Core Measures

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  1. This is a discussion on Core Measures in Quality Improvement, part of Nursing Specialties ... Just looking for some assistance on core measures...Recently it has been designated to the primary...

    Just looking for some assistance on core measures...Recently it has been designated to the primary nurse to make the patient a core and follow through on documentation, which is passed on from shift to shift. Just trying to figure out the best process improvement so we don't fall out...best way to keep nurses accountable, education, etc. One of our biggest grey areas is SCIP....it seems that it's constantly debated as to what surgery is a SCIP and which isn't...and VTE with SCIP...do SCDs count or does the Dr have to specify why the patient doesn't need lovenox/heparin. Does anyone have any suggestions?! Thanks so much in advance!
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  4. Quote from jmbean1
    Just looking for some assistance on core measures...Recently it has been designated to the primary nurse to make the patient a core and follow through on documentation, which is passed on from shift to shift. Just trying to figure out the best process improvement so we don't fall out...best way to keep nurses accountable, education, etc. One of our biggest grey areas is SCIP....it seems that it's constantly debated as to what surgery is a SCIP and which isn't...and VTE with SCIP...do SCDs count or does the Dr have to specify why the patient doesn't need lovenox/heparin. Does anyone have any suggestions?! Thanks so much in advance!
    Are you using Clinical Practice Guidelines to drive your measures? These would assist you with your measures. We have a EBP coordinator that monitors these on all the patient's but the bedside RN's are expected to monitor and keep the information straight. We also use "cheat sheets" on each of the groups. So for example we have a color paper that has all the SCIP measures on it and the nurses can use it to see what else they need to do or chart for the patients. It goes in the chart but not in the medical record. We also have checked all of our order sets against the CPG's to make sure that the orders are in keeping with the measures.

    Good luck.

    ~Kris

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