-
qualityindicators.ahrq.gov/Downloads/Software/SAS/V2020/AHRQ_SASQI_v2020_Software_Rel_Notes.pdf
July 01, 2020 - The non-risk adjusted numerators, denominators, and observed rates are also
reported. … The Clinical Classifications are used in the risk-adjustment models. … Users interested in calculating expected, risk-adjusted, smoothed, or composite values must have
major … MDCs are used
in risk adjustment, and although the AHRQ SAS QI v2020 software includes a macro to calculate … different since the software would still use 2017 HCUP
reference population rate as multiplier for risk
-
qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Guide_to_Comparative_Reporting_v10.pdf
June 30, 2009 - with risk-of-mortality subclass. … with risk-of-mortality subclass. … • Risk adjustment. … (which may suggest the
risk-adjustment is not capturing all the important risk factors) … • Risk adjustment: Volume measures do not require risk adjustment.
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/QI_Measure_Development_Implementation_Maintenance_Retirement_Full_5-3-11.pdf
January 01, 2011 - A second alternative approach to accounting for risk is risk stratification. … Example: Specific Pediatric Quality Indicators (PDI) are stratified by high risk, intermediate
risk … and low risk groups. … adjustment (i.e. procedure type risk
category, pressure ulcer risk category, wound class procedure … type, immune-compromised risk
category and bloodstream infection risk category).
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/PSI_Composite_Measures.pdf
July 01, 2021 - 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 … Compute the risk-adjusted rate and confidence interval
Step 2. … Scale the risk-adjusted rate using the reference population
Step 3.
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Varga_Implementing_All_the_consensus_standards_the_journey_so_far.ppt
January 01, 2005 - What does "risk-adjusted" mean? … How does risk adjustment work?
Where did these indicators come from? … Codman
1917
Quote from: The Role of Clinical Data and Risk Adjustment in Public Reporting of … Our hospitals use a rating scale to
evaluate the risk of pressure ulcers on admission. … More intense assessment of patients identified as at-
risk is performed at intervals.
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Change_Log_PDI_4.3.pdf
August 01, 2011 - The release also includes alternative
parameter files of risk-adjustment covariates and
population … The syntax will compute risk-adjusted rates and
observed-to-expected ratios for the pre-defined
set … V 3.0b September 29,
2006
Windows Implemented the pediatric risk adjustment. … In general, these cases are
now assigned to a lower risk category (impacts
about 3% of cases). … V 3.0a May 1, 2006 SAS Implemented the pediatric risk adjustment.
-
qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2010%20Postoperative%20Sepsis%20Rate.xlsx
January 01, 2010 - Categories 1 through 4
Not Applicable
Risk Category 9
Not Applicable
AHRQ … Overall
See Pediatric Quality Indicators Appendices – Appendix A – Operating Room Procedure Codes
Risk … through 4
See Pediatric Quality Indicators Appendices – Appendix A – Operating Room Procedure Codes
Risk … Indicators Appendices – Appendix I – Definitions of Neonate, Newborn, Normal Newborn, and Outborn
Risk … Indicators Appendices – Appendix I – Definitions of Neonate, Newborn, Normal Newborn, and Outborn
Risk
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qualityindicators.ahrq.gov/Downloads/Software/WinQI/V2018/AHRQ_WinQI_v2018.0.1_Software_Rel_Notes.pdf
August 01, 2018 - Indicators
TM
Release of AHRQ Quality Indicators
Software for WinQI v2018.0.1 ICD-10-CM (Non-Risk … Adjusted)
Version v2018.0.1 ICD-10-CM (Non-Risk
Adjusted) WinQI Software & Technical
Documentation … Minor Release of AHRQ Quality Indicators
TM
Software for
v2018.0.1 ICD-10-CM WinQI (Non-Risk … announces a minor release of the AHRQ
Quality Indicators (QI) software version v2018.0.1 for WinQI (Non-Risk
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_B.pdf
September 16, 2004 - performance
• Adaptable to patient
preferences and
variety of settings
• Adequate and
specified risk … systematic
differences in patient
case-mix
• When systematic
differences exist, an
adequate risk … interventions
• Reproducibility
• Validity (face,
construct, content)
• Accuracy
• Case-mix risk … • Risk adjustment is
adequate to address
confounding bias
3. … stratification,
risk adjustment and
other forms of
recommended
analyses can be
applied appropriately
-
qualityindicators.ahrq.gov/Downloads/Resources/User_note_COVID.pdf
July 01, 2020 - v2020 QI software will not include COVID-19 codes in either
the QI technical specifications or in the risk … This may decrease the number
of surgical discharges and change the risk profile of the reference population … underpinning
the QI risk-adjustment methodologies
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V43/Change_Log_IQI_4.3.pdf
August 01, 2011 - V4.1 December 2,
2009
Software (SAS
and Windows),
and
Documentation
IQI #21-25 and 33-34: Risk … adjustment has been
removed because for process measures the
standard practice is not to risk adjust … The syntax will compute risk-adjusted rates and
observed-to-expected ratios for the pre-defined
set … population for Age-Sex only
risk-adjustment. … This change resulting in the
age-sex only risk adjustment scaling closer to
the mean.
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/Parameter_Estimates_IQI_v2021.pdf
July 01, 2021 - Risk Adjustment Coefficients for IQI 08 – Esophageal Resection Mortality Rate ....................... … Risk Adjustment Coefficients for IQI 08 – Esophageal Resection Mortality Rate
Table 2. … Risk Adjustment Coefficients for IQI 16 – Heart Failure Morality Rate
Table 11. … Risk Adjustment Coefficients for IQI 19 – Hip Fracture Mortality Rate
Table 16. … Risk Adjustment Coefficients for IQI 20 – Pneumonia Mortality Rate
Table 17.
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/PSI_Composite_Development.pdf
July 01, 2020 - Compute the risk-adjusted rate and confidence interval
The AHRQ QITM risk-adjusted rate is computed … 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 … In general, a
denominator weight reflects the amount of risk of experiencing the outcome of interest … To account for confounders in estimating the marginal impact of each PSI on the risk of
excess harms
-
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 … Version 4.3
The Agency for Healthcare Research and Quality (AHRQ) has identified an issue with the Risk … The 3M
APR-DRG grouper ROM assignments are used in the risk-adjustment of the Inpatient Quality
Indicators
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V43/Composite_User_Technical_Specification_IQI_4.3.pdf
August 01, 2011 - The
reliability-adjusted ratio is a weighted average of the risk-adjusted ratio and the reference … The
reliability-adjusted ratio is a weighted average of the risk-adjusted ratio and the reference … 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 … In general, a
denominator weight reflects the amount of risk of experiencing the outcome of interest
-
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
-
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
-
qualityindicators.ahrq.gov/Downloads/Resources/v2021%20Beta%20Testing%20Software%20release%20announcement.pdf
July 02, 2021 - release announcement.docx
AHRQ Quality IndicatorsTM
Beta Testing Opportunities for v2021 Risk-Adjusted … CM/PCS hospital discharge data with the SAS QI and WinQI beta software to produce AHRQ
QI observed, risk-adjusted … The release will
include:
• Support for FY2021 ICD-10-CM/PCS coding and risk adjustments in SAS QI
-
qualityindicators.ahrq.gov/News/AHRQ%20QI%20v2021%20Retirement%20Announcement.pdf
July 01, 2021 - IQI 15 retains transferred
patients but accounts for any difference in their risk not by exclusions … , but rather via risk
adjustment. … excluding transfers from another short-term
hospital rather than accounting for transfers during risk … substantial analytic effort to account for confounders
associated with neonatal mortality through risk
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar.pdf
January 01, 2016 - by applying ICD-9 parameter estimates
Risk Adjustment and ICD-10:
Impact on AHRQ QI Software
13 … • Rationale: Some skin disorders put patients at
greater risk for skin breakdown. … Patients undergoing
abdominopelvic procedures are at risk for re-
operations. … Timeline: Conversion to ICD-10
Risk Adjustment and ICD-10
Risk Adjustment and ICD-10: Impact on AHRQ … QI Software
Risk Adjustment and ICD-10: Impact on AHRQ QI Software (cont.)