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Topics Covered in this section:

  • Chart-abstracted Measures (CAM)Chart-Abstracted Measures for Assisted Living Communities (ALCs)

  • Electronic Clinical Quality Measure (eCQM)

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titlePC-02 Cesarean Birth (CAM)

Resource Title: California Maternal Quality Care Collaborative (CMQCC) - Supporting Vaginal Birth

Link: https://www.cmqcc.org/quality-improvement-toolkits/supporting-vaginal-birth

Resource Title: Institute for Healthcare Improvement’s Better Maternal Health Outcomes

Link: https://www.ihi.org/resources/tools/better-maternal-outcomes-quality-improvement-workbooks

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titlePC-06 Unexpected Complications in Term Newborns (CAM)

Resource Title: The California Maternal Quality Care Collaborative (CMQCC) Unexpected Complications in Term NewbornsQI Toolkits

Link:https://cpqcc.org/resource-categories/qi-toolkits?page=1

Resource Title: Centers for Disease Control and Prevention (CDC) Infant Mortality

Link: https://www.cdc.gov/maternal-infant-health/infant-mortality/?CDC_AAref_Val=https://www.cdc.gov/reproductivehealth/MaternalInfantHealth/InfantMortality.htm

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titleTOB-3 Tobacco Use Treatment at Discharge (CAM)

Resource Title: 2018 ACC Expert Consensus Decision Pathway on Tobacco Cessation Treatment 

A Report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents 

Link: https://www.jacc.org/doi/10.1016/j.jacc.2018.10.027

Resource Title: Tobacco Cessation Interventions and Smoke-Free Policies in Mental Health and Substance Abuse Treatment Facilities — United States, 2016

Link: https://www.cdc.gov/mmwr/volumes/67/wr/mm6718a3.htm

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Resource Title: American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults

Link: https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.18372

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titleALC-02 Resident Falls

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VTE-6 Hospital Acquired Potentially-Preventable VTE (CAM)

Resource Title: Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement (2nd Edition, August 2016)

Link: https://www.ahrq.gov/

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titleALC-03 Resident Preferences and Goals of Care

Resource Title: Preference Based Living: Tip Sheets for Guidance on Creating a Culture of Preference Based Care

Link: https://www.preferencebasedliving.com/tip-sheets/

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titleALC-04 Advanced Care Plan/Surrogate Decision-Maker

Resource Title: National Institute on Aging: Advance Care Planning

default/files/publications/files/vteguide.pdf

Resource Title: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines: Executive Summary

Link: https://

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titleALC-05 Staff Stability

Resource Title: American Nurses Association Nurse Retention Strategies: How to Combat Nurse Turnover

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journal.chestnet.org/article/S0012-3692(12)60114-7/pdf

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Electronic Clinical Quality Measures (eCQMs)

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titleeGMCS Global Malnutrition Composite Score

Resource Title: Commission on Dietetic Registration- Global Malnutrition Composite Score: Free Educational Resources

Link: https://www.cdrnet.org/GMCS

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titleeHH-01 Hospital Harm—Severe Hypoglycemia Measure

Resource Title: ADA: Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2020

Link: https://diabetesjournals.org/care/article/43/Supplement_1/S193/30405/15-Diabetes-Care-in-the-Hospital-Standards-of

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titleeHH-02 Hospital Harm—Severe Hyperglycemia Measure

Resource Title: ADA: Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2020

Link: https://diabetesjournals.org/care/article/43/Supplement_1/S193/30405/15-Diabetes-Care-in-the-Hospital-Standards-of

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titleeHH-03 Hospital Harm—Opioid Related Adverse Events

Resource Title: Society of Hospital Medicine: Opioid Safety

Link: https://www.hospitalmedicine.org/clinical-topics/opioid-safety/

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titleeOP-40 ST-Segment Elevation Myocardial Infarction

Resource Title: AHA/ASA Journals: 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

Link: https://www.ahajournals.org/doi/10.1161/CIR.0b013e3182742cf6

Resource Title: AHA/ASA Journals: Association Between 90-Minute Door-to-Balloon Time, Selective Exclusion of Myocardial Infarction Cases, and Access Site Choice

Link: https://www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.120.009179

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titleePC-01 Elective Delivery

Resource Title: California Maternal Quality Care Collaborative (CMQCC) toolkit-Elimination of Nonmedically Indicated Early Deliveries

Link: https://www.cmqcc.org/resources-tool-kits/toolkits/early-elective-deliveries-toolkit

Resource Title: National Quality Forum (NQF) Early Elective Delivery Playbook - Maternity Action Team

Link: https://www.qualityforum.org/Publications/2014/08/Playbook_for_the_Successful_Elimination_of_Early_Elective_Deliveries.aspx

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titleePC-02 Cesarean Birth

Resource Title: California Maternal Quality Care Collaborative (CMQCC) - Supporting Vaginal Birth

Link: https://www.cmqcc.org/quality-improvement-toolkits/supporting-vaginal-birth

Resource Title: Institute for Healthcare Improvement’s Better Maternal Health Outcomes

Link: https://www.ihi.org/resources/tools/better-maternal-outcomes-quality-improvement-workbooks

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titleePC-05 Exclusive Human Milk Feeding

Resource Title: The Centers for Disease Control and Prevention (CDC) Guide-Breastfeeding Resource Library

Link: https://www.cdc.gov/breastfeeding/

Resource Title: The United States Breastfeeding Committee toolkit

Link:

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https://www.usbreastfeeding.org/publications.html

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titleePC-06 Unexpected Complications in Term Newborns

Resource Title: The California Maternal Quality Care Collaborative (CMQCC)

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QI Toolkits

Link: https://cpqcc.org/resource-categories/qi-toolkits?page=1

Resource Title: Institute for Healthcare Improvement’s Better Maternal Health Outcomes

Link: https://www.ihi.org/resources/tools/better-maternal-outcomes-quality-improvement-workbooks

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titleePC-07 Severe Obstetric Complications

Resource Title: American Hospital Association Maternal and Child Health Tools and Resources

Link: https://www.aha.org/maternal-child-health-tools-resources

Resource Title: Alliance for Innovation on Maternal Health

Link: https://saferbirth.org/

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titleeSTK-2 Discharged on Antithrombotic Therapy

Resource Title: Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

Link: https://www.ahajournals.org/doi/10.1161/str.0000000000000024

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titleeSTK-3 Anticoagulation Therapy Atrial Fibrillation/Flutter

Resource Title: 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack From the American Heart Association/American Stroke Association

Link: https://www.ahajournals.org/doi/pdf/10.1161/STR.0000000000000375

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titleeSTK-5 Antithrombotic Therapy by End of Hospital Day 2

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titleeVTE-1 Venous Thromboembolism Prophylaxis

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titleeVTE-2 ICU Venous Thromboembolism Prophylaxis

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titleSafe Use of Opioids

Resource Title: CDC: Overdose Prevention

Link: https://www.cdc.gov/overdose-prevention/index.html

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