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61. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
    February 01, 2023 - 5,449 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 170 … Conditions 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 Pressure … Ulcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes:   ACSC

62. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
    February 01, 2023 - 4,111 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls 76 51 101 45 98 … Conditions 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure … Ulcer 2,200 2,447 3,298 1,833 Injurious Falls 66 63 119 44 Notes:   ACSC =

63. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - ulcers/pressure injuries and falls. … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/ Pressure Injuries 21.7 23.5 22.7 23.0 6% 17.4 Surgical Site Infections 2.5 2.5 2.5 … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital- Acquired Pressure 647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96

64. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/prevention/guidelines/archive.html
    July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish

65. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

66. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
    February 01, 2023 - 6,721 Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 Pressure … Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls Yes 307 411 … 7,138 7,210 7,607 Composite: ACSC Overall 20,384 19,444 14,877 19,094 19,184 20,443 Pressure … Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls 388 259 218 286 308

67. C1 Prioritization Matrix (xls file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer   1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - 0 N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0

68. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … detailed information on best practices for selected indicators Introduction PDF [248.26 KB] PSI03 Pressure … Ulcer PDF [327 KB] PSI05 Foreign Body PDF [133.68 KB] PSI06 Pneumothorax PDF [130.62 KB] PSI07 Central … PDF [61.6 KB] IQI: Mortality Review PDF [115.84 KB] PDI01 Accidental Puncture PDF [61.67 KB] PDI02 Pressure … Ulcer PDF [109.9 KB] PDI03 Foreign Body PDF [95.97 KB] PDI05/NQI01 Iatrogenic Pneumothorax PDF [79.9

69. Table 19G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
    March 01, 2023 - 10,218 12,136 Composite: ACSC Overall 32,463 23,973 25,306 28,599 25,757 29,466 Pressure … Ulcer 4,845 3,916 4,034 4,473 4,279 3,822 Injurious Falls 694 450 520 525 493 … 9,860 12,380 10,227 12,540 Composite: ACSC Overall 24,470 31,390 25,983 29,126 Pressure … Ulcer 4,169 4,242 4,328 3,449 Injurious Falls 498 580 497 653 Notes:   ACSC

70. Table 19D: I/DD Subpopulation | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
    March 01, 2023 - 3,092 3,685 2,830 Composite: ACSC Overall 6,401 5,144 6,083 4,903 6,049 4,408 Pressure … Ulcer 1,887 1,225 1,703 1,115 1,573 1,084 Injurious Falls 88 67 77 69 79 61 … Conditions 3,503 3,242 3,720 2,668 Composite: ACSC Overall 5,768 5,111 6,087 4,163 Pressure … Ulcer 1,543 1,223 1,589 999 Injurious Falls 77 67 77 63 Notes:   ACSC = ambulatory

71. Table 19E: SMI Subpopulation | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
    March 01, 2023 - 6,325 6,924 7,208 Composite: ACSC Overall 20,218 17,976 20,084 17,046 19,215 17,075 Pressure … Ulcer 3,124 2,492 3,084 2,232 2,819 2,301 Injurious Falls 297 218 268 212 233 … Conditions 6,471 8,020 7,037 6,881 Composite: ACSC Overall 17,757 20,393 19,476 16,171 Pressure … Ulcer 2,658 2,731 2,846 2,191 Injurious Falls 239 247 236 260 Notes:   ACSC

72. Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
    March 01, 2023 - 5,892 5,990 6,632 Composite: ACSC Overall 23,094 19,763 20,681 21,282 21,204 19,420 Pressure … Ulcer 6,082 4,303 4,919 4,872 4,765 5,535 Injurious Falls 173 119 141 130 129 … Conditions 5,861 6,673 6,037 6,455 Composite: ACSC Overall 20,343 22,153 21,427 18,076 Pressure … Ulcer 4,499 5,846 4,870 5,072 Injurious Falls 140 131 131 168 Notes:   ACSC

73. Table 11: Outcome Indicators by Use of Selected Home and Community-Based Services Medicaid State Plan Services, 2005 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab11.html
    February 01, 2023 - Composite: ACSC Overall Yes 14,177 28,212 18,788 9,372 No 19,380 19,211 19,521 20,716 Pressure … Ulcer Yes 2,730 11,421 3,150 1,840 No 3,506 3,461 3,696 3,731 Injurious Falls … Composite: ACSC Overall 50,783 40,549 9,972 20,001 18,997 10,923 20,108 19,218 Pressure … Ulcer 12,696 8,204 883 4,475 3,415 1,644 3,729 3,459 Injurious Falls 469 607

74. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
    February 01, 2023 - : ACSC Overall Yes 18,922 20,115 18,052 19,228 No 28,131 18,583 22,752 19,363 Pressure … Ulcer Yes 3,471 3,655 3,237 3,421 No 3,873 3,358 4,221 4,253 Injurious Falls … Composite: ACSC Overall 19,083 19,110 16,427 19,636 23,560 27,103 21,664 20,810 Pressure … Ulcer 3,504 3,473 2,888 3,575 2,944 4,236 4,000 3,773 Injurious Falls 285 290

75. Table 19B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
    March 01, 2023 - 7,849 8,456 8,118 Composite: ACSC Overall 25,741 19,330 21,845 20,450 21,888 19,402 Pressure … Ulcer 4,659 3,573 4,127 3,570 4,133 3,186 Injurious Falls 476 335 399 346 378 … Conditions 8,162 8,798 8,469 8,012 Composite: ACSC Overall 20,856 22,154 22,042 18,402 Pressure … Ulcer 4,014 3,688 4,171 2,882 Injurious Falls 384 365 381 366 Notes:   ACSC

76. Table 19C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
    March 01, 2023 - 3,874 4,435 3,912 Composite: ACSC Overall 14,847 12,685 13,750 12,591 14,039 10,413 Pressure … Ulcer 3,144 1,922 2,311 2,203 2,306 2,125 Injurious Falls 114 46 72 55 58 … Conditions 4,284 4,429 4,470 3,725 Composite: ACSC Overall 13,151 13,631 14,134 9,746 Pressure … Ulcer 2,071 2,713 2,345 1,945 Injurious Falls 68 59 59 92 Notes:   ACSC =

77. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
    February 01, 2023 - 7,579 Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 Pressure … Ulcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls Yes 369 299 … 7,729 6,397 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 Pressure … Ulcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls 157 543 138 314 258

78. Table 19A: National HCBS Population | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19.html
    March 01, 2023 - 6,846 7,387 7,164 Composite: ACSC Overall 23,095 17,584 19,743 18,467 19,802 17,363 Pressure … Ulcer 4,291 3,139 3,655 3,225 3,647 2,945 Injurious Falls 388 259 314 272 293 … Conditions 7,138 7,741 7,427 6,977 Composite: ACSC Overall 18,821 20,092 19,980 16,312 Pressure … Ulcer 3,501 3,452 3,695 2,655 Injurious Falls 301 291 297 299 Notes:   ACSC

79. C2 Prioritization Worksheet Example (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
    June 05, 2016 - N PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax

80. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.