National Quality Strategy Update — 2013

October 1, 2013

Issue Date: October 1, 2013

Table of Contents

Health IT harm now a target for investigation
Hospitals turn around readmissions woes
How to set priorities for your QI year
Are you on top of patient experience?
Quality strategy update shows sluggish start
National Quality Strategy Update — 2013

Financial Disclosure: None of the authors or planners for this educational activity have relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients

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National Quality Strategy Priority	Measure Focus	Measure Name/Description	Baseline Rate	Most Recent rate	Aspirational target
Making Care Safer	Hospital-Acquired Conditions	Incidence of measurable hospital-acquired conditions	145 HACs per 1,000 admissions	142 HACs per 1,000 admissions in 2011	Reduce preventable HACs by 40% by the end of 2014
Making Care Safer	Hospital Readmissions	All-payer 30-day readmission rate	14.4%, based on 32.9 million admissions	14.4%, based on 32.7 million admissions in 2011	Reduce all readmissions by 20% by the end of 2014
Person- and Family-Centered Care	Timely Care	Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted	14.1%	Update available in Fall 2013	Reduce to <10% by 2017
Person- and Family-Centered Care	Decisionmaking	People with a usual source of care whose health care providers sometimes or never discuss decisions with them	15.9%	Update available in Fall 2013	Reduce to <10% by 2017
Effective Communication and Care Coordination	Patient-Centered Medical Home	Percentage of children needing care coordination who receive effective care coordination	69%	66.1%	Increase to 90% by 2017
Effective Communication and Care Coordination	3-item Care Transition Measure	• During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left • When I left the hospital, I had a good understanding of the things I was responsible for in managing my health • When I left the hospital, I clearly understood the purpose for taking each of my medications	45%	Update available in Fall 2013	Increase to 50% by 2017
Prevention and Treatment of Leading Causes of Mortality	Aspirin Use	Outpatient visits at which adults with cardiovascular disease are prescribed/maintained on aspirin	47%	53%	Increase to 65% by 2017
	Blood Pressure Control	Adults with hypertension who have adequately controlled blood pressure	46%	53%	Increase to 65% by 2017
	Cholesterol Management	Adults with high cholesterol who have adequate control	33%	32%	Increase to 65% by 2017
	Smoking Cessation	Outpatient visits at which current tobacco users received tobacco cessation counseling or cessation medications	23%	22%	Increase to 65% by 2017
Health and Well-Being of Communities	Depression	Percentage of adults who reported symptoms of a major depressive episode (MDE) in the last 12 months who received treatment for depression in the last 12 months	68.2%	68.1% for 2011	Increase to 78.2% by 2020
Health and Well-Being of Communities	Obesity	Proportion of adults who are obese	35.7%	Update available in 2014	Reduce to 30.5% by 2020
Making Quality Care More Affordable	Out-of-Pocket Expenses	Percentage of people under 65 with out-of-pocket medical and premium expenses greater than 10 percent of income	18.5%	Update available in Fall 2013	See footnote 1
Making Quality Care More Affordable	Health Spending per Capita	Annual all payer health-care spending per person	$8,402	$8,680 per person in 2011	See footnote 1