Patient Safety/Inpatient

These resources focus on quality improvement related to patient safety and inpatient care. The current required and additional Medicare Beneficiary Quality Improvement Project (MBQIP) measures that fall under this domain include:


  • Healthcare Personnel (HCP)/IMM-3 (formerly OP-27: Influenza Vaccination Coverage among Healthcare Personnel
  • IMM-2: Influenza Immunization *
  • Antibiotic Stewardship
  • ED-1 * and ED-2 **: Emergency Department (ED) Care for Admitted Patients

* Measures removed by the Centers for Medicare and Medicaid Services (CMS) following submission of Quarter 1 2018 data

** Measures removed by the CMS following submission of Quarter 4 2018 data


  • Hospital Acquired Infections (HAI)
    • Central Line-Associated Bloodstream Infection  (CLABSI)
    • Catheter-Associated Urinary Tract Infection  (CAUTI
    • Clostridium difficile Infection (CDI
    • Methicillin-Resistant Staphylococcus aureus (MRSA)
  • Perinatal Care (PC-01)
  • Falls
  • Adverse Drug Events
  • Patient Safety Culture Survey

For more information about the reporting requirements for these measures, see Data Reporting and Use.

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.