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- ► Disease or Clinical Category
► Cardiovascular care (235) Abdominal aortic aneurysm (2) Angioplasty (1) Anticoagulation (9) Anticoagulation, chronic (2) Arrhythmia (2) Atrial fibrillation (3) Blood pressure (33) Bradycardia (1) Cardiac arrest (9) Cardiac catheterization procedures (1) Cardiac disease risk factor (9) Cardiopulmonary resuscitation (4) Cardiothoracic surgery (1) Cardiovascular diseases (24) Carotid endarterectomy (1) Catheterization, central venous (18) Cholesterol measurement (4) Congestive heart failure (34) Coronary arteriosclerosis (6) Coronary artery bypass surgery (3) Coronary heart disease (3) D-dimer test (1) Deep vein thrombosis (5) Door to balloon time (2) Dyslipidemia (3) Ejection fraction (1) Heart disease prevention (1) Heart diseases (36) Heart failure (27) Hypercholesterolemia (15) Hypercholesterolemia, familial (1) Hyperlipidemia (6) Hypertension (55) Hypertension screening (9) Hypertriglyceridemia (1) Ischemic stroke (3) Lipid disorders (1) Lipid-lowering therapy (4) Myocardial infarction (34) Percutaneous coronary intervention (3) Peripheral arterial disease (3) Pneumatic compression therapy (1) Post-myocardial infarction (1) Postoperative myocardial infarction (1) Prolonged qt interval (1) St-segment elevation mi (1) Stent, cardiac (1) Stroke (24) Stroke prevention (7) Sudden cardiac death (3) Tachycardia (1) Thromboembolism (6) Thrombolytic therapy (2) Thrombosis, deep venous, prophylaxis (3) Torsades de pointes (1) Transient ischemic attack (4) Traumatic shock (1)
► Dental health care (34) Dental abscess (1) Dental caries (21) Dental pain (1) Tooth diseases (32)
► Diet and nutrition (207) Body mass index procedure (11) Bottle feeding (1) Childhood obesity (44) Dehydration (2) Diabetic diet (6) Diet (72) Diet and cancer (3) Food labeling (3) Malnutrition (3) Minerals (1) Nutrition (122) Obesity (97) Overweight (53) Parenteral nutrition, total (2) Vitamins (2) Weight loss (19)
► Endocrinologic/metabolic care (196) Cholesterol measurement (4) Dehydration (2) Diabetes (158) Diabetes mellitus, insulin-dependent (7) Diabetes mellitus, non-insulin-dependent (28) Diabetic diet (6) Diabetic foot (5) Dyslipidemia (3) Gestational diabetes (1) Glycemic control (5) Hemochromatosis (3) Hirsutism (1) Hypercholesterolemia (15) Hypercholesterolemia, familial (1) Hyperglycemia (2) Hyperlipidemia (6) Hypertriglyceridemia (1) Lactic acidosis (1) Lipid disorders (1) Lipid-lowering therapy (4) Maternal hyperthyroidism (1) Metabolic syndromes (1) Postpartum thyroiditis (1) Thyroid disease in pregnancy (1) Thyroid diseases (4)
► Gastroenterologic care (32) Abdominal pain (1) Abdominal pain, chronic (1) Celiac disease (1) Crohn's disease (1) Cystic fibrosis (3) Digestive system disorders (1) Digital rectal examination (3) Functional gastrointestinal disorders (1) Gastroesophageal reflux disease (2) Gastrointestinal bleeding (1) Hepatitis (4) Hepatitis A (2) Hepatitis B (2) Hepatitis C (7) Hepatotoxicity (1) Intestinal obstruction (1) Irritable bowel syndrome (1) Lactose intolerance (1) Nausea and vomiting (2) Sigmoidoscopy (3)
► Gynecologic/obstetric care (148) Birth plan (1) Birth trauma (2) Breast diseases (2) Cervical cancer (16) Cervical cancer screening (14) Cesarean section (6) Contraception (8) Depression, postpartum (12) Female genital cutting (1) Fertility (5) Fetal death (1) Genetic counseling (3) Gestational diabetes (1) Gynecological examination (3) High-risk pregnancy (2) HIV and pregnancy (6) Hormone replacement therapy (4) Human papillomavirus (7) Infertility (5) Labor (childbirth) (4) Labor and delivery (10) Labor induction (2) Manual pelvic examination (2) Maternal hyperthyroidism (1) Maternal stress (1) Menopause (6) Newborn death (1) Postnatal care (4) Postpartum hemorrhage (1) Pregnancy (52) Pregnancy in adolescence (6) Pregnancy testing (1) Premature birth (17) Prenatal testing (1) Rh deficiency syndrome (1) Sexually transmitted diseases (26) Spontaneous rupture of membranes (1) Thyroid disease in pregnancy (1) Transdermal contraception (1) Vaginal birth after cesarean (1) Vaginal bleeding (1) Vaginal smears (17)
► Hematologic/oncologic care (233) Acute radiation syndrome (2) Anal cancer (1) Anal pap smear (1) Androgen deprivation therapy (4) Brain tumor (2) Breast cancer (45) Breast cancer screening (22) Breast self-examination (2) Burkitt's lymphoma (1) Cancer (65) Cancer genetics (2) Cancer prevention (7) Cancer screening (38) Cervical cancer (16) Cervical cancer screening (14) Chemotherapy (14) Chemotherapy sickness (3) Chemotherapy-related toxicity (1) Colon cancer (14) Colon cancer stage II (1) Colon cancer stage III (1) Colonoscopy (15) Colorectal cancer (23) Colorectal cancer screening (29) Diet and cancer (3) Donation of bone marrow (1) Endometrial cancer (1) Febrile neutropenia (1) Fecal immunochemical test (3) Fecal occult blood test (9) Gastrointestinal cancer (4) Hematopoietic cell growth factors (4) Hematopoietic stem cell transplantation (1) Hemoglobin measurement (1) Her-2 gene (3) Hodgkin's disease (1) Laryngeal cancer (1) Leukemia, acute (1) Leukemia, lymphocytic, acute (3) Leukemia, myelocytic, acute (1) Lung cancer (8) Lymphoma, lymphoblastic (1) Lymphoma, non-hodgkin (2) Mammography (24) Melanoma (8) Multiple myeloma (1) Ovarian cancer (5) Pancreatic cancer (2) Precancerous lesions (1) Prostate cancer (19) Prostate cancer screening (4) Prostate-specific antigen test (6) Radiation therapy (4) Radiation-induced nausea and vomiting (2) Rectal cancer (3) Rh deficiency syndrome (1) Sentinel lymph node biopsy (3) Sickle cell anemia (3) Sigmoidoscopy (3) Skin cancer (9) Skin cancer screening (2) Thyroid cancer (1)
► HIV/AIDS care (88) AIDS (66) AIDS-related opportunistic infections (10) HIV (78) HIV and pregnancy (6) HIV postexposure prophylaxis (1) HIV testing (20) HIV-associated lipodystrophy syndrome (1) Pneumonia, pneumocystis carinii (2) Tuberculosis and HIV (3)
► Infectious disease care (235) Antibiotic prophylaxis (1) Bacterial infection (2) Botulism (1) Campylobacter infections (1) Catheter-related infection (23) Catheterization, central venous (18) Central line-associated bloodstream infection (1) Chickenpox (1) Chlamydia infections (4) Clostridium difficile infection (8) Common cold (5) Community-acquired pneumonia (8) Cryptosporidiosis (1) Cytomegalovirus infections (1) Drug resistance (14) Erythema infectiosum (1) Escherichia coli infections (1) Fever (1) Food-borne diseases (7) Genital warts (1) Gonococcal infections (3) Hand hygiene (28) Healthcare associated infectious disease (8) Hepatitis (4) Hepatitis A (2) Hepatitis B (2) Hepatitis C (7) Herpes zoster disease (1) Human papillomavirus (7) Infection prophylaxis (19) Influenza (23) Influenza, avian (4) Leprosy (1) Listeria infections (2) Malaria (1) Methicillin-resistant staphylococcus aureus (18) Mycobacterium avium complex infections (1) Mycoses (1) Norovirus gastroenteritis (1) Nosocomial infection (54) Occupational exposure (1) Otitis (1) Otitis media (1) Otitis media with effusion (1) Pertussis (3) Pneumococcal infections (1) Pneumonia (15) Pneumonia, pneumococcal (2) Pneumonia, pneumocystis carinii (2) Respiratory tract infections, upper (2) Rhinitis (1) Salmonella infections (2) Septic shock (1) Septicemia (10) Sexually transmitted diseases (26) Sexually transmitted diseases screening (7) Shigella infections (1) Skin infections (1) Standard precautions (1) Streptococcal infections, group b (1) Streptococcus group b (4) Surgical wound infection (10) Swine influenza (1) Swine-origin influenza a h1n1 virus (1) Toxoplasmosis (3) Tuberculosis (6) Tuberculosis and HIV (3) Urinary tract infection (8) Vancomycin resistant enterococcus (4) Ventilator-associated pneumonia (13) Viral hepatitis (1) Zoonoses (2)
► Mental health care (257) Acute stress disorder (5) Adjustment disorders (1) Aggression (1) Anxiety (9) Anxiety disorders (2) Attention-deficit/hyperactivity disorder (10) Behavior disorders (2) Bipolar disorder (8) Bulimia nervosa (4) Cognitive-bahvioral therapy (1) Combat stress (3) Delirium (8) Dementia (21) Depression (61) Depression screening (21) Depression, maternal (4) Depression, postpartum (12) Depressive disorder, major (4) Eating disorders (6) Emotional disturbances (1) Emotional stress (9) Grief (4) Mental disorders (94) Mental disorders diagnosed in childhood (1) Mental health (51) Mental retardation (2) Mood disorder (3) Obsessive-compulsive disorder (1) Patient violence (1) Post-traumatic stress disorder (20) Postpartum psychiatric disorder (1) Pregnancy related depression (2) Psychiatric emergencies (3) Psychosocial rehabilitation (3) Psychotic disorders (5) Schizophrenia (9) Sleep disorders (1) Stress disorders, traumatic (3) Stress management training (6) Suicidal behavior (4) Suicide (8) Suicide risk assessment (3)
► Musculoskeletal care (186) Arthritis (6) Arthroscopies (1) Back pain (3) Bone diseases (2) Bone mineral density (3) Elderly fall (24) Exercise (109) Fall (41) Fibromyalgia (1) Fracture (2) Hip fractures (1) Hip replacement (6) Injury of cervical spine (disorder) (1) Joint replacement surgery (4) Knee replacement (5) Musculoskeletal diseases (5) Osteoarthritis (4) Osteonecrosis (1) Osteopenia (1) Osteoporosis (13) Physical therapy (4) Rheumatic disorders (2) Rheumatoid arthritis (2)
► Nephrologic care (22) Arteriovenous fistula (1) Diabetic nephropathy (1) Glomerular filtration rate (3) Hemodialysis (4) Kidney diseases (7) Kidney failure (1) Kidney failure, chronic (12) Kidney function (1) Kidney transplantation (2)
► Neurologic care (107) Alzheimer's disease (14) Amyotrophic lateral sclerosis (1) Autism (10) Brain injuries (10) Cerebral palsy (1) Chronic fatigue syndrome (1) Cognition disorders (4) Cognitive impairment (6) Concussion (7) Dementia (21) Epilepsy (3) Global developmental delay (2) Guillain-barre syndrome (2) Headache (3) Ischemic stroke (3) Memory disorders (3) Mental status changes (1) Migraine headaches (1) Movement disorders (1) Multiple sclerosis (5) Neurologic examination (2) Neuropathic pain (1) Olfaction disorders (1) Pain management (2) Parkinson disease (2) Sleep (5) Sleep disorders (1) Spinal cord injuries (2) Spinal muscular atrophy (1) Status epilepticus (2) Stroke (24) Stroke prevention (7) Taste disorders (1) Thrombolytic therapy (2) Transient ischemic attack (4)
► Ophthalmologic care (19) Cataracts (2) Diabetic retinopathy (10) Dry eye (2) Glaucoma (2) Macular degeneration (1) Nasolacrimal occlusion (1) Ophthalmic examination and evaluation (5) Retinal screening (1) Vision disorders (1) Visual impairment (4)
► Otolaryngologic care (14) Hearing loss (13) Hearing tests (3) Otitis (1) Otitis media (1) Otitis media with effusion (1)
► Pediatric care (156) Asthma, childhood (24) Attention-deficit/hyperactivity disorder (10) Birth trauma (2) Bottle feeding (1) Cerebral palsy (1) Child development (9) Child health (15) Child welfare (5) Childhood obesity (44) Children at risk (4) Conduct disorder (1) Congenital abnormalities (3) Crying, excessive (1) Developmental delay (1) Developmental disabilities (5) Developmental screening (1) Down syndrome (3) Early intervention (1) Fetal alcohol syndrome (7) Global developmental delay (2) Infant development (1) Infant mortality (1) Lead poisoning (1) Low birth weight infant (11) Neonatal screening (5) Oppositional defiant disorder (1) Perinatal care (3) Premature birth (17) Puberty (1) Reye syndrome (1) Shaken baby syndrome (2) Spina bifida (1) Sudden infant death syndrome (3) Toilet training (1)
► Respiratory/pulmonary care (146) Acute respiratory failure (1) Aspiration pneumonia (2) Asthma (69) Asthma, acute (1) Asthma, childhood (24) Bronchitis, chronic (2) Bronchoscopy (1) Carbon monoxide poisoning (1) Chronic obstructive airway disease (24) Common cold (5) Cough (3) Cystic fibrosis (3) Emphysema (1) Hemothorax (1) Idiopathic pulmonary fibrosis (1) Lung diseases (9) Lung transplantation (1) Mechanical ventilation (9) Pneumonia (15) Pneumothorax (2) Pulmonary embolism (5) Pulmonary nodule (2) Pulse oximetry monitoring (1) Respiratory arrest (1) Respiratory depression (1) Respiratory failure (2) Respiratory tract infections (3) Respiratory tract infections, upper (2) Spirometry (1)
► Skin and soft-tissue care (37) Burn injury (2) Decubitus ulcer (23) Diabetic foot (5) Psoriasis (1) Skin rash (1) Sun exposure (3) Wound care (3)
► Substance abuse (177) Alcohol abuse (39) Alcohol and/or drug screening (10) Alcohol consumption (19) Alcohol dependence (11) Alcohol intoxication (4) Alcohol withdrawal delirium (1) Alcohol withdrawal syndrome (1) Binge drinking (1) Detoxification therapy (4) Drug abuse (18) Drug diversion (1) Drug overdose (1) Drug-seeking behavior (2) Heroin dependence (3) Nicotine replacement therapy (1) Opioid abuse (4) Opioid overdose (5) Smoking (59) Smoking cessation (56) Smoking, passive (4) Substance dependence (9) Substance use disorders (57) Tobacco use cessation (37)
► Surgical care (39) Abdominal aortic aneurysm repair (1) Appendectomy (2) Axillary lymph node dissection (1) Bariatric surgery (3) Breast surgery (1) Carotid endarterectomy (1) Cholecystectomy (1) Colorectal surgery (1) Coronary artery bypass surgery (3) Gastric bypass (2) Hip fracture repair (1) Hysterectomy (1) Kidney transplantation (2) Laryngectomy (1) Living donors (1) Lung transplantation (1) Organ donation (2) Organ transplantation (2) Ostomy (1) Percutaneous transluminal coronary angioplasty (1) Prostatectomy (1) Surgical complications (5) Surgical procedures, laparoscopic (1) Surgical wound infection (10) Transplantation (7) Transplantation of liver (1)
► Urologic care (6) Benign prostatic hypertrophy (1) Flank pain (1) Hematuria (1) Prostatitis (1) Urinalysis (1) Urinary incontinence (1) Urologic diseases (1)
- ► IOM Domains of Quality
Effectiveness (1580) Efficiency (368) Equity (484) Not within an IOM domain (18) Patient-centeredness (1321) Safety (578) Timeliness (216)
- ► Organizational Processes Affected by the Innovation
Administrative paperwork (29) Intake/admissions (48) Management structure (49) Medical record keeping (146) Organizational culture change (121) Pay for performance/incentives (62) Personal health records (31) Physical environment modification (93) Policies and procedures (418) Public communication (76) Quality measurement, benchmarking, data feedback (161) Referrals (224) Staff scheduling (30) Staffing (563) Team building (270) Technology—HIT (262) Technology—other (103) Training, knowledge management (535) Workflow redesign (167)
- ► Patient Care Process
► Active care processes: diagnosis and treatment (1793) Assessment (506) Behavioral or mental health therapy (278) Chronic-disease management (512) Imaging (76) Infection control (180) Laboratory tests (187) Medication adherence (62) Medication reconciliation (58) Medication: ordering, transcription, administration, dispensing (440) Palliative care, pain management (70) Patient safety (526) Primary care (581) Restraints (6) Surgery (15) Triage (33)
► After care processes (441) Follow-up care (270) Hand-off and end-of-shift reports (26) Monitoring (159) Transitions between settings (133)
► Care management processes (889) Coordination of care (356) Discharge planning (65) Evidence-based medicine, applications of (198) Procedure and policy compliance (235) Provider–provider communication (474)
► Patient-focused processes/psychosocial care (1558) Counseling, advising (332) Improving health literacy (110) Improving patient self-management (849) Language and translation services (140) Outreach to patients (338) Patient education (1129) Provider-patient communication (831)
► Population health processes (722) Bioterrorism preparedness (2) Disease surveillance and registries (46) Disparities reduction (416) Emergency preparedness/disaster response (44) Epidemic control (35) Error reporting (26) Improving access to care (550)
► Pre-care processes (216) Advance directives (13) Appointment scheduling (98) Informed consent (11) Pre-visit history taking (36) Transportation to care (39) Waiting time management (89)
► Preventive care processes (977) Fall prevention (46) Immunizations (98) Prenatal care (68) Primary prevention (596) Secondary prevention (425) Tertiary prevention (10)
- ► Patient Population
► Age (662) Adolescent (13-18 years) (260) Adult (19-44 years) (77) Aged adult (80 + years) (227) Child (6-12 years) (249) Fetus (26) Infant (1-23 months) (174) Middle-aged adult (45-64 years) (81) Newborn (0-1 month) (143) Preschooler (2-5 years) (197) Senior adult (65-79 years) (252)
► Gender (223) Female (192) Male (31)
► Insurance status (186) Commercial (23) Medicaid (113) Medicare (47) Uninsured (60)
► Race and ethnicity (228) American Indian or Alaska native (31) Asian (45) Black or African American (120) Hispanic/Latino-Latina (125) Native Hawaiian or Pacific Islander (11) White (7)
► Vulnerable populations (1373) Children (451) Co-occuring disorders (63) Disabled (developmentally) (57) Disabled (physically) (95) Frail elderly (233) Homeless (38) Illiterate/low-literate (44) Immigrants (156) Impoverished (272) Intensive care unit patients (52) Lesbian/gay/bisexual/transgender (19) Medically or socially complex (171) Medically uninsured (140) Military/dependents/veterans (54) Natural disaster victim (20) Non-English speaking/limited English proficiency (162) Prisoners (17) Racial minorities (272) Rural populations (100) Substance abusers (122) Terminally ill (52) Transients/migrants (20) Urban populations (191) Women (233)
- ► Quality Improvement Goals and Mechanisms
Avoidable hospitalizations (142) Confidentiality/HIPAA compliance (30) Cultural competence (197) Length of stay reduction/management (40) Medical home (64) Patient satisfaction (101) Rapid response teams (18)
- ► QualityTool Topic
Benchmarking/comparative data (98) Disease/condition-related (637) Guideline-related (118) Other (73) Patient/medication safety (289) Prevention and wellness (628) Quality improvement strategies (600)
- ► Setting of Care
► Ambulatory setting (719) Ambulatory surgery facility (10) Birthing center (7) Church/faith community setting (27) Community social setting (96) Complementary/alternative medicine provider (4) Courtroom (1) Dental office (22) Employer-based clinic (4) Federally qualified health center (60) Freestanding or neighborhood clinic (51) Hospital outpatient facility (156) Indian health service clinic (7) Mental health/substance abuse clinic (59) Outpatient rehabilitation, physical therapy, or occupational therapy clinic (10) Pain clinic (1) Physician office (235) Public health clinic (103) Retail setting (9) Rural health clinic (25) Student health (77) VA clinic (13) Worksite wellness (43)
► Ancillary service setting (27) Imaging center (freestanding) (2) Laboratory (freestanding) (4) Pharmacy (retail) (22)
Battlefield/military field hospital (2) ► Emergency setting (111) Ems/emergency transport (27) Hospital emergency department (94)
► Health plans and managed care organizations (194) Community care network (45) Health plan (HMO, PPO, etc.) (75) Integrated health system (80)
► Home (383) Home care—non-health professional (51) Home health care (95) Home hospice care (9) Patient self-management (268)
► Hospital inpatient—hospital type (462) Academic medical center or teaching hospital (225) Children's hospital (59) General hospital (208) Military hospital (3) Psychiatric hospital (23) Rehabilitation hospitals (11) Specialty hospital (27) VA hospital (31)
► Hospital inpatient—services/departments (105) Hospital laboratory (6) Hospital pharmacy service (10) Intensive care unit (adult) (37) Intensive care unit (neonatal) (17) Labor and delivery room (10) Newborn nursery (6) Operating room/surgical suite (31) Radiology/imaging (2)
Mobile (e.g., health vans) (11) ► Residential facilities (96) Assisted living (22) Developmental disability residential treatment (3) Hospice (8) Nursing home (78) Substance abuse residential treatment (9)
Safety net provider (68) ► Telehealth (177) Patient use of electronic communication (telephone, email, web) (137) Telemedicine (50)
- ► Stage of Care
Acute care (446) Acute on chronic care (i.e., an acute condition resulting from underlying chronic disease) (17) Chronic care (581) Emergency care (136) End-of-life care (58) Intensive care (53) Long-term care (108) Preventive care (906) Primary care (581) Rehabilitation care (85) Urgent care (28)
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