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qualityindicators.ahrq.gov/default.aspx
September 13, 2021 - here
October 28, 2020
– Minor release of WinQI v2020.0.1 risk … July 31, 2020
– Release of AHRQ QI SAS QI and WinQI v2020 risk … – Minor Release of AHRQ QI SAS QI (PSI Module) and WinQI v2019.0.1 ICD-10-CM/PCS risk … 2019
– Release of AHRQ QI SAS QI and WinQI v2019 ICD-10-CM/PCS risk … , 2018
– Minor release of WinQI v2018.0.1 ICD-10-CM/PCS (non-risk
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/ChangeLog_IQI_v2021.pdf
September 30, 2021 - The overall risk model was eliminated. … rate,
and confidence limits around the risk-adjusted rate for each stratum. … rate,
and confidence limits around the risk-adjusted rate for each stratum. … Because the risk adjustment models and reference population have
not changed for Version 4.4, the Risk … population for
Age-Sex only risk-adjustment.
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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/News/AHRQ%20QI_Version%2041_Overview_Final.pdf
January 27, 2010 - changes
– MS-DRG (version 25) was adopted October 1,
2007
– Several of the numerator, denominator and risk … pneumothorax, neonate) has been
renamed to NQI 1
16
Overview of ChangesOverview of Changes
Removal of risk … adjustment Removal of risk adjustment
– Risk adjustment has been removed from the
following process … 17
Overview of ChangesOverview of Changes
Removal of risk adjustment (continued) Removal of … risk adjustment (continued)
– Risk adjustment has also been removed from the
following outcome measures
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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/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/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/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/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/PDI/V2021/Parameter_Estimates_PDI_v2021.pdf
July 01, 2021 - Risk Adjustment Coefficients (non SES) for PDI 05 – Iatrogenic Pneumothorax Rate ................. 6 … Risk Adjustment Coefficients (non SES) for PDI 08 – Perioperative Hemorrhage or Hematoma
Rate ..... … Risk Adjustment Coefficients (non SES) for PDI 10 – Postoperative Sepsis Rate ....................... … This document also provides a risk
adjustment coefficient table for each risk-adjusted hospital-level … for high-risk immunocompromised state (TRANSPP),
Then HPPD10_3 = 1.
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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/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/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/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/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar_Transcript.pdf
January 01, 2016 - We know that not having the ability to risk-adjust is a burden to you. … Nobody has ICD-
10 risk-adjusted software for the AHRQ QIs. Next slide, please. … >>PAM: So in ICD-10, we do not have risk adjustment. … The ICD-9 software has risk
adjustment and takes care of that case mix piece. … So APR-DRGs is what we use for risk adjustment, and we don't have risk adjustment in
ICD-10 software
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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/Modules/PSI/V43/Composite_User_Technical_Specification_PSI_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/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/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.