In 1987 The Joint Commission (TJC) started developing a set of performance measures; which is now called the ORYX initiative, and are now known today as core measures (Commission, The Joint). The ORYX initiative offered significant flexibility for organizations to meet specific accreditation guidelines, which inherently caused a dilemma in that it was unable to compare data across several systems and between different measures (Commission, The Joint). By using the input from several different clinical professionals within the scope of healthcare, the TJC addressed this issue through institution of the use of standardized, evidenced based practice; known as a core measure (Commission, The Joint). One of the initial hospital core measure sets
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Hospital CAP core measures are comprised of: “CAP-1, Oxygenation (O2) assessment; CAP-2, Pneumococcal screening/vaccination; CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received (Bay Medical Center, 2016); CAP-4a, Adult smoking cessation advice/counseling; CAP-4b, Pediatric smoking cessation advice/counseling; CAP-5, Antibiotic timing; CAP-6, Initial antibiotic selection consistent with current recommendation – Intensive Care Unit (ICU) patients; and CAP-7, Initial antibiotic selection consistent with current recommendations – non-Intensive Care Unit (ICU) patients (Commission, The Joint).” CAP-1, O2 assessment allows for an assessment using a pulse oximetry or arterial blood gas (ABG) as a diagnostic tool. Radiological signs are considered the most specific indicator of bacterial pneumonia (MP, 2015;6). CAP-2, Pneumococcal screening/vaccination is done because according to Centers for Disease Control and Prevention (CDC), the use of the influenza vaccine and use of the pneumococcal vaccine are major preventive measures of CAP (John G Bartlett1, (2000) 31 (2)). CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received is performed because obtaining cultures after ABX were given decreased yield by 50% (Bay Medical Center, 2016). CAP-4a, Adult smoking
Hospital CAP core measures are comprised of: “CAP-1, Oxygenation (O2) assessment; CAP-2, Pneumococcal screening/vaccination; CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received (Bay Medical Center, 2016); CAP-4a, Adult smoking cessation advice/counseling; CAP-4b, Pediatric smoking cessation advice/counseling; CAP-5, Antibiotic timing; CAP-6, Initial antibiotic selection consistent with current recommendation – Intensive Care Unit (ICU) patients; and CAP-7, Initial antibiotic selection consistent with current recommendations – non-Intensive Care Unit (ICU) patients (Commission, The Joint).” CAP-1, O2 assessment allows for an assessment using a pulse oximetry or arterial blood gas (ABG) as a diagnostic tool. Radiological signs are considered the most specific indicator of bacterial pneumonia (MP, 2015;6). CAP-2, Pneumococcal screening/vaccination is done because according to Centers for Disease Control and Prevention (CDC), the use of the influenza vaccine and use of the pneumococcal vaccine are major preventive measures of CAP (John G Bartlett1, (2000) 31 (2)). CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received is performed because obtaining cultures after ABX were given decreased yield by 50% (Bay Medical Center, 2016). CAP-4a, Adult smoking