-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Farquhar_Overview_of_AHRQ_QI.ppt
January 01, 2005 - Conditions
Acute myocardial infarction (w/ and w/o transfers)
Congestive heart failure
Gastrointestinal hemorrhage … during procedure *
Iatrogenic pneumothorax *
Selected infections due to medical care *
Postoperative hemorrhage
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qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Guide_to_Comparative_Reporting_v10.pdf
June 30, 2009 - .......................................................................... 17
4.1.16 IQI #18 - GI Hemorrhage … ................................................................ 26
4.2.9 PSI #09 - Postoperative Hemorrhage … 30, 2009)
IQI #13 Craniotomy Mortality5 Inpatient Quality Indicators Mortality
IQI #18 GI Hemorrhage … • Construct validity: Studies have associated specific processes of care with lower rates of
hemorrhage … or Hematoma
Description: Rate of discharges with an ICD-9-CM code of postoperative hemorrhage or
-
qualityindicators.ahrq.gov/Software/SASICD10.aspx
March 01, 2015 - The software does not map each code, but rather map code groups (e.g. hemorrhage, asthma) from ICD-9-
-
qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2016%20Gastroenteritis%20Admission%20Rate.xlsx
January 01, 2016 - codes
ICD-9-CM Description ICD-10-CM Description
535.70 Eosinophilic gastritis, without mention of hemorrhage … K50.00 Crohn's disease of small intestine without complications
535.71 Eosinophilic gastritis, with hemorrhage … K50.011 Crohn's disease of small intestine with rectal bleeding
538. … rectosigmoiditis without complications
K51.311 Ulcerative (chronic) rectosigmoiditis with rectal bleeding … colitis, unspecified, without complications
K51.911 Ulcerative colitis, unspecified with rectal bleeding
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2020/ChangeLog_IQI_v2020.pdf
September 30, 2020 - Rationale for the change:
Patients in hospice care at admission who have a gastrointestinal hemorrhage … Mortality Rate
(IQI 18)
Specification/
Calculation
Esophageal varices in dis classified elsewhere w bleeding … (456.20) and GI
laceration/hemorrhage syndrome (530.7) were added to the denominator
specification … Mortality
Rate (IQI
#18) Denominator
(Inclusion, Gastrointestinal
Hemorrhage)
Coding New code … (FY 2004) 530.21 “ulcer of esophagus with bleeding” was
addedto the denominator definition.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V2.pdf
October 05, 2016 - Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall With Hip Fracture Rate1
PSI 09 Perioperative Hemorrhage … PSI 08 In-Hospital Fall with Hip Fracture
Rate
0.001796 0.010097 462.2%
PSI 09 Perioperative Hemorrhage … Anoxic brain
damage or shock
Development of brain (cerebral) anoxia and or shock
associated with a hemorrhage … hospital
readmission for a
Hospital readmission within 30 to 180 days of the
discharge due to a bleeding … PSI 12
7 | Page Updates to PSI90, FY2016, Updated 10-05-16
bleeding
complication
Emergency
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall With Hip Fracture Rate1
PSI 09 Perioperative Hemorrhage … PSI 08 In-Hospital Fall with Hip Fracture
Rate
0.001796 0.010097 462.2%
PSI 09 Perioperative Hemorrhage … Anoxic brain
damage or shock
Development of brain (cerebral) anoxia and or shock
associated with a hemorrhage … hospital
readmission for a
Hospital readmission within 30 to 180 days of the
discharge due to a bleeding … PSI 12
7 | Page Updates to PSI90, FY2016, Updated 10-05-16
bleeding
complication
Emergency
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - denominator exclusion for chronic kidney disease;
3) added diagnosis codes to denominator
exclusion for hemorrhage … Revised numerator inclusion criteria for
Postoperative Hemorrhage and Hematoma
(PSI #9) to require … a diagnosis of hemorrhage
or hematoma and a procedure for control of
hemorrhage or drainage of hematoma … Added area-level version of Postoperative
Hemorrhage or Hematoma as PSI #27. … Modified PSI #17, Birth Trauma, to exclude
preterm infants with subdural or cerebral
hemorrhage or
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Anderson_Inpatient_Quality_Reporting_In_Colorado.ppt
January 01, 2005 - Acute Myocardial Infarction (AMI)
AMI Without Transfer
Congestive Heart Failure (CHF)
Gastrointestinal Hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_A.pdf
August 01, 2004 - confounding bias, should be risk adjusted (QI
software uses APR-DRG, age, and sex)
Gastrointestinal (GI)
hemorrhage … from the denominator population
• Using ICD-9 codes to measure the concept of falls
Postoperative
hemorrhage … Congestive heart failure (CHF) mortality (IQI 16)
Stroke mortality (IQI 7)
Gastrointestinal (GI) hemorrhage … Selected infections due to medical care (PSI 7)
Postoperative hip fracture (PSI 8)
Postoperative hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
April 01, 2022 - 01 - Accidental puncture or laceration
■ PDI 05 - Iatrogenic pneumothorax
■ PDI 08 - Postoperative hemorrhage
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
August 31, 2016 - Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall With Hip Fracture Rate1
PSI 09 Perioperative Hemorrhage … PSI 08 In-Hospital Fall with Hip Fracture
Rate
0.001796 0.010097 462.2%
PSI 09 Perioperative Hemorrhage … PSI 08
7 | Page Updates to PSI90, FY2016, Updated 8-31-16
Pulmonary embolus or
bleeding within … Anoxic brain damage
or shock
Development of brain (cerebral) anoxia and or shock
associated with a hemorrhage … days of the
discharge after due to a bleeding complication
related to anticoagulation.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
August 31, 2016 - Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall With Hip Fracture Rate1
PSI 09 Perioperative Hemorrhage … PSI 08 In-Hospital Fall with Hip Fracture
Rate
0.001796 0.010097 462.2%
PSI 09 Perioperative Hemorrhage … PSI 08
7 | Page Updates to PSI90, FY2016, Updated 8-31-16
Pulmonary embolus or
bleeding within … Anoxic brain damage
or shock
Development of brain (cerebral) anoxia and or shock
associated with a hemorrhage … days of the
discharge after due to a bleeding complication
related to anticoagulation.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - Iatrogenic Pneumothorax Rate
PSI 08 In-Hospital Fall With Hip Fracture Rate1
PSI 09 Perioperative Hemorrhage … PSI 08 In-Hospital Fall with Hip Fracture
Rate
0.001796 0.010097 462.2%
PSI 09 Perioperative Hemorrhage … PSI 08
7 | Page Updates to PSI90, FY2016, Updated 8-31-16
Pulmonary embolus or
bleeding within … Anoxic brain damage
or shock
Development of brain (cerebral) anoxia and or shock
associated with a hemorrhage … days of the
discharge after due to a bleeding complication
related to anticoagulation.
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/ChangeLog_IQI_v2021.pdf
September 30, 2021 - Coding
Description:
Qualifying diagnoses associated with a diagnosis of esophageal varices with
bleeding … Rationale for the change:
Patients with GI hemorrhage undergoing liver transplants are clinically … Rationale:
Patients with GI hemorrhage undergoing liver transplants are clinically
distinct from … Mortality Rate (IQI
18)
Specification/
Calculation
Esophageal varices in dis classified elsewhere w bleeding … code (FY 2004) 530.21 “ulcer of esophagus with bleeding”
was added to the denominator definition.
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - Catheter-Related Blood
Stream Infection Rate
PSI 8: Postoperative Hip Fracture Rate
PSI 9: Perioperative Hemorrhage … Implementing the PSIs
• PSI 9 (Perioperative Hemorrhage or Hematoma Rate)
► Examined procedures that … frequently cause hematoma,
hemorrhage, or bruising
► Linked increased occurrence to use of new hemostatic
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2020/Version_2020_Benchmark_Tables_PDI.pdf
January 01, 2020 - PDI 08 – Perioperative Hemorrhage or Hematoma Rate, per 1,000 Admissions....................... 5
Table … Rate 948 2,881,881 0.33
PDI 05 Iatrogenic Pneumothorax Rate 259 2,616,663 0.10
PDI 08 Perioperative Hemorrhage … PDI 08 – Perioperative Hemorrhage or Hematoma Rate, per 1,000
Admissions
GROUP NUMERATOR DENOMINATOR
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2020/IQI_Composite_Development.pdf
July 01, 2020 - Rate
IQI 16 Heart Failure Mortality Rate
IQI 17 Acute Stroke Mortality Rate
IQI 18 Gastrointestinal Hemorrhage … Heart Failure Mortality Rate 0.3037
IQI 17 Acute Stroke Mortality Rate 0.1668
IQI 18 Gastrointestinal Hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/IQI_Composite_Measures.pdf
July 01, 2021 - IQI 16 Heart Failure Mortality Rate
IQI 17 Acute Stroke Mortality Rate
IQI 18 Gastrointestinal Hemorrhage … Failure Mortality Rate 0.2624
IQI 17 Acute Stroke Mortality Rate 0.1398
IQI 18 Gastrointestinal Hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Composite_User_Technical_Specification_PDI_4.3.pdf
August 01, 2011 - Laceration Rate
PDI #02 Pressure Ulcer Rate
PDI #05 Iatrogenic Pneumothorax Rate
PDI #08 Postoperative Hemorrhage … Ulcer Rate 0.1122 0.1413
PDI 05 Iatrogenic Pneumothorax Rate 0.0548 0.0547
PDI 08 Postoperative Hemorrhage