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About Us >> Quality of Care Reports >> Updated Quality Reports

Updated Quality Reports


Copley Quality & Core Measure Updates

Copley Hospital collects and submits data to the Centers for Medicare and Medicaid Services (CMS) regarding appropriate care measures for inpatients with certain medical conditions or surgical procedures. These measures are researched based guidelines that represent widely accepted standards of care. 

At Copley, we use Core Measure scores to continually improve patient care.

What is measured is the percentage of a hospital’s patients in a time frame (typically a calendar quarter) who had the specific condition and whose medical chart shows the appropriate care was provided. Our goal is to provide that “best practice” care for all patients, document it thoroughly, and achieve a 100% score on the measure.

Chart reviews for Core Measures are conducted monthly. A nurse in our Quality Management Department determines which patients were an eligible Core Measure patient, if the appropriate care was delivered and if the documentation was done in accordance with the mandated abstraction process.

The results are posted here and submitted on a quarterly basis to CMS.  The State of Vermont re-reports this data once a year as part of the mandated Act 53 Hospital Report Card.

For Copley's Core Measurements, look under DOCUMENTS on the right side of this page.
Core measures include: HF, AMI, Pneu and SCIP

For Copley's Patient Satisfaction (HCAHPS) scores, look under DOCUMENTS on the right side of this page.

Caution: the scores on the Core Measures are designed to assist improvement, not to be used as a report card. The scores from hospital to hospital vary depending upon a number of factors including, for example, the number of patients that qualified for the particular indicator or if a low score is the result of a documentation error rather than sub-standard care being given. In some instances, Copley did not have any patients that qualified for the Core Measure during the quarter.  

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