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qualityindicators.ahrq.gov/Downloads/Modules/V2022/AHRQ_QI_Full_Brochure.pdf
March 24, 2023 - Indicators Brochire
Get to know the AHRQ Quality Indicators
PQI
Prevention Quality
Indicators
IQI
Inpatient … standardized, evidence-based health care quality measures that can be used with readily
available hospital inpatient … • Population-based and adjusted for age and sex
Inpatient Quality Indicators (IQls)
IQls provide … a perspective on quality of care inside
hospitals, including inpatient mortality for surgical
procedures
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Fraser_AHRQ_Quality_Indicators.ppt
January 01, 2005 - of safety
Physician Measures – Ambulatory Quality Alliance
Measuring hospital quality and safety
Inpatient … strategies and partnerships
Current AHRQ Quality Indicators
Prevention Quality
Indicators
Inpatient … Datasets, Are HCUP Partners
AK
WY
DC
HCUP Partner
Does Not Collect
Inpatient … (CLICK)
Of the remaining 12 states, 4 states represented in red (CLICK) do not collect inpatient data … Data - but do not participate in HCUP
AK AR DC DE MT NM OK LA WY
4 States do not Collect Inpatient
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qualityindicators.ahrq.gov/Downloads/Software/V2021/AHRQ_QI_Rate_Comparison_v20120_v2021.pdf
July 01, 2021 - Inpatient Quality Indicators (IQI) Comparison of Observed Rates: v2020 and v2021 for ICD-10-
CM/PCS … are based on analysis States from AHRQ’s 2018 Healthcare Cost and Utilization Project
(HCUP) State Inpatient … HCUP includes the largest all-payer encounter-level collection of longitudinal
health care data (inpatient … The 2018 HCUP SID includes information on all inpatient discharges from hospitals in 48 participating … Inpatient Quality Indicators (IQI) Comparison of Observed Rates: v2020 and v2021 for ICD-10-CM/PCS
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qualityindicators.ahrq.gov/Archive/News2005.aspx
September 30, 2006 - 2005 – Meeting Registration
July 11 2005 – Save The Date
May 19 2005 – AHRQ Quality Indicators Inpatient … Quality Indicators (IQI) Version 2.1, Revision 4a Update
April 28 2005 – AHRQ Quality Indicators Inpatient … are a unique set of measures of health care
quality that make use of readily available hospital inpatient … top of page
May 19 2005 – AHRQ Quality Indicators Inpatient Quality Indicators (IQI) Version 2.1, … The references to the State Inpatient
Data (SID) used in calculating the risk-adjusted rates have been
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V43/Change_Log_IQI_4.3.pdf
August 01, 2011 - IQI Change Log
AHRQ Quality Indicators
Inpatient Quality Indicators (IQI)
Log of Revisions … Prepared by:
505 King Avenue
Columbus, OH 43201
August 2011
AHRQ QI, Inpatient … www.ahrq.qualityindicators.gov
Page 1
The following table summarizes the revisions made to the Inpatient … http://www.qualityindicators.ahrq.gov/iqi_download.htm�
Inpatient Quality Indicators (IQI)
Log of … Moved Appendix A into new document Inpatient
Quality Indicators Technical Specifications.
2.
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2022%20Vaginal%20Birth%20After%20Cesarean%20(VBAC)%20Delivery%20Rate,%20Uncomplicated.xlsx
November 01, 2013 - Cover Sheet
AHRQ Quality Indicators™ (AHRQ QI™) Proposed Coding for ICD-10-CM/PCS Specification
Inpatient … #22 Vaginal Birth After Cesarean (VBAC) Delivery Rate, Uncomplicated
DENOMINATOR EXCLUSIONS
See Inpatient … Appendix A – Abnormal Presentation, Preterm, Fetal Death and Multiple Gestation Diagnosis Codes
See Inpatient
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2019/TechSpecs/IQI%2091%20Mortality%20for%20Selected%20Conditions.pdf
July 01, 2019 - AHRQ QI™ v2019, Inpatient Quality Indicator 91, Technical Specifications,
Mortality for Selected Conditions … www.qualityindicators.ahrq.gov
July 2019 1
Mortality for Selected Conditions
Technical Specifications
Inpatient
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qualityindicators.ahrq.gov/Archive/News2009.aspx
January 27, 2010 - release of the AHRQ Quality Indicators for SAS Version 4.1 for the Prevention Quality Indicators (PQI), Inpatient … Update benchmarking data to 2007 – In prior releases we have used a three-year pooled State Inpatient … Inpatient Quality Indicators FY2009 Coding Update (Version 4.1)
>Version 4.1 includes the … FY2009 coding update of the AHRQ Inpatient Quality Indicators. … Quality Indicators (AHRQ QIs) for SAS Beta Version 4.0a for the Prevention Quality Indicators (PQI), Inpatient
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/AHRQ_IQI_Composite_Draft.pdf
January 01, 2006 - iqi_technical_specs_v30.pdf
AHRQ Quality Indicators
Inpatient … Indicator Composite Measure
Draft Technical Report
Page 30 9/29/2006
AHRQ Quality Indicators
Inpatient
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Farquhar_Overview_of_AHRQ_QI.ppt
January 01, 2005 - Hospital
Pay-for-Performance by Hospital
Overview of AHRQ QIs
Prevention Quality
Indicators
Inpatient … Diabetes cx - short term
Diabetes cx - long term
Uncontrolled diabetes
Lower extremity amputation
Inpatient … Mortality Indicators for Inpatient Conditions
Acute myocardial infarction (w/ and w/o transfers)
Congestive … failure
Gastrointestinal hemorrhage
Hip fracture
Pneumonia
Acute stroke
Mortality Indicators for Inpatient … For example, the reference population rates computed from the HCUP State Inpatient Data, which are used
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Love_Quality_Reporting_Initiatives_State_Trends_and_Issues.ppt
January 01, 2005 - Hospital Reporting Systems
Collect hospital discharge data from acute care hospitals, expanding to non-inpatient … Thirty-eight states supply discharge data to AHRQ’s Healthcare Cost and Utilization Project (HCUP)
Inpatient … Patient charge
Outcomes data
On Internet
H.B. 1629
Patient charge
Outcomes data
On Internet
=>States with inpatient … Legislative scope varies:
Data suppliers: broad to encompass a range of data suppliers or specific (inpatient … Continue to develop standardized, evidence based measures, including non-inpatient administrative data
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2033%20Primary%20Cesarean%20Delivery%20Rate,%20Uncomplicated.xlsx
November 01, 2013 - Cover Sheet
AHRQ Quality Indicators™ (AHRQ QI™) Proposed Coding for ICD-10-CM/PCS Specification
Inpatient … Denominator Exclusions
IQI #33 Primary Cesarean Delivery Rate, Uncomplicated
DENOMINATOR EXCLUSIONS
See Inpatient … Appendix A – Abnormal Presentation, Preterm, Fetal Death and Multiple Gestation Diagnosis Codes
See Inpatient
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qualityindicators.ahrq.gov/News/AHRQ_QI_Standing_Work_Group_Announcement.pdf
March 14, 2016 - group shall comprise individuals with knowledge
of the AHRQ Patient Safety Indicators (PSIs), AHRQ Inpatient … Classification of Diseases Clinical Modification (ICD-9-CM and ICD-10-CM)
code set conversion and AHRQ Inpatient … The AHRQ IQIs reflect quality of care inside hospitals and include inpatient
mortality for certain … anesthesiology, family medicine, obstetrics and gynecology, and others
One or more individuals with inpatient
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - Analytic
Strategy & Financial Planning, Yale New
Haven Health System
► Verna Alverson, RN, BSN, Inpatient … stay
Pressure ulcers
Postoperative
sepsis
Inpatient Quality
Indicators (IQIs)
Quality of hospital … care for adults
• Inpatient mortality for medical conditions
• Inpatient mortality for surgical procedures … QIs*
9
*A sample of CMS and CMMI initiatives that use the AHRQ QIs
Blank
Indicator Module
Blank Inpatient … Pediatric Prevention
(IQI) Safety (PSI) (PDI) (PQI)
HAC Reduction Program Blank Blank
Hospital Inpatient
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - to help hospitals and health
care organizations assess, monitor, track, and
improve the safety of inpatient … ■ Inpatient Quality Indicators—Hospital- and
area-level indicators relating to utilization,
mortality … procedures for
which outcomes can vary by hospital; area-
level indicators include procedures for which
inpatient … diagnosis
related groups (DRGs)
■ PSI 03 - Pressure ulcer rate
■ PSI 04 - Death rate among surgical inpatients
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2010/Estimated_Risk-Adjustment_Models_Incorporating_Data_on_Present_on_Admission.pdf
January 01, 2010 - POA is defined as “present at the time the order for inpatient
admission occurs. … Nine (9)
states provide this data element for the 2007 State Inpatient Databases (SID) created by AHRQ … admission 1 Diagnosis present at
admission
N – No Not present at the time of inpatient
admission … admission 1 Diagnosis present at
admission
0 – No Not present at the time of inpatient
admission … IQI #32 – AMI Mortality WO Transfer X
PSI #03 - Pressure Ulcer X X
PSI #04 - Death among Surgical Inpatients
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/Using%20Present%20on%20Admission.pdf
January 01, 2008 - POA is defined as “present at the time the order for inpatient
admission occurs. … Nine (9)
states provide this data element for the 2007 State Inpatient Databases (SID) created by AHRQ … admission 1 Diagnosis present at
admission
N – No Not present at the time of inpatient
admission … admission 1 Diagnosis present at
admission
0 – No Not present at the time of inpatient
admission … IQI #32 – AMI Mortality WO Transfer X
PSI #03 - Pressure Ulcer X X
PSI #04 - Death among Surgical Inpatients
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/Version_2020_Benchmark_Tables_PSI.pdf
January 01, 2020 - PSI 04 – Death Rate among Surgical Inpatients with Serious Treatable Complications –
Stratum DVT PE, … PSI 04 – Death Rate among Surgical Inpatients with Serious Treatable Complications –
Stratum Pneumonia … PSI 04 – Death Rate among Surgical Inpatients with Serious Treatable Complications –
Stratum Sepsis, … analysis of discharge data from the 2017 AHRQ Healthcare Cost and Utilization Project (HCUP) State
Inpatient … The SID contains all-
payer, encounter-level information on inpatient discharges, including clinical
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/Version_2021_Benchmark_Tables_PSI.pdf
January 01, 2021 - PSI 04 – Death Rate among Surgical Inpatients with Serious Treatable Complications ................ 6 … PSI 04 – Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum:
Sepsis … PSI 04 – Death Rate among Surgical Inpatients with Serious Treatable Complications – Stratum
Shock/ … analysis of discharge data from the 2018 AHRQ Healthcare Cost and Utilization Project (HCUP) State
Inpatient … The SID contains all-
payer, encounter-level information on inpatient discharges, including clinical
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2091%20Mortality%20for%20Selected%20Conditions.xlsx
November 01, 2013 - Cover Sheet
AHRQ Quality Indicators™ (AHRQ QI™) Proposed Coding for ICD-10-CM/PCS Specification
Inpatient … 20Selected%20Conditions.pdf
Description
IQI #91 Mortality for Selected Conditions
For more information see INPATIENT