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qualityindicators.ahrq.gov/Software/ICD10Planning.aspx
December 01, 2016 - v6.0 software
will enable organizations to apply the AHRQ Quality Indicators (QIs) to their own inpatient … hospital administrative data to inform quality improvement
efforts in acute care settings. … can be used to calculate results for the AHRQ QIs, including:
Prevention Quality Indicators (PQI), Inpatient … and beta testing activities will provide organizations an opportunity to use their ICD-10 hospital discharge … Performance testing – record the time it takes to import data and generate rates.
3.
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - 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 … despite hip pain patient mows lawn & walks his dogs
Uneventful surgery & 6-day hospital stay with discharge … Implementing the PSIs
• PSI 15 (Accidental Puncture or Laceration Rate)
► Examined the data and found … Implementation Guidance
AHRQ QI Toolkit Includes:
• Assess readiness to change
• Apply QIs to your data
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qualityindicators.ahrq.gov/News/ICD10_v70_FAQ.pdf
September 01, 2017 - as a signal to users that there may be significant
differences between results obtained when using data … and QI software based on ICD-9-CM
coding vs. the results obtained when using data and QI software … Before ICD-10 CM/PCS data were available, the AHRQ Quality Indicators (QIs) converted to
ICD-10-CM/ … PQIs):
https://www.qualityindicators.ahrq.gov/Downloads/Modules/PQI/V70/ChangeLog_PQI_
v70.pdf
Inpatient … Users may review
discharge-level results to determine if evidence in the administrative record indicates
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/EDPerformanceMeasures-ConsensusStatement.pdf
January 01, 2006 - Time- The time at which the disposition is made for a patient to be admitted to the
hospital as an inpatient … Discharge Time- The time of physical departure of a discharged patient from the Emergency Department … Time- The time difference in minutes between MD/LIP contact with the patient and
discharge time
• … Most interval data is not normal, and averages can be misleading. … Emergency department length of stay independently predicts inpatient length of stay.
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Haywood_Roman_Medicares_Healthcare_Quality_Incentive_Strategies.ppt
January 01, 2005 - the Secretary as of November 1, 2003) that relate to the quality of care furnished by the hospital in inpatient … If such hospital does not submit data…”the applicable (payment) percentage increase … shall be reduced … Hospitals will submit data in five clinical areas covering 34 specific measures. … Percentile 50th Percentile
14229 Aspirin at arrival (%) 100.00 94.87
14230 Aspirin prescribed at discharge … (%) 98.93 93.33
14231 ACEI for LVSD (%) 93.10 77.32
14232 Beta blocker prescribed at discharge (%)
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2019/v2019_QI_Software_Release_Slides_080119.pdf
January 01, 2019 - indicators
• Risk-adjusted
5
About the AHRQ QI Software
• Uses readily available administrative data … Databases (SID) data
• Implemented coding updates
► Based on fiscal year 2019 ICD-10-CM/PCS
► Compatible … with ICD-10-CM/PCS hospital
data for FY16 - FY19
► Coding changes affect all software modules
17 … category (MDC), and diagnostic groups
► Diagnostic groups: PSIs use MS-DRGs, IQIs use APR-
DRGs
► Discharge-level … Summary of v2019 QI Rates
• Compared to v2018 ICD-10-CM/PCS (non-risk adjusted) using the
2016 HCUP data
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V43/Composite_User_Technical_Specification_PQI_4.3.pdf
August 01, 2011 - hospitalizations for Ambulatory Care Sensitive Conditions (ACSCs), which, though they rely on
hospital discharge … data, are intended to reflect issues of access to,and quality of, ambulatory care
in a given geographic … related to the composite (e.g., single composite vs. separate composites) and analyses
using 2003 State Inpatient … http://www.qualityindicators.ahrq.gov/modules/pqi_resources.aspx.
2 The state data organizations that … PQI #09 and
PQI #02 respectively) are excluded because their denominators differ (i.e., based on a discharge
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/2006-February-AHRQ-QI-Newsletter.htm
January 01, 2006 - , using
additional data elements such as condition present on arrival when available,
documentation … all the PQI with the exception of Low
Birth Weight and Perforated Appendix (both indicators have discharge … · The
Inpatient Quality Indicators (IQIs) now use the 3M APR-DRG Version 20.0 for
risk-adjustment … The limited license grouper assigns selected APR-DRGs
used in the IQI risk-adjustment to each discharge … improvement efforts, validation of
indicator specifications, consideration of selected potential data
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/PSI_Composite_Development.pdf
July 01, 2020 - non-obstetric indicators (see Table 1 below) with the exception of PSI 4 Death
Rate among Surgical Inpatients … and Medicaid (CMS) Medicare fee-for-
service sample that allowed up to one year of follow-up from the discharge … Harm weights are updated
periodically using two years of Medicare Fee-for-Service data. … similar, otherwise eligible patients without that safety-related event
over up to one year after the discharge … Abdominopelvic Accidental Puncture or
Laceration Rate 0.1474
0.0512 0.0386
Source: 2017 State Inpatient
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Impact_Webinar_Transcript.pdf
January 01, 2015 - These are
at a hospital level and they are inpatient. … The second group is the Inpatient Quality
Indicators. … These are more
related to the access to outpatient care and appropriate follow-up care after hospital discharge … And we have the privilege of seeing close to 90,000 inpatients on an
annual basis and close to $1.3 … And if so, what did you us as a
definition for medical discharge?
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/PSI_Composite_Measures.pdf
July 01, 2021 - obstetric indicators (see Table 1 below) with the exception of PSI 04 Death Rate Among Surgical
Inpatients … Medicaid (CMS) Medicare fee-for-
service sample that allowed up to one year of follow-up from the discharge … Harm weights are updated periodically using two years of Medicare
Fee-for-Service (FSS) data. … similar, otherwise
eligible patients without that safety-related event over up to one year after the discharge … Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/AHRQ%20Quality%20Indicators%20Software%20v2021%20ICD-10-CMPCS.pdf
January 01, 2021 - The next one if the IQIs — the Inpatient Quality Indicators — are only for adults and cover
mortality … evidence-based healthcare quality
measures that hospital systems use with readily available hospital inpatient … And at the time
when we’ve developed the software, the 2018 HCUP state inpatient databases were the … Since the Version 2021 software were developed and tested with
2018 pre-COVID discharge data, we cannot … So therefore, options were added that exclude COVID diagnosis from the
discharge data when calculating
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators_Transcript.pdf
January 01, 2015 - Then the other
hospital-based set of indicators are the Inpatient Quality Indicators. … Between 2012
and 2014, they were able to reduce the expense per equivalent discharge by almost 5%. … quality at a lower cost, pass
that improved value on to payers by reducing their billing per equivalent discharge … The hospital-associated condition, or HAC Reduction
Program, the Hospital Inpatient Quality Reporting … They also look at both inpatient and outpatient situations.
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2020/Parameter_Estimates_PQI_v2020.pdf
July 01, 2020 - The
SID contain all-payer, encounter-level information on inpatient discharges, including clinical … System (ICD-10-CM/PCS) diagnoses and procedures, length of stay (LOS), expected
payer, admission and discharge … dates and discharge disposition. … to generate the risk adjustment regression models in this document consists
of the same hospital discharge … The 2017 HCUP SID includes information on all inpatient discharges from hospital in participating
States
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qualityindicators.ahrq.gov/News/Default.aspx
September 13, 2021 - and PDI packages that fixes an issue that resulted in no COVID-19 diagnosis-based exclusions for 2020 data … will be published on September 13, 2021 to resolve an issue with COVID-19 exclusion logic with 2020 data … The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist … The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist … Patient Safety Indicator(PSI 21-PSI 27, all of
which were retired in v7.0), and Inpatient
-
qualityindicators.ahrq.gov/news/
September 13, 2021 - and PDI packages that fixes an issue that resulted in no COVID-19 diagnosis-based exclusions for 2020 data … will be published on September 13, 2021 to resolve an issue with COVID-19 exclusion logic with 2020 data … The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist … The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist … Patient Safety Indicator(PSI 21-PSI 27, all of
which were retired in v7.0), and Inpatient
-
qualityindicators.ahrq.gov/news/default.aspx
September 13, 2021 - and PDI packages that fixes an issue that resulted in no COVID-19 diagnosis-based exclusions for 2020 data … will be published on September 13, 2021 to resolve an issue with COVID-19 exclusion logic with 2020 data … The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist … The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist … Patient Safety Indicator(PSI 21-PSI 27, all of
which were retired in v7.0), and Inpatient
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2020/PDI_Composite_Development.pdf
July 01, 2020 - hospitalizations for Ambulatory Care
Sensitive Conditions (ACSCs), which, though they rely on hospital discharge … data, are intended
to reflect issues of access to, and quality of, ambulatory care in a given geographic … related to the composite (e.g., single composite vs. separate composites) and analyses
using 2003 State Inpatient
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2021/PDI_Composite_Measures.pdf
July 01, 2021 - hospitalizations for Ambulatory Care Sensitive Conditions
(ACSCs), which, though they rely on hospital discharge … data, are intended to reflect issues of access to,
and quality of, ambulatory care in a given geographic … the composite (e.g., single composite vs. separate composites) and analyses using the 2003
State Inpatient
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2021/Parameter_Estimates_PQI_v2021.pdf
July 01, 2021 - The SID contain
all-payer, encounter-level information on inpatient discharges, including clinical … System (ICD-10-CM/PCS)
diagnoses and procedures, length of stay (LOS), expected payer, admission and discharge … dates and
discharge disposition. … to generate the risk adjustment regression models in this document consists of
the same hospital discharge … The 2018 HCUP SID includes information on all inpatient discharges from hospital in participating
States