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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.
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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
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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.
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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.
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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.
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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.
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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/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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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/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
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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.