Hospital Quality Improvement Incentive (HQII) Program

The New Mexico Hospital Quality Improvement Incentive Program is the third hospital funding stream in the Centennial Care Program’s Safety Net Care Pool. The 29 SNCP hospitals are eligible to participate in HQII and all do. Centennial Care is New Mexico’s name for the CMS 1115 Waiver program.

The amount available for HQII is designed to be the “growth rate” over time and will increase each year

DY 1

(CY 2014)

DY 2

(CY 2015)

DY 3

(CY 2016)

DY 4

(CY 2017)

DY 5

(CY 2018)

Total

UC

Pool

$68,889,323

$68,889,323

$68,889,323

$68,889,323

$68,889,323

$344,446,615

HQII

Pool

-

$2,824,462

$5,764,727

$8,825,544

$12,011,853

$29,426,586

% UC

Pool

100%

96%

92%

89%

85%

92%

% HQII

n/a

4%

8%

11%

15%

8%

Total

$68,889,323

$71,713,785

$74,654,050

$77,714,867

$80,901,176

$373,873,201


What are the Performance Measures?

The outcome measures are divided into two domains:

Domain 1 - Urgent Improvements in Care. Critical patient safety and quality measures for areas of widespread need.

  • Adverse Drug Events
  • Catheter-Associated Urinary Tract Infections
  • Central Line Associated Blood Stream Infections
  • Injuries from Falls and Immobility
  • Obstetrical Adverse Events
  • Pressure Ulcers
  • Surgical Site Infections
  • Venous Thromboembolism
  • Ventilator-Associated Pneumonia
  • All Cause Readmissions

Domain 2 - Population-focused Improvements. Measures of prevention and improved care delivery for the highest burden conditions in the Medicaid and uninsured population

  • Diabetes Short-term Complications Admissions Rate (PQI 01)
  • Diabetes Long-term Complications Admission Rate (PQI 03)
  • COPD or Asthma in Older Adults Admission Rate (PQI 05)
  • Heart Failure Admission Rate (PQI08)
  • Bacterial Pneumonia (PQI 11)
  • Uncontrolled Diabetes Admission Rate (PQI14)
  • Asthma in Younger Adults Admission Rate (PQI 15)


Technical Specifications for these measures were approved by the NM Human Services Department in April 2016.

Direct all questions about this program to Ellen Interlandi.