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  1. qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2018/TechSpecs/PQI_10_Dehydration_Admission_Rate.pdf
    June 01, 2018 - Discharges, for patients ages 18 years and older, with either • a principal ICD-10-CM diagnosis code … and a principal ICD-10-CM diagnosis code for acute kidney injury (PHYSIDB*) [NOTE: By definition, discharges … Thus, obstetric discharges should not be considered in the PQI rate, though the AHRQ QI™ software does … Discharges in the numerator are assigned to the denominator based on the metropolitan area or county
  2. qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2019/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
    July 01, 2019 - Gastrointestinal Hemorrhage Mortality Rate July 2019 DESCRIPTION In-hospital deaths per 1,000 discharges … Excludes obstetric discharges, cases in hospice care at admission, discharges with a procedure for … However, common practice reports the measure as per 1,000 discharges. … multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital dischargesDischarges for patients age 18 years or older with either: • a principal ICD-10-CM diagnosis code for
  3. qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2020/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
    March 01, 2021 - Discharges for patients age 18 years or older with either: • a principal ICD-10-CM diagnosis code for … Gastrointestinal Hemorrhage Mortality Rate March 2021 DESCRIPTION In-hospital deaths per 1,000 discharges … Excludes obstetric discharges, cases in hospice care at admission, discharges with a procedure for … However, common practice reports the measure as per 1,000 discharges. … multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges
  4. qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2018/TechSpecs/PDI_13_Transfusion_Reaction_Count.pdf
    June 01, 2018 - NUMERATOR NUMERATOR EXCLUSIONS * See below for code list DESCRIPTION The number of medical and surgical discharges … , Normal Newborn, and Outborn Surgical (Appendix C: SURGI2R ) and medical (Apppendix E: MEDIC2R ) discharges … Surgical and medical discharges are defined by specific MS-DRG codes.
  5. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_05_Retained_Surgical_Item_or_Unretrieved_Device_Fragment_Count.pdf
    July 01, 2021 - YEAR=missing), or principal diagnosis (DX1=missing) * See below for code list Surgical or medical discharges … Surgical (Appendix E: SURGI2R) and medical (Appendix C: MEDIC2R ) discharges are defined by specific … Medical Discharge MS-DRGs Appendix E - Surgical Discharge MS-DRGs DESCRIPTION The number of hospital discharges … However, common practice reports the measure as per 1,000 discharges. … user must multiply the rate obtained from the software by 1,000 to report events per 1,000 hospital discharges
  6. PQI Change Log (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Change_Log_PDI_4.3.pdf
    August 01, 2011 - PDI #10 – Postoperative sepsis – removed diagnosis code from numerator inclusion for sepsis for discharges … with the MS-DRG denominator inclusion for medical discharges for discharges after 2007Q4 (effective … Software and Documentation Surgical DRGs – replaced the DRG denominator inclusion for surgical discharges … with the MS-DRG denominator exclusion for surgical discharges for discharges after 2007Q4 (effective … PDI #1 (Accidental puncture or laceration) – Added an exclusion for discharges with an ICD- 9-CM procedure
  7. qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2021/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
    July 01, 2021 - Gastrointestinal Hemorrhage Mortality Rate July 2021 DESCRIPTION In-hospital deaths per 1,000 discharges … Excludes discharges with a procedure for liver transplant, cases admitted from a hospice facility, … transfers to another hospital, and obstetric discharges. … However, common practice reports the measure as per 1,000 discharges. … Discharges for patients ages 18 years and older with either: • a principal ICD-10-CM diagnosis code
  8. qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2007%20Central%20Venous%20Catheter-Related%20Blood%20Stream%20Infection%20Rate.xlsx
    January 01, 2007 - Catheter-Related Blood Stream Infection Rate NUMERATOR Hospital-associated infection diagnosis codes For discharges … Central venous catheter-related blood stream infection diagnosis code For discharges on or after October … Central venous catheter-related blood stream infection diagnosis codes For discharges on or after October
  9. qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2023%20Central%20Venous%20Catheter-Related%20Blood%20Stream%20Infection%20Rate.xlsx
    November 01, 2013 - Catheter-Related Blood Stream Infection Rate NUMERATOR Hospital-associated infection diagnosis code For discharges … Central venous catheter-related blood stream infection diagnosis code For discharges on or after October … Central venous catheter-related blood stream infection diagnosis codes For discharges on or after October
  10. qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2018/TechSpecs/PDI_10_Postoperative_Sepsis_Rate.pdf
    June 01, 2018 - Includes metrics for discharges grouped by risk category. … Rate Pediatric Quality Indicator 10 (PDI 10) Postoperative Sepsis Rate June 2018 DESCRIPTION Discharges … However, common practice reports the measure as per 1,000 discharges. … DRG9C) , with an elective admission type (ATYPE = 3) that otherwise qualify for the denominator Discharges … Surgical discharges are defined by specific MS-DRG codes.
  11. qualityindicators.ahrq.gov/Downloads/Modules/IQI/v60-ICD10/TechSpecs/IQI_25_Bilateral_Cardiac_Catheterization_Rate.pdf
    July 01, 2016 - However, common practice reports the measure as per 1,000 discharges. … The user must multiply the rate obtained from the software by 1,000 to report specific procedure discharges … per 1,000 hospital discharges.] … per 1,000 heart catheterizations discharges for coronary artery disease for patients ages 18 years … Excludes valid indications for right-side catheterization discharges and obstetric discharges.
  12. qualityindicators.ahrq.gov/Downloads/Software/WinQI/V2020/AHRQ_WinQI_v2020.0.1_Software_Rel_Notes.pdf
    January 01, 2021 - with Inconsistent Computation of Rates using Fiscal Year 2021 Data Users using FY2021 ICD-10 coded discharges … This issue does not impact the FY2020 ICD-10 code discharges. … Although WinQI v2020 is recommended for use with FY2020 discharges, users should be able to use their … Users Impacted: This impacts users who may use FY 2021 coded discharges in their input data. … Users using FY 2020 coded discharges in their input data are not impacted.
  13. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_02_Death_Rate_in_Low-Mortality_Diagnosis_Related_Groups_(DRGs).pdf
    July 01, 2019 - Low-Mortality Diagnosis Related Groups (DRGs) July 2019 DESCRIPTION In-hospital deaths per 1,000 discharges … However, common practice reports the measure as per 1,000 discharges. … multiply the rate obtained from the software by 1,000 to report in- hospital deaths per 1,000 hospital dischargesDischarges, for patients ages 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium), with
  14. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI_02_Death_Rate_in_Low-Mortality_Diagnosis_Related_Groups_(DRGs).pdf
    March 01, 2021 - Department of Health and Human Services www.qualityindicators.ahrq.gov NUMERATOR DENOMINATOR Discharges … Low-Mortality Diagnosis Related Groups (DRGs) March 2021 DESCRIPTION In-hospital deaths per 1,000 discharges … However, common practice reports the measure as per 1,000 discharges. … multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges
  15. qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2020/Version_2020_Benchmark_Tables_PDI.pdf
    January 01, 2020 - The SID contains all-payer, encounter-level information on inpatient discharges, including clinical … In 2017, the HCUP databases represented more than 97 percent of all annual discharges in the United … Indication that a hospital has POA reported as Y on all diagnoses on all discharges 2. … Indication that a hospital has POA reported as missing on all non-Medicare discharges 3. … Discharges from all 48 participating States are used to develop area-level indicators.2 Additional
  16. qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2020/TechSpecs/IQI_11_Abdominal_Aortic_Aneurysm_(AAA)_Repair_Mortality_Rate.pdf
    July 01, 2020 - Includes metrics for discharges grouped based on AAA rupture status and repair type. … Excludes obstetric discharges and transfers to another hospital. … However, common practice reports the measure as per 1,000 discharges. … STRATUM Open/Intact: (Open repair of unruptured AAA) Discharges, for patients ages 18 years and older … Discharges otherwise qualifying for the denominator, with any-listed ICD-10-CM diagnosis code for un-
  17. qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2021/TechSpecs/IQI_11_Abdominal_Aortic_Aneurysm_(AAA)_Repair_Mortality_Rate.pdf
    July 01, 2021 - Aortic Aneurysm (AAA) Repair Mortality Rate July 2021 DESCRIPTION In-hospital deaths per 1,000 discharges … Includes metrics for discharges grouped based on AAA rupture status and repair type. … Excludes transfers to another hospital, and obstetric discharges. … However, common practice reports the measure as per 1,000 discharges. … Discharges otherwise qualifying for the denominator, with any listed ICD-10-CM diagnosis code for un-
  18. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_02_Death_Rate_in_Low-Mortality_Diagnosis_Related_Groups_(DRGs).pdf
    July 01, 2021 - Department of Health and Human Services www.qualityindicators.ahrq.gov NUMERATOR DENOMINATOR Discharges … Low-Mortality Diagnosis Related Groups (DRGs) July 2021 DESCRIPTION In-hospital deaths per 1,000 discharges … However, common practice reports the measure as per 1,000 discharges. … multiply the rate obtained from the software by 1,000 to report in- hospital deaths per 1,000 hospital discharges
  19. PSI Change Log (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
    August 01, 2011 - with the MS-DRG denominator inclusion for medical discharges. … V4.0 June 30, 2009 Software (SAS and Windows) and Documentation Surgical DRGs – For discharges … with the MS-DRG denominator inclusion for surgical discharges V4.0 June 30, 2009 Software (SAS … Impact: Among the low mortality DRGs, about 25% of the discharges and 60% of the deaths are “adult … Psychiatric DRGs also have a higher share of deaths (10%) than discharges (6%).
  20. qualityindicators.ahrq.gov/News/ICD10_v2020_FAQ.pdf
    September 01, 2020 - Yes, the software is backwards compatible, meaning that it supports discharges classified under International … This may decrease the number of surgical discharges and change the risk profile of the reference population … Similarly, the volume of discharges is likely to decrease, as short-stay elective surgeries are cancelled … or delayed, whereas longer-stay emergency or medical discharges become more prevalent. … also plans to provide documentation to assist users in directly modifying the SAS QI code to exclude discharges

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