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qualityindicators.ahrq.gov/FAQS_Support/FAQ_QI.aspx
February 01, 2016 - The PDI module includes corrections to risk-adjustment coefficients that impact expected, risk-adjusted … , and upper and lower risk adjusted confidence limits rates for seven area-level PDIs (PDI14, 15, 16, … The expected, risk-adjusted, smoothed rates and upper and lower confidence intervals of the following … The updated PQI reference population rates will result in higher risk-adjusted PQI rates than were seen … Noteworthy upgrades to the AHRQ QI v5.0 include updates to risk-adjustment models for all of the AHRQ
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qualityindicators.ahrq.gov/Downloads/Modules/V2022/AHRQ_QI_Full_Brochure.pdf
March 24, 2023 - Risk adjustment was
developed with HCUP all-payer claims data, which has ~98% of all US claims. … • IQ ls include risk adjustment where appropriate. … preventable adverse events during a hospital stay to
help assess total incidence within a region
• Risk … • They include risk adjustment where appropriate.
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qualityindicators.ahrq.gov/Downloads/News/Listserv_RQI_4.3_final.pdf
November 09, 2011 - AHRQ developed the SAS Beta Version of the RQI using all-payer data and a
transparent risk-adjustment … methodology that calculates 30-day readmission rates
(observed, expected, risk-adjusted and smoothed … The reference population for
the risk-adjustment is based on the AHRQ Healthcare Cost and Utilization
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2020/ChangeLog_IQI_v2020.pdf
September 30, 2020 - The overall risk model was eliminated. … ,
and confidence limits around the risk-adjusted rate for each stratum. … ,
and confidence limits around the risk-adjusted rate for each stratum. … ,
and confidence limits around the risk-adjusted rate for each stratum. … Because the risk adjustment models and reference populationhave not changed
for Version 4.4, the Risk
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qualityindicators.ahrq.gov/Downloads/Resources/SAS_QI_Release_Memo_COVID-19-Fix_v2021.pdf
September 13, 2021 - The software will calculate risk-adjusted rates, smoothed rates, and composites. … The software is expected to calculate numerators,
denominators, observed rates, risk-adjusted rates, … However, for
2020 data, the observed rates, risk-adjusted rates, smoothed rates, and composites will
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/QI_Measure_Development_Implementation_Maintenance_Retirement_Summary_05-03-11.pdf
January 01, 2011 - ............................................................................................... 3
Risk … , patient risk factors or disparity factors,
exclusion criteria, stratification or risk adjustment, … Risk Adjustment
Time line: Approximately 3 months
The process of risk adjustment allows the candidate … The initial risk adjustment information, previous risk adjustment methods, and
QI Measure Development … The risk adjustment model will be applied to the candidate indicator specifications.
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Composite_User_Technical_Specification_PDI_4.3.pdf
August 01, 2011 - Compute the risk-adjusted rate and confidence interval
The AHRQ QI risk-adjusted rate is computed based … The risk-adjusted rate is computed using
indirect standardization as the observed rate (OR) divided … Scale the risk-adjusted rate using the reference population
The relative magnitudes of the rates vary … RAR = [risk-adjusted ratio × weight] + [reference population ratio × (1 – weight)]
AHRQ Quality … In general, a
denominator weight reflects the amount of risk of experiencing the outcome of interest
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Johns_Hopkins_Case_Study.pdf
August 01, 2019 - Collaborative – made up of a large, multidisciplinary,
multispecialty team – focuses on the identification of risk … The tool
requires patient risk stratification
and generates an algorithm for
administration of prophylaxis … educational materials, including both a patient video and training for nurses on
how to discuss blood clot risks … quality of care for
patients hospitalized for a broad range of procedures or conditions that are high risk
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Farquhar_Overview_of_AHRQ_QI.ppt
January 01, 2005 - Postoperative sepsis, avoidable hospitalization for asthma, death)
Denominator is the population at risk … Update risk-adjustment to APR-DRG V20. … revised inclusion and exclusion criteria for existing indicators, new indicators and pediatric-specific risk … Source: Behavioral Risk Factor Surveillance System. … QI Comparative Data
Summary measures of distribution from National data
Expected, risk-adjusted and
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qualityindicators.ahrq.gov/Downloads/News/Listserv_SAS_and_WinQI_4.3.pdf
August 24, 2011 - Population, Comparative, Risk Adjustment
Updated data are used for population (i.e., estimated through … 2011), comparative
data and risk adjustment coefficients and parameters [i.e., used the 2008 Healthcare … The risk adjustment data present coefficients for each risk adjustment covariate,
reference population … See the ‘Risk Adjustment Coefficient Tables’ document for each AHRQ QI
module for updated data (see
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/PSI_Composite_Development.pdf
March 01, 2008 - Compute the risk-adjusted rate and confidence interval
The AHRQ QI risk-adjusted rate is computed based … Scale the risk-adjusted rate using the reference population
PSI
Reference
Population
Rate
Risk … Compute the risk-adjusted rate and confidence interval
The AHRQ QI risk-adjusted rate is computed based … Provider-level Rates
Risk Adjusted
Risk Adjusted
Risk Adjusted
Risk Adjusted
Risk … Adjusted
Risk Adjusted
Risk Adjusted
Risk Adjusted
Reliability Adjusted
PSI
PSI
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qualityindicators.ahrq.gov/Downloads/Software/V44/Software%20Release%20Notes%20V4.4.pdf
March 30, 2012 - Population files, Comparative Data, and Risk Adjustment Coefficient tables
Updated data are used for … Because the risk
adjustment models and reference population have not changed for Version 4.4, the
Risk … In SAS, (Observed rate)/(Expected rate) ratio
upper confidence bounds for provider-level, non-risk-adjusted … IQI and provider-level,
non-risk-adjusted PSI are still truncated to be <= 1.0 in cases where a stratification
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qualityindicators.ahrq.gov/News/ICD10_v70_FAQ.pdf
September 01, 2017 - When will risk adjustment be included in the ICD-10-CM/PCS compatible AHRQ QI
software? … Because of the transition to ICD-10-CM/PCS, risk adjustment is not supported in v6.0 and v7.0
beta … At least one full year of data coded in ICD-
10-CM/PCS is needed to develop robust risk adjustment models … PCS observed rates calculated by the AHRQ QI software are not designed to be used
with the ICD-9-CM risk … Risk adjustment will be included in future versions of the ICD-10-CM/PCS compatible AHRQ
QI software
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/PDI_Composite_Development.pdf
March 01, 2008 - Compute the risk-adjusted rate and confidence interval
The AHRQ QI risk-adjusted rate is computed … The risk-adjusted rate is computed using
indirect standardization as the observed rate (OR) divided … Risk-
Adjusted
Rate
Rate
Std. … Scale the risk-adjusted rate using the reference population
PDI
Reference
Population
Rate
Risk … Provider-Level Rates
Risk
Adjusted
Reliability
Adjusted
PDI Hospitals Rate
Std.
Dev.
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qualityindicators.ahrq.gov/Software/SASICD10.aspx
March 01, 2015 - At this time no
national data are available to estimate reliability or risk adjustment coefficients … As a result, risk adjusted and smoothed rates are unavailable. … Some sections of the programs which implement parts of the risk adjustment and smoothing protocols are
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qualityindicators.ahrq.gov/Downloads/Software/WinQI/V41B/Calculating%20the%20Smoothed%20Rate%20CI%20in%20WinQI.pdf
September 13, 2010 - Risk adjusted rate
6. Risk adjusted rate confidence interval lower bound
7. … Risk adjusted rate confidence interval upper bound
8. Smoothed rate.
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qualityindicators.ahrq.gov/Downloads/Software/ICD_10_Alpha/QI_ICD_10_Alpha_Software_Notes.docx
December 19, 2014 - At this time no national data are available to estimate reliability or risk adjustment coefficients for … As a result, risk adjusted and smoothed rates are unavailable.
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - Based on recommendations of the Risk
Adjustment and Hierarchical Modeling
(RAHM) Workgroup, computed … The syntax will compute risk-adjusted rates
and observed-to-expected ratios for the pre-
defined set … Added alternative POA parameter files of risk-
adjustment covariates and population rates
using 2002 … NOTE: The changes
do not affect the covariate values or the
calculation of risk-adjusted rates. … NOTE: The infants remain in
the population at risk for other types of birth
trauma.
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qualityindicators.ahrq.gov/Archive/News2010.aspx
September 30, 2010 - Indicators for Windows Version 4.1a and SAS Version 4.1a
May 12 & 14, 2010 – Webinar on Estimating Risk-Adjustment … Models Incorporating Data on Present on Admission
May 5, 2010– Estimating Risk-Adjustment Models Incorporating
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Yandell_Norton_Healthcare_Going_Public.ppt
January 01, 2005 - How we use PSIs and IQIs
Publicly report rolling 12 months
Risk-adjusted (not smoothed) rates straight … surgeries w/ postoperative sepsis low 5.2 3.1 1.8 0 1.9 1.2
% craniotomy patients who die (AHRQ risk-adjusted … POA or missed risk factor. … scrutiny of indicator definitions
Some requests
Imitate AHRQ in documenting inclusions, exclusions, risk