NHSPI_measure_metadata
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| Link | rowid ▼ | obsid | index | item_code | domain_code | domain_name | domain_description | subdomain_code | subdomain_name | subdomain_description | subdomain_long_desc | measure_name | measure_description | measure_rationale | data_source | verbose_data_source | data_dates | limitations |
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| 72 | 72 | 151.0 | Index | 4.2.1 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M147 | Median time in minutes from hospital emergency department (ED) arrival to ED departure for patients admitted to hospitals in the state (identifier ED-1)(reverse coded) | Measuring the time that patients spend admitted in the emergency department before being admitted to the hospital as an inpatient is important when managing medical surge (i.e., ramp up) and ensuring expeditious access to treatment during a public health emergency. | CMS TEC | Centers for Medicare & Medicaid Services (CMS), Timely and Effective Care—State | 2013—2018 | The measure does not evaluate the severity of the patients' conditions, or the nature of their treatment between emergency department arrival and discharge. |
| 73 | 73 | 152.0 | Index | 4.2.2 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M148 | Median time in minutes from hospital admission decision to emergency department (ED) departure for patients admitted to hospitals in the state (identifier ED-2)(reverse coded) | Measuring the time that patients spend in the emergency department after the physician decides to admit a patient and before the patient is admitted into the facility as an inpatient is critical to understanding the challenges that may be experienced in terms of medical surge (i.e., ramp up). Understanding the patient movement flow and barriers can assist in surge planning for public health emergencies to increase patients' access to treatment and supportive care. | CMS TEC | Centers for Medicare & Medicaid Services (CMS), Timely and Effective Care—State | 2013—2018 | The measure does not evaluate the hospital's capacity to move patients from the emergency department to inpatient care during a mass casualty or other event. |
| 74 | 74 | 155.0 | Index | 4.2.5 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M152 | Percent of the state’s population who live within 50 miles of a trauma center, including out-of-state centers | The measure indicates access to advanced trauma care at a Level I or II designation. In general, trauma centers are regional resources essential to assist in the management and rehabilitation of patients with injuries from various types of emergencies and disasters. A Level I Trauma Center is capable of providing the most complex care for severe injuries. A Level II Trauma Center can initiate definitive care for all injuries, but may need to transport complex cases to Level I facilities to complete treatment. | Estimated by PMO Staff | American Hospital Association (AHA), AHA Annual Survey of Hospitals data and U.S. Census population data analyzed by PMO personnel. | 2012—2017 | The measure does not evaluate the quality or comprehensiveness of care provided by the trauma centers. |
| 75 | 75 | 157.0 | Index | 4.2.7 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M160 | Number of physicians and surgeons per 100,000 population in the state | Physicians and surgeons are important components of the workforce needed to diagnose and treat injuries and illnesses associated with mass casualty events and disease outbreaks. The size of the workforce is one indication of a state’s ability to surge (i.e., ramp up) the number of licensed professionals who provide rapid care during and after an emergency event. | ACS 1-Year Estimates | U.S. Census, American Community Survey | 2012—2017 | The measure does not consider mutual aid plans that may be in place for healthcare facilities to supplement the number of available physicians and surgeons in the event of an emergency. Also, BLS and other national data sources on physician supply have been shown to undercount certain types of physicians, and may differ considerably from the estimates available from state medical licensing boards. Since the measurement undercounting in the BLS data are expected to be relatively consistent across states, they should not cause significant bias in the Index state and national results. The Bureau of Labor Statistics (BLS) produces occupational estimates by surveying a sample of non-farm establishments. As such, estimates produced through the Occupational Employment Statistics (OES) program are subject to sampling error. |
| 76 | 76 | 158.0 | Index | 4.2.8 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M167 | Number of active registered nurse (RN) and licensed practical nurse (LPN) licenses per 100,000 population in the state | Registered nurses (RNs) and licensed practical nurses (LPNs) are an important part of the medical workforce that provides medical care in the acute and primary care settings. An increased number of these actively practicing and licensed healthcare workers would be needed to respond to a mass casualty or emerging disease epidemic/pandemic. The measure focuses on the state's workforce capacity of current, active registered and practical nurses (PNs). | NCSBN | National Council of State Boards of Nursing (NCSBN), National Nursing Database | 2013-2016, 2018 & 2019 | The measure does not consider mutual aid plans that may be in place to supplement the number of available RNs and LPNs in the event of an emergency. The source data may undercount the RNs and LPNs available to provide care during an emergency due to limited or non-reporting by some states. |
| 77 | 77 | 159.0 | Index | 4.2.9 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M168 | Percent of the state’s population living within 100 miles of a burn center, including out-of-state centers | Treatment of burns requires specialized resources and a highly trained multidisciplinary medical staff. This measure focuses on the capacity to provide a specialized medical infrastructure and medical staff capable of providing specialty burn care to trauma patients during a mass casualty incident. | ABA | American Burn Association (ABA) data on Burn Care Facilities analyzed by PMO personnel. | 2014 & 2018 | The measure does not evaluate the specialized resources needed for surge capacity when an emergency results in a large number of burn patients. |
| 78 | 78 | 163.0 | Index | 4.2.13 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M296 | Percent of hospitals in the state providing a specialty geriatric services program (includes general as well as specialized geriatric services, such as psychiatric geriatric services/Alzheimer care) | Hospital-based geriatric care is an important inpatient service as the nation's population continues to age. Hospitals that provide geriatric care are better able to provide care and services to inpatient geriatric populations. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure does not consider hospital geriatric services provided through contractual arrangements, the program's capacity to provide services during an emergency, or whether high quality care is provided to geriatric patients without having a designated specialty program. |
| 79 | 79 | 164.0 | Index | 4.2.14 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M297 | Percent of hospitals in the state providing palliative care programs (includes both palliative care program and/or palliative care inpatient unit, but excludes pain management program, patient-controlled analgesia, and hospice program) | Effective provision of palliative care is an important consideration in providing care during a disaster or health security event. Hospitals that have established palliative care programs as part of their hospital facilities services are more likely to be able to provide these services during an emergency and are more likely to have these services integrated with the hospital emergency plan. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure does not evaluate the quality of services provided, or the program's capacity to provide services during an emergency. |
| 80 | 80 | 165.0 | Index | 4.2.15 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M298 | Number of hospital airborne infection isolation room (AIIR) beds per 100,000 population in the state, including hospitals with AIIR rooms within 50 miles from neighboring states | Airborne infection isolation rooms (AIIRs) are important to the treatment and care of patients that have diseases that are spread through airborne transmission. The measure provides information on hospital resources that can be used for emergency preparedness activities, including planning and response. | AHA | American Hospital Association (AHA), Annual Survey of Hospitals | 2012—2017 | The measure does not consider mutual aid plans that may be in place to supplement the number of available AIIR beds in the event of an emergency. |
| 81 | 81 | 166.0 | Index | 4.2.16 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M299 | Risk-adjusted 30-day survival rate (percent) among Medicare beneficiaries hospitalized in the state for heart attack, heart failure, or pneumonia | This measure is for risk-standardized all-cause 30-day mortality rates for Medicare patients aged 65 and older who are hospitalized with a principal diagnosis of heart attack, heart failure, or pneumonia. All-cause mortality is defined as death from any cause within 30 days after the index admission. This is a measure of the state's public health and healthcare system's programs, staffing, and requirements which influence recovery or mortality from an illness severe enough to require hospitalization. | CF Scorecard | The Commonwealth Fund, Aiming Higher: Results from a Scorecard on State health System Performance | 2011-2013, 2015 & 2016 | Variation in state population health, such as obesity or smoking rates, may have a greater effect on the measure results than prevention and preparedness programs. |
| 82 | 82 | 167.0 | Index | 4.2.17 | 4.0 | HD | Healthcare Delivery | 11.0 | HPS | Hospital and Physician Services | Hospital and physician services refers to care for a patient who is formally admitted (or “hospitalized”) to an institution for treatment and/or care and stays for a minimum of one night in the hospital or other institution. | M300 | Percent of hospitals in the state with a top quality ranking (Grade A) on the Hospital Safety Score | The Hospital Safety Score uses 28 national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medicaid Services (CMS) to produce a single score representing the hospital's overall performance in keeping patients safe from preventable harm and medical errors. A grade "A" represents the best hospital safety score. Being able to provide patient safety and reduced medical errors during normal operations positions the hospital to perform better during health emergencies. | Leapfrog HSS | The Leapfrog Group, Hospital Safety Score (HSS) | 2013—2018 | The measure source data does not include critical access hospitals, specialty hospitals, pediatric hospitals, hospitals in Maryland, territories exempt from public reporting to CMS, and others. Critical Access hospitals are facilities with no more than 25 beds and located in a rural area further than 35 miles from the nearest hospital, and/or are located in a mountainous region. |
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CREATE TABLE [NHSPI_measure_metadata] ( [obsid] TEXT, [index] TEXT, [item_code] TEXT, [domain_code] TEXT, [domain_name] TEXT, [domain_description] TEXT, [subdomain_code] TEXT, [subdomain_name] TEXT, [subdomain_description] TEXT, [subdomain_long_desc] TEXT, [measure_name] TEXT, [measure_description] TEXT, [measure_rationale] TEXT, [data_source] TEXT, [verbose_data_source] TEXT, [data_dates] TEXT, [limitations] TEXT );