Quality Measures
Performance Measure Trending Sheet 2014
| Performance Measure | Bench mark | Jan | Feb | Mar | Apr | May | June | July | Aug | Sept | Oct | Nov | Dec |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total Procedures | 220 | 215 | 223 | 225 | |||||||||
| Procedure appropriate Biopsies met appropriate criteria | 100% | 100% | 100% | 100% | 100% | ||||||||
| Physician Documentation complete | 100% | 100% | 100% | 100% | 100% | ||||||||
| Facility maintained in a safe environment | 100% | 100% | 100% | 100% | 100% | ||||||||
| Cecal Intubation | > 90%-All colonoscopy > 95% Screening | 99%- A 98%-S |
91% - A 100% - S |
99% - A 99% - S |
99% - A 100% - S |
97% - A 99% - S |
% - A % - S |
% - A % - S |
% - A % - S |
7 - A % - S |
% - A % - S |
% - A % - S |
97% - A 99% - S |
| Patient free from post procedure infection | 100% | 100% | 100% | 100% | 100% | 100% | |||||||
| Facility free from Sentinel Event | 100% | 100% | 100% | 100% | 100% | 100% | |||||||
| Patient Satisfaction is good | 95.00% | 97.00% | NA | 97% | 96.00% | ||||||||
| Adenoma Detection rates Screening Colonoscopy ≥ 25% M and ≥ 15% F | Quarterly | 25%-M 13%-F |
---- | ---- | %-M %-F |
---- | ---- | %-M %-F |
---- | ---- | %-M %-F |
---- | ---- |