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qualityindicators.ahrq.gov/Modules/IQI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - Percutaneous Coronary Intervention (PCI) Volume
IQI 07 Carotid Endarterectomy Volume
IQI 13 Craniotomy Mortality … Rate
IQI 14 Hip Replacement Mortality Rate
Effective v7.0, the following indicators have
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2020/ChangeLog_IQI_v2020.pdf
September 30, 2020 - Rationale for the change:
Incorrect logic miscalculated stroke mortality rate. … V5.0 March
2015
Pancreatic Resection
Mortality Rate (IQI 09)
Specification/
Calculation
Acute … V5.0 March
2015
Pneumonia Mortality Rate
(IQI 20)
Specification/
Calculation
Influenza virus … V4.5 May 2013 AAA Repair Mortality
Rate (IQI 11)
Specification/
Calculation
Stratified into four … Implemented a change to IQI #13, Craniotomy Mortality Rate.
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/ChangeLog_IQI_v2021.pdf
September 30, 2021 - Rationale for the change:
Incorrect logic miscalculated stroke mortality rate. … V5.0 March 2015 Pancreatic Resection
Mortality Rate (IQI
09)
Specification/
Calculation
Acute … V5.0 March 2015 Pneumonia Mortality
Rate (IQI 20)
Specification/
Calculation
Influenza virus … Rename indicator to Heart Failure Mortality Rate
Rationale: Many patients with heart failure … V2.1 R3 September 4,
2003
CHF Mortality Rate
(IQI 16) Denominator
(Congestive heart
failure
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/IQI_Composite_Development.pdf
March 01, 2008 - Table 1 shows the reference population, including the mortality rate for each procedure or condition. … AHRQ IQI Composite Measures
Mortality for Selected Procedures Mortality for Selected Conditions
IQI … For other types of outcomes the
harm might reflect the amount of excess mortality or complications associated … Selected
Procedures and Mortality for Selected Conditions. … Are mortality rates for different operations related?
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_A.pdf
August 01, 2004 - rate statistics are summarized from the IQI User Guide, version 2.1, revision 2 (September 2003) available … mortality (IQI 11)
CABG mortality (IQI 12)
Craniotomy mortality (IQI 13)
Hip replacement mortality … (IQI 16)
Stroke mortality (IQI 7)
Gastrointestinal (GI) hemorrhage mortality (IQI 18)
Hip fracture … mortality (IQI 19)
Pneumonia mortality (IQI 20)
Cesarean section (C-section) (IQI 21)
Vaginal birth … (IQI 30)
CEA mortality (IQI 31)
Complications of anesthesia (PSI 1)
Death in low mortality DRGs (
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Farquhar_Overview_of_AHRQ_QI.ppt
January 01, 2005 - following procedures
Mortality for medical conditions
Utilization of procedures
Volume of procedures … rates are unreliable
Prevention Quality Indicators (16)
Bacterial pneumonia
Dehydration
Pediatric … Patient Safety Indicators (29)
Complications of anesthesia
Death in low mortality DRGs
Decubitus ulcer … Updated review of the volume and procedure-based mortality measures.
PQI – FY2006 coding update. … Updated low-mortality DRG list. Separation of adult and pediatric indicators.
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/AHRQ_RAHM_Workgroup_Technical_Report_Final.pdf
January 01, 2012 - Mortality Rates for Medical Conditions (7 Indicators)
• Acute myocardial infarction (AMI) (IQI 15) … Mortality Rates for Surgical Procedures (8 Indicators)
2
• Esophageal resection (IQI 8)
• Pancreatic … IQI 14: Hip Replacement Mortality Rate
Total hip arthroplasty (without hip fracture) is an elective … IQI 17: Acute Stroke Mortality Rate
Quality treatment for acute stroke must be timely and efficient … Table 3.5.1b Parameter Estimates from Time Trend Models fit to IQI-19
(Hip Fracture Mortality Rate
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2007/2007-February-AHRQ-QI-Newsletter.pdf
January 01, 2007 - • Selected Activities in 2007
• National Quality Forum
• Workgroup on 30-Day Mortality
• Software … Return to top
Workgroup on 30-Day Mortality
The Workgroup on 30-Day Mortality consists of several … to 30-day mortality measures based on Medicare. … for selected procedures and
conditions
• Provide information on the association between mortality … and Mortality for Selected Conditions.
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
January 01, 2015 - 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 … QI # Indicator Observed Rate (per 1000 discharges)*
IQI 12 Coronary Artery Bypass Graft (CABG) Mortality … Rate 25.20
IQI 14 Hip Replacement Mortality Rate 0.66
PSI 03 Pressure Ulcer Rate 0.50
PSI 13
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Anderson_Inpatient_Quality_Reporting_In_Colorado.ppt
January 01, 2005 - Tools
Colorado Health and Hospital Association
Focus on Higher Volume Indicators for Public Report
Mortality … Rates For Conditions
Acute Myocardial Infarction (AMI)
AMI Without Transfer
Congestive Heart Failure … (CHF)
Gastrointestinal Hemorrhage
Hip Fracture
Pneumonia
Stroke
Mortality Rates For Procedures
Abdominal
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Romano_Selecting_Quality_Measures.ppt
January 01, 2005 - appendectomy, laparoscopic cholecystectomy)
Outcome: changes attributable to health care
Risk-adjusted mortality … structures are allowed to close (excess capacity)
Minimum hospital volume needed to detect doubling of mortality … rate (α=0.05, β=0.2)
Ref: Dimick, et al. … /hematoma 3.0 3.9 21,400
Estimating the impact of preventing each PSI event on mortality … † Mortality difference NS for foreign body in VA/PTF.
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - ■ Inpatient Quality Indicators—Hospital- and
area-level indicators relating to utilization,
mortality … or by phone at
301-427-1949
Patient Safety Indicators
Provider-Level Indicators
■ 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 conditions
■ PSI 05 - Retained surgical
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/Empirical_Methods_r.pdf
January 01, 2013 - One might also use weights that reflect the amount
of excess mortality or complications associated with … Rate AM/PM X
IQI #9 - Pancreatic Resection Mortality Rate AM/PM X
IQI #11 - AAA Repair Mortality … Rate AM/PM X
IQI #12 - CABG Mortality Rate AM/PM X
IQI #13 - Craniotomy Mortality Rate AM/PM X … Rate AM/PM X
IQI #16 - Heart Failure Mortality Rate AM/PM X
IQI #17 - Acute Stroke Mortality Rate … IQI #34 - Vaginal Birth After Cesarean (VBAC) Rate, All
PSI #2 - Death Rate in Low-Mortality Diagnosis
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qualityindicators.ahrq.gov/Downloads/News/Clarified_APR-DRG_Listserv.pdf
February 17, 2012 - Clarified APR-DRG_Listserv
February 17, 2012 – CLARIFICATION: Issue Identified with the Risk-of-Mortality … The Agency for Healthcare Research and Quality (AHRQ) has identified an issue with the Risk of
Mortality … grouper ROM assignments are used in the risk-adjustment of the Inpatient Quality
Indicators (IQI) mortality
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Geppert_Composite_Measures.ppt
January 01, 2005 - Mask important differences and relationships among components (e.g. mortality and re-admissions)
Not … following procedures
Mortality for medical conditions
Utilization of procedures
Volume of procedures … rates are unreliable
Examples
Examples
Examples
Examples
Examples
Examples … Low Low Low Low
HIP REPLACEMENT
AMI
CHF
STROKE
GI HEMORRHAGE
PNEUMONIA
Latent Quality
IQI Medical Mortality … Low
HIP REPLACEMENT
AMI
CHF
STROKE
GI HEMORRHAGE
HIP FRACTURE
PNEUMONIA
Latent Quality
IQI Medical Mortality
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qualityindicators.ahrq.gov/News/ICD10_v2021_FAQ.pdf
September 01, 2021 - following indicators were removed beginning with v2021:
• IQI 32 Acute Myocardial Infarction (AMI) Mortality … Mortality Rate
AHRQ’s rationale to retire of these indicators is described in the Announcement … Why was the hierarchy of Patient Safety Indicator 04 (PSI 04) Death Rate
among Surgical Inpatients with … present on admission status is now used in
risk-adjustment of Patient Safety Indicator 04 (PSI 04) Death … 02
(PSI 02) Death Rate in Low-Mortality Diagnosis Related Groups (DRGs).
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2010/Estimated_Risk-Adjustment_Models_Incorporating_Data_on_Present_on_Admission.pdf
January 01, 2010 - X
IQI #09 - Pancreatic Resection Mortality X
IQI #11 - AAA Repair Mortality X
IQI #12 - CABG … Mortality X
IQI #13 - Craniotomy Mortality X
IQI #14 - Hip Replacement Mortality X
IQI #15 … - AMI Mortality X
IQI #16 - CHF Mortality X
IQI #17 - Acute Stroke Mortality X
IQI #18 - GI … Hemorrhage Mortality X
IQI #19 - Hip Fracture Mortality X
IQI #20 - Pneumonia Mortality X
IQI … #30 - PTCA Mortality X
IQI #31 - Carotid Endarterectomy Mortality X
IQI #32 – AMI Mortality WO
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/Using%20Present%20on%20Admission.pdf
January 01, 2008 - X
IQI #09 - Pancreatic Resection Mortality X
IQI #11 - AAA Repair Mortality X
IQI #12 - CABG … Mortality X
IQI #13 - Craniotomy Mortality X
IQI #14 - Hip Replacement Mortality X
IQI #15 … - AMI Mortality X
IQI #16 - CHF Mortality X
IQI #17 - Acute Stroke Mortality X
IQI #18 - GI … Hemorrhage Mortality X
IQI #19 - Hip Fracture Mortality X
IQI #20 - Pneumonia Mortality X
IQI … #30 - PTCA Mortality X
IQI #31 - Carotid Endarterectomy Mortality X
IQI #32 – AMI Mortality WO
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qualityindicators.ahrq.gov/Modules/PSI_TechSpec_ICD10_v2021.aspx
July 01, 2021 - NQI 02 Neonatal Mortality Rate
Effective v2019, the following indicators have been retired.
-
qualityindicators.ahrq.gov/Downloads/News/APR-DRG_listserv_v1.pdf
February 15, 2012 - for Healthcare Research and Quality (AHRQ) has identified an issue related to
inconsistent Risk of Mortality … The 3M APR-DRG grouper is used in Inpatient Quality Indicators (IQI) mortality measures.