TABLE 4.

Summary QI Performance by Condition, With Impact of Exclusions^*

Condition Group	QI Implementation		Results with Exclusions*			Results Without Exclusions			% Triggered QIs Excluded
	Total	Potentially Excluded*	Total Eligible	Passed	Passed (%)	Total Eligible	Passed	Passed (%)
Dementia	2	1	2202	284	12.9	3633	311	8.6	39.4
Depression	6	0	2398	381	15.9	2398	381	15.9	0
Diabetes mellitus	3	3	3493	1789	51.2	9286	4578	49.3	62.4
End of life	2	0	36,366	32,437	89.2	36,366	32,437	89.2	0
Falls and mobility problems	1	1	1219	416	34.1	4410	1384	31.4	72.4
Heart failure	6	3	9486	2623	27.7	20,145	4661	23.1	52.9
Hospital care	1	0	33	4	12.1	33	4	12.1	0
Hypertension	4	2	4367	2169	49.7	8553	3248	38	48.9
Ischemic heart disease	3	3	2395	620	25.9	4606	1015	22	48
Malnutrition	2	1	1461	1188	81.3	1720	1317	76.6	15.1
Medication use	7	1	76,173	68,589	90	78,249	70,627	90.3	2.7
Osteoarthritis	1	0	1947	517	26.6	1947	517	26.6	0
Osteoporosis	2	2	1528	416	27.2	5089	1369	26.9	70
Stroke and atrial fibrillation	3	3	1954	447	22.9	5400	1056	19.6	63.8
Urinary incontinence	2	2	2783	2629	94.5	13,166	12,750	96.8	78.9
Vision impairment	5	4	4571	1952	42.7	12,218	4538	37.1	62.6
Total	50	26	152,376	116,461	76.4	207,219	140,193	67.7	26.5

^*QIs excluded from application to patients with advanced dementia, poor prognosis, or “do not hospitalize” orders.