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Appropriate Care Measure (ACM)
Background
The methodology used in the Centers for Medicare & Medicaid Services
(CMS) 7th Scope of Work (SoW) (2002–2005) reported hospital performance on
each of the 10 core measures separately. During the 8th SoW (2005–2008),
the Appropriate Care Measure (ACM) will be introduced. The ACM is a composite
measure of the 10 core measures starter set defined by the Medicare Modernization
Act (MMA) and used by the Hospital Quality Alliance (HQA) for public reporting.
The ACM is patient-centered and designed to answer the question: “Did the patient
receive all the care he or she should have received, based upon his or her
clinical condition?” Teams will focus on reducing the gap between the care the
patient should have received and the care the patient did receive.
Quality Indicators
The ACM is based on the publicly reported quality indicators for the following clinical conditions:
- Acute Myocardial Infarction (AMI)―asprin at arrival,
aspirin at discharge, beta-blockers at arrival, beta-blockers at discharge, and ACE-I/ARBs for
left ventricular systolic dysfunction (LVSD)
- Heart Failure (HF)―left ventricular function assessment and ACE-1/ARBs for LVSD
- Pneumonia (PN)―antibiotics received within four hours of arrival, oxygenation
assessment, and pneumoccoccal vaccination
Methodology
Hospital teams will focus on clinical performance measurement, including reporting
and reducing the gap in the appropriate care of patients admitted with AMI, HF, or PN.
HSAG ACM Lead
Susan Sumwalt, RN, MA, CPHQ
Clinical Quality Specialist
(602) 665.6176
ssumwalt@azqio.sdps.org
Resources
MedQIC:
ACM Handbook
HSAG ACM Toolkit
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