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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

Baseline Extension Communication
Baseline Year Data Submission Guidance (revised)
Hospital Improvement Target Brief (updated 30 July 2015)
Hospital Quality Pool Payment Protocol Reference Instructions
Measures and Benchmarks Table (updated 30 July 2015)
Program Overview
Required Resubmission Guidance – HCAHPS Years 1-2
SBIRT Performance Year Submission Guidance (updated Oct 2015)
Timeline – Detailed Table (updated Dec. 2015)
Timeline - Visual
Validation Process for Follow-up after Hospitalization for Mental Illness Measure - PERFORMANCE YEAR (YR 2)
Validation Process Instructions Follow-up After Hospitalization for Mental Illness Measure_BASELINE (updated 10 Feb 2015)

Additional Technical Assistance and Guidance

Baseline submission webinar recording - November 18, 2014
Baseline submission webinar slides - November 18, 2014
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​

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.

Adverse Drug Events due to Opioids (revised)
Catheter Associated Urinary Tract Infections (CAUTI) in all tracked united (revised 30 November 2015)
Central Line-Associated Bloodstream Infections (CLABSI) in all tracked units (revised 10 June 2015)
Emergency Department Information Exchange (revised 16 July 2015)
Excessive anticoagulation with Warfarin (revised)
Follow-up after hospitalization for mental illness (updated 16 July 2015)
HCAHPS, Staff always explained medicines
HCAHPS, staff gave discharge information (revised 10 June 2015)
Hospital-wide all-cause readmissions (updated 16 July 2015)
Hypoglycemia in inpatients receiving insulin (revised)
Screening, brief intervention, and referral to treatment (SBIRT) in the ED (revised 10 June 2015)