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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V60/TechSpecs/PDI_07_Pediatric_Heart_Surgery_Volume.pdf
August 01, 2017 - Provider-Level Indicator
August 2017
Pediatric Quality Indicators 07 (PDI 07) Pediatric Heart
Surgery … Volume
DESCRIPTION
The number of hospital discharges with a pediatric heart surgery procedure for … www.qualityindicators.ahrq.gov/
AHRQ QI™ ICD-9-CM Specification Version 6.0
PDI 07 Pediatric Heart Surgery … codes for congenital heart disease (1P)
• any-listed ICD-9-CM procedure codes for non-specific heart surgery … (3CP):
August 2017 4 of 5
AHRQ QI™ ICD-9-CM Specification Version 6.0
PDI 07 Pediatric Heart Surgery
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V60/TechSpecs/PDI_06_Pediatric_Heart_Surgery_Mortality_Rate.pdf
August 01, 2017 - Provider-Level Indicator
August 2017
Pediatric Quality Indicators 06 (PDI 06) Pediatric Heart
Surgery … DESCRIPTION
In-hospital deaths per 1,000 pediatric heart surgery admissions among patients with congenital … www.qualityindicators.ahrq.gov/
AHRQ QI™ ICD-9-CM Specification Version 6.0
PDI 06 Pediatric Heart Surgery … August 2017 2 of 7
AHRQ QI™ ICD-9-CM Specification Version 6.0
PDI 06 Pediatric Heart Surgery Mortality … codes:
August 2017 3 of 7
AHRQ QI™ ICD-9-CM Specification Version 6.0
PDI 06 Pediatric Heart Surgery
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qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2007%20RACHS-1%20Pediatric%20Heart%20Surgery%20Volume.xlsx
January 01, 2007 - PDI 07 RACHS-1 Pediatric Heart Surgery Volume
Cover Sheet
AHRQ Quality Indicators™ (AHRQ QI™) Proposed … for ICD-10-CM/PCS Specification
Pediatric Quality Indicators #7 (PDI #7)
RACHS-1 Pediatric Heart Surgery … 2007%20RACHS-1%20Pediatric%20Heart%20Surgery%20Volume.pdf
Numerator
PDI #7 RACHS-1 Pediatric Heart Surgery … Guidance
AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PDI #7 RACHS-1 Pediatric Heart Surgery … AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PDI #7 RACHS-1 Pediatric Heart Surgery
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Yandell_Norton_Healthcare_Going_Public.ppt
January 01, 2005 - >270 indicators + safe practices
National Quality Forum (NQF)
Hospital care
Adult cardiac surgery … (IQIs)
Others (e.g., pediatric ORYX, NICU mortality)
Also: financials, patient satisfaction
Surgery … Surgery
September 14, 2005 posting
Red or green if outside 99% C.I. based on U.S. … Postop. sepsis
Include
Elective surgery inpatients with a stay of 4+ days
Exclude
Principal dx … PSI 15 – accidental puncture or laceration in surgery
Mostly accurate, but many unavoidable or trivial
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qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2006%20RACHS-1%20Pediatric%20Heart%20Surgery%20Mortality%20Rate.xlsx
January 01, 2006 - PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate
Cover Sheet
AHRQ Quality Indicators™ (AHRQ QI … for ICD-10-CM/PCS Specification
Pediatric Quality Indicators #6 (PDI #6)
RACHS-1 Pediatric Heart Surgery … 20RACHS-1%20Pediatric%20Heart%20Surgery%20Mortality%20Rate.pdf
Numerator
PDI #6 RACHS-1 Pediatric Heart Surgery … AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PDI #6 RACHS-1 Pediatric Heart Surgery … AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PDI #6 RACHS-1 Pediatric Heart Surgery
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Johns_Hopkins_Case_Study.pdf
August 01, 2019 - nearly 60 percent of
cardiac patients are taken off a ventilator in less than six hours following surgery … As a result, between 2012 and 2014,
the percent of postoperative isolated coronary artery bypass surgery … patients taken off ventilators
within six hours of surgery jumped from 30 to 50 percent. … In 2019 (year to
date), 70% of CABG patients are on a ventilator less than 6 hours after surgery. … During this time the Johns Hopkins Hospital also implemented Enhanced Recovery After
Surgery (ERAS)
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qualityindicators.ahrq.gov/Downloads/Modules/V2021/v2021_FY_Coding_Updates.pdf
July 01, 2021 - 2021 Setname Updates
SETNAME DESCRIPTION NOTES IMPACTED
INDICATOR
1 ABDOMI15P Abdominopelvic surgery … 2021 Page 2 July 2021
SETNAME DESCRIPTION NOTES IMPACTED
INDICATOR
2 ABDOMIPOPEN Abdominopelvic surgery … approach, procedure codes
56 codes added, 2
codes removed
PSI 14
3 ABDOMIPOTHER Abdominopelvic surgery … Previous Cesarean delivery
diagnosis codes
2 codes added IQI 22, IQI 33,
IQI 34
32 SPINEP Spine surgery … PSI 12,
PSI 13, PSI 15,
PDI 01, PDI 05,
PDI 08, PDI 09,
PDI 10, PDI 12
34 THORAIP Thoracic surgery
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qualityindicators.ahrq.gov/Modules/PDI_TechSpec_ICD10_v2021.aspx
July 01, 2021 - PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count
PDI 06 RACHS-1 Pediatric Heart Surgery … Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 11 Postoperative Wound Dehiscence
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Carilion_Clinic_Case_Study.pdf
August 01, 2019 - • By implementing protocols for evidence-based best practices associated with surgery,
Carilion Roanoke … August 2019
Page 2 of 3
Evidence-Based Approaches to Surgery Recovery Improves PSI 10 and PSI 11 … set of protocols that apply evidence-based best practices associated with
enhanced recovery after surgery … The protocols address, for example, the use of non-narcotic pain
medications after surgery, and early … For example, Carilion’s average length of stay for colorectal surgery decreased by more
than 30 percent
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qualityindicators.ahrq.gov/Modules/PDI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count
PDI 06 RACHS-1 Pediatric Heart Surgery … Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 11 Postoperative Wound Dehiscence
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Edlund_Oregon_Hospital_Quality_Indicators.ppt
January 01, 2005 - Volume:
Abdominal aortic aneurysm
Balloon angioplasty
Carotid artery plaque removal
Heart bypass surgery … Pediatric heart surgery
Death Rate:
Abdominal aortic aneurysm
Balloon angioplasty
Carotid artery … plaque removal
Heart attack
Heart bypass surgery
Stroke
Pneumonia
Office for Oregon Health Policy
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/2006-February-AHRQ-QI-Newsletter.htm
January 01, 2006 - provided feedback to AHRQ included interest in
continued indicator development using ED and ambulatory surgery … PQI 6 –
Pediatric Gastroenteritis Admission Rate
Ø IQI
3 – Pediatric Heart Surgery … Volume
Ø IQI 10 –
Pediatric Heart Surgery Mortality Rate
· The
Birth Trauma … · The
Pediatric Heart Surgery indicator now uses the RACHS-1 system for
risk-adjustment … Iatrogenic Pneumothorax in
Neonates
Iatrogenic Pneumothorax in
Non-Neonates
Pediatric Heart Surgery
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Varga_Implementing_All_the_consensus_standards_the_journey_so_far.ppt
January 01, 2005 - Voluntarily
Our report includes all the consensus standards for:
NQF
hospital care
cardiac surgery … Cardiac surgery example
Clicking on a cell opens a popup with more information ... … This is a common open heart surgery where surgeons bypass blockages of the coronary arteries using the … (NQF Safe
Practice 14)
n
Evaluate each patient undergoing elective surgery for risk of an
acute ischemic … cardiac event during surgery, and provide
prophylactic treatment of high-risk patients with beta blockers
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V43/Change_Log_IQI_4.3.pdf
August 01, 2011 - for Intra-Abdominal
Procedure with a procedure code denominator
inclusion for abdominal and pelvic surgery … Dropped pediatric heart surgery indicators IQI
#3 (volume) and IQI #10 (mortality), which are
being … V2.1 R4a May 18, 2005 Software (SPSS) Corrected Pediatric Heart Surgery (IQI #3 and #10)
exclusion for … Implemented changes to IQI #10, Pediatric
Heart Surgery Mortality Indicator, both in its
inclusion … of pediatric heart surgery
(#2P) to reflect coding before October 1, 1998.
4.
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Change_Log_PDI_4.3.pdf
August 01, 2011 - NQI #1 and PDI #5 – Iatrogenic Pneumothorax –
1) replaced the DRG denominator exclusion for
cardiac surgery … denominator exclusion for craniofacial anomalies
with 1) a procedure code for laryngeal or pharyngeal
surgery … V 4.0 June 30, 2009 Software and
Documentation
Pediatric Heart Surgery Mortality (PDI #6) –
excluded … Added description of Pediatric Heart Surgery
Volume. … PedQI #4/#5 – Added exclusion for cases with
ICD-9-CM procedure code of diaphragmatic
surgery repair
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qualityindicators.ahrq.gov/modules/list_ahrq_qi.aspx
After three rounds of intensive review at both the NQF Surgery Standing Committee and the NQF Consensus … Retired in v2019
362
PDI 6
RACHS-1 Pediatric Heart Surgery … Retired in v2019
339
PDI 7
RACHS-1 Pediatric Heart Surgery
-
qualityindicators.ahrq.gov/News/Retirement%20Notice_v2019_Indicators.pdf
May 23, 2019 - Device Fragment Count
IQI 05 Coronary Artery
Bypass Graft (CABG)
PDI 06 RACHS-1
Pediatric Heart Surgery … Rate
IQI 06 Percutaneous
Coronary Intervention
(PCI) Volume
PDI 07 RACHS-1
Pediatric Heart Surgery
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2020/ChangeLog_IQI_v2020.pdf
September 30, 2020 - See Appendix A for abdominal and pelvic surgery
procedure codes as of February 2009. … Note: Due to the large number of changes to the pediatric heart
surgery indicators, comparing results … V2.1 R3 September
4, 2003
Pediatric Heart Surgery
Volume (IQI
3) Numerator (Pediatric
heart surgery … (s) / endograft(s) was added to the including definition of pediatricheart
surgery (#2P). … of pediatric heart surgery (#2P) to reflect coding
before October 1, 1998.
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/ChangeLog_IQI_v2021.pdf
September 30, 2021 - Abdominal and Pelvic Surgery Procedure Codes as of February 2009 ........................ 61
Appendix … See Appendix A for abdominal and pelvic
surgery procedure codes as of February 2009. … stent(s) / endograft(s) was added to the including definition of pediatric heart
surgery (#2P). … of pediatric heart surgery (#2P) to reflect
coding before October 1, 1998. … Abdominal and Pelvic Surgery Procedure Codes as of February 2009
Appendix B.
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Anderson_Inpatient_Quality_Reporting_In_Colorado.ppt
January 01, 2005 - Artery Bypass Graft (CABG)
Esophageal Resection
Hip Replacement
Pancreatic Resection
Pediatric Heart Surgery … Cholecystectomy
Hospital-level Volumes
Esophageal Resection
Pancreatic Resection
Pediatric Heart Surgery