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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Love_Quality_Reporting_Initiatives_State_Trends_and_Issues.ppt
January 01, 2005 - Quality Reporting Initiatives: State Trends and Issues
Quality Reporting Initiatives: State Trends … September 27, 2005
Denise Love, RN, MBA
National Association of Health Data Organizations
Outline
State … Hospital Reporting Systems Overview
What they are
Who they are
How they vary
What’s driving state … Transparency and patient safety laws
NAHDO Survey of state use of national measures
NAHDO’s response … Building on 20 years of experience with state-to-state mentoring, knowledge transfer of lessons learned
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_A.pdf
August 01, 2004 - performance
Considerations for hospital-level reporting
Esophageal resection
volume (IQI 1)
• State … paired with
mortality or another related quality indicator
Pancreatic resection
volume (IQI 2)
• State … or another related quality indicator
Abdominal aortic
aneurysm (AAA)
repair volume (IQI 4)
• State … risk adjusted (QI
software uses APR-DRG, age, and sex)
Hip replacement
mortality (IQI 14)
• State … QI
software uses APR-DRG, age, and sex)
Congestive heart
failure (CHF) mortality
(IQI 16)
• State
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Health_Topics.pdf
January 01, 2000 - state. … state. … state. … your state. … your state.
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - The group might be, for example, the State Health Department. … The state average is provided beneath the name of the individual topic. … • The State Survey Agency. … The phone numbers for the State Survey Agency and the Quality Improvement
Organization in your state … are required to submit to (insert name of state agency).
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qualityindicators.ahrq.gov/Archive/2005usermeeting.aspx
September 28, 2005 - AHRQ Quality
indicators
2005 AHRQ Quality Indicators User Meeting
AHCA State Workshop on Public … Tuesday September 27, 2005 - AHRQ Quality Indicators User Meeting
Wednesday September 28 –
State … AHCA State Workshop on Public Reporting (Wednesday, September 28, 2005)
In recent years health … Groups involved in these state-level efforts include state data organizations, employer groups, and healthcare … open discussion of the challenges around public reporting from a state perspective.
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Fraser_AHRQ_Quality_Indicators.ppt
January 01, 2005 - Indicators Initiative
Develop, maintain, evolve measures
Strengthen administrative data at federal, state … Indicators Initiative
Develop, maintain, evolve measures
Strengthen administrative data at federal, state … HCUP Partner
Does Not Collect
Inpatient Data
Legend
In the 1999 HCUP files, AHRQ had 24 HCUP State … Currently, in the 2003 data, this number has grown to 38 State Partners – representing 90% of hospital … 8 remaining states, and DC, that collect data but do not currently participate in HCUP.
1999: 24 State
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qualityindicators.ahrq.gov/Downloads/Modules/V2022/AHRQ_QI_Full_Brochure.pdf
March 24, 2023 - The AHRQ Qls were designed for use by program managers, researchers, and others at
the Federal, State … • State hospital associations, state data associations,
hospitals and hospital systems use the AHRQ … understand how their hospital(s) compare
on quality measures in relationship to other hospitals
or to state … • State hospital associations use the AH RQ Qls to assess
hospital quality and primary care access … • State agencies use the AHRQ Qls in their public
reporting on hospital quality to assess quality
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_07_Central_Venous_Catheter-Related_Blood_Stream_Infection_Rate.pdf
July 01, 2019 - infection present on
admission, cases with stays less than 2 days, cases with an immunocompromised state … for cancer (Appendix H: CANCEID)
• with any listed ICD-10-CM diagnosis codes for immunocompromised state … (Appendix I:
IMMUNID)
• with any listed ICD-10-PCS procedure codes for immunocompromised state (Appendix … principal diagnosis (DX1=missing)
Appendix H - Cancer Diagnosis Codes
Appendix I - Immunocompromised State
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI_07_Central_Venous_Catheter-Related_Blood_Stream_Infection_Rate.pdf
March 01, 2021 - infection present on admission, cases with
stays less than 2 days, cases with an immunocompromised state … www.qualityindicators.ahrq.gov
*See below for code list
Appendix H - Cancer Diagnosis Codes
Appendix I - Immunocompromised State … for cancer (Appendix H: CANCEID)
• with any listed ICD-10-CM diagnosis codes for immunocompromised state … (Appendix I:
IMMUNID)
• with any listed ICD-10-PCS procedure codes for immunocompromised state (
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_07_Central_Venous_Catheter-Related_Blood_Stream_Infection_Rate.pdf
July 01, 2021 - admission, cases with stays less than 2 days, cases with cancer, and
cases with an immunocompromised state … www.qualityindicators.ahrq.gov
*See below for code list
Appendix H - Cancer Diagnosis Codes
Appendix I - Immunocompromised State … for cancer (Appendix H: CANCEID)
• with any listed ICD-10-CM diagnosis code for immunocompromised state … (Appendix I:
IMMUNID)
• with any listed ICD-10-PCS procedure code for immunocompromised state (Appendix
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qualityindicators.ahrq.gov/Downloads/Software/V2020/AHRQ_QI_Rate_Comparison_v2019_v2020.pdf
July 01, 2020 - of the software are based on an analysis
using AHRQHealthcare Cost and Utilization Project (HCUP) State … HCUP databases bring together the data collection efforts of
State data organizations, hospital associations … indicators of the diagnoses being present on
1 Healthcare Cost and Utilization Project (HCUP) 2017 State … would like to acknowledge the HCUP Partner organizations that participated in the HCUP
SID: Alaska State … Dakota (data provided by the Minnesota Hospital Association), Ohio Hospital Association,
Oklahoma State
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qualityindicators.ahrq.gov/Downloads/News/AHRQ_Rationale4notseekingNQFendorsement-May2021.pdf
May 01, 2021 - the AHRQ QI Program will continue to focus its measurement efforts on
quality improvement at local, state … AHRQ
QI program will continue to engage with a wide variety of stakeholders, including national,
state … , and regional policymakers (Federal and state agencies), private decision-makers
(hospitals, clinicians
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qualityindicators.ahrq.gov/Downloads/Software/V2021/AHRQ_QI_Rate_Comparison_v20120_v2021.pdf
July 01, 2021 - HCUP is a Federal-State-Industry Partnership that brings together the data collection
efforts of many … organizations-such as State data organizations, hospital associations, private data
organizations, … 1 Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project (HCUP), State … would like to acknowledge the HCUP Partner organizations that participated in the HCUP
SID: Alaska State … Dakota (data provided by the Minnesota Hospital
Association), Ohio Hospital Association, Oklahoma State
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/fmQInominations-Jun06.doc
January 01, 2006 - Information
Name
Title
Organization
Mailing Address
City, State … , Zip
Hand delivery address (if different from above)
City, State, Zip
Telephone Number … Information
Name
Title
Organization
Mailing Address
City, State
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2021/Version_2021_Benchmark_Tables_PQI.pdf
January 01, 2021 - on an
analysis of discharge data from the 2018 AHRQ Healthcare Cost and Utilization Project (HCUP) State … would like to acknowledge the HCUP Partner organizations that participated in
the HCUP SID: Alaska State … Health & Human Services, New Jersey Department of Health, New Mexico Department
of Health, New York State … Dakota (data provided by the Minnesota Hospital Association), Ohio Hospital
Association, Oklahoma State … Dakota
Association of Healthcare Organizations, Tennessee Hospital Association, Texas Department of State
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2020/Version_2020_Benchmark_Tables_PQI.pdf
January 01, 2020 - on an
analysis of discharge data from the 2017 AHRQ Healthcare Cost and Utilization Project (HCUP) State … would like to acknowledge the HCUP Partner organizations that participated in
the HCUP SID: Alaska State … Health & Human
Services, New Jersey Department of Health, New Mexico Department of Health, New York State … Dakota (data
provided by the Minnesota Hospital Association), Ohio Hospital Association, Oklahoma State … Dakota Association of Healthcare Organizations,
Tennessee Hospital Association, Texas Department of State
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_McBride_Combining_Sets_to_Assess_Health_of_Communities.ppt
January 01, 2005 - .
+ = County’s RA rate significantly lower than State RA rate
- = County’s RA rate significantly higher … the populations served
Find funding to distribute data sharing capability to public health and the state … data project
Support Texas efforts for public reporting of hospital infection rates such that the state … Differences in National, State and Hospital rates may be related to lack of standardized E-code use in … Differences in National, State and Hospital rates may be related to lack of standardized E-code use in
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/V43/Composite_User_Technical_Specification_PQI_4.3.pdf
August 01, 2011 - over time or across regions and populations using a method that applied at
the national, regional, State … related to the composite (e.g., single composite vs. separate composites) and analyses
using 2003 State … http://www.qualityindicators.ahrq.gov/modules/pqi_resources.aspx.
2 The state data organizations that … Department of Health & Human Services; New Jersey Department of Health & Senior
Services; New York State … are intended to be used to provide national estimates that can be tracked
over time and to provide state
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_11_Community_Acquired%20_Pneumonia_Admission_Rate.pdf
July 01, 2021 - Excludes sickle cell or hemoglobin-S admissions, other indications of immunocompromised state
admissions … anemia or HB-S disease (ACSBA2D*)
• with any listed ICD-10-CM diagnosis codes for immunocompromised state … (Appendix C: IMMUNID) or any
listed ICD-10-PCS procedure codes for immunocompromised state (Appendix … missing),
principal diagnosis (DX1=missing), or county (PSTCO=missing)
Appendix C - Immunocompromised State
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Shalaby_General_Motors_AHRQ_Quality_Partnership.ppt
January 01, 2005 - Administration
Local Environment
Capacity/Efficiency
Practice Patterns
Public Policy
National Reform
State … Data Source: Healthcare Cost and Utilization Project (HCUP) Michigan State Inpatient Database (SID), … To calculate area rates it was necessary to have access to the state and county (FIPS code) of patient … QI Data Interpretation - Example
County RA rate is significantly higher than state rate
County RA rate … is significantly lower than state rate
Reduce preventable admissions
Customizing the project to GM