Core Measures
Sutter Medical Center, Sacramento

Core Measures

Acute Coronary Syndrome
Identifier Title
Order 20792 Smoking Cessation Protocol Orders
IPOC Acute Coronary Syndrome
PEP Acute Coronary Syndrome
Link Clinical Pharmacology
Link Clinical Practice Guidelines
Link Core Measures Alert
Link Micromedex Care Notes
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Heart Failure
Identifier Title
Order 20792 Smoking Cessation Protocol Orders
Order 21034 Heart Failure Discharge Orders
Order 09912 Heart Failure Admission Orders
Form 21010 Heart Care At a Glance, Heart Failure Discharge Instructions
Print 2 Copies
Form Heart Failure Keys to Success
Form Heart Failure Management Tool
Form Heart Failure Medications: How They Work
Translated 21010 Heart Care at a Glance: Heart Failure Discharge Instructions (Spanish)
IPOC Heart Failure
PEP Heart Failure
Link Clinical Pharmacology
Link Clinical Practice Guidelines
Link Core Measures Alert
Link Micromedex Care Notes
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Pneumonia
Identifier Title
Order 00167 Pneumonia Orders - Adult
Order 20792 Smoking Cessation Protocol Orders
Form 21390 Pneumococcal/Influenza Immunization Protocol
IPOC Pneumonia
PEP Pneumonia
Link Clinical Pharmacology
Link Clinical Practice Guidelines
Link Core Measures Alert
Link Micromedex Care Notes
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Surgical Care Improvement Project (SCIP)
Identifier Title
Reference Cardiac & CABG Surgery Education Packet
Reference SCIP Core Measures
Reference General Surgery Education Pack
Reference Neurological Surgery Education Packet
Reference Othro Surgery Education Packet
Reference Urological Surgery Education Packet
Reference Vascular Surgery Education Packet
Link Clinical Pharmacology
Link Clinical Practice Guidelines
Link Micromedex Care Notes
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Other

Pressure Ulcer
Identifier Title

Order 21211

Wound and Skin Care Protocol Orders
(For all patients at risk - with Braden Scale score 17 or less).
If MD is a hospitalist, order 21211 is already checked/ordered. Otherwise, only Perineal Derm. and Perineal Cand. and Stage II require MD’s signature. Nurse should initiate other needed interventions ASAP.
DO NOT WAIT FOR WOCN .

Order 21687

Pressure Ulcer Supplemental Orders
(Use for patients who are admitted with a pressure ulcer)
Goes with regular admission order

Order 21853

Pressure Ulcer Treatment Orders - Stages 3 or 4

IPOC

Pressure Ulcer IPOC and Patient Pathway – for Primary Diagnosis only
(If secondary diagnosis please write it in on the PEP for the Primary Diagnosis and refer to the Pressure Ulcer Management Tool above)

Reference

PUP Icon/Alert for beside and chart
(To easily identify patients who have pressure ulcers and have extra skin care, nutrition and mobility needs)
Print together, and put above pt’s bed and also in front of the chart to act as an alert (like a Core Measures Alert)

Reference Ticket to Rent Specialty Beds
Form 21936 Wound Photography
Form Pressure Ulcer Peer Review Audit Tool for RN
Form 21940 Weekly Pressure Ulcer Documentation - Acute Care
References
Link Clinical Pharmacology
Link Clinical Practice Guidelines
Link

Micromedex Care Notes:
Keywords = pressure ulcers, decubiti, wounds

Pt. Reference Pressure Ulcer Program Brochure (for patient and family)
Skin Integrity & Wound Care Program Reference BRADEN Risk Assessment Scale, with Interventions
Protocols Protocols (1 – 5) for Skin Integrity/Wound Care Program
Reference

Four Squares Pressure Ulcer Dressing Ideas

Reference

When to make a WOCN referral

Reference

Wound and Skin Care Products in Central Services

Reference

Wound Care Products in Pharmacy

Reference

Wound Dressing Selection Guide In Color

Reference Ostomy Products in Central Services
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Stroke
Identifier Title
AHA/ASA Guideline Management of Adult Stroke Rehabilitation Care
AHA/ASA Guideline Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack
AHA/ASA Guideline Management of Spontaneous Intracerebral Hemorrhage in Adults
AHA/ASA Guideline Management of Aneurysmal Subarachnoid Hemorrhage
AHA/ASA Guideline Early Management of Adults With Ischemic Stroke
Order 00831 Stroke Orders Acute, pgs. 1-2
Order 20021 tPA - Intravenous Thrombolytic Therapy for Acute Stroke
Order 20792 Smoking Cessation Protocol Orders
Order 21092 Stroke Post Alteplase (t-PA) Acute Ischemic Orders pp. 1-2
Order 21341 Stroke RN Acute Progress Note
Order 21632 Subarachnoid Hemorrhage/Aneurysm Admission Orders
Order 21971 Transient Ischemic Attack (TIA) Admit Orders
Order 21972 Intracranial Hemorrhage Admit Orders
Form 21719 Stroke Teaching Checklist
Form 21942 t-PA for Stroke Flowsheet
Form Stroke Care at a Glance, Stroke/TIA Patient Discharge Instructions
Form Stroke Care at a Glance, Stroke/TIA Patient Discharge Instructions (Hmong)
Form Stroke Care at a Glance, Stroke/TIA Patient Discharge Instructions (Russian)
Form Stroke Care at a Glance, Stroke/TIA Patient Discharge Instructions (Spanish)
Form Stroke and TPA: What You Need to Know
Form Swallow Screen (Nursing) - Emergency Department
Form Swallow Screen- Nursing Unit
IPOC STROKE (Ischemic or Hemorrhagic)
IPOC Subarachnoid Hemorrhage
IPOC Transient Ischemic Attack (TIA)
PEP Stroke
Patient Care Standard Subarachnoid Hemorrhage
Patient Care Standard TPA Adminstration for Acute Ischemic Stroke, ED and Inpatient Units
Protocol Acute Ischemic Stroke
Reference Emergency Stroke Decision Guide
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