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Technical Specifications and Guidance Documents for Hospital Transformation Performance Program



For more information

Hospital Metrics Technical Advisory Group
Hospital Performance Metrics Advisory Committee
Metrics Performance Reports
Oregon's Medicaid Demonstration


As directed by Oregon House Bill 2216 of 2013, the Oregon Health Authority is using quality health metrics to show how well hospitals are advancing health system transformation, reducing costs, and improving patient safety.

Eleven outcome and quality measures have been developed by the H​ospital Metrics Advisory Committee for two measurement years, October 2013–September 2014 (baseline year) and October 2014–September 2015 (performance year). Funds from a quality pool will be awarded to hospitals based on their performance on these measures.

Program Structure

Hospital Improvement Target Brief (updated 30 July 2015)
Hospital Quality Pool Payment Protocol Reference Instructions
Program Overview
Timeline - Visual

Additional Technical Assistance and Guidance

CAUTI-CLABSI Year 3 Reporting Template
EDIE fact sheet
EDIE webinar - 5 March, 2015
EDIE-sourced Measure Data Validation Process - Years 1 and 2
HTPP FAQs (revised)
HTPP Kick-off Webinar Recording - 7 October 2014
HTPP Kick-off Webinar Slides - 7 October 2014
Measure Specifications webinar - 28 October 2014
Measure Specifications webinar recording - 28 October 2014
Medication Safety Measures - Counting Guidance Memo
SBIRT webinar recording - 21 October 2014
SBIRT webinar slides - 21 October 2014

The Oregon Association of Hospitals and Health Systems (OAHHS) also provides technical assistance webinars on its website​

Year 3 Measure Specifications

The specifications used to produce the measures are available below. Measures were produced using national and standardized specifications. Variations are noted in the documents.

Years 1 and 2 specification sheets and methodology documents are available upon request. These documents have been removed from the webpage to minimize confusion between the measurement years.​

Adverse Drug Events due to Opioids
Catheter Associated Urinary Tract Infections (CAUTI) in all tracked units
Central Line-Associated Bloodstream Infections (CLABSI) in all tracked units
Emergency Department Information Exchange
Excessive anticoagulation with warfarin
Follow-up after hospitalization for mental illness
HCAHPS, Staff always explained medicines
HCAHPS, Staff gave discharge information
Hospital-wide all-cause readmissions (updated 16 July 2015)
Hypoglycemia in inpatients receiving insulin
Screening, brief intervention, and referral to treatment (SBIRT) in the ED