-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
January 01, 2012 - Evidence for prevention of pressure ulcers in HCBS populations
Prevention of Pressure Ulcer Development … Prevention of Pressure Ulcer Progression
• Pressure ulcers in vulnerable populations should be assessed … Pressure Ulcer
Pressure Ulcers
23
• One study found that pressure ulcers were associated with … Frequency of Admissions for Pressure Ulcer
• Pressure ulcers are associated with an average length … "Support surfaces for pressure ulcer prevention." Cochrane Database
Syst Rev(4): CD001735.
-
qualityindicators.ahrq.gov/Downloads/Modules/V45/Module_NQF_Endorsement_V4.5.pdf
May 01, 2013 - Neonatal Blood Stream Infection Rate 478
PDI #1 Accidental Puncture or Laceration Rate 344
PDI #2 Pressure … Ulcer Rate 337
PDI #3 Retained Surgical Item or Unretrieved Device Fragment Count1 362
PDI #5 Iatrogenic … Prevention Quality Indicators Endorsed by NQF
INDICATOR NQF NUMBER
PQI #1 Diabetes Short-Term Complications … Ulcer Rate
PSI #6 Iatrogenic Pneumothorax Rate 346
PSI #7 Central Venous Catheter-Related Blood Stream … Ulcer Rate 337
PDI #05 - Iatrogenic Pneumothorax Rate 348
PDI #10 - Postoperative Sepsis Rate
PDI
-
qualityindicators.ahrq.gov/modules/list_ahrq_qi.aspx
Ulcer Rate
Retired in v2019
337
PDI 3
Retained … 16
Gastroenteritis Admission Rate
727
Prevention … 354
231
PSI 90
Patient Safety for Selected Indicators 2
PSI 3 Pressure … Ulcer Rate
PSI 6 Iatrogenic Pneumothorax Rate
PSI 7 Central Venous Catheter-Related Blood Stream … Patient Safety for Selected Indicators 3
PDI 01 - Accidental Puncture or Laceration Rate
PDI 02 - Pressure
-
qualityindicators.ahrq.gov/Downloads/Modules/V43/Module_NQF_Endorsement_V4.3.pdf
August 01, 2011 - Pneumonia Mortality Rate 231
Patient Safety for Selected Indicators (PSI #90) 531
PSI #03 - Pressure … Ulcer Rate 478
PSI #06 - Iatrogenic Pneumothorax Rate 346
PSI #07 - Central Venous Catheter-Related … Ulcer Rate 337
PDI #05 - Iatrogenic Pneumothorax Rate 348
PDI #10 - Postoperative Sepsis Rate
PDI … Ulcer Rate 337
PDI #03 - Foreign Body Left During Procedure 362
PDI #05 - Iatrogenic Pneumothorax … NQF Endorsed Individual Measures (continued)
Prevention Quality Indicators NQF Number
PQI #01 - Diabetes
-
qualityindicators.ahrq.gov/Downloads/Modules/V44/Module_NQF_Endorsement_V4.4.pdf
March 01, 2012 - Pneumonia Mortality Rate 231
Patient Safety for Selected Indicators (PSI #90)2 531
PSI #03 - Pressure … Ulcer Rate
PSI #06 - Iatrogenic Pneumothorax Rate 346
PSI #07 - Central Venous Catheter-Related Blood … Selected Indicators (PDI #19)3 532
PDI #01 - Accidental Puncture or Laceration Rate 344
PDI #02 - Pressure … Ulcer Rate 337
PDI #05 - Iatrogenic Pneumothorax Rate 348
PDI #10 - Postoperative Sepsis Rate
PDI … NQF Endorsed Individual Measures (continued)
Prevention Quality Indicators NQF Number
PQI #01 - Diabetes
-
qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Version_41_Details_Final.pdf
January 25, 2010 - Incorporating new codesIncorporating new codes
–– ICDICD--99--CM and MSCM and MS--DRGDRG
–– Special emphasis: pressure … ulcers and central Special emphasis: pressure ulcers and central
venous cathetervenous catheter--related … Indicators
PSI #17 PSI #17 –– Birth Trauma: Injury to NeonateBirth Trauma: Injury to Neonate
–– Prevention
-
qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - AHRQ QI List of Indicators
Prevention Quality Indicators (PQls) … Quality Overall Composite
• PQI 91- Prevention Quality Acute Composite
• PQI 92- Prevention Quality … Chronic Composite
• PQI 93- Prevention Quality Diabetes Composite
Area-Level Indicators (e.g., County … • 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
•
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar.pdf
January 01, 2016 - 19
Version 6.0 Updates (cont.)
17
• Refinements based on clinical concept
(examples):
► PSI 03 Pressure … Ulcer Rate
► PSI 08 In-Hospital Fall with Hip Fracture Rate
► PSI 10 Postoperative Acute Kidney Injury … Quality Diabetes Composite)
PSI 03 (Pressure Ulcer Rate)
Refined
18
• Change: Removed exclusion … PQI 93 (Prevention Quality Diabetes
Composite) – NEW
23
• Description: Creates a composite of 4
component … PSI 03 (Pressure Ulcer Rate) Refined
PSI 08 (In-Hospital Fall with Hip Fracture Rate) Refined
PSI 10
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
January 01, 2015 - ulcers
Postoperative
sepsis
Inpatient Quality
Indicators (IQIs)
Quality of hospital care for … be associated with lower
mortality
Pneumonia
mortality
Bilateral cardiac
catheterization
Prevention … Ulcer Rate 0.50
PSI 13 Postoperative Sepsis Rate 9.61
PDI 09 Postoperative Respiratory Failure … ulcer
(PSI03), periop hemorrhage or hematoma (PSI09), DVT/PE
(PSI12), postop wound dehiscence (PSI14 … Blank Indicator Module
Initiatives Inpatient
(IQI)
Patient
Safety (PSI)
Pediatric
(PDI)
Prevention
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V2.pdf
October 05, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer
related complication
Readmission to
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer
related complication
Readmission to
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - Pressure Ulcer
A number of experts agreed that the pressure ulcer indicator was more tightly linked … They felt that HCBS support staff clearly should be helping to
mitigate pressure ulcers. … Pressure Ulcers
A number of experts agreed that the pressure ulcer indicator was more tightly linked … They felt that HCBS support staff clearly should be helping to
mitigate pressure ulcers. … One panelist worried about inconsistency in classification of pressure ulcers.
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
August 31, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer related
complication
Readmission to an
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
August 31, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer related
complication
Readmission to an
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3%
PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer
treatment
Debridement of a pressure ulcer and/or surgical skin
flap procedure during the hospitalization … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer related
complication
Readmission to an
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/v2020%20QI%20Software%20Release_Final-08032020.pdf
January 01, 2020 - Open source, and
► Improved over time based on public and private input
7
AHRQ QI Modules
8
Prevention … For
example,
►DECUBEXD: Pressure ulcer stage diagnosis codes (new distinct denominator
exclusion … from related numerator setname)
− PSI 03: Pressure Ulcer Rate
►MALHYPD: Malignant Hyperthermia diagnosis … For
example,
►
►
►
►
DECUBEXD:
Pressure ulcer stage diagnosis codes (new distinct
denominator … exclusion from related numerator
setname
)
−
−
−
−
PSI 03: Pressure Ulcer Rate
►
►
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - New order: Shock, Sepsis, Pneumonia, GI hemorrhage, and DVT/PE
− Updated PSI 03 (Pressure Ulcer Rate … ) measure logic to remove cases where Deep Tissue Injury is non-POA but all pressure
ulcer is POA
− … For
example,
►DTID: Deep tissue injury diagnosis codes (denominator exclusion)
− PSI 03 Pressure … New order: Shock, Sepsis, Pneumonia, GI hemorrhage, and DVT/PE
− Updated PSI 03 (Pressure Ulcer Rate … For example,
►DTID: Deep tissue injury diagnosis codes (denominator exclusion)
− PSI 03 Pressure
-
qualityindicators.ahrq.gov/Archive/News2009.aspx
January 27, 2010 - In particular, there is new staging coding (I-IV) for pressure ulcers (formerly called decubitus ulcer … catheterization, hypertension admission rate, CHF admission rate, bacterial pneumonia admission rate, pressure … ulcers, iatrogenic pneumothorax, postoperative hip fracture, postoperative physiologic and metabolic … Prevention Quality Indicators FY2009 Coding Update (Version 4.1)
Version 4.1 includes the … FY2009 coding update of the AHRQ Prevention Quality Indicators.
-
qualityindicators.ahrq.gov/News/Retirement%20Notice_v2019_Indicators.pdf
May 23, 2019 - Indicators Retired in v2019 AHRQ QI Software
Prevention
Quality Indicators
(PQIs) (3)
Inpatient … Pneumothorax
Rate
PQI 09 Low Birth
Weight Rate
IQI 02 Pancreatic
Resection Volume
PDI 02 Pressure … Ulcer
Rate
PQI 10 Dehydration
Admission Rate
IQI 04 Abdominal Aortic
Aneurysm (AAA) Repair
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Varga_Implementing_All_the_consensus_standards_the_journey_so_far.ppt
January 01, 2005 - Practice 15)
n
Evaluate each patient upon admission, and regularly thereafter, for
the risk of developing pressure … ulcers. … Evaluate each patient upon admission, and regularly
thereafter, for the risk of developing pressure … ulcers. … Our hospitals use a rating scale to
evaluate the risk of pressure ulcers on admission.