-defined goals and the Vizient median for 5 perinatal core measures: Elective Delivery, cesarean section rate, antenatal steroids, healthcare associated BSI, and exclusive . /A 49 0 R National and state averages for /N 40 0 R /S /Named outcomes for a newborn. endobj Response: Please note that electronic clinical quality measures are not sampled. Perinatal Quality Collaboratives (PQCs) are state or multistate networks of teams working to improve the quality of care for mothers and babies. We would urge patients to consider more recent performance in combination with historical performance. However, very few hospitals chose to adopt the measures because, the measures were optional. 306 0 obj <>stream A hospital may choose to use a larger sample size than is required. A hospital's Mother Population size is 300 cases during the second quarter. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. Patients are tested for MRSA bloodstream infections if they show signs of illness while in the hospital. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. /Helv 38 0 R /Filter /FlateDecode A8.-Fb$)" N0(V#B0H$i5H CZeHf;I#1'?DR1 I$~#6 Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, ePC-06 Unexpected Complications in Term Newborns, PC-06 Unexpected Complications in Term Newborns. NPICs expertise and infrastructure can support data /H /P NQF # Our comparative Quarterly Report, Perinatal Dashboard and special analyses help member hospitals identify and appropriately focus their quality improvement initiatives and resources. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. Since then, the measure has undergone modifications, requiring hospitals to make . >> Please refer to the QDM page for more information on the QDM. G/GqY%]#_$~H"8@ii6T%)`oZ# )F7i'g U@14x?%oH&GsvJg3JC /P 10 0 R << Our team shares information every day and talks about ways to address problems both large and small. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data.