Generated Narrative

Ids

Meta

Enables specification of proposed measure reporting:

url: http://hl7.org/fhir/uv/saner/Measure/ComputableCDCPatientImpactAndHospitalCapacity

version: 0.1.0

name: ComputableCDCPatientImpactAndHospitalCapacity

title: Patient Impact and Hospital Capacity

status: draft

experimental: true

date: Oct 19, 2020 9:09:16 PM

publisher: HL7 International Public Health Workgroup

contact: http://hl7.org/Special/committees/pher/index.cfm, pher@lists.hl7.org, HL7 Public Health Workgroup: http://hl7.org/Special/committees/pher/index.cfm, Keith W. Boone: mailto:kboone@ainq.com

description: This measure demonstrates automated reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements. It is used to illustrate automation of measure reporting using the SANER Implementation guide.

UseContexts

jurisdiction: World

author: Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): mailto:nhsn@cdc.gov

RelatedArtifacts

library: http://hl7.org/fhir/uv/saner/Library/ComputableNHSNMeasureLibrary

definition: <dl><dt>Ventilator</dt> <dd>Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube. Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube). </dd> <dt>Beds</dt> <dd>Baby beds in mom's room count as 1 bed, even if there are multiple baby beds Follow-up in progress if staffed is less than licensed. Total includes all beds, even if with surge beds it exceeds licensed beds. </dd> <dt>ICU beds</dt> <dd>Include NICU</dd> </dl>

group

Attributes describing a group of measures

Urls

-

*

value: Patient in room

Urls

-

*

value: Queue Length

Urls

-

*

value: Structure

Urls

-

*

value: Decreased score indicates improvement

Urls

-

*

value: point-in-time

code: Hospital COVID-19 Patient Encounters Reporting

population

code: Patients with suspected or confirmed COVID-19 in any location.

description: Active encounters where the encounter diagnosis is suspected or confirmed COVID-19, or a Condition of suspected or confirmed COVID-19 was created during that encounter. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19. Confirmed : A patient with a laboratory confirmed COVID-19 diagnosis Suspected : A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).

Criteria

-

*

stratifier

code: By Location and Ventilator Status

description: Stratifies the population by Location (inpatient vs ED/Overflow/Other) and Ventilator Status (Ventilated vs Not Ventilated)

Criteria

-

*

group

Attributes describing a group of measures

Urls

-

*

value: Hospital Acquired COVID-19

Urls

-

*

value: Event Growth

Urls

-

*

value: Outcome

Urls

-

*

value: Decreased score indicates improvement

Urls

-

*

value: cumulative

code: Hospital Onset COVID-19 Patient Encounters Reporting

population

code: Patients with suspected or confirmed COVID-19 in an inpatient location

description: Patients with suspected or confirmed COVID-19 in an inpatient location

Criteria

-

*

population

code: Hospital Onset COVID-19 Patients

description: Hospital Onset COVID-19 Patients

Criteria

-

*

population

code: Cumulative Hospital Onset COVID-19 Patients

description: Cumulative Hospital Onset COVID-19 Patients

Criteria

-

*

stratifier

code: By Age Group

description: Stratifies the population by Age Group

Criteria

-

*

stratifier

code: By Gender

description: Stratifies the population by Gender

Criteria

-

*

stratifier

code: By Ethnicity

description: Stratifies the population by Ethnicity

Criteria

-

*

stratifier

code: By Race

description: Stratifies the population by Race

Criteria

-

*

group

Attributes describing a group of measures

Urls

-

*

value: Patients with conformed or suspected COVID-19 who have died

Urls

-

*

value: Event Growth

Urls

-

*

value: Outcome

Urls

-

*

value: Decreased score indicates improvement

Urls

-

*

value: cumulative

code: COVID-19 Patient Death Reporting

population

code: Patients with suspected or confirmed COVID-19 in any location.

description: Patients with suspected or confirmed COVID-19 in any location.

Criteria

-

*

population

code: Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location

description: Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location

Criteria

-

*

population

code: Cumulative total of Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location

description: Cumulative total of Patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location

Criteria

-

*

stratifier

code: By Age Group

description: Stratifies the population by Age Group

Criteria

-

*

stratifier

code: By Gender

description: Stratifies the population by Gender

Criteria

-

*

stratifier

code: By Ethnicity

description: Stratifies the population by Ethnicity

Criteria

-

*

stratifier

code: By Race

description: Stratifies the population by Race

Criteria

-

*

group

Attributes describing a group of measures

Urls

-

*

value: Ventilator capacity

Urls

-

*

value: Capacity

Urls

-

*

value: Structure

Urls

-

*

value: Decreased score indicates improvement

Urls

-

*

value: point-in-time

code: Ventilator Reporting

population

code: Total number of ventilators

description: Count of all ventilators that can support patient care, whether or not they are presently in use.

Criteria

-

*

population

code: Total number of ventilators in use

description: Count of all ventilators in use.

Criteria

-

*

population

code: Total number of ventilators not presently in use.

description: Count of all ventilators not presently in use.

Criteria

-

*

group

Attributes describing a group of measures

Urls

-

*

value: Bed capacity

Urls

-

*

value: Capacity

Urls

-

*

value: Structure

Urls

-

*

value: Decreased score indicates improvement

Urls

-

*

value: point-in-time

code: Bed Reporting

population

code: Total number of beds

description: Total number of all Inpatient and outpatient beds, including all staffed, ICU, licensed, and overflow (surge) beds used for inpatients or outpatients

Criteria

-

*

population

code: Total number of beds in use

description: Total number of all Inpatient and outpatient beds that are occupied

Criteria

-

*

population

code: Total number of hospital beds available

description: Total number of all hospital inpatient and outpatient beds that are available

Criteria

-

*

stratifier

code: By Type of Location

description: Inpatient Non-ICU, Inpatient ICU, Other

Criteria

-

*