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Technical Specifications and Guidance Documents for Hospital Transformation Performance Program


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.

Outcome and quality measures have been developed by the Hospital Metrics Advisory Committee for the Hospital Transformation Performance Program. 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)
HTPP Program Year 4-Key Due Dates by Measure
Year 2 SBIRT Submission Guidance (updated Oct 2015)
Year 4 HTPP Payment Protocol Reference Instructions
Year 4 Measures and Benchmarks (updated July 2017)

Additional Technical Assistance and Guidance

CAUTI-CLABSI - Year 4 instructions for pulling SIRs from NHSN
CLABSI-CAUTI Year 4 Optional Tracking Template
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
PCP Notification in EDIE
SBIRT Guidance Document - Hospitals Submitting Data for Full Screen
SBIRT webinar recording - 21 October 2014
SBIRT webinar slides - 21 October 2014
Year 4 - Accessing EDIE-sourced Reports
Year 4 – EDIE Measure LWBS and AMA Exclusion Instructions – baseline


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

Year 4 Incentive Measure Specifications 

Final specifications used to produce incentive (pay for performance) measures for HTPP Years 3 and 4 are available below. Measures were produced using national and standardized specifications. Variations are noted in the documents.

Specification sheets and methodology documents for Years 1-3 of the HTPP 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 (updated Nov 2017)
Central line-associated bloodstream infections (CLABSI) in all tracked units (updated Nov 2017)
Emergency Department Information Exchange (updated July 2017)
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 July 2017)
Hypoglycemia in inpatients receiving insulin (updated July 2017)
Screening, brief intervention, and referral to treatment (SBIRT) in the ED

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