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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
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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.
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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.
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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.
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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
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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
-
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
-
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
-
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
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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
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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
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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
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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 Measures … Measure results
are publicly reported on a quarterly basis, although hospitals may report and access
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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.
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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.
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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
-
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
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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.
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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/É.
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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