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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - AHRQ QI List of Indicators
Prevention Quality Indicators (PQls) … Admission Rate
• PQI 16 - Lower-Extremity Amputation Among Patients
with Diabetes Rate
• PQI 90- Prevention … Quality Overall Composite
• PQI 91- Prevention Quality Acute Composite
• PQI 92- Prevention Quality … Chronic Composite
• PQI 93- Prevention Quality Diabetes Composite
Area-Level Indicators (e.g., County … Rate
• PSI 07 - Central Venous Catheter-Related Blood
Stream Infection Rate
• PSI 08 - In-Hospital Fall-Associated
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
January 01, 2012 - Prevention Quality Indicators
5
Prevention Quality Indicators
For the purposes of this review, we … Evidence for prevention of pressure ulcers in HCBS populations
Prevention of Pressure Ulcer Development … documented to reduce fall risk in older adults, including
previous fall documentation and thorough risk … • One review articles noted that home-based fall prevention programs have high
participation rates … "Older people who fall: why they matter and what you can do."
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - the root of the fall, not necessarily because the fall injury was so severe that it
required a hospitalization … Patients that “fall through the cracks” of services often end up homeless. … gait) and because they may be more likely to be admitted after a fall. … People with neurologic conditions are more likely to fall. … But HIV itself does
not present an added fall risk.
III.
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qualityindicators.ahrq.gov/Downloads/News/listserv_20100702_41a.pdf
July 02, 2010 - release of the AHRQ
Quality Indicators software for Windows Version 4.1a and SAS Version 4.1a for the Prevention … Software changes fall into two categories:
Changes to the manner in which data are reported – As
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar.pdf
January 01, 2016 - Refinements based on clinical concept
(examples):
► PSI 03 Pressure Ulcer Rate
► PSI 08 In-Hospital Fall … PSI 08 (In-Hospital Fall with Hip
Fracture Rate) Refined
19
• Change: Added medical MS-DRGs to
denominator … PQI 93 (Prevention Quality Diabetes
Composite) – NEW
23
• Description: Creates a composite of 4
component … PSI 03 (Pressure Ulcer Rate) Refined
PSI 08 (In-Hospital Fall with Hip Fracture Rate) Refined
PSI 10 … Refined
PSI 15 (Unrecognized Abdominopelvic Accidental Puncture or Laceration Rate) Refined
PQI 93 (Prevention
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V2.pdf
October 05, 2016 - following:
PSI 03 Pressure Ulcer Rate
PSI 06 Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall … PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures
from inpatient … specification, the name of the indicator was changed from
“Postoperative Hip Fracture Rate” to “In-Hospital Fall … Central Venous Catheter-Related
Blood Stream Infection Rate
0.037684 -- N/A
PSI 08 In-Hospital Fall
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - following:
PSI 03 Pressure Ulcer Rate
PSI 06 Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall … PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures
from inpatient … specification, the name of the indicator was changed from
“Postoperative Hip Fracture Rate” to “In-Hospital Fall … Central Venous Catheter-Related
Blood Stream Infection Rate
0.037684 -- N/A
PSI 08 In-Hospital Fall
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qualityindicators.ahrq.gov/Downloads/Software/V2020/AHRQ_QI_Rate_Comparison_v2019_v2020.pdf
July 01, 2020 - Prevention Quality Indicators (PQIs) Comparison of Observed Rates: v2019 and v2020......... 3
Table … Prevention Quality Indicators (PQIs) Comparison of Observed Rates: v2019 and v2020
INDICATOR LABEL … Quality Overall Composite 1.04 1,306.33 1,256.46
PQI 91 Prevention Quality Acute Composite 1.04 300.08 … 288.86
PQI 92 Prevention Quality Chronic Composite 1.04 1,006.38 967.71
PQI 93 Prevention Quality … PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate 1.00 0.10 0.10
PSI 08 In Hospital Fall
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qualityindicators.ahrq.gov/Downloads/Software/V2021/AHRQ_QI_Rate_Comparison_v20120_v2021.pdf
July 01, 2021 - Prevention Quality Indicators (PQI) Comparison of Observed Rates: v2020 and v2021 for ICD-
10-CM/PCS … Prevention Quality Indicators (PQI) Comparison of Observed Rates: v2020 and v2021 for ICD-10-CM/PCS … Quality Overall Composite 1.00 1,301.79 1,301.79
PQI 91 Prevention Quality Acute Composite 1.00 … 318.52 318.52
PQI 92 Prevention Quality Chronic Composite 1.00 983.38 983.38
PQI 93 Prevention Quality … 07 Central Venous Catheter-Related Blood Stream Infection Rate 0.97 0.09 0.09
PSI 08 In Hospital Fall
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/fr04ap06N.pdf
January 01, 2006 - AHRQ QIs are provider- and area-
level quality indicators and currently
consist of four modules: The Prevention … BILLING CODE 4160–90–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention … opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention … Population-New-National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention … NIOSH conducted a pilot study for
the proposed national survey in the fall
of 2004 (OMB No. 0920–0633
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/v2020%20QI%20Software%20Release_Final-08032020.pdf
January 01, 2020 - Open source, and
► Improved over time based on public and private input
7
AHRQ QI Modules
8
Prevention … Respiratory Failure Rate
►PROSFXID: Exclusion for periprosthetic fractures
− PSI 08: In Hospital Fall … ►
Improved over time based on public and private input
AHRQ QI Modules
AHRQ QI Modules
Prevention … ►
►
►
PROSFXID: Exclusion for
periprosthetic fractures
−
−
−
−
PSI 08:
In Hospital Fall … ChangeLog_PDI_v2020.pdf
Span
Highlights of Indicator Changes
Highlights of Indicator Changes
Prevention
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
August 31, 2016 - following:
PSI 03 Pressure Ulcer Rate
PSI 06 Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall … PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures
from inpatient … specification, the name of the indicator was changed from
“Postoperative Hip Fracture Rate” to “In-Hospital Fall … Central Venous Catheter-Related
Blood Stream Infection Rate
0.037684 -- N/A
PSI 08 In-Hospital Fall
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
August 31, 2016 - following:
PSI 03 Pressure Ulcer Rate
PSI 06 Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall … PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures
from inpatient … specification, the name of the indicator was changed from
“Postoperative Hip Fracture Rate” to “In-Hospital Fall … Central Venous Catheter-Related
Blood Stream Infection Rate
0.037684 -- N/A
PSI 08 In-Hospital Fall
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - following:
PSI 03 Pressure Ulcer Rate
PSI 06 Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall … PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures
from inpatient … specification, the name of the indicator was changed from
“Postoperative Hip Fracture Rate” to “In-Hospital Fall … Central Venous Catheter-Related
Blood Stream Infection Rate
0.037684 -- N/A
PSI 08 In-Hospital Fall
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - release
annual updates, including measure refinements and new measures
8
AHRQ QI Modules
Prevention … 22, and 33 (Caesarean and VBAC rates)
► PSI
− Removed several exclusions from PSI 08 (In Hospital Fall … Observed Rate Changes from v2020
• Compared to v2020 expected changes in observed rates:
Prevention … updates, including measure refinements and new measures
AHRQ QI Modules
AHRQ QI Modules
Prevention … , and 33 (Caesarean and VBAC rates)
► PSI
− Removed several exclusions from PSI 08 (In Hospital Fall
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qualityindicators.ahrq.gov/Archive/News2005.aspx
September 30, 2006 - NEWS from 2005
December 1 2005 – Release of the AHRQ QI Windows ® Application Version 2.0 and Prevention … Prevention Quality Indicators FY2006 Coding Update (SAS ONLY)
AHRQ is pleased to announce an FY2006 … coding update of the AHRQ Prevention Quality Indicators (PQIs),
Version 3.0. … The first set of development activities will focus on the Prevention Quality Indicators.
… Indicator and the Patient Safety Indicators will
follow a similar process beginning in Spring 2006 and Fall
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qualityindicators.ahrq.gov/FAQs_Support/FAQ_QI_Overview.aspx
April 20, 2015 - neonatal mortality, postoperative sepsis)
Potentially avoidable hospitalizations among children
Prevention … Indicators (QIs) website supplies the QI software and supporting documentation for ONLY the AHRQ QIs: Prevention
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qualityindicators.ahrq.gov/FAQS_Support/FAQ_QI_Overview.aspx
April 20, 2015 - neonatal mortality, postoperative sepsis)
Potentially avoidable hospitalizations among children
Prevention … Indicators (QIs) website supplies the QI software and supporting documentation for ONLY the AHRQ QIs: Prevention
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/PSI_Composite_Development.pdf
July 01, 2020 - SELECTED INDICATORS1
PSI 3 Pressure Ulcer Rate
PSI 6 Iatrogenic Pneumothorax Rate
PSI 8 In-Hospital Fall … Rate 0.3080 0.1149 0.1810
PSI 6 Iatrogenic Pneumothorax Rate 0.1381 0.0513 0.0362
PSI 8 In Hospital Fall
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/PSI_Composite_Measures.pdf
July 01, 2021 - COMPOSITE1
PSI 03 Pressure Ulcer Rate
PSI 06 Iatrogenic Pneumothorax Rate
PSI 08 In Hospital Fall … 0.3080 0.1048 0.1641
PSI 06 Iatrogenic Pneumothorax Rate 0.1381 0.0457 0.0321
PSI 08 In Hospital Fall