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  1. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
    December 01, 2013 - The harm weights were calculated by multiplying empirical estimates of the probability of excess harms … associated with each patient safety event by the corresponding utility weights (1–disutility). … Disutility is the measure of the severity of the adverse events associated with each of the harms (i.e … The harm weights were calculated using linked claims data for two years of Medicare Fee for Service … Composite Weights for PSI 90 v2019 INDICATOR HARM WEIGHT VOLUME WEIGHT COMPONENT WEIGHT
  2. qualityindicators.ahrq.gov/FAQS_Support/FAQ_Software.aspx
    November 02, 2015 - The measures that are risk adjusted are included in the covariate tables linked here: PQI , IQI , … variation in documentation and coding practices across hospitals; and (4) weighting component measures … A patient meeting criteria for multiple measures will be included in each measure's denominator. … The other rates are not part of the composite measure. … Area-level composite measures, however, are calculated in the same manner as normal AHRQ QIs.
  3. qualityindicators.ahrq.gov/FAQs_Support/FAQ_Software.aspx
    November 02, 2015 - The measures that are risk adjusted are included in the covariate tables linked here: PQI , IQI , … variation in documentation and coding practices across hospitals; and (4) weighting component measures … A patient meeting criteria for multiple measures will be included in each measure's denominator. … The other rates are not part of the composite measure. … Area-level composite measures, however, are calculated in the same manner as normal AHRQ QIs.
  4. qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/AHRQ%20Quality%20Indicators%20Software%20v2021%20ICD-10-CMPCS.pdf
    January 01, 2021 - We review measure enhancements and refinements based on literature review and environmental scans. … They are population-based measures. … This measure set covers a wide range of measures that are often used in public reporting efforts. … we also refer to the reference population rates, the signal variance using smoothing and composite weights … IQI 20 and the CMS measure.
  5. Document (pdf file)

    qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/fr04ap06N.pdf
    January 01, 2006 - based on hospital discharge data, specifically using the IQI and PSI measures. … methodological approaches currently available and will discuss and suggest strategies as to what composite measure … not limited to: • Identifying and defining the quality concept that each composite is intended to measure … and a familiarity with statistical methods and risk adjustment strategies in the area of composite measure … Commitment In an effort to provide for expert input and for recommendations to develop a composite measure
  6. qualityindicators.ahrq.gov/News/Default.aspx
    September 13, 2021 - May 18, 2021 AHRQ will no longer seek NQF re-endorsement for its portfolio of measures in the AHRQ … , 2021 AHRQ publishes the explanation on PSI 03 (Pressure Ulcer Rate) measure … better understand how different organizations use the AHRQ QIs and/or other quality measures … organizations, clinicians, quality improvement experts, researchers, and quality measure
  7. qualityindicators.ahrq.gov/news/
    September 13, 2021 - May 18, 2021 AHRQ will no longer seek NQF re-endorsement for its portfolio of measures in the AHRQ … , 2021 AHRQ publishes the explanation on PSI 03 (Pressure Ulcer Rate) measure … better understand how different organizations use the AHRQ QIs and/or other quality measures … organizations, clinicians, quality improvement experts, researchers, and quality measure
  8. qualityindicators.ahrq.gov/news/default.aspx
    September 13, 2021 - May 18, 2021 AHRQ will no longer seek NQF re-endorsement for its portfolio of measures in the AHRQ … , 2021 AHRQ publishes the explanation on PSI 03 (Pressure Ulcer Rate) measure … better understand how different organizations use the AHRQ QIs and/or other quality measures … organizations, clinicians, quality improvement experts, researchers, and quality measure
  9. qualityindicators.ahrq.gov/Downloads/Modules/V45/Module_NQF_Endorsement_V4.5.pdf
    May 01, 2013 - NATIONAL QUALITY FORUM (NQF) ENDORSED INDIVIDUAL AND COMPOSITE MEASURES … AHRQ Quality IndicatorsTM National Quality Forum (NQF) Endorsed Individual and Composite Measures … Dehiscence Rate PDI #12 - Central Venous Catheter-Related Blood Stream Infection Rate 1 Individual measures … #11 are not part of the NQF Endorsed Composite, but they are components of the AHRQ QITM Composite measure … #9 are not part of the NQF Endorsed Composite, but they are components of the AHRQ QITM Composite measure
  10. qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Munsch_Covenant_Healthcare.ppt
    January 01, 2005 - System Level Use – Covenant Magnet Status Nursing Sensitive Measures IHI’s Saving 100K Lives Campaign … Level Use – Covenant Example Failure to Rescue Key Strategy Implementation of Rapid Response Teams Measure … of RRTs Create case studies –scenarios to educate staff on when to access RRTs Validation of AHRQ measure … System Level Use – Covenant Example Failure to Rescue FTR Rates have dropped where teams and measures … still need more validation Coding problems are always a minor annoyance Avoid the tendency to react to measures
  11. qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
    January 01, 2021 - refinements and new measures 8 AHRQ QI Modules Prevention (PQIs) • Potentially preventable … order: Shock, Sepsis, Pneumonia, GI hemorrhage, and DVT/PE − Updated PSI 03 (Pressure Ulcer Rate) measure … program for removing the discharges with COVID status − Discharge will be removed from measure population … order: Shock, Sepsis, Pneumonia, GI hemorrhage, and DVT/PE − Updated PSI 03 (Pressure Ulcer Rate) measure … to show COVID exclusion in the discharge data ► ► New COVID diagnosis status variable in the measure
  12. Slide 1 (ppt file)

    qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Varga_Implementing_All_the_consensus_standards_the_journey_so_far.ppt
    January 01, 2005 - organization moving in a direction that is inherently inevitable Improve our care; “We’ll manage what we measure … lists instead of deciding indicator by indicator Not being the indicator owner not redefining the measure … Better data; less time arguing about the measure and more time improving performance. … Evaluation What we’ve learned about the measures Few existing tools to automate or streamline any of
  13. qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/AHRQ_QI_MOHA_Case_Study.pdf
    October 16, 2017 - The website reports results for 23 claims-based and chart abstracted measures across four domains: … Since public reporting began in 2016, measure results have generally improved, suggesting that public … Missouri Quality Outcome Measures – Statewide Results (adjusted for age, gender and medical condition … March17) http://focusonhospitals.com/ 10/16/17 Page 3 of 3 Missouri Quality Outcome MeasuresMeasure results are publicly reported on a quarterly basis, although hospitals may report and access
  14. qualityindicators.ahrq.gov/Downloads/Modules/V2021/v2021_FY_Coding_Updates.pdf
    July 01, 2021 - AHRQ QI measures have been developed over time with input from numerous teams of clinical and technical … These modules include area-level indicators which measure ambulatory care sensitive conditions, and … hospital-level indicators which measure the outcomes of hospital care.
  15. qualityindicators.ahrq.gov/Downloads/News/QI_Newsletter_I_2_13.pdf
    May 01, 2015 - uses the Adaptable AHRQ QI Prioritization matrix, part of the AHRQ QI Toolkit, to select quality measures … implications, strategic initiatives, external mandates (such as public perception of care), and a measure … The team uses the DMAIC (Define, Measure, Analyze, Improve, and Control) Process Improvement Methodology … AHRQ QI improvement software is used to measure improvement efforts over time.
  16. qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/AHRQ%20Quality%20Indicators%20Software%20v2020%20ICD-10-CMPCS.pdf
    January 01, 2020 - They are population-based measures rather than hospital-based measures. … The IQI measure set covers a wide range of measures and are often used in public reporting efforts. … Our PDIs, the pediatric quality indicators, are hospital-based measures and area-level measures covering … for the software to develop risk-adjusted rates, signal variances, population rates, and composite weights … One is called All Measures and the All Measures reads in discharge data, and at a discharge level, it
  17. qualityindicators.ahrq.gov/News/IQI_Hospital_Level_Retirement_Notice.pdf
    October 10, 2016 - these procedures have shifted primarily to the outpatient setting, making IQI 25 a less meaningful measure … 2007 to 2012, IQI 25 rates have improved from 61/1,000 to 12/1,000 hospitalizations, suggesting the measure
  18. qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/TechSpecs/PSI_17_Birth%20Trauma%20RateInjury%20to%20Neonate.pdf
    November 01, 2014 - However, common practice reports the measure as per 1,000 newborns. … However, common practice reports the measure as per 1,000 newborns.
  19. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/Empirical_Methods_r.pdf
    January 01, 2013 - Select the component weights The composite measure is the weighted average of the scaled and reliability-adjusted … (univariate) and the estimation error is assumed not correlated across measures (e.g., each measure … $, the reliability of the measure, and is the r-squared which measures how much of the variation in … the true measure can be explained with the filtered measure. … However, regardless of ûù, the error of the MCMC integration scales as 1/√â.
  20. qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2020/ChangeLog_PQI_v2020.pdf
    September 30, 2020 - and v4.4 do not check for a possible issue with user-defined composite weighting – users must set weights … for all possible individual indicators, including zero weights for indicators that are not to beincluded … New measure name “Community-Acquired Pneumonia Admission Rate” Rationale for the change: Align the measure … v4.3 and v4.4 do not check for a possible issue with user-defined composite weighting – users must set weights … for all possible individual indicators, including zero weights for indicators that are not to beincluded

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