CMS’s final rule for hospital payment for Fiscal Year 2010 adds four new clinical measures that must be submitted. Two of these measures are additions to the existing Surgical Care Improvement Project measure set (SCIP–Infection-9 Postoperative Urinary Catheter Removal on Postoperative Day 1 or 2 and SCIP-Infection-10: Perioperative Temperature Management). The other two new measures are participation in a systematic clinical database registry for stroke care and participation in a systematic clinical database registry for nursing sensitive care.
We applaud the addition of SCIP-Infection-9. It should help you get your surgeons to buy into standardized order sets that contain Foley catheter indication criteria and protocols for early removal, such as nurse-directed protocols. See our June 9, 2009 Patient Safety Tip of the Week “CDC Update to the Guideline for Prevention of CAUTI” for a discussion on perioperative Foley catheter issues.
Participating in a program such as the Get With The Guidelines® (GWTG) program from the American Heart Association and the American Stroke Association would fulfill the stroke registry participation requirement.
CMS Final Rule FY 2010 Home Page
American Heart Association. Get With The Guidelines® (GWTG).