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  1. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/2006-February-AHRQ-QI-Newsletter.htm
    January 01, 2006 -           Highlights of 2005 ·           Preview of 2006 ·           Composite Measure …   The Prevention Quality Indicator (PQI) Composite Measure Workgroup convened during the month … of January and developed an overall analysis plan for the development of composite measures based … The analysis plan calls for the development of a single composite measure that encompasses all the … In addition, the plan calls for separate composite measures for acute and chronic conditions.
  2. qualityindicators.ahrq.gov/Archive/News2005.aspx
    September 30, 2006 - Their role will be to discuss and suggest strategies as to what composite measure methodology would … part of this effort, Workgroup members will be addressing several key issues for each composite measure … , including: What quality concept is the composite intended to measure? … 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
  3. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/ICD-10_Report_02-08-11_Final.pdf
    January 01, 2011 - Reliability and validity are generally demonstrated through measure testing data that show the measure … on measures that are due for maintenance submission in the 4th quarter of 2011 or early 2012. … measure; (2) The measure steward’s goal was to take advantage of the more specific code set to form … This measure would be considered “new,” and the original measure should be considered for retirement … : Measures with coding updates should be identified by version.
  4. PSI 90 Fact Sheet (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
    August 31, 2016 - It retains the NQF endorsed measure number 0531. 3. What changed in v6.0 (FY2016)? … Related Bloodstream Infection Rate) was removed as the alternative National Healthcare Safety Network measure … Disutility is the measure of the severity of the adverse events associated with each of the harms (i.e … The revised weighting approach offers a better measure of iatrogenic harms experienced by patients in … (which now incorporate a measure of volume and harms) have been updated. 5.
  5. PSI 90 Fact Sheet (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
    August 31, 2016 - It retains the NQF endorsed measure number 0531. 3. What changed in v6.0 (FY2016)? … Related Bloodstream Infection Rate) was removed as the alternative National Healthcare Safety Network measure … Disutility is the measure of the severity of the adverse events associated with each of the harms (i.e … The revised weighting approach offers a better measure of iatrogenic harms experienced by patients in … (which now incorporate a measure of volume and harms) have been updated. 5.
  6. Psi90 Factsheet Faq (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
    August 31, 2016 - It retains the NQF endorsed measure number 0531. 3. What changed in v6.0 (FY2016)? … Related Bloodstream Infection Rate) was removed as the alternative National Healthcare Safety Network measure … Disutility is the measure of the severity of the adverse events associated with each of the harms (i.e … The revised weighting approach offers a better measure of iatrogenic harms experienced by patients in … (which now incorporate a measure of volume and harms) have been updated. 5.
  7. 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.
  8. 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
  9. qualityindicators.ahrq.gov/Downloads/Software/SAS/V2021/AHRQ_SASQI_v2021.0.1_Software_Rel_Notes.pdf
    September 01, 2021 - .............................................................. 2 6.0 Reporting Rates for Specific Measures … for SAS QI, v2021.0.1 Version 2021.0.1 Page 3 September 2021 6.0 Reporting Rates for Specific Measures … v2021 software includes risk-adjustment, signal variance, reference population rates, and composite weights … MDCs are used in measure specifications and risk adjustment, and although the AHRQ SAS QI v2021 software … PDI modules will suppress expected rates, risk-adjusted rates, smoothed rates, and composites for measures
  10. qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Sofaer_Considerations_in_Public_Reporting_of_AHRQ_QIs.ppt
    January 01, 2005 - will typically be needed to achieve improvements in quality Effective Report Design Selecting measures … Romano will discuss the technical aspects of selecting measures To designing an effective report, the … two most important considerations are: Reporting measures people care about and that will be easy to … explain and interpret correctly Not reporting too many measures (this is the value of composites) … User Group Meeting Scoring Strategies Absolute v. relative scores Composite scores v. individual measures
  11. qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_B.pdf
    September 16, 2004 - in the area is suboptimal • Aspect of quality is under provider or health system control.1 • Measure … to quality is based on scientific evidence • Well defined and precisely specified • Valid, measures … Adequate and specified risk adjustment strategy exists • Evidence is available linking process measures … Supported by evidence of a relationship to quality • Related to other indicators intended to measure … is appropriate to use has been given • Methods to aggregate the measure with other, related measures
  12. AHRQ Slide Template (ppt file)

    qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Geppert_Composite_Measures.ppt
    January 01, 2005 - Jeffrey Geppert Battelle Health and Life Sciences Overview Project objectives Why composite measures … Who might use composite measures? … may mislead Construction of the composite increases the power of quality appraisals Allows for both measure-specific … future performance is often historical performance + structure The greater the reliability of the measure … for a particular provider, the more weight on historical performance The less the reliability of the measure
  13. qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Anderson_Inpatient_Quality_Reporting_In_Colorado.ppt
    January 01, 2005 - Colorado Health Institute Colorado Health and Hospital Association What To Report Patient Experience Measures … – No Standardized Data Capabilities Measures – Leapfrog Process Measures – CMS Outcomes Measures
  14. qualityindicators.ahrq.gov/resources/Presentations.aspx
    November 01, 2018 - Minneapolis MN This panel presentation addressed “AHRQ’s Prevention Quality Indicators: Using Data Measures … 2015, Washington DC The topic of this presentation was “AHRQ QI Software: Transforming Raw Data into Measure
  15. qualityindicators.ahrq.gov/Resources/Presentations.aspx
    November 01, 2018 - Minneapolis MN This panel presentation addressed “AHRQ’s Prevention Quality Indicators: Using Data Measures … 2015, Washington DC The topic of this presentation was “AHRQ QI Software: Transforming Raw Data into Measure
  16. qualityindicators.ahrq.gov/News/AHRQ%20QI%20v2021%20Retirement%20Announcement.pdf
    July 01, 2021 - Upcoming v2021 QI Software Version 2021 July 2021 2 Rarity of events – some indicators measure … events so rare that the measure is no longer reliable or relevant for quality improvement. … The two IQI measures (IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, without Transfer Cases … In addition, the AHRQ QI Program has not received user inquiries on the measure during this time, … suggesting limited usage of this measure.
  17. qualityindicators.ahrq.gov/News/ICD10_v2021_FAQ.pdf
    September 01, 2021 - modules will also suppress expected rates, risk- adjusted rates, smoothed rates, and composites for measures … AHRQ QIs Fact Sheet: FAQs on the SAS QI and WINQI, v2021 Version 2021 Page 8 July 2021 All measures … AHRQ will not seek re-endorsement of its portfolio of measures in the QI Program starting in fiscal … To ensure that the measures meet the national standards for measure development, we will continue to … We intend to focus on developing and maintaining measures and tools that facilitate system and area-level
  18. 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
  19. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/C.14.10.D001_REVISED.pdf
    January 01, 2013 - … [T]he most ideal way to convert code sets for quality measures would be to examine the original intent … measure; (2) The measure steward’s goal was to take advantage of the more specific code set to form … For existing measures undergoing coding updates and maintenance, the extent to which the population … • “Version the Updated Measure: Measures with coding updates should be identified by version. … Different versions of measures may be used longitudinally for various purposes but may not be exactly
  20. 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.

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