TABLE 2.

Quality dimensions, objectives and indicators used in part B of the QIP

Quality Dimension	Objective	Measure/Indicator (see Appendix B for definitions)	2011–2012	2012–2013	2013–2014
Safety	Reduce C. difficile infections (CDIs) and associated diseases	CDI rate per 1,000 patient days	•	▴	▴
	Reduce incidence of ventilator-associated pneumonia (VAP)	VAP rate per 1,000 ventilator days	•	▴	▴
	Improve provider hand hygiene compliance	Hand hygiene compliance before patient contact	•	•	•
	Reduce rate of central line bloodstream infections	Rate of central line bloodstream infections per 1,000 central line days	•	▴	▴
	Reduce incidence of new pressure ulcers	Pressure ulcers (≥ stage 2)	•	•	•
	Avoid patient falls	% of complex continuing care residents who fell in the last 30 days	•	•	•
	Reduce rates of deaths and complications associated with surgical care	Surgical safety checklist	•	•	•
		Rate of in-hospital mortality following major surgery			•
	Reduce use of physical restraints	Physical restraints	•	•	•
	Medication reconciliation at admission	Medication reconciliation at admission			•
Effectiveness	Reduce unnecessary deaths in hospitals	Hospital standardized mortality ratio	•	•	•
	Improve organizational financial health	Total margin (consolidated)	•	▴	▴
Access	Reduce wait times in the emergency department	90th percentile ED length of stay for admitted patients	▴	▴	▴
Patient-centred	Improve patient satisfaction	“Would you recommend this hospital to your friends and family?”	•	•	•
		“Overall, how would you rate the care and services you received at the hospital?”		•	•
		In-house survey (if available): “Willingness of patients to recommend the hospital to friends or family”		•	•
Integrated	Reduce unnecessary time spent in acute care	Percentage ALC days	•	▴	▴
	Reduce unnecessary hospital readmission	Readmission within 30 days for selected CMGs to ANY facility	•*	▫	▫

* Only readmissions to own institution

• Indicator only in QIP

▴ Indicator in both the QIP and H-SAA

▫ Indicator in both the QIP and MLPA