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qualityindicators.ahrq.gov/Software/default.aspx
July 01, 2021 - AHRQ QI Software
Putting the power of AHRQ Quality Indicators in your hands. … AHRQ offers free software to help users using the AHRQ QIs generate results that are both accurate and … Use of this free software ensures a standard, trusted approach to quality measurement and means more … resources are available
for supporting improvements to patient care. … for you
SAS QI Ideal for researchers and advanced users
WinQI Ideal for health care professionals
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qualityindicators.ahrq.gov/Software/Default.aspx
July 01, 2020 - AHRQ QI Software
Putting the power of AHRQ Quality Indicators in your hands. … AHRQ offers free software to help users using the AHRQ QIs generate results that are both accurate and … Use of this free software ensures a standard, trusted approach to quality measurement and means more … resources are available
for supporting improvements to patient care. … right for you
SAS QI Ideal for researchers and advanced users
WinQI Ideal for health care professionals
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar_Transcript.pdf
January 01, 2016 - We have updated the denominator
specifications for the PSIs and the PDIs, so the Patient Safety Indicators … The
rationale is that some skin disorders put patients at greater risk for skin breakdown. … These patients may be patients with acute
brain or spinal injury, may be less preventable because of … And these patients, we felt, were at the most risk for a reoperation. Next slide,
please. … diabetes admission rate and PQI-16, lower extremity
amputation among patients with diabetes.
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2020/ChangeLog_IQI_v2020.pdf
September 30, 2020 - the numerator event, this MS-DRGs was combined with the corresponding
MS-DRG for patients discharged … patients with any procedure code for liver
transplant. … patients with any procedure code for heart
transplant. … which the
value for the variable “disposition of patient” (DISP) is missing, unknownor
invalid. … SPSS was changed to mirror the treatment of
missing data by SAS; specifically the software requires
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2010%20Postoperative%20Physiologic%20and%20Metabolic%20Derangement%20Rate.xlsx
January 01, 2010 - ICD-10-CM/PCS Specification
Patient Safety Indicators #10 (PSI #10) Postoperative Physiologic and … the spleen complicating a procedure on the spleen
568.81 Hemoperitoneum (nontraumatic) D78.02 Intraoperative … D78.21 Postprocedural hemorrhage and hematoma of the spleen following a procedure on the spleen
998.11 … tract, unspecified
ICD-9-CM code for Anticipated Version 4.6 *
530.21 Ulcer of esophagus with bleeding … the ICD-10 specification.
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/v2020%20QI%20Software%20Release_Final-08032020.pdf
January 01, 2020 - /
mailto:mlee@panth.com
Agenda
• Overview of the AHRQ QIs
• Overview of the v2020 software (including … ► IQI
− All Patient Refined Diagnosis Related Groups (APR-DRGs) in the risk-adjustment models
are … if treating
patients with the same case-mix in the hospital
• What NOT to do with risk-adjusted rates … ►
►
►
IQI
−
−
−
−
All Patient Refined Diagnosis Related Groups (APR
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DRGs) in the risk … to a national average hospital if treating
patients with the same case
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mix in the hospital
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - All of the information refers to adult patients, with the exception of “Overall
score for medical complications … with a broken hip
The average rate of death for hospitals across
the state is 3 for every 100 patients … • Safe: Treatment does not result in medical complications or cause harm
to the patient that can … • Patient-centered: Doctors, nurses, and other medical staff treat patients
with respect, dignity … with patients and how responsive
hospital staff are to patient needs.
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V43/Change_Log_IQI_4.3.pdf
August 01, 2011 - Added optional data elements YEAR (year of
patient discharge) and DQTR (calendar quarter
of patient … Added optional data elements YEAR (year of
patient discharge) and DQTR (calendar quarter
of patient … To
maintain comparability with previous years of
data, patients with a principle diagnosis of head … V2.1 R2 Sept. 4, 2003 Software (SPSS) The treatment of missing data by SPSS was
changed to mirror the … treatment of missing data by
SAS, specifically the software requires confirmation
for the assignment
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_11_Postoperative_Respiratory_Failure_Rate.pdf
July 01, 2019 - patients ages 18 years and older. … inclusion and exclusion rules for the denominator, with either:
• any secondary ICD-10-CM diagnosis … on admission) for acute
respiratory failure (ACURF3D
*
), among patients otherwise qualifying for … for tracheostomy (TRACHIP* ) occurs before the first operating room procedure†
• with any listed ICD … Elective surgical discharges (Appendix E: SURGI2R ) for patients ages 18 years and older, with any-
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Haywood_Roman_Medicares_Healthcare_Quality_Incentive_Strategies.ppt
January 01, 2005 - Care:
2003
“Decisive change will occur only when Medicare, with the full support of the Administration … Secretary quality data (for a set of 10 indicators established by the Secretary as of November 1, 2003 … Hip and knee replacement indicators apply only to Medicare patients. … p < = .001 level * Based on a paired sample t-test of the mean scores for the same … p < = .001 level
* Based on a paired sample t-test of the mean scores for the same
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - Quality Measurement
and Improvement, Center for Quality Improvement and Patient
Safety (AHRQ)
• Alex … with the same case-mix in the hospital
• What NOT to do with risk-adjusted rates
► Conclude Hospital … program for removing the discharges with COVID status
− Discharge will be removed from measure population … with the same case-mix in the hospital
•
•
•
What to do with risk-adjusted rates
NOT … in the measure program for removing the discharges with COVID status
− Discharge will be removed
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/C.14.10.D001_REVISED.pdf
January 01, 2013 - clinical concept in ICD-9, which may cause the ICD-10 specification to capture patients who are
not … of the indicators for future use. … are
consistent with the original intent for each AHRQ QI. … • revision of level assignment, specifically Level 2 and 3, to ensure consistent treatment across
set … ; Office of Quality & Patient Safety
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_08_In_Hospital_Fall_with_Hip_Fracture_Rate.pdf
July 01, 2021 - Department of Health and Human Services
www.qualityindicators.ahrq.gov
NUMERATOR
DENOMINATOR
Patient … fall with hip fracture (secondary diagnosis) per 1,000 discharges for patients ages 18
years and older … [NOTE: The software provides the rate per hospital discharge. … The user must multiply the rate obtained from the software by
1,000 to report events per 1,000 hospital … Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with any
secondary
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qualityindicators.ahrq.gov/Modules/list_ahrq_qi.aspx
April 16, 2024 - AHRQ - Quality Indicators You need to enable JavaScript to run this app.
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qualityindicators.ahrq.gov/Downloads/News/Update_of_May_2013_AHRQ_QI_Software_v4.5_with_Corrected_PSI_90.pdf
January 01, 2013 - of May 2013 AHRQ Quality IndicatorsTM Software for Windows and SAS Version 4.5 (with
corrected PSI #90 … Scroll to the bottom of this screen to view the weights for
the Patient Safety composite as shown in … WinQI v4.5 Screenshot Showing Correct Default Weights for Patient Safety
Composite
If the default … Scroll to the bottom of this screen to view the weights for
the Patient Safety composite (shown in Figure … • Edit the weight for each component of the Patient Safety for Selected Indicators to match
what
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/AHRQ%20Quality%20Indicators%20Software%20v2020%20ICD-10-CMPCS.pdf
January 01, 2020 - As many of you are aware, the origins of AHRQ QIs lie with HCUP. … patient safety monitoring. … patients under 18. … The PDIs highlight
problems that pediatric patients experience as a result of exposure to the health … Some of this has to do
with the methodology and some of it with the underlying data.
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2020/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2020 - patients ages 40 years and older, with either
• a principal ICD-10-CM diagnosis code for COPD (ACCOPDD … [NOTE: Obstetric discharges are not included in the PQI rate for PQI 05, though the AHRQ QI
TM
software … codes for cystic fibrosis and anomalies of the respiratory
system (RESPAN* )
• with admission source … source - 2, 3)
• with a point of origin code for transfer from a hospital, skilled nursing facility … of the patient residence, not
the metropolitan area or county of the hospital where the discharge
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qualityindicators.ahrq.gov/News/AHRQ%20QI%20v2021%20Retirement%20Announcement.pdf
July 01, 2021 - stakeholders:
Limited evidence base in the literature on the use of these indicators for quality … provided affect the validity and reliability of these indicators for quality
improvement. … IQI 15 retains transferred
patients but accounts for any difference in their risk not by exclusions … effort to account for confounders
associated with neonatal mortality through risk adjustment. … denominator and limits the use of the measure for cross-state comparisons.
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2019/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2019 - Discharges, for patients ages 40 years and older, with either
• a principal ICD-10-CM diagnosis code … (ACSASTD* )
[NOTE: Obstetric discharges are not included in the PQI rate for PQI 05, though the AHRQ … codes for cystic fibrosis and anomalies of the respiratory
system (RESPAN* )
• with admission source … source - 2, 3)
• with a point of origin code for transfer from a hospital, skilled nursing facility … of the patient residence,
not the metropolitan area or county of the hospital where the discharge
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Sofaer_Considerations_in_Public_Reporting_of_AHRQ_QIs.ppt
January 01, 2005 - to consider in public reports of AHRQ QIs
Our efforts to develop a template for reporting the AHRQ … (e.g. purchasers, hospitals)
Implication: public reports should be designed with the needs of the PUBLIC … AHRQ QIs User Group Meeting
Uses for comparative data
For the public, patients, consumers:
Just … Final product will include a proposal for a more “summative” evaluation of the report template(s) done … different kinds of consumers/patients
Conducting focus groups with hospital based clinicians and QI