Denver Health reports adherence to CMS-defined core measure sets including: Acute Myocardial Infarction (AMI), Heart Failure (HF), Pneumonia (PN), and Surgical Care Improvement Project (SCIP). Denver Health has achieved continuous improvement in the CMS Appropriate Care Overall Bundle score.
For surgical quality of care, the CMS measure set exposed inconsistent processes, poor documentation, and opportunities to enhance quality in 2007. Denver Health used LEAN (standard work and systems engineering) to improve its performance in SCIP measures. It has been sustained for over five years. Performance improvement in heart failure care reflects an unrelenting focus on education related to the discharge medication process.