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qualityindicators.ahrq.gov/default.aspx
September 13, 2021 - quality improvement, and research
Quality Indicators (QIs) are standardized, evidence-based measures … that can be used
with readily available hospital inpatient administrative data to measure … - AHRQ publishes the explanation on PSI 03 (Pressure Ulcer Rate) measure … AHRQ will no longer seek NQF re-endorsement for its portfolio of measures
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators_Transcript.pdf
January 01, 2015 - than a hospital-based measure. … Now the rates can vary
greatly, depending on what you're doing and what the measure is. … Most of these are outcome measures, so
while they're easier to measure, they may be harder to do anything … with, when compared to
process measures. … But the other thing to keep
in mind is that how good the measure is also depends upon the accuracy
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qualityindicators.ahrq.gov/sitemap.aspx
Support
Home
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IQI Resources
PDI Resources
PQI Resources
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All Measures
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qualityindicators.ahrq.gov/SiteMap.aspx
Support
Home
Modules
IQI Resources
PDI Resources
PQI Resources
PSI Resources
All Measures
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2004/Narrative%20Agenda%20of%20the%20Conferences%20for%20Health%20Care%20Purchasers%20and%20Providers.doc
January 01, 2004 - These measures can be used with existing administrative databases, using free software publicly available … were developed to identify national trends and guide quality improvement efforts, the fact that they measure … care delivery that consumers care about has created growing interest in exploring new uses for these measures … feedback from AHRQ QI users is an important part of AHRQ’s strategy for continuously improving these measures
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Romano_Selecting_Quality_Measures.ppt
January 01, 2005 - to provide high-quality care (i.e., facilitators or markers)
Weakly associated with process/outcome measures … Easy to measure, but hard to modify
Few intervention studies, causal relationships unclear – do better … Use structural indicators when acceptable process or outcome measures are not available (“free ride” … meaningful and easy to understand
Reflect not just what was done but how well it was done (difficult to measure … directly)
Morbidity measures tend to be reported inconsistently (due to poor MD documentation and/or
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
July 01, 2020 - 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 v2020
INDICATOR HARM
WEIGHT
VOLUME
WEIGHT
COMPONENT
WEIGHT
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
July 01, 2021 - 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 v2021
INDICATOR HARM
WEIGHT
VOLUME
WEIGHT
COMPONENT
WEIGHT
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qualityindicators.ahrq.gov/software/SAS.aspx
September 01, 2021 - Specifications
Download
Prevention Quality Indicators (PQI)
PQI Individual Measure … PCS coding)
Download
Inpatient Quality Indicators (IQI)
IQI Individual Measure … v2021 ICD-10-CM/PCS coding)
Download
Patient Safety Indicators (PSI)
PSI Individual Measure … CM/PCS coding)
Download
Pediatric Quality Indicator (PDI)
PDI Individual Measure
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2019/v2019_QI_Software_Release_Slides_080119.pdf
January 01, 2019 - Default.aspx
RETIREMENT OF SELECT QIs
8
About AHRQ QIs
QIs have been a successful program with > 100
measures … quality improvement
► Rarity of events – some indicators measured events
that are so rare that the measure … specifications
for ICD-10 CM/PCS to remain useful for quality
improvement
► Volume as a stand-alone measure … software reports
► Risk-adjusted rates, signal variance, reference
population rates, and composite weights
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qualityindicators.ahrq.gov/News/AHRQ_QI_Standing_Work_Group_Announcement.pdf
March 14, 2016 - nursing and/or nursing management experience
One or more individuals with experience using AHRQ QI measures … Curriculum vita (with citations to any pertinent publications related to quality measure development … Peer-reviewed or other publications relevant to developing, testing, or applying health care quality
measures
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2019/AHRQ_QI_v2019_Software_Release_Webinar_Transcript.pdf
January 01, 2019 - The AHRQ QIs are standardized evidence-based quality measures. … And then we convened an Expert Workgroup that used Modified Delphi to
vote on each measure. … Some indicators measured events that were so rare that the measure was no longer reliable or relevant … There are also updated signal variants, reference
population rates, and composite weights that are all … So, it's a little bit different
purpose for mortality measures versus morbidity measures.
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V50/IQI_Brochure.pdf
September 01, 2015 - ahrq.gov/Downloads/Modules/IQI/V50
www.qualityindicators
Endorsement
A number of measures … Find NQF-endorsed
AHRQ measures at www.qualitymeasures.ahrq.gov. … Indicators
■ Parameter estimates, benchmark data tables, and
methodology to create composite measures
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - Endorsement
A number of measures … Find NQF-endorsed
AHRQ measures at www.qualitymeasures.ahrq.gov. … Safety Indicators
■ Parameter estimates, benchmark data tables, and
methodology to create composite measures
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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
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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
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qualityindicators.ahrq.gov/Downloads/Software/WinQI/V2020/AHRQ_WinQI_v2020.0.1_Software_Rel_Notes.pdf
January 01, 2021 - coded discharges in their input file got unexpected results around
POA-based exclusions in PSI and PDI measures … v2020 software includes risk-adjustment, signal variance, reference population
rates, and composite weights … Downloads/Software/SAS/V2020/AHRQ_QI_v2020_ICD10_Po
pulation_File.pdf
4.0 Reporting Rates for Specific Measures … v2020 software includes risk-adjustment, signal variance, reference population
rates, and composite weights
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qualityindicators.ahrq.gov/Downloads/Software/WinQI/V2021/AHRQ_WinQI_v2021_Software_Rel_Notes.pdf
July 01, 2021 - .............................................................. 1
5.0 Reporting Rates for Specific Measures … Software for WinQI v2021
Version 2021 Page 2 July 2021
5.0 Reporting Rates for Specific Measures … v2021 software includes risk-adjustment, signal variance, reference population rates, and
composite weights … Provider-Level Indicators
The AHRQ WinQI v2021 ICD-10-CM/PCS software does not include the following measures
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qualityindicators.ahrq.gov/Downloads/News/MONAHRQ%20Position%209-19-12.pdf
September 19, 2012 - health plans to quickly and easily create a website using their
own hospital discharge data, inpatient measures … from CMS Hospital Compare and/or
HCAHPS survey measures for public reporting of quality (for more information