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Core Measures

Check lists must be incorporated into Gatorounds to assure that the most up-to-date medical studies are incorporated into our patients’ care. The Case Manager should carry these lists on rounds, and when a patient has an applicable diagnosis, the Case Mangager should make sure that the check list is complete prior to discharge. All requirements need to be checked as done!

Pneumonia

  • Blood cultures drawn before antibiotics given
  • Antibiotics given within 6 hrs
  • Pneumonvax for anyone 65 years or older
  • Influenza vaccination (this flu season: October through March)
  • Adult Smoking Cessation Advice/Counseling if a smoker
  • Initial Antibiotic Selection for Immunocompetent ICU/non-ICU patient
    (see new Antibiotic selection choices on General Medicine Admission Orders)

Acute Myocardial Infarction

  • Aspirin at arrival
  • Aspirin at Discharge
  • ACEI or ARB for LVSD (if not given, indicate why)
  • Beta Blocker Prescribed at Discharge
  • Adult Smoking Cessation Advice/Counseling if a smoker             

Heart Failure

  • Evaluation of LVS function (document EF %)
  • ACEI or ARB for LVSD (if not given, indicate why: poor renal fx etc.)
  • Discharge instructions (activity level, reportable signs and symptoms: wt gain, diet, follow-up, home meds need to be reconciled)
  • Make sure ALL discharge meds in dictated discharge summary MATCH meds listed on patient’s discharge instructions!
  • Adult Smoking Cessation Advice/Counseling if a smoker