California Hospital Assessment and Reporting Taskforce (CHART)
Institute for Healthcare Improvement (IHI)
The Leapfrog Group
National Association of Children's Hospitals and Related Institutions (NACHRI)
National Committee for Quality Assurance (NCQA)
Integrated Healthcare Association (IHA)
California Quality Collaborative (CQC)
California Office of the Patient Advocate (OPA)
Get with the GuidelinesSM
Los Angeles County STEMI Receiving Center
NIH Specialized Program of Translational Research in Acute Stroke (SPOTRIAS)
UHC Ischemic Stroke Benchmarking Project
Society for Vascular Surgery (SVS) Registry
Society of Thoracic Surgeons (STS)
National Cardiovascular Data Registry (NCDR) ACTION RegistryTM
CABG Outcomes Reporting Program (CCORP)
California Perinatal Quality Care Collaborative (CPQCC)
Physician Quality Reporting Initiative (PQRI)
The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP)
The American College of Surgeons Trauma Quality Improvement Program (TQIP)
- The California Hospital Assessment and Reporting Taskforce (CHART) is a statewide hospital performance reporting system designed to establish the infrastructure for a scientifically valid approach to measurement of all California hospitals, provide hospitals and clinicians with benchmarking data on which to base quality improvement efforts, and report the performance of individual California hospitals to consumers, purchasers and health plans. Process and outcome measures include specific clinical areas such as cardiac care, maternity, pneumonia treatment, and intensive care, as well as hospital-wide outcomes in areas such as patient experience and patient safety. The hospitals of UCLA Health are among approximately 200 hospitals that participate in the voluntary reporting system.
- The Institute for Healthcare Improvement (IHI) is a not-for-profit organization dedicated to accelerating the measurable and continual progress of healthcare systems throughout the world toward safety, effectiveness, patient-centeredness, timeliness, efficiency and equity. UCLA Health shares IHI's commitment to improving the lives of patients and the health of communities and actively participates in IHI initiatives, including the 5 Million Lives Campaign. More information about IHI is available online at www.ihi.org.
- The Leapfrog Group is a voluntary program aimed at mobilizing employer purchasing power to encourage high quality care as well as transparency and easy access to healthcare information. With the goal of promoting big leaps in healthcare safety, quality and customer value, Leapfrog gathers and reports information on hospital quality and patient safety efforts to help patients make informed decisions about where to receive hospital care. UCLA Health's performance on Leapfrog's quality measures may be accessed by searching Leapfrog Hospital Quality and Safety Survey Results. More information about the Leapfrog Group is available online at www.leapfroggroup.org.
- The National Association of Children's Hospitals and Related Institutions (NACHRI) is an organization of children's hospitals, pediatric units of medical centers and related health systems committed to excellence in providing healthcare to children. NACHRI maintains a database of clinical, financial and operational measures through which member hospitals may benchmark their performances against those of peer hospitals in order to continually improve quality of care and efficiency. UCLA Mattel Children's Hospital is an active participant in the NACHRI database.
- Through its Physician Organization Certification Program, the National Committee for Quality Assurance (NCQA) promotes continuous quality improvement, utilization management and appropriate physician credentialing among organizations that provide primary or specialty healthcare services. The UCLA Medical Group supports NCQA's strict Credentialing and Recredentialing standards and is consistently awarded NCQA's Certificate in Credentialing. The certification signifies UCLA's commitment to delivering effective and efficient patient care by preventing unproductive and costly audits by individual health plans.
- The Integrated Healthcare Association (IHA) is a statewide leadership group that promotes quality improvement, accountability and affordability of health care in California. UCLA Medical Group proudly participates in IHA initiatives and has been named one of California's top performing physician organizations for six consecutive years.
- The California Quality Collaborative (CQC) is a healthcare improvement organization dedicated to advancing the quality and efficiency of patient care in California by identifying and accelerating the implementation of proven innovations in ambulatory care. UCLA Medical Group is a member of the CQC, which is supported by a statewide leadership alliance of businesses, health plans and physician groups.
- The California Office of the Patient Advocate (OPA) is an independent government office charged with informing and educating California's healthcare consumers about health plans, doctors and medical groups, hospitals and long term care facilities. Each year, OPA publishes internet-based report cards on the quality of services offered by health plans and providers and collaborates with government and community-based patient advocacy organizations to assist consumers in their healthcare decision-making processes. UCLA is among the organizations actively collaborating with OPA to improve healthcare in California. Report cards, including information regarding UCLA Medical Group, Ronald Reagan UCLA Medical Center and UCLA Medical Center, Santa Monica are available at www.opa.ca.gov.
- Get with the GuidelinesSM (GWTG) sponsored by American Heart Association and American Stroke Association is an evidence-based quality improvement program designed to help hospitals save more lives and enhance quality of life for coronary artery disease, stroke and heart failure patients and their families by improving inpatient outcomes and reducing recurring events. By participating in GWTG, hospitals agree to provide care according to the latest scientific guidelines.
UCLA Health is recognized by the American Heart Association's and American Stroke Association's GWTG for our excellence in implementing the safe and effective patient care practices and providing key evidence-based therapies and counseling. In addition, a UCLA Health physician developed the performance improvement system, Cardiovascular Hospitalization Atherosclerosis Management Program, or CHAMP, that became the forerunner for GWTG. He continues to play a major role in shaping the program by serving as the GWTG national steering committee chair.
- Los Angeles County Department of Health Services Emergency Medical Services Agency STEMI Receiving Center designation is granted to hospitals with the technology, facilities, highly trained emergency medical staff, expert cardiac catheterization laboratory staff and specialty physicians to effectively diagnose and treat patients suffering from a common type of heart attack known as ST-elevation myocardial infarction, or STEMI. The UCLA emergency departments in both Westwood and Santa Monica have been designated STEMI receiving centers. When paramedics identify heart attack patients through a field electrocardiogram (EKG), they will bring those patients directly to UCLA emergency departments or to the nearest STEMI Center for treatment. The designation reflects UCLA's commitment to meet the guidelines of the American College of Cardiology and the American Heart Association to achieve a "medical contact to balloon time" of 90 minutes or less - referring to the interval between contact with paramedics outside the hospital and the opening of a blocked artery with an angioplasty balloon.
- National Institutes of Health (NIH) Specialized Program of Translational Research in Acute Stroke (SPOTRIAS) supports collaboration of clinical researchers from different specialties whose collective efforts will lead to new approaches to early diagnosis and treatment of acute stroke patients. The goal is to reduce death and disability in stroke patients by promoting rapid diagnosis and effective interventions. As a participant in the NIH SPOTRIAS database, UCLA Health consistently delivers rapid treatment for acute stroke and conducts the highest quality translational research on the diagnosis and treatment of acute ischemic and hemorrhagic stroke.
- University HealthSystem Consortium (UHC) Ischemic Stroke Benchmarking Project, which includes data from the charts of stroke patients treated in academic medical centers, promotes improved patient outcomes and development of novel approaches to the treatment of stroke patients by enabling each participating hospital to benchmark its clinical performance against the performance of similar institutions. UHC is an alliance of 97 academic medical centers, including UCLA, and 153 affiliated hospitals representing approximately 90 percent of the nation's non-profit academic medical centers.
- The Society for Vascular Surgery (SVS) Registry is a database of carotid procedures used by vascular surgeons and researchers throughout the United States to assess correlations among practitioners, procedures, comorbidities and outcomes. UCLA Health utilizes the SVS Registry as a performance improvement tool to benchmark risks and complications of care for our patients undergoing carotid stenting procedures.
- The Society of Thoracic Surgeons (STS) has established national registries to collect outcomes data for adult cardiac, general thoracic and congenital heart surgeries. By participating in the voluntary STS registries, UCLA Health is committing to continuously improving the quality of care that our cardiothoracic surgery patients receive.
- National Cardiovascular Data Registry (NCDR) ACTION RegistryTM is a national cardiovascular database established to monitor and impact clinical outcomes, drug safety and overall quality of care for patients with acute coronary syndrome (ACS). Through participation in this comprehensive database, UCLA Health proudly supports the goal of NCDR: to improve the quality of cardiovascular patient care by enhancing information, knowledge and tools; implementing quality initiatives; and supporting research that improves patient care and outcomes.
- CABG Outcomes Reporting Program (CCORP) is a mandatory data reporting program for all non-federal, California hospitals that perform coronary artery bypass graft (CABG) surgery. Managed by the Office of State Health Planning and Development (OHSPD), CCORP collects clinical data from hospital cardiac units and reports risk-adjusted outcomes annually at the hospital level and bi-annually at the surgeon level. The most recent report, including the outcomes data for UCLA Medical Center and UCLA cardiac surgeons, is available online at http://www.oshpd.ca.gov/.
- California Perinatal Quality Care Collaborative (CPQCC), sponsored by the State of California Department of Health Services, Maternal and Child Health Branch, focuses on the development of perinatal and neonatal outcomes and information, which allows for data driven performance improvement and benchmarking throughout California. UCLA Health utilizes CPQCC data to continually develop and refine quality improvement activities designed to promote best practices and produce superior outcomes for some of our most precious patients.
- Administered by the Centers for Medicare and Medicaid Services (CMS), the Physician Quality Reporting Initiative (PQRI) is a pay-for-reporting program designed to promote quality improvement in the Medicare fee-for-service program. The PQRI currently consists of 153 quality measures focusing on specific health conditions most prevalent among Medicare patients. UCLA Medical Group began PQRI reporting through the original claims-based reporting system when CMS launched the program in 2007. UCLA was designated a qualified data registry beginning in 2009. UCLA Medical Group is one of only 10 organizations in the nation affiliated with teaching or academic medical centers to achieve this designation. The new registry program has greater potential to improve quality by enabling providers to systematically evaluate patient care. More information about the CMS' PQRI program is available at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html.
- The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is a quality improvement database that allows hospitals to focus their quality improvement efforts in the areas that matter most. Targeting high-risk and high complication rate procedures, NSQIP allows for better tracking, trending and high levels of data analysis. NSQIP participation also allows hospitals to collaborate on surgical care improvement while benchmarking like institutions.
- The American College of Surgeons Trauma Quality Improvement Program (TQIP) provides risk-adjusted benchmarking of designated/verified trauma centers to track outcomes and improve patient care. TQIP utilizes the infrastructure of the National Trauma Data Bank (NTDB) to collect valid and reliable data, provide feedback to participating trauma centers, and identify institutional characteristics that are associated with improved outcomes.