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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_Quality_Indicators_Software_Changes_v50.pptx
January 01, 2015 - one discharge in multiple
Risk adjustment and stratified rates affected
Priority assigned in order of mortality … rate
Exclusion determined separately for each stratum
Affected measures:
IQI 02, 04, 09, 11, 17
PSI … increase in expected
15
Key Measure Changes: IQI
IQI Composite weights updated
IQI 20: Pneumonia Mortality … Rate
Added Avian Influenza, H1N1, and Novel Influenza Virus to denominator specification
Slight decrease
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/2006-February-AHRQ-QI-Newsletter.htm
January 01, 2006 - Ø IQI
3 – Pediatric Heart Surgery Volume
Ø IQI 10 –
Pediatric Heart Surgery Mortality … Rate
· The
Birth Trauma indicator (PSI) and Low Birth Weight (PQI) indicators remain in … Inpatient Quality Indicators (IQIs) now use the 3M APR-DRG Version 20.0 for
risk-adjustment of the mortality … Pneumothorax in
Neonates
Iatrogenic Pneumothorax in
Non-Neonates
Pediatric Heart Surgery
Mortality
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qualityindicators.ahrq.gov/Downloads/News/AHRQ%20QI_Version%2041_Overview_Final.pdf
January 27, 2010 - literaturequeries or published literature
– These include changes to:
esophageal resection volume and mortality … hip replacement mortality
hip fracture mortality
incidental appendectomy
bilateral catheterization … arrhythmia and abdominal
surgery
– Other denominator definitions were redefined to
MS-DRGs:
craniotomy mortality … composites
– The software includes the recently endorsed
composite measuresp
– The composites are:
Mortality … ChangesOverview of Changes
Neonatal indicators Neonatal indicators
– Two new neonatal indicators:
neonatal mortality
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qualityindicators.ahrq.gov/Modules/composite_workgroup.aspx
Prevention Quality Chronic (PQI 92)
Inpatient Quality Indicators (IQI): Two composite measures—Mortality … for Selected Procedures (IQI 90) and Mortality for Selected Conditions (IQI 91)
Pediatric Quality
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qualityindicators.ahrq.gov/Archive/News2009.aspx
January 27, 2010 - These include changes to esophageal resection volume and mortality, hip replacement mortality, hip fracture … mortality, incidental appendectomy, bilateral catheterization, hypertension admission rate, CHF admission … In addition, the craniotomy mortality denominator definition and medical and surgical denominator definitions … The composites are Mortality for Selected Conditions, Patient Safety and Adverse Events Composite and … Neonatal indicators– Two new neonatal indicators for Neonatal Mortality and Blood Stream Infections in
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qualityindicators.ahrq.gov/Archive/News2002.aspx
November 05, 2002 - These indicators
reflect quality of care inside hospitals and include inpatient mortality for certain … procedures for which there is some evidence that a higher
volume of procedures is associated with lower mortality
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qualityindicators.ahrq.gov/Downloads/Software/WinQI/V2021/AHRQ_WinQI_v2021_Software_Rel_Notes.pdf
July 01, 2021 - Do Not Resuscitate (DNR) indicated as POA is included in the risk-adjustment
model for mortality indicators … include the following measures because they
were retired:
• IQI 32 Acute Myocardial Infarction (AMI) Mortality … Rate, without Transfer Cases
• IQI 34 Vaginal Birth After Cesarean (VBAC) Rate
• NQI 02 Neonatal … Mortality Rate
To learn more about the retirement of certain QIs, access the QI retirement announcement
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qualityindicators.ahrq.gov/Downloads/Software/SAS/V2021/AHRQ_SASQI_v2021_Software_Rel_Notes.pdf
July 01, 2021 - Do Not Resuscitate (DNR) indicated as POA is included in the risk-adjustment
model for mortality indicators … include the following measures because
they were retired:
• IQI 32 Acute Myocardial Infarction (AMI) Mortality … Rate, without Transfer Cases
• IQI 34 Vaginal Birth After Cesarean (VBAC) Rate
• NQI 02 Neonatal … Mortality Rate
To learn more about the retirement of certain QIs, access the QI retirement announcement
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qualityindicators.ahrq.gov/Downloads/News/QI_Newsletter_II_5_13.pdf
May 20, 2013 - Rate due to an
unresolved issue in WinQI that introduces an error in the calculations. … This issue affected NQI #2 Neonatal
Mortality Rate and NQI #3 Neonatal Blood Stream Infection Rate during … performance on the
Agency for Healthcare Research and Quality’s (AHRQ’s) Patient Safety Indicator #4 (death … rate
among surgical inpatients with serious treatable complications) was an outlier. … This impact was also reflected in UHC’s expected mortality for the PSI #4 patient population at
Arkansas
-
qualityindicators.ahrq.gov/News/AHRQ_QI_Standing_Work_Group_Announcement.pdf
March 14, 2016 - The AHRQ IQIs reflect quality of care inside hospitals and include inpatient
mortality for certain … procedures for which there is some evidence
that a higher volume of procedures is associated with lower mortality
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/txQInominations-Jun06.pdf
January 01, 2006 - NQF anticipates this Call will be issued in the near
future for the following areas: morbidity and mortality … and
surgery-related events; utilization rates for risky or often unnecessary events; and selected
mortality
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qualityindicators.ahrq.gov/FAQs_Support/FAQ_QI_Overview.aspx
April 20, 2015 - Quality Indicators (IQI) module , reflects quality of hospital care for adults and includes:
Inpatient mortality … for medical conditions
Inpatient mortality for surgical procedures
Utilization of procedures for … procedures for which there is evidence that a higher volume of procedures may be associated with lower mortality … complications and errors resulting from a hospital admission for children and adolescents (e.g., neonatal mortality
-
qualityindicators.ahrq.gov/FAQS_Support/FAQ_QI_Overview.aspx
April 20, 2015 - Quality Indicators (IQI) module , reflects quality of hospital care for adults and includes:
Inpatient mortality … for medical conditions
Inpatient mortality for surgical procedures
Utilization of procedures for … procedures for which there is evidence that a higher volume of procedures may be associated with lower mortality … complications and errors resulting from a hospital admission for children and adolescents (e.g., neonatal mortality
-
qualityindicators.ahrq.gov/Downloads/Software/SAS/V2021/AHRQ_SASQI_v2021.0.1_Software_Rel_Notes.pdf
September 01, 2021 - Do Not Resuscitate (DNR) indicated as POA is included in the risk-adjustment
model for mortality indicators … include the following measures because
they were retired:
• IQI 32 Acute Myocardial Infarction (AMI) Mortality … Rate, without Transfer Cases
• IQI 34 Vaginal Birth After Cesarean (VBAC) Rate
• NQI 02 Neonatal … Mortality Rate
To learn more about the retirement of certain QIs, access the QI retirement announcement
-
qualityindicators.ahrq.gov/News/PSI_Retirement_Notice.pdf
September 01, 2016 - continue to maintain and refine all of the provider (or hospital) level PSIs including:
PSI 02: Death … Rate in Low-Mortality Diagnosis Related Groups (DRGs)
PSI 03: Pressure Ulcer Rate
PSI 04: Death … Rate among Surgical Inpatients with Serious Treatable Complications
PSI 05: Retained Surgical Item
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - Postoperative
sepsis
Inpatient Quality
Indicators (IQIs)
Quality of hospital care for adults
• Inpatient mortality … for medical conditions
• Inpatient mortality for surgical procedures
• Utilization of procedures for … procedures with evidence that higher hospital
volume of procedures may be associated with lower
mortality … Pneumonia
mortality
Bilateral cardiac
catheterization
Prevention
Quality
Indicators (PQIs)
Hospitalization … admission for children and adolescents
• Potentially avoidable hospitalizations among children
Neonatal mortality
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qualityindicators.ahrq.gov/Archive/News2012.aspx
September 26, 2012 - Windows and SAS Version 4.4
February 17, 2012 — CLARIFICATION: Issue Identified with the Risk-of-Mortality
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/AHRQQI_McDonald_Davies_Pediatric_Indicator_Module.ppt
January 01, 2005 - DO occur: The complications are important for kids, especially since mortality is rare
Some comps were … Rates (%)
Mortality Indicators
Dealing with Bias
Stratification
Clinically transparent, actual … Chronic respiratory disease
Meconium aspiration syndrome rate
Nectrotizing enterocolitis
Neonatal mortality … Level III centers
Retinopathy of prematurity
Indicators Under Consideration
Patient Safety and Mortality … venous thrombosis
Other postoperative metabolic derangements (hyponatremia, hypernatremia)
Trauma mortality
-
qualityindicators.ahrq.gov/FAQS_Support/FAQ_Software.aspx
November 02, 2015 - So only about 30% of the discharges would have an APR-DRG and a risk-of-mortality subclass assigned. … DRG: How does the Low-Mortality DRG indicator work? … to DRGs with very low mortality rates (i.e., less than 0.5%). … The mortality rate for some DRGs is higher than for other DRGs. … PSI: What logic was used in the development of PSI #4 Death Rate among Surgical Inpatients with Serious
-
qualityindicators.ahrq.gov/FAQs_Support/FAQ_Software.aspx
November 02, 2015 - So only about 30% of the discharges would have an APR-DRG and a risk-of-mortality subclass assigned. … DRG: How does the Low-Mortality DRG indicator work? … to DRGs with very low mortality rates (i.e., less than 0.5%). … The mortality rate for some DRGs is higher than for other DRGs. … PSI: What logic was used in the development of PSI #4 Death Rate among Surgical Inpatients with Serious