Core Measures
Sutter Medical Center, Sacramento

Core Measures

Acute Coronary Syndrome
Identifier Title
Order 20792 Smoking Cessation Protocol Orders
Order 21064 Acute Coronary Syndrome/Acute MI Admission Orders pp. 1-2
Order 21065 Acute Coronary Syndrome Discharge Summary pp. 1-2
Reference 21426 Core Measures Alert
IPOC Acute Coronary Syndrome
PEP Acute Coronary Syndrome
Link Clinical Pharmacology
Link Clinical Practice Guidelines
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
Reference 21426 Core Measures Alert
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 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
Reference 21426 Core Measures Alert
IPOC Pneumonia
PEP Pneumonia
Link Clinical Pharmacology
Link Clinical Practice Guidelines
Link Micromedex Care Notes
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Surgical Care Improvement Project (SCIP)
Identifier Title
Reference Cardiac & CABG Surgery Education Packet
Reference Core Measures Alert
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
Primary Diagnosis
Order 21687

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

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)

PEP

Pressure Ulcer PEP – Primary Diagnosis only

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 Pressure Ulcer Analysis Tool
Secondary Diagnosis

Order 21687

Pressure Ulcer Supplemental Orders
(Specific to patients who are admitted with a pressure ulcer, or who have developed a Pressure Ulcer).
Goes with regular admission order

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 .

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

Pressure Ulcer Analysis Tool

Reference Pressure Ulcer Patient Pathway
(Please print 'Pathway' [after IPOC - patient education] to give to your patients with pressure ulcers)
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

When to make a WOCN referral

Reference

Wound Care Products in Pharmacy

Reference

Wound and Skin Care Products in Central Services

Reference Ostomy Products in Central Services
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Stroke
Identifier Title
Order 20021 tPA - Intravenous Thrombolytic Therapy for Acute Stroke
Order 20718 Stroke Discharge Orders/Instructions and Prescription
Order 20792 Smoking Cessation Protocol Orders
Order 21092 Stroke Post Alteplase (t-PA) Acute Ischemic Orders pp. 1-2
Order 21632 Subarachnoid Hemorrhage/Aneurysm Admission Orders
Order 00831 Stroke Orders Acute, pgs. 1-2
Reference 21426 Core Measures Alert
IPOC Acute Ischemic Stroke
IPOC CVA, Cardiovascular Accident
PEP Stroke
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