Core Measure Responsibility

[singwithme123]

I work in the Quality department at a small hospital, and I am very involved in Core Measures.

Who is ultimately responsible for completion of Core Measures in your facility? We are struggling with this in our facility - The staff nurses and their managers want to say that the quality nurses are responsible, and we quality nurses want the staff nurses and managers to accept more responsiblity. Then, of course, there is the whole physician piece.

I would welcome any feedback folks will give about how they accomplish getting great Core Measure results in their facility. Also - What does your facinity do when there is a Core Measure fallout?

Thanks!

[anotherone, BSN, RN]

do order sets have anything to do with this ? ( they create issues when people just click click click) .orders that are actually contraindicated for a specific pt.

[classicdame, MSN, EdD]

depends on what you mean by "responsible".

The case manager/Quality nurse is not in a position to actually perform most of the measures. About all they can do is create tools to make it easier for everyone else to do them, or to check for tracking and trending. I even give a "down and dirty" list to nursing students as that is another set of eyes making sure measures are done.

[FloridaT]

We had the hardest time tracking CM with politics and finger pointing everywhere. We recently installed a system that automatically identifies CM patients and then has a dashboard tool with red light/green light to easily identify when a CM is not met. Best of all, it automatically emails and texts the physician when it is their responsibility!