{title}
}\r\n {hasSubtitle &&{title}
}\r\n {hasSubtitle &&{data.title}
\r\nFor Prevention Quality Indicators in Emergency Department Settings
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nFor Emergency Department Prevention Quality Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nFor Prevention Quality Indicators in Inpatient Settings
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PQI 02 Perforated Appendix Admission Rate \r\n
- PQI 09 Low Birth Weight Rate \r\n
- PQI 10 Dehydration Admission Rate \r\n
Effective v6.0, the following indicators have been retired.
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
For Prevention Quality Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PQI 02 Perforated Appendix Admission Rate \r\n
- PQI 09 Low Birth Weight Rate \r\n
- PQI 10 Dehydration Admission Rate \r\n
Effective v6.0, the following indicators have been retired.
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
For Prevention Quality Indicators
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version v2022, July\r\n 2022\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PQI 02 Perforated Appendix Admission Rate \r\n
- PQI 09 Low Birth Weight Rate \r\n
- PQI 10 Dehydration Admission Rate \r\n
Effective v6.0, the following indicators have been retired.
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version v2021, July 2021\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n v2021 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- PQI 02 Perforated Appendix Admission Rate \r\n
- PQI 09 Low Birth Weight Rate \r\n
- PQI 10 Dehydration Admission Rate \r\n
\r\n Effective v6.0, the following indicators have been\r\n retired.\r\n
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v2020\r\n can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version v2020 (ICD\r\n 10-CM/PCS), July 2020\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n v2020 (Zip File)\r\n
\r\n \r\n\r\n
Updates
\r\n\r\n March 2021: Minor updates were made in some v2020\r\n technical specifications to clarify the indicator logic. Language was updated to better\r\n align with the logic implemented in the AHRQ QI software v2020. These minor updates are\r\n limited to the technical specifications documents, and no changes where made in the v2020\r\n software.\r\n
\r\nIndicators updated: PQI Appendix A
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- PQI 02 Perforated Appendix Admission Rate \r\n
- PQI 09 Low Birth Weight Rate \r\n
- PQI 10 Dehydration Admission Rate \r\n
\r\n Effective v6.0, the following indicators have been\r\n retired.\r\n
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v2019\r\n can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version v2019 (ICD\r\n 10-CM/PCS), July 2019\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n v2019 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- PQI 02 Perforated Appendix Admission Rate \r\n
- PQI 09 Low Birth Weight Rate \r\n
- PQI 10 Dehydration Admission Rate \r\n
Effective v6.0, the following indicators have been retired.
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v2018\r\n can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version v2018 and\r\n v2018.0.1 (ICD 10-CM/PCS), June 2018\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n v2018 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v7.0\r\n can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version v7.0 (ICD 10),\r\n September 2017\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n 7.0 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v7.0\r\n can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version 6.0 (ICD-10),\r\n September 2016\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n 6.0 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 alpha\r\n v5.0 can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version 6.0 (ICD-9),\r\n October 2016\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n 6.0 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n- \r\n
- PQI 13 Angina Without Procedure Admission Rate is retired in version 6.0 \r\n
\r\n Prevention Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 alpha\r\n v5.0 can be found here .\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications Updates - Version 5.0 (ICD 10),\r\n October 2015\r\n
\r\n\r\n Updated Prevention Quality Indicators Technical Specifications (PDF Format), Version\r\n 5.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Updated Prevention Quality Indicators Technical Specifications (MS Excel Format),\r\n Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
All PQI Appendices in MS Excel Format (ZIP file)
\r\n \r\n\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications - Version 5.0, March 2015\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications, Version 4.5, May 2013\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 4.5 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications, Version 4.4, March 2012\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 4.4 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications, Version 4.3, August 2011\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 4.3 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications, Version 4.3, September 2012\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 4.3 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications, Version 4.2, September 2010\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 4.2 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Prevention Quality Indicators Technical Specifications\r\n
\r\n\r\n Prevention Quality Indicators Technical Specifications, Version 4.1, December 2009\r\n
\r\n\r\n All Prevention Quality Indicators Technical Specifications, Version 4.1 (Zip File)\r\n
\r\n \r\n\r\n
For Inpatient Quality Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, without Transfer Cases \r\n
- IQI 34 Vaginal Birth After Cesarean (VBAC) Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 01 Esophageal Resection Volume \r\n
- IQI 02 Pancreatic Resection Volume \r\n
- IQI 04 Abdominal Aortic Aneurysm (AAA) Repair Volume \r\n
- IQI 05 Coronary Artery Bypass Graft (CABG) \r\n
- IQI 06 Percutaneous Coronary Intervention (PCI) Volume \r\n
- IQI 07 Carotid Endarterectomy Volume \r\n
- IQI 13 Craniotomy Mortality Rate \r\n
- IQI 14 Hip Replacement Mortality Rate \r\n
\r\n Effective v7.0, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
For Inpatient Quality Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, without Transfer Cases \r\n
- IQI 34 Vaginal Birth After Cesarean (VBAC) Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 01 Esophageal Resection Volume \r\n
- IQI 02 Pancreatic Resection Volume \r\n
- IQI 04 Abdominal Aortic Aneurysm (AAA) Repair Volume \r\n
- IQI 05 Coronary Artery Bypass Graft (CABG) \r\n
- IQI 06 Percutaneous Coronary Intervention (PCI) Volume \r\n
- IQI 07 Carotid Endarterectomy Volume \r\n
- IQI 13 Craniotomy Mortality Rate \r\n
- IQI 14 Hip Replacement Mortality Rate \r\n
\r\n Effective v7.0, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
For Inpatient Quality Indicators
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version v2022, July 2022\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, without Transfer Cases \r\n
- IQI 34 Vaginal Birth After Cesarean (VBAC) Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 01 Esophageal Resection Volume \r\n
- IQI 02 Pancreatic Resection Volume \r\n
- IQI 04 Abdominal Aortic Aneurysm (AAA) Repair Volume \r\n
- IQI 05 Coronary Artery Bypass Graft (CABG) \r\n
- IQI 06 Percutaneous Coronary Intervention (PCI) Volume \r\n
- IQI 07 Carotid Endarterectomy Volume \r\n
- IQI 13 Craniotomy Mortality Rate \r\n
- IQI 14 Hip Replacement Mortality Rate \r\n
\r\n Effective v7.0, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version v2021, July 2021\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n v2021 (Zip File)\r\n
\r\n \r\n\r\n
\r\n ** To learn how to isolate the impact of COVID-19 on the AHRQ Quality Indicators (QIs),{' '}\r\n Click Here (PDF File, 223\r\n KB)\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 112 KB)\r\n
\r\n- \r\n
- IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, without Transfer Cases \r\n
- IQI 34 Vaginal Birth After Cesarean (VBAC) Rate \r\n
\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- IQI 01 Esophageal Resection Volume \r\n
- IQI 02 Pancreatic Resection Volume \r\n
- IQI 04 Abdominal Aortic Aneurysm (AAA) Repair Volume \r\n
- IQI 05 Coronary Artery Bypass Graft (CABG) \r\n
- IQI 06 Percutaneous Coronary Intervention (PCI) Volume \r\n
- IQI 07 Carotid Endarterectomy Volume \r\n
- IQI 13 Craniotomy Mortality Rate \r\n
- IQI 14 Hip Replacement Mortality Rate \r\n
\r\n Effective v7.0, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n IQI Area Level Indicators (PDF\r\n File, 350 KB),{' '}\r\n IQI Hospital Level Indicators{' '}\r\n (PDF File, 356 KB).\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v2020\r\n can be found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version v2020, July 2020\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n v2020 (Zip File)\r\n
\r\n \r\n\r\n
Updates
\r\n\r\n March 2021: Minor updates were made in some v2020\r\n technical specifications to clarify the indicator logic. Language was updated to better\r\n align with the logic implemented in the AHRQ QI software v2020. These minor updates are\r\n limited to the technical specifications documents, and no changes where made in the v2020\r\n software.\r\n
\r\nIndicators updated: IQI 09, IQI 18
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- IQI 01 Esophageal Resection Volume \r\n
- IQI 02 Pancreatic Resection Volume \r\n
- IQI 04 Abdominal Aortic Aneurysm (AAA) Repair Volume \r\n
- IQI 05 Coronary Artery Bypass Graft (CABG) \r\n
- IQI 06 Percutaneous Coronary Intervention (PCI) Volume \r\n
- IQI 07 Carotid Endarterectomy Volume \r\n
- IQI 13 Craniotomy Mortality Rate \r\n
- IQI 14 Hip Replacement Mortality Rate \r\n
\r\n Effective v7.0, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n IQI Area Level Indicators (PDF\r\n File, 350 KB),{' '}\r\n IQI Hospital Level Indicators{' '}\r\n (PDF File, 356 KB).\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v2019\r\n can be found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version v2019 (ICD\r\n 10-CM/PCS), July 2019\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n v2019 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- IQI 01 Esophageal Resection Volume \r\n
- IQI 02 Pancreatic Resection Volume \r\n
- IQI 04 Abdominal Aortic Aneurysm (AAA) Repair Volume \r\n
- IQI 05 Coronary Artery Bypass Graft (CABG) \r\n
- IQI 06 Percutaneous Coronary Intervention (PCI) Volume \r\n
- IQI 07 Carotid Endarterectomy Volume \r\n
- IQI 13 Craniotomy Mortality Rate \r\n
- IQI 14 Hip Replacement Mortality Rate \r\n
\r\n Effective v7.0, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n IQI Area Level Indicators (PDF\r\n File, 350 KB),{' '}\r\n IQI Hospital Level Indicators{' '}\r\n (PDF File, 356 KB).\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v2018\r\n can be found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version v2018 and\r\n v2018.0.1 (ICD 10), June 2018\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n v2018 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n The AHRQ Inpatient Quality Indicators (IQIs) contain two types of indicators, including\r\n those measured at the area (or geographic) level and those measured at the provider (or\r\n hospital) level. Effective v7.0, the following indicators have been retired. For\r\n additional information, refer to the retirement announcements:{' '}\r\n IQI Area Level Indicators (PDF\r\n File, 350 KB),{' '}\r\n IQI Hospital Level Indicators{' '}\r\n (PDF File, 356 KB).\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v7.0\r\n can be found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version v7.0 (ICD 10),\r\n September 2017\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n 7.0 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n The AHRQ Inpatient Quality Indicators (IQIs) contain two types of indicators, including\r\n those measured at the area (or geographic) level and those measured at the provider (or\r\n hospital) level. Effective v7.0, the following indicators have been retired. For\r\n additional information, refer to the retirement announcements:{' '}\r\n IQI Area Level Indicators (PDF\r\n File, 350 KB) ,{' '}\r\n IQI Hospital Level Indicators{' '}\r\n (PDF File, 356 KB).\r\n
\r\n- \r\n
- IQI 23 Laparoscopic Cholecystectomy Rate \r\n
- IQI 24 Incidental Appendectomy in the Elderly Rate \r\n
- IQI 25 Bilateral Cardiac Catheterization Rate \r\n
- IQI 26 Coronary Artery Bypass Graft (CABG) Rate \r\n
- IQI 27 Percutaneous Coronary Intervention (PCI) Rate \r\n
- IQI 28 Hysterectomy Rate \r\n
- IQI 29 Laminectomy or Spinal Fusion Rate \r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 v6.0\r\n can be found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version 6.0 (ICD 10), July\r\n 2016\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n 6.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS QI and WinQI ICD-10 alpha\r\n v5.0 can be found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications - Version 6.0, March 2017\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 6.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Inpatient Quality Indicators Technical Specifications for SAS v5.0 and WinQI v5.0 can be\r\n found here .\r\n
\r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version 5.0 (ICD 10),\r\n October 2015\r\n
\r\n\r\n Updated Inpatient Quality Indicators Technical Specifications (PDF Format), Version\r\n 5.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Updated Inpatient Quality Indicators Technical Specifications (MS Excel Format),\r\n Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
All IQI Appendices in MS Excel Format (ZIP file)
\r\n \r\nInpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications Updates - Version 5.0, March 2015\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications, Version 4.5, May 2013\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 4.5 (Zip File)\r\n
\r\n \r\n\r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications, Version 4.4, March 2011\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 4.4 (Zip File)\r\n
\r\n \r\n\r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications, Version 4.3, August 2011\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 4.3 (Zip File)\r\n
\r\n \r\n\r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications, Version 4.3a, September 2012\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 4.3a (Zip File)\r\n
\r\n \r\n\r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Technical Specifications, Version 4.2, September 2010\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 4.2 (Zip File)\r\n
\r\n \r\n\r\n
Inpatient Quality Indicators Technical Specifications
\r\n\r\n Inpatient Quality Indicators Indicators Technical Specifications, Ver. 4.1, December 2009\r\n
\r\n\r\n All Inpatient Quality Indicators Technical Specifications, Version 4.1 (Zip File)\r\n
\r\n \r\n\r\n
For Patient Safety Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PSI 16 Transfusion Reaction Count \r\n
\r\n Effective v7.0, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
For Patient Safety Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PSI 16 Transfusion Reaction Count \r\n
\r\n Effective v7.0, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
For Patient Safety Indicators
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version v2022, July 2022\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PSI 16 Transfusion Reaction Count \r\n
\r\n Effective v7.0, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version v2021, July 2021\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 2021\r\n (ZIP File, 27.8 MB)\r\n
\r\n \r\n\r\n
\r\n ** To learn how to isolate the impact of COVID-19 on the AHRQ Quality Indicators (QIs),{' '}\r\n Click Here (PDF File, 223\r\n KB)\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 112 KB)\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- PSI 16 Transfusion Reaction Count \r\n
\r\n Effective v7.0, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n PSI Area Level Hospital (PDF File, 349 KB).\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v2020 can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version v2020, July 2020\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 2020\r\n (Zip File)\r\n
\r\n \r\n\r\n
Updates
\r\n\r\n March 2021: Minor updates were made in some v2020\r\n technical specifications to clarify the indicator logic. Language was updated to better\r\n align with the logic implemented in the AHRQ QI software v2020. These minor updates are\r\n limited to the technical specifications documents, and no changes where made in the v2020\r\n software.\r\n
\r\n\r\n Indicators updated: PSI 02, PSI 03, PSI 05, PSI 06, PSI 07, PSI 08, PSI 09, PSI 11, PSI\r\n 12, PSI 14, PSI 15, PSI 17\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- PSI 16 Transfusion Reaction Count \r\n
\r\n Effective v7.0, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n PSI Area Level Hospital (PDF File, 349 KB).\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v2019 can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version v2019 (ICD\r\n 10-CM/PCS), July 2019\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 2019\r\n (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- PSI 16 Transfusion Reaction Count \r\n
\r\n Effective v7.0, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n PSI Area Level Hospital (PDF File, 349 KB).\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v2018 can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version v2018 and v2018.0.1\r\n (ICD 10), June 2018\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 2018\r\n (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n The AHRQ Patient Safety Indicators (IQIs) contain two types of indicators, including those\r\n measured at the area (or geographic) level and those measured at the provider (or\r\n hospital) level. Effective v7.0, the following indicators have been retired. For\r\n additional information, refer to the retirement announcements:{' '}\r\n PSI Area Level Hospital (PDF File, 349 KB)\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 version v7.0\r\n can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version v7.0 (ICD 10),\r\n September 2017\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 7.0\r\n (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n The AHRQ Patient Safety Indicators (IQIs) contain two types of indicators, including those\r\n measured at the area (or geographic) level and those measured at the provider (or\r\n hospital) level. Effective v7.0, the following indicators have been retired. For\r\n additional information, refer to the retirement announcements:{' '}\r\n PSI Area Level Hospital (PDF File, 349 KB).\r\n
\r\n- \r\n
- PSI 21 Retained Surgical Item or Unretrieved Device Fragment Rate \r\n
- PSI 22 Iatrogenic Pneumothorax Rate \r\n
- PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate \r\n
- PSI 24 Postoperative Wound Dehiscence Rate \r\n
- PSI 25 Accidental Puncture or Laceration Rate \r\n
- PSI 26 Transfusion Reaction Rate \r\n
- PSI 27 Perioperative Hemorrhage or Hematoma Rate \r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 version v6.0\r\n can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version 6.0 (ICD 10), July\r\n 2016\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 6.0\r\n (Zip File)\r\n
\r\n \r\n\r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 alpha\r\n version v5.0 can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version 6.0 (ICD-9), July\r\n 2017\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 6.0\r\n (Zip File)\r\n
\r\n \r\n\r\n
\r\n Patient Safety Indicators Technical Specifications for SAS and WinQI ICD-10 alpha\r\n version v5.0 can be found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version 5.0 (ICD 10), October\r\n 2015\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications (PDF Format), Version 5.0\r\n (Zip File)\r\n
\r\n \r\n\r\n
\r\n Updated Patient Safety Indicators Technical Specifications (MS Excel Format), Version\r\n 5.0 (Zip File)\r\n
\r\n \r\n\r\n
All PSI Appendices in MS Excel Format (ZIP file)
\r\n \r\n\r\n Patient Safety Indicators Technical Specifications for SAS v4.5 and WinQI v4.6 can be\r\n found here .\r\n
\r\nPatient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications Updates - Version 5.0, March 2015\r\n
\r\n\r\n Updated Patient Safety Indicators Technical Specifications, Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Version 4.5, May 2013\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.5 (Zip File)
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Version 4.5, May 2013\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.5a (Zip File)
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Version 4.4, March 2012\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.4 (Zip File)
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Version 4.3, August 2011\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.3 (Zip File)
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Version 4.3a, September 2012\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.3a (Zip File)
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Version 4.2, September 2010\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.2 (Zip File)
\r\n \r\n\r\n
Patient Safety Indicators Technical Specifications
\r\n\r\n Patient Safety Indicators Technical Specifications, Ver 4.1, December 2009\r\n
\r\nAll Patient Safety Indicators Technical Specifications, Version 4.1 (Zip File)
\r\n \r\n\r\n
For Pediatric Quality Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 01 Neonatal Iatrogenic Pneumothorax Rate \r\n
- PDI 02 Pressure Ulcer Rate \r\n
- PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count \r\n
- PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate \r\n
- PDI 07 RACHS-1 Pediatric Heart Surgery Volume \r\n
- PDI 11 Postoperative Wound Dehiscence Rate \r\n
- PDI 13 Transfusion Reaction Count \r\n
- PDI 17 Perforated Appendix Admission Rate \r\n
- PDI 19 Pediatric Safety for Selected Indicators Composite \r\n
For Pediatric Quality Indicators
\r\n\r\n {techSpecFile.title} (PDF Format) - Version {techSpecFile.version},{' '}\r\n {techSpecFile.revision}\r\n
\r\n\r\n {techSpecExcelFile.title} - Version {techSpecExcelFile.version},{' '}\r\n {techSpecExcelFile.revision}\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 01 Neonatal Iatrogenic Pneumothorax Rate \r\n
- PDI 02 Pressure Ulcer Rate \r\n
- PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count \r\n
- PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate \r\n
- PDI 07 RACHS-1 Pediatric Heart Surgery Volume \r\n
- PDI 11 Postoperative Wound Dehiscence Rate \r\n
- PDI 13 Transfusion Reaction Count \r\n
- PDI 17 Perforated Appendix Admission Rate \r\n
- PDI 19 Pediatric Safety for Selected Indicators Composite \r\n
For Pediatric Quality Indicators
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version v2022, July 2022\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been retired. For additional information,\r\n refer to the retirement announcements:\r\n
\r\n- \r\n
- NQI 01 Neonatal Iatrogenic Pneumothorax Rate \r\n
- PDI 02 Pressure Ulcer Rate \r\n
- PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count \r\n
- PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate \r\n
- PDI 07 RACHS-1 Pediatric Heart Surgery Volume \r\n
- PDI 11 Postoperative Wound Dehiscence Rate \r\n
- PDI 13 Transfusion Reaction Count \r\n
- PDI 17 Perforated Appendix Admission Rate \r\n
- PDI 19 Pediatric Safety for Selected Indicators Composite \r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version v2021, July 2021\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n v2021 (Zip File)\r\n
\r\n \r\n\r\n
\r\n ** To learn how to isolate the impact of COVID-19 on the AHRQ Quality Indicators (QIs),{' '}\r\n Click Here (PDF File, 223\r\n KB)\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2021, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 112 KB)\r\n
\r\n- \r\n
- NQI 02 Neonatal Mortality Rate \r\n
\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- NQI 01 Neonatal Iatrogenic Pneumothorax Rate \r\n
- PDI 02 Pressure Ulcer Rate \r\n
- PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count \r\n
- PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate \r\n
- PDI 07 RACHS-1 Pediatric Heart Surgery Volume \r\n
- PDI 11 Postoperative Wound Dehiscence Rate \r\n
- PDI 13 Transfusion Reaction Count \r\n
- PDI 17 Perforated Appendix Admission Rate \r\n
- PDI 19 Pediatric Safety for Selected Indicators Composite \r\n
\r\n Pediatric Quality Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v2020 can be found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version v2020, July 2020\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n v2020 (Zip File)\r\n
\r\n \r\n\r\n
Updates
\r\n\r\n March 2021: Minor updates were made in some v2020\r\n technical specifications to clarify the indicator logic. Language was updated to better\r\n align with the logic implemented in the AHRQ QI software v2020. These minor updates are\r\n limited to the technical specifications documents, and no changes where made in the v2020\r\n software.\r\n
\r\n\r\n Indicators updated: NQI 03, PDI 08, PDI 09, PDI 14, PDI 15, PDI 16, PDI 18, PDI Appendix\r\n J, PDI Appendix L\r\n
\r\nRetired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- NQI 01 Neonatal Iatrogenic Pneumothorax Rate \r\n
- PDI 02 Pressure Ulcer Rate \r\n
- PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count \r\n
- PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate \r\n
- PDI 07 RACHS-1 Pediatric Heart Surgery Volume \r\n
- PDI 11 Postoperative Wound Dehiscence Rate \r\n
- PDI 13 Transfusion Reaction Count \r\n
- PDI 17 Perforated Appendix Admission Rate \r\n
- PDI 19 Pediatric Safety for Selected Indicators Composite \r\n
\r\n Pediatric Quality Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v2019 can be found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version v2019 (ICD\r\n 10-CM/PCS), July 2019\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n v2019 (Zip File)\r\n
\r\n \r\n\r\n
Retired Indicators
\r\n\r\n Effective v2019, the following indicators have been\r\n retired. For additional information, refer to the retirement announcements:{' '}\r\n \r\n Indicators Retirement Announcement.\r\n {' '}\r\n (PDF File, 108 KB)\r\n
\r\n- \r\n
- NQI 01 Neonatal Iatrogenic Pneumothorax Rate \r\n
- PDI 02 Pressure Ulcer Rate \r\n
- PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count \r\n
- PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate \r\n
- PDI 07 RACHS-1 Pediatric Heart Surgery Volume \r\n
- PDI 11 Postoperative Wound Dehiscence Rate \r\n
- PDI 13 Transfusion Reaction Count \r\n
- PDI 17 Perforated Appendix Admission Rate \r\n
- PDI 19 Pediatric Safety for Selected Indicators Composite \r\n
\r\n Pediatric Quality Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v2018 can be found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version v2018 and\r\n v2018.0.1 (ICD 10), June 2018\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n 2018 (Zip File)\r\n
\r\n \r\n\r\n
\r\n NQI 02 Neonatal Mortality Rate :{' '}\r\n Not currently available in v2018\r\n
\r\n\r\n PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate:{' '}\r\n \r\n Not currently available for ICD 10. It may be updated in future releases\r\n \r\n
\r\n\r\n PDI 07 RACHS-1 Pediatric Heart Surgery Volume:{' '}\r\n \r\n Not currently available for ICD 10. It may be updated in future releases\r\n \r\n
\r\n\r\n PDI 19 Pediatric Safety for Selected Indicators:{' '}\r\n \r\n Not currently available for ICD 10. It may be updated in future releases\r\n \r\n
\r\n\r\n NQI 02 Neonatal Mortality Rate :{' '}\r\n Not currently available in v2018\r\n
\r\n\r\n Pediatric Quality Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v7.0 can be found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version v7.0 (ICD 10),\r\n September 2017\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n 7.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate:{' '}\r\n \r\n Not currently available for ICD 10. It may be updated in future releases\r\n \r\n
\r\n\r\n PDI 07 RACHS-1 Pediatric Heart Surgery Volume:{' '}\r\n \r\n Not currently available for ICD 10. It may be updated in future releases\r\n \r\n
\r\n\r\n PDI 19 Pediatric Safety for Selected Indicators:{' '}\r\n \r\n Not currently available for ICD 10. It may be updated in future releases\r\n \r\n
\r\n\r\n Pediatric Quality Indicators Technical Specifications for SAS and WinQI ICD-10 version\r\n v6.0 can be found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version 6.0 (ICD 10), July\r\n 2016\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n 6.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Pediatric Quality Indicators Technical Specifications for SAS and WinQI ICD-10 alpha\r\n version v5.0 can be found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications - Version 6.0, August 2017\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 6.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Pediatric Quality Indicators Technical Specifications for SAS v5.0 and WinQI v5.0 can be\r\n found here .\r\n
\r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications Updates - Version 5.0 Alpha (ICD\r\n 10), October 2015\r\n
\r\n\r\n Updated Pediatric Quality Indicators Technical Specifications (PDF Format), Version\r\n 5.0 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Updated Pediatric Quality Indicators Technical Specifications (MS Excel Format),\r\n Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
All PDI Appendices in MS Excel Format (ZIP file)
\r\n \r\nPediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications - Version 5.0, March 2015\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 5.0 (Zip File)\r\n
\r\n \r\n\r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications, Version 4.5, May 2013\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 4.5 (Zip File)\r\n
\r\n \r\n\r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications, Version 4.4, March 2012\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 4.4 (Zip File)\r\n
\r\n \r\n\r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications, Version 4.3, August 2011\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 4.3 (Zip File)\r\n
\r\n \r\n\r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications, Version 4.3a, September 2012\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 4.3a (Zip File)\r\n
\r\n \r\n\r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications, Version 4.2, September 2010\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 4.2 (Zip File)\r\n
\r\n \r\n\r\n
Pediatric Quality Indicators Technical Specifications
\r\n\r\n Pediatric Quality Indicators Technical Specifications, Ver 4.1, December 2009\r\n
\r\n\r\n All Pediatric Quality Indicators Technical Specifications, Version 4.1 (Zip File)\r\n
\r\n \r\n\r\n
\r\n Putting the power of the AHRQ Quality\r\n Indicators in your hands\r\n
\r\n\r\n AHRQ offers free software to help organizations easily use the AHRQ QIs to generate\r\n actionable information about the quality of care they provide. The evidence-based AHRQ QIs\r\n provide a standard, trusted approach to quality measurement to guide improvements in\r\n patient care\r\n
\r\nCalculate Quality Indicators with our SAS and WinQI Software
\r\n\r\n Technical Specifications break down calculations used to formulate each indicator,\r\n including a brief description of the measure, numerator and denominator information,\r\n and details on cases that should be excluded from calculations.\r\n
\r\n- \r\n
- \r\n Easily calculate quality of care events that might need further study Leverage\r\n software for hospital inpatient administrative data Make data readily available and\r\n inexpensive Completely free and easy to use\r\n \r\n
- Leverage software for hospital inpatient administrative data Make data \r\n
- Make data readily available and inexpensive \r\n
- Completely free and easy to use \r\n
AHRQ QIs in Action
\r\nJohns Hopkins Medicine
\r\n\r\n The Johns Hopkins Hospital worked diligently to improve its performance for Postoperative\r\n Respiratory Failure (PSI 11). The effort started back in 2012 when only 30 percent were able\r\n to be removed from a ventilator within the desired timeframe. Today, nearly 60 percent of\r\n cardiac patients are taken off a ventilator in less than six hours following surgery.\r\n
\r\nWhat People Are Saying About CloudQI
\r\n{data.msg}
\r\n\r\n Bringing excellence to healthcare\r\n decision making, quality improvement, and research\r\n
\r\nHighlight potential quality improvement areas
\r\nTrack changes over time
\r\nIdentify areas for further study
\r\n \r\n \r\n \r\nExplore the Quality Indicator Technical Specifications
\r\n\r\n Technical Specifications break down calculations used to formulate each indicator,\r\n including a brief description of the measure, numerator and denominator information,\r\n and details on cases that should be excluded from calculations.\r\n
\r\n- \r\n
- \r\n \r\n PQI Technical Specifications\r\n \r\n \r\n
- \r\n \r\n IQI Technical Specifications\r\n \r\n \r\n
- \r\n \r\n PSI Technical Specifications\r\n \r\n \r\n
- \r\n \r\n PDI Technical Specifications\r\n \r\n \r\n
- \r\n \r\n PQE Technical Specifications\r\n \r\n \r\n
Disclaimer
\r\nUsing technical documentation materials:
\r\n\r\n The Agency for Healthcare Research and Quality (AHRQ) must be cited when referencing AHRQ\r\n Quality Indicator (QI) measures or using them for other materials or products. Any\r\n alterations to QI measure specifications must be noted, along with a disclaimer of not\r\n being endorsed by AHRQ.\r\n
\r\nGeneral AHRQ QI Citation:
\r\n\r\n Quality Indicators, Agency for Healthcare Research and Quality, Rockville, MD.\r\n www.qualityindicators.ahrq.gov.\r\n
\r\nDisclaimer:
\r\n\r\n This product includes alterations to Agency for Healthcare Research Quality (AHRQ) Quality\r\n Indicator (QI) measure specifications and is not endorsed by AHRQ.\r\n
\r\n\r\n
Using software and instructional documentation materials:
\r\n\r\n References to Agency for Healthcare Research and Quality (AHRQ) Quality Indicator (QI)\r\n measures produced from AHRQ QI software must be attributed to AHRQ. Citation should list\r\n the name of the tool, tool version, Agency for Healthcare Research and Quality, Rockville,\r\n MD., the related Web link, and access date.{' '}\r\n
\r\nProduct Citation Example:
\r\n\r\n \r\n AHRQ SAS QI v2022 Individual Software Download for Patient Safety Indicators, Version\r\n v2022.0.1, Agency for Healthcare Research and Quality, Rockville, MD.\r\n https://qualityindicators.ahrq.gov/software/sas_qi. Accessed June 13, 2023.\r\n \r\n
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\r\n <LinkItem href='/path/file.pdf' meta='(PDF File, 1.23 MB)' light>Lorem ipsum\r\n dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor\r\n incididunt</LinkItem>\r\n\r\n
\r\n <LinkItem href='/path/file.pdf' meta='(PDF File, 1.23 MB)' noborder>Lorem ipsum\r\n dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor\r\n incididunt</LinkItem>\r\n\r\n
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\r\n <LinkItem href='/path/file.pdf' meta='(PDF File, 1.23 MB)' noicon wrap>Lorem\r\n ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut\r\n labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation\r\n ullamco laboris nisi ut aliquip ex ea commodo consequat.</LinkItem>\r\n\r\n
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UI Example
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\r\nButtons
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\r\nH3 Heading
\r\nH4 Heading
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\r\nH6 Heading
\r\nAbout Us
\r\n\r\n The AHRQ Quality Indicators (AHRQ QIs) are measures of health care quality designed for\r\n use by program managers, researchers, and others at the Federal, State, and local levels\r\n interested in health care quality measurement. The AHRQ QIs provide health care\r\n decisionmakers with tools to assess their data, highlight potential quality concerns,\r\n identify areas that need further study and investigation, and track changes over time.\r\n The modules represent various aspects of quality: Prevention Quality Indicators in\r\n Inpatient Settings (PQIs), Inpatient Quality Indicators (IQIs), Patient Safety\r\n Indicators (PSIs), and Pediatric Quality Indicators (PDIs). The AHRQ QIs are used in\r\n free software distributed by AHRQ; the software programs can be applied to hospital\r\n inpatient administrative data, which is readily available and relatively inexpensive to\r\n use.\r\n
\r\n\r\n The AHRQ Quality Indicators were originally developed at the request of Healthcare Cost\r\n and Utilization Project (HCUP) partners in 1999 using evaluation methodologies developed\r\n in the AHRQ Evidence-based Practice Centers (EPC). Over the years several refinements\r\n have been made to the original indicators by incorporating risk adjustment and reference\r\n population to improve the reliability and validity of the indicators. The PQIs were\r\n developed in 2000, the IQIs in 2002, the PSIs in 2003 and finally the PDIs in 2006 using\r\n ICD-9 CM codes. In 2012, several other enhancements were added such as present on\r\n admission (POA), laboratory values and key clinical values as well as conversion of AHRQ\r\n QIs to ICD-10 CM/PCS.\r\n
\r\nContact Us
\r\nTechnical Assistance
\r\n\r\n The support e-mail address for the AHRQ Quality Indicators is{' '}\r\n QISupport@ahrq.hhs.gov. The AHRQ Quality\r\n Indicators support team can also be reached by phone in the USA at (301) 427-1949.\r\n Messages are responded to within three business days.\r\n
\r\nEmail updates
\r\n\r\n
\r\n \r\n An official website of the Department of Health & Human Services\r\n \r\n
\r\n - \r\n
- \r\n \r\n Search All AHRQ Sites\r\n \r\n \r\n
- \r\n
- \r\n \r\n Contact Us\r\n \r\n \r\n
- \r\n
- \r\n \r\n FAQs\r\n \r\n \r\n
- \r\n
\r\n Email Updates\r\n \r\n
\r\n
- \r\n
- \r\n About\r\n \r\n
- \r\n News\r\n \r\n
- \r\n Contact\r\n \r\n
- \r\n Disclaimer\r\n \r\n
{item.title}
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\r\n \r\n \r\nNews
\r\n \r\n \r\nContact
\r\n \r\nConnect with Us
\r\nSign up for Email Updates
\r\n\r\n To sign up for updates or to access your subscriber preferences, please enter your\r\n email address below.\r\n
\r\nAgency for Healthcare Research and Quality
\r\n5600 Fishers Lane
\r\nRockville, MD 20857
\r\nTelephone: (301) 427-1364
\r\n- \r\n {leftItem.map((linkItem, index) => (\r\n
- \r\n
- \r\n {leftItem.map((linkItem, index) => (\r\n
- \r\n
The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist quality improvement efforts in acute hospital settings.
`,\r\n url: '/software/qi',\r\n category: ['software'],\r\n isNew: true\r\n },\r\n {\r\n title: 'Release of ED PQI Beta v2023.0.1 and CloudQI PSI Beta v2023.0.1.',\r\n id: 'software-release-2023-12-21',\r\n date: 'December 21, 2023',\r\n desc: `This is a minor release of Windows ED PQI Beta and CloudQI PSI Beta applications. Details are in the Software Release Notes for Windows ED PQI Beta (PDF File, 262 KB) and CloudQI PSI Beta (PDF File, 189 KB).
`,\r\n url: '/software/qi',\r\n category: ['software'],\r\n },\r\n {\r\n title:\r\n 'Beta release of a new module: The Emergency Department Prevention Quality Indicators (ED PQI) v2023 software.',\r\n id: 'software-release-2023-09-22',\r\n date: 'September 22, 2023',\r\n desc: `The beta software allows organizations to apply the Emergency Department's (ED) AHRQ Quality Indicators (QIs) to their own treat-and-release cases from the ED and inpatient discharges admitted through the ED.
`,\r\n url: '/measures/pqe_resources',\r\n category: ['software'],\r\n },\r\n {\r\n title: 'Release of AHRQ QI SAS QI, WinQI, and CloudQI v2023 software.',\r\n id: 'software-release-2023-08-14',\r\n date: 'August 14, 2023',\r\n desc: 'The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist quality improvement efforts in acute hospital settings.
',\r\n url: '/software/qi',\r\n category: ['software'],\r\n },\r\n {\r\n title: `${psi08Announcement.title} ${psi08Announcement.info}`,\r\n id: psi08Announcement.name,\r\n date: psi08Announcement.date,\r\n desc: '' + psi08Announcement.desc + '
',\r\n url: psi08Announcement.url,\r\n target: '_blank',\r\n category: ['software'],\r\n },\r\n {\r\n title:\r\n 'Summary of the Listening Session held by Agency for Healthcare Research and Quality (AHRQ) in July 2022 with users of AHRQ Quality Indicators (QIs). (PDF File, 264 KB)',\r\n id: 'summary-listening-oct-2022',\r\n date: 'October 18, 2022',\r\n desc: 'In July 2022, the Agency for Healthcare Research and Quality (AHRQ) held a listening session with users of AHRQ Quality Indicators (QIs), measures of health care quality designed for use by program managers, researchers, and others interested in health care quality measurement.
',\r\n url: '/Downloads/Resources/Summary_of_July_Listening_Session.pdf',\r\n category: ['other'],\r\n },\r\n {\r\n title: 'Release of WINQI v2022.0.1 and SAS QI v2022.0.1.',\r\n id: 'software20220919',\r\n date: 'September 19, 2022',\r\n desc: \"This is a minor release of SAS QI and WinQI to update IQI, PSI, and PDI modules. Also includes some additional fixes in WinQI. Details are in the Software Release Notes for SAS QI (PDF File, 234 KB) and WinQI (PDF File, 296 KB).
\",\r\n url: '/software',\r\n category: ['software'],\r\n },\r\n {\r\n title: 'Release of AHRQ QI SAS QI and WinQI v2022 ICD-10-CM/PCS Software.',\r\n id: 'software20220729',\r\n date: 'July 29, 2022',\r\n desc: 'The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist quality improvement efforts in acute hospital settings.
',\r\n url: '/software',\r\n category: ['software'],\r\n },\r\n {\r\n title: 'Release of WINQI v2021.0.1 and SAS QI v2021.0.2 Software.',\r\n id: 'software20220328',\r\n date: 'March 28, 2022',\r\n desc: \"This is a minor release to update the IQI module that fixes an issue with the calculation of admission-based APR-DRGs. See the User Note (PDF File, 114 KB).
\",\r\n url: '/software',\r\n category: ['software'],\r\n },\r\n {\r\n title: 'Release of SAS QI v2021.0.1 Software.',\r\n id: 'software20210913',\r\n date: 'September 13, 2021',\r\n desc: 'This is a minor release to update IQI, PSI, and PDI packages that fixes an issue that resulted in no COVID-19 diagnosis-based exclusions for 2020 data.
',\r\n url: '/software/sas_qi',\r\n category: ['software'],\r\n },\r\n {\r\n title:\r\n 'Updated SAS QI software packages (IQI, PSI, and PDI) will be published on September 13, 2021 to resolve an issue with COVID-19 exclusion logic with 2020 data only. (PDF File, 131 KB)',\r\n id: 'updated-sas-package-2021',\r\n date: 'September 8, 2021',\r\n url: '/Downloads/Resources/SAS_QI_Release_Memo_COVID-19-Fix_v2021.pdf',\r\n target: '_blank',\r\n category: ['other'],\r\n },\r\n {\r\n title: 'Release of AHRQ QI SAS QI and WinQI v2021 ICD-10-CM/PCS Software.',\r\n id: 'software20210730',\r\n desc: 'The software allows organizations to apply the AHRQ Quality Indicators (QIs) to their own data to assist quality improvement efforts in acute hospital settings.',\r\n date: 'July 30, 2021',\r\n url: '/Software',\r\n category: ['software'],\r\n },\r\n {\r\n title: 'Learn COVID-19 impact on AHRQ QI software (PDF File, 223 KB)',\r\n id: 'others-covid-2021',\r\n date: 'July 30, 2021',\r\n desc: '',\r\n url: '/Downloads/Resources/COVID19_UserNote_July2021.pdf',\r\n target: '_blank',\r\n category: ['other'],\r\n },\r\n {\r\n title:\r\n 'AHRQ will no longer seek NQF re-endorsement for its portfolio of measures in the AHRQ Quality Indicators (QIs) program starting in fiscal year 2022. (PDF File, 95 KB)',\r\n id: 'others-1',\r\n date: 'May 18, 2021',\r\n desc: '',\r\n url: '/Downloads/News/AHRQ_Rationale4notseekingNQFendorsement-May2021.pdf',\r\n target: '_blank',\r\n category: ['other'],\r\n },\r\n {\r\n title:\r\n 'AHRQ publishes the explanation on PSI 03 (Pressure Ulcer Rate) measure logic used in v2020 QI software. (PDF File, 78 KB)',\r\n id: 'psi03-02-2021',\r\n date: 'February 17, 2021',\r\n desc: '',\r\n url: '/News/AHRQ_QI_v2020_PSI03_User_Note_02_2021.pdf',\r\n target: '_blank',\r\n category: ['indicator'],\r\n },\r\n {\r\n title: 'Learn the impact of COVID-19 on the AHRQ Quality Indicators. (PDF File, 135 KB)',\r\n id: 'others-2',\r\n date: 'November 23, 2020',\r\n desc: '',\r\n url: '/Downloads/Resources/COVID19_UserNote_Oct2020.pdf',\r\n target: '_blank',\r\n category: ['other'],\r\n },\r\n {\r\n title: 'Release of WinQI v2020.0.1 Software.',\r\n id: 'software-1',\r\n date: 'October 28, 2020',\r\n desc: \"This minor release is an update to the v2020 WinQI software that was released on July 31, 2020. This fixes issues around POA exclusions in computing rates for some Patient Safety Indicators (PSI) and Pediatric Quality Indicators (PDI) when using FY 2021 coded discharges.
Release Note (PDF File, 379 KB)
Release Note (PDF File, 237 KB)\",\r\n url: '/Software',\r\n category: ['software'],\r\n }\r\n ],\r\n};\r\n","import React, { Fragment, useEffect } from 'react';\r\nimport { newsData } from '../../data/news';\r\nimport { Container, Tab, Tabs } from 'react-bootstrap';\r\nimport styles from '../Measures/Measures.module.scss';\r\nimport { Link } from 'react-router-dom';\r\nimport EnvelopeRegularBlackIcon from '../../img/envelope-regular-black.png';\r\nimport NormalTopBanner from '../Common/TopBanner/NormalTopBanner';\r\n\r\nconst NewsMain = () => {\r\n useEffect(() => {\r\n var hashValue = window.location.hash?.replace('#', '');\r\n if (hashValue) {\r\n const el = document.getElementById(hashValue);\r\n if (el) {\r\n setTimeout(function () {\r\n requestAnimationFrame(() => el.scrollIntoView());\r\n });\r\n }\r\n }\r\n });\r\n\r\n return (\r\n
News
\r\n\r\n This page includes announcements related to software updates, Federal Register notices and\r\n other pertinent updates for AHRQ QI users.\r\n
\r\n{newsItem.date}
\r\n ) : null}\r\n
) : ''}\r\n \r\n
\r\n For news prior to 2020 see the Archive News page\r\n
\r\nEmail updates
\r\n\r\n
Case Studies
\r\n\r\n This page provides information on how organizations, including hospitals and health\r\n systems, use the AHRQ QIs to improve the quality of care.\r\n
\r\nFeatured Case Studies
\r\nAll Case Studies
\r\nHow does your organization use the AHRQ QIs to improve quality of care?
\r\nShare your story by contacting the AHRQ QI Support Team at
\r\n QIsupport@ahrq.hhs.gov\r\nPresentations
\r\n\r\n AHRQ engages in a variety of outreach activities to sharing information and insights about\r\n the use of the AHRQ QIs to improve health care quality. The national events listed below\r\n are a few examples of ways in which information about the AHRQ QIs is shared with hospital\r\n leaders, quality improvement specialists, researchers and other professionals throughout\r\n the country.\r\n
\r\n{presentation.title}
\r\n{presentation.desc}
\r\n\r\n For presentations prior to 2015 see the{' '}\r\n Archive Resources page\r\n
\r\nPublications
\r\n\r\n The list below presents selected articles from 2021 through 2023 that focus on the use of\r\n AHRQ QIs for quality improvement purposes.\r\n
\r\n\r\n For a complete list of articles by year, please go the{' '}\r\n \r\n AHRQ QI Publications Brochure (PDF File, 145 KB)\r\n \r\n .\r\n
\r\n\r\n For publications prior to 2021 see the{' '}\r\n Archive Resources page.\r\n
\r\nToolkits
\r\n\r\n {/* Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt\r\n ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation\r\n ullamco laboris nisi ut aliquip ex ea commodo consequat. */}\r\n
\r\nToolkits
\r\n\r\n AHRQ QI Toolkits provide practical applications and adaptable solutions to guide the\r\n provision of safe care and to help reduce patient harm.\r\n
\r\n- \r\n
- \r\n The QI Toolkit serves as an \"inventory\" from which hospitals can select those tools\r\n that are most appropriate for their current quality improvement priorities and\r\n capabilities.\r\n \r\n
- \r\n Each of the tools is-by design-adaptable to the needs of an individual hospital.\r\n \r\n
Quality Improvement Resources.
\r\n\r\n The tools are organized by the six quality improvement process steps, followed by a\r\n resources section:\r\n
\r\n\r\n 1\r\n
\r\nAssessing Readiness to Change
\r\n\r\n Fact sheets on the QIs, a board presentation template, a survey to self-assess\r\n readiness to change, and case studies of QI Toolkit users.\r\n
\r\n\r\n 2\r\n
\r\nApplying QIs to Your Hospital's Data.
\r\n\r\n Software instructions to calculate the QI rates and tips for coding and\r\n documentation.\r\n
\r\n\r\n 3\r\n
\r\nImplementing Evidence-Based Strategies to Improve Clinical Care.
\r\n\r\n 25 indicator-specific best practices, a project charter, a gap analysis, and an\r\n implementation plan.\r\n
\r\n\r\n 4\r\n
\r\nIdentifying Priorities for Quality Improvement.
\r\n\r\n Prioritization worksheet, with example, and a presentation template aimed at\r\n engaging staff in the improvement process.\r\n
\r\n\r\n 5\r\n
\r\nMonitoring Progress and Sustainability of Improvements.
\r\n\r\n Guide to support staff in tracking trends and monitoring progress for sustainable\r\n improvement.\r\n
\r\n\r\n 6\r\n
\r\nAnalyzing Return on Investment.
\r\n\r\n Step-by-step method for calculating the return on investment for an intervention\r\n implemented to improve performance on an AHRQ QI, and a case study of return on\r\n investment calculated by a hospital.\r\n
\r\n\r\n The toolkit has undergone a field test, evaluation, and revisions in response to\r\n feedback from six hospitals. In 2016, AHRQ updated the toolkit to include:\r\n
\r\n- \r\n
- \r\n Updated content to partially address the transition from ICD-9 to ICD-10,\r\n including updated documentation and coding practices\r\n \r\n
- \r\n Guidance that can be used to improve pediatric quality in hospitals using the PDIs\r\n or other quality measures\r\n \r\n
- A new presentation template for engaging staff in improvement efforts \r\n
- Case studies of two hospitals that have successfully used the QI Toolkit \r\n
MapIT Automated In-house Stand-alone Mapping Tool
\r\n\r\n The AHRQ MapIT toolkit takes a selected set of ICD-9 codes, applies the CMS General\r\n Equivalence Mapping in various ways, then outputs the set of related ICD-9 and\r\n ICD-10 codes. The tool applies the GEM in a two-stage process using both the forward\r\n and backward maps in conjunction with a novel reverse mapping.\r\n
\r\n\r\n Download and install the MapIT tool to facilitate conversion of set names to\r\n ICD-10-CM/PCS codes.\r\n
\r\n- \r\n
- \r\n \r\n MapIT Users Guide FY2018\r\n {' '}\r\n (PDF file, 1 MB) (Posted: 3/26/2018)\r\n \r\n
- \r\n MapIT Tool (ZIP file, 53.2\r\n MB) (Posted: 3/26/2018)\r\n \r\n
- \r\n \r\n MapIT Tool documentation: Conversion of ICD9 to ICD10{' '}\r\n {' '}\r\n (PDF file, 99 KB)\r\n \r\n
Webinars
\r\n{webinar.date}
\r\n {webinar.resources.map((resource, resourceIndex) => (\r\n{resource.title}
\r\n- \r\n {resource.items.map((item, itemIndex) => (\r\n
- \r\n {item.url.length > 0 && (\r\n <>\r\n
\r\n For webinars prior to 2016 see the{' '}\r\n Archive Resources page.\r\n
\r\nResources
\r\n\r\n These AHRQ QI resources are designed to help users learn more about the software and how\r\n it can be used to assess data, highlight potential quality concerns, identify areas for\r\n further study and investigation, and track changes over time.\r\n
\r\nToolkits
\r\n\r\n AHRQ QI Toolkits provide practical applications and adaptable solutions to guide the\r\n provision of safe care and to help reduce patient harm.\r\n
\r\n- \r\n
- \r\n The QI Toolkit serves as an \"inventory\" from which hospitals can select those tools\r\n that are most appropriate for their current quality improvement priorities and\r\n capabilities.\r\n \r\n
- \r\n Each of the tools is-by design-adaptable to the needs of an individual hospital.\r\n \r\n
Webinars
\r\n\r\n The AHRQ QI webinars help users learn more about software releases, indicator\r\n changes, and other ways to use the QIs.\r\n
\r\nAHRQ Quality Indicators Software: v2024
\r\n\r\n This webinar provides background on the history of the AHRQ QIs, important\r\n information about this version's improvements and updates, highlights of indicator\r\n changes, and details on how to download the software.\r\n
\r\nCase Studies
\r\n\r\n These case studies provide real-world examples of ways that organizations, including\r\n hospitals and health systems, use the AHRQ QIs to improve the quality of care.\r\n
\r\nOther Resources
\r\nPublications
\r\n\r\n These materials represent a selection of articles from 2020 through 2021 that\r\n focus on the use of AHRQ QIs for quality improvement purposes.\r\n
\r\nPresentations
\r\n\r\n AHRQ QI presentations allow user to learn more about how AHRQ shares information\r\n and insights about the use of the AHRQ QIs to improve health care quality.\r\n
\r\nThe AHRQ QIs are standardized, evidence-based health care quality measures that can be used with readily available hospital inpatient administrative data. There are 101 Quality Indicators organized into four main modules and two standalone modules that measure quality associated with the delivery of care that occurs in either a hospital inpatient setting:
To use AHRQ QI, organizations may download and use the free software distributed by AHRQ in either SAS or Windows format. The software output or Quality Indicators (QI) results can be used to highlight potential quality concerns, identify areas that need further study and investigation, and track changes in quality over time.
\",\r\n },\r\n {\r\n tag: 'QIOverview-Where',\r\n topic: 'Where can I find a list of the AHRQ QIs?',\r\n desc: \"A list of the AHRQ Quality Indicators modules is provided below.
Inpatient Quality Indicators (IQI) module, reflects quality of hospital care for adults and includes:
- Inpatient mortality for medical conditions
- Inpatient mortality for surgical procedures
- Utilization of procedures for which there are questions of overuse, underuse, or misuse and
- Volume of procedures for which there is evidence that a higher volume of procedures may be associated with lower mortality
Pediatric Quality Indicators (PDI) module reflects quality of hospital care for children below the age of 18 and neonates and includes:
- Potential complications and errors resulting from a hospital admission for children and adolescents (e.g., neonatal mortality, postoperative sepsis)
- Potentially avoidable hospitalizations among children
Prevention Quality Indicators in Inpatient Settings (PQI) module reflects ambulatory care sensitive conditions that identify quality of care for "ambulatory care sensitive conditions." These are conditions for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease. Examples include:
- Asthma
- High blood pressure
- Low birth weight
Patient Safety Indicators (PSI) module reflects quality of hospital care for adults with a focus on potentially avoidable complications and errors that occur during a hospital inpatient stay. Examples include:
- Pressure ulcers
- Foreign object left in after surgery
The QI measures are developed by a team of technical experts in collaboration with AHRQ. The AHRQ QIs are updated and new measures are added, as a result of new research evidence or validation efforts, user feedback, guidance from the National Quality Forum and general advances in the science of quality measurement. This is an ongoing process.
',\r\n },\r\n {\r\n tag: 'QIOverview-NQFEndorsed',\r\n topic: 'Which AHRQ QIs have been endorsed by the National Quality Forum?',\r\n desc: \"More than half of the AHRQ QIs have been endorsed by the National Quality Forum (NQF). As of May 2017, 39 individual QIs and 3 composite QIs are endorsed by NQF. The complete list of AHRQ QIs that are NQF-endorsed is available at:
National Quality Forum (NQF) Endorsed Individual and Composite Measures
The AHRQ QIs are used by a wide range of organizations for a variety of purposes. For example:
\r\n- \r\n
- Researchers, quality improvement officers, hospital administrators and community health planners use AHRQ QIs to ask questions that provide initial feedback about clinical areas appropriate for further, more in-depth analysis and to assess hospital safety, quality, patient experience, cost and utilization.
\r\n - Hospitals and hospital systems nationwide use the AHRQ QIs to assist quality improvement efforts in acute care hospital settings.
\r\n - State hospital associations, state data associations, hospitals and hospital systems use the AHRQ QIs to help them understand how their hospital(s) compare on quality measures in relationship to other hospitals or to state and national averages.
\r\n - State hospital associations use the AHRQ QIs to assess hospital quality and primary care access.
\r\n - Insurers and business groups use the AHRQ QIs to compare hospital performance rates and assess relative safety, quality and affordability.
\r\n - State agencies use the AHRQ QIs in their public reporting on hospital quality to assess quality of care and increase transparency regarding health care performance.
\r\n - AHRQ has included the AHRQ QIs in the MONAHRQ® software (My Own Network powered by AHRQ), used by State agencies, hospitals and hospital associations, coalitions and others to assess and report on hospital quality.
\r\n - The Center for Medicare & Medicaid Services (CMS) uses AHRQ QIs in the Hospital Compare website to help consumers, hospitals, health care practitioners, health policy leaders and others inform decisions and actions to achieve safer, higher quality and more affordable health care.
\r\n - A number of federal health programs or reform efforts use AHRQ QI as an integral part of assessing, incentivizing and reporting on hospital quality improvement, including:
- \r\n
- National Quality Strategy (NQS) elements \r\n
- AHRQ's National Healthcare Quality and Disparities Reports \r\n
- CMS Hospital Value-Based Purchasing Initiative(IQIs and PSIs) \r\n
- Accountable Care Organizations (ACO) program(PQIs) \r\n
- Meaningful Use Incentive program
\r\n - The AHRQ QIs also are under consideration for inclusion in additional national programs such as the Physician Quality Reporting System (PQRS). \r\n
Learn more about how the AHRQ QIs are used to improve the quality of health care.
`,\r\n },\r\n {\r\n tag: 'QIOverview-Benefits',\r\n topic: 'What are the benefits of using AHRQ QIs? Are there any limitations?',\r\n desc: `\r\n Benefits:
Using free, publicly-available QI software from AHRQ, in either SAS or\r\n Windows format, users can calculate Qulaity Indicators (QI) rates based on their hospital\r\n administrative data using a standard desktop computer. Each version of AHRQ QI is released with\r\n software in two different platforms: a SAS®† application and a Windows application.\r\n AHRQ WinQI runs on Windows operating systems and requires freely available software components:\r\n AHRQ-produced software, Microsoft .NET (for runtime environment and core software libraries), and\r\n Microsoft SQL Server Express (for data storage and manipulation).\r\n
\r\n Limitations:
In terms of limitations, the AHRQ QIs can be used with hospital\r\n administrative data. They are not available for other types of settings (e.g., long-term care,\r\n outpatient, ambulatory, hospice, individual practice, emergency department, or diagnostic centers)\r\n or measurement of populations or at the population level (e.g., mental health or substance abuse,\r\n emergency preparedness, patient falls, rehabilitation, readmission, surgery, heparin therapy, c.\r\n difficile, or nursing quality). However, AHRQ Quality Indicators are available for certain\r\n ambulatory care sensitive conditions indicators for adults (see PQI module) and children (see PDI\r\n module). To find Quality Indicators for other settings, check AHRQ's National Quality Measures Clearinghouse or the National Quality Forum's
\r\n The AHRQ QI software is intended to be used with data that cover entire patient populations (e.g.,\r\n all discharges from a hospital in a year) or data that were sampled from a patient population\r\n using simple random sample. The SAS QI software does not support weighted QI estimates or standard\r\n errors for weighted estimates. Thus, analyses using data obtained from a complex sampling design\r\n will not produce accurate estimates for the population from which the data were sampled. For a\r\n more thorough description of weighted AHRQ QI analyses, see the
\r\n
\r\n One of the basic foundations for producing evidence on how to improve quality is quality\r\n measurement. AHRQ QIs are widely used for research, health care planning, quality improvement and\r\n reporting initiatives throughout the United States (US). The current AHRQ QIs taking advantage of\r\n data enhancements, improvements in coding practices and advanced statistical methodologies where\r\n possible have evolved into metrics that can be used for quality improvement. AHRQ QIs now serve\r\n multiple purposes; including research, needs assessment for planning at the local, state, and\r\n national levels, hospital and community quality improvement initiatives, and information to be\r\n used by healthcare purchasers that link performance with payment.\r\n
\r\n\r\n Learn more about the benefits and limitations of using the AHRQ QIs.\r\n
`,\r\n },\r\n {\r\n tag: 'QIOverview-InformationMaterials',\r\n topic:\r\n 'What information or materials can be obtained through the AHRQ Quality Indicators website?',\r\n desc: \"The AHRQ Quality Indicators (QIs) website supplies the QI software and supporting documentation for ONLY the AHRQ QIs: Prevention Quality Indicators in Inpatient Settings, Patient Safety Indicators, Inpatient Quality Indicators, and Pediatric Quality Indicators. The website also includes information about how to access technical assistance and sign up for email updates, in addition to a range of historical documentation about past releases and explanatory materials, such as presentations and recordings of informational webinars.
The AHRQ QI website does not provide:
- Data sources
- To obtain data you will likely have to go through your hospital or hospital association, State agency or, possibly, HCUP Reports on hospitals
- If you have a published report based on the AHRQ Quality Indicators and you would like to determine how that report was generated, you will need to contact the author of that report
- Reports on users of the software
- Care guidelines or advice on how to improve rates or use the software output
- Individual training
Each year new coding changes and other software updates are incorporated into the AHRQ Quality Indicators software and release the most updated version, usually by the end of spring. The rates for indicators are informally compared from year to year to identify unexpected percentage changes and update the indicators to conform to yearly changes in ICD-9-CM diagnosis codes and procedure codes, so a formal test using confidence intervals would be of limited use, given the time delay in having data with the current coding structure. The Quality Indicators are reviewed carefully for validity and are submitted to the National Quality Forum (NQF) for review and endorsement. The Quality Indicator measures tend to be very complex and depend on detailed diagnosis and procedure coding. When new codes are added or revised, the priority is on specificity and sensitivity. Additionally, updates are typically made to the software to improve usability and enhance the functionality.
There is extensive documentation on the specific Quality Indicators, the software and the methodology for creating the Quality Indicators. Some commonly asked questions are:
- How do I learn about changes?
- Consult the relevant Quality Indicators module page (PQI, IQI, PSI, PDI)
- From here you can see the Log of Coding Updates and Revisions, which documents all changes to the measures and software for that particular module.
- Consult the Quality Indicators software page
- Review the release notes for SAS and WinQI
- Review the results of comparison testing
- Consult the relevant Quality Indicators module page (PQI, IQI, PSI, PDI)
- Where can I see a list of all the ICD-9 codes?
- A list of ICD-9 codes can be found here.
- How do I learn about prevalence, costs, length of stay, etc.?
- HCUPNet is a good resource to learn more about various health statistics.
- Where can I find information about ICD-10?
- Information about ICD-10 can be found here.
Current documentation is available for download in PDF format for ease of compatibility. AHRQ does not provide the Word versions of the PDF documents.
\",\r\n },\r\n {\r\n tag: 'QIOverview-HowtoLearn',\r\n topic: 'How do I learn about quality measures other than the AHRQ QIs?',\r\n desc: \"To learn about quality measures other than the AHRQ QIs, you can search AHRQ’s National Quality Measure Clearinghouse,HHS Measure Inventory or the National Quality Forum's measure search tool, where you will find measures from other topic areas that use a variety of data sources.
Select AHRQ Quality Indicators are currently used by the Centers for Medicare and Medicaid Services (CMS) on its Hospital Compare website. If you have questions about the definitions of the AHRQ QI used, please consult the QI specifications (PQI (PDF File, 98 KB), IQI (PDF File, 97 KB), PSI (PDF File, 123 KB), PDI (PDF File, 67 KB)) or, if needed, contact AHRQ QI support. However, if you have questions about the analyses or results used in your Hospital Compare Report please note the following, per Hospital Compare:
There are a variety of informational materials posted on QualityNet that may help you gain a greater understanding of CMS’ calculation and reporting of Agency for Healthcare Research and Quality (AHRQ) measures based on Medicare claims and the use of these measures for the Hospital Inpatient Quality Reporting Program (formerly known as RHQDAPU). To access this information visit www.qualitynet.org , Hospitals-Inpatient > Claims-Based Measures > AHRQ Indicators. Information posted on QualityNet will be updated periodically, so please visit the site for the most up-to-date information.
For questions or comments about the Centers for Medicare & Medicaid Services' (CMS) calculation or reporting of the AHRQ measures under the Hospital Inpatient Quality Reporting (IQR) Program based on Medicare claims, contact Mathematica Policy Research (CMS' contractor) at AHRQmeasuresforIQR@mathematica-mpr.com
\",\r\n },\r\n ],\r\n },\r\n UsingQI: {\r\n topic: 'Using AHRQ Quality Indicators',\r\n children: [\r\n {\r\n tag: 'UsingQI-ANALYZETREND',\r\n topic:\r\n 'We would like to analyze trends in quality indicator (QI) rates across multiple years ā do you have any guidance or recommendations?',\r\n desc: \"We recommend using the same QI software version when comparing quality indicator (QI) rates across two or more years in order to use consistent measure definition. Also, AHRQ QI software tools are backward compatible in terms of supporting codes from prior years.
We do not recommend comparing QI rates derived from different software versions (for example across version v2020 and version v2021) as this could lead to a misleading interpretation. It is important to keep in mind that the exact specifications for the QIs are changed and updated with each annual software release, and that this can affect rates. For example, PSI 02 (Death Rate in Low-Mortality Diagnosis Related Groups (DRGs)) includes cases in its denominator depending on whether their ICD-10-CM diagnosis codes fall into low-mortality DRGs. Based on clinical considerations and mortality trends in the reference population, each year some DRGs are added as low mortality while others are removed. From software version v2020 to v2021, four DRGs were added, while five DRGs were removed. As a result, the denominator population for PSI 02 may fluctuate from year to year, and all else held equal, this may influence the national-level observed rate (OR).
In addition to QI specifications, the states that comprise the reference population may also change from year to year. For example, the 2012 and 2013 reference populations are comprised of 44 states, the 2014 reference population is comprised of 45 states, and the 2016, 2017, and 2018 reference populations are comprised of 48 states.
For a complete list of the indicator-level changes, refer to the Change Logs by clicking the \\\"Log of Coding Updates and Revisions\\\" card for each module which are available at:
- Prevention Quality Indicators in Inpatient Settings (PQIs):
https://www.qualityindicators.ahrq.gov/measures/pqi_resources#techspecs - Inpatient Quality Indicators (IQIs):
https://www.qualityindicators.ahrq.gov/measures/iqi_resources#techspecs - Patient Safety Indicators (PSIs):
https://www.qualityindicators.ahrq.gov/measures/psi_resources#techspecs - Pediatric Quality Indicators (PDIs):
https://www.qualityindicators.ahrq.gov/measures/pdi_resources#techspecs
For additional information on the Frequenty Asked Questions about the v7.0 ICD-10-CM/PCS software, access the following fact sheet at ICD-10 FAQ Fact Sheet (PDF File, 567 KB)
\",\r\n },\r\n {\r\n tag: 'UsingQI-WhyPSIICD10',\r\n topic:\r\n 'Why do the draft ICD-10 specifications for the PSIs seem to classify cases as surgical that were previously classified as medical in ICD-9-CM PSI specifications, thereby increasing the denominator for perioperative and postoperative PSIs?',\r\n desc: \"AHRQ uses the list of major operating room (OR) procedures that is developed and maintained by the Centers for Medicare & Medicaid Services (see Draft ICD-10 MS-DRG v39 definitions, Appendix E at https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0033.html ). The Procedure Code/MS-DRG Index is a reference source of all ICD-9-CM procedure codes that affect MS-DRG assignment, the MDCs and MS-DRGs to which they are assigned, and a description of the surgical categories. Some procedures that were previously classified as a non-OR procedure in the ICD-9-CM MS-DRG list are currently classified as an OR procedure in the draft ICD-10 MS-DRG v28. For example, codes such as percutaneous insertion of a catheter device in an “upper artery” for blood pressure monitoring (ICD-10-PCS code = 03HY32Z) and diagnostic paracentesis by percutaneous drainage of the peritoneal cavity with no device (ICD-10-PCS code = 0W9G3ZX) are currently considered an OR procedure in CMS’ draft ICD-10 list. As a result, patients who had these procedures are counted in the denominators for “perioperative” and “postoperative” events such as PSI 04 (Death Rate among Surgical Inpatients with Serious Treatable Conditions), PSI 08 (Postoperative Hip Fracture Rate), PSI 09 (Postoperative Hemorrhage or Hematoma Rate), PSI 10 (Postoperative Physiologic and Metabolic Derangement Rate), PSI 11 (Postoperative Respiratory Failure Rate), PSI 12 (Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate), PSI 13 (Postoperative Sepsis Rate), PDI 08 (Perioperative Hemorrhage or Hematoma Rate), PDI 09 (Postoperative Respiratory Failure Rate), and PDI 10 (Postoperative Sepsis Rate). Composite measures that include these indicators are also affected.
AHRQ is aware of CMS’ classification change, and addressing the change as it relates to the PSIs. In the next version of the ICD-10 software, AHRQ is excluding these procedures from the denominator, in addition to a few other procedures that were previously excluded in the ICD-9-CM PSI technical specifications (e.g., allogenic bone marrow transplants). Please be aware that the next version of the ICD-10-CM/PCS QI software (forthcoming Spring/Summer 2016) will include significant changes relative to the draft specifications and software that are currently posted for public comment and evaluation. AHRQ welcomes input from the user community about the beta version of the ICD-10-CM/PCS software currently posted on the AHRQ QI website.
\",\r\n },\r\n {\r\n tag: 'UsingQI-MDCValues',\r\n topic: 'What MDC value does the AHRQ QI Software use?',\r\n desc: 'The AHRQ QI software uses the MDC as specified on the userās input file. Software users may use their own grouping software, the CMS grouper, or leave the field blank. If it is blank, the AHRQ QI software will impute MDC from MS-DRG. No MDC is ignored if it is valid and present on the input data file.
',\r\n },\r\n {\r\n tag: 'UsingQI-Why_is_there_a_period_of_time',\r\n topic:\r\n 'Why is there a period of time where the AHRQ QI software and Technical Specifications do not match the most up to date fiscal year coding?',\r\n desc: 'There is a brief period of time between releases when the most recent fiscal year coding updates are not supported as AHRQ revises the fiscal year coding within the software. Each year new coding changes and other software updates are incorporated into the AHRQ Quality Indicators software and then released as the most updated version, usually by the end of spring. The rates for indicators are informally compared from year to year to identify unexpected percentage changes and the indicators are updated to conform to the yearly changes in ICD-10-CM diagnosis and procedure codes. AHRQ also updates its Technical Specifications and Software annually. So, the lag is attributed to the time it takes to incorporate these new coding updates and validating the rates across all indicators because of these coding changes.
',\r\n },\r\n {\r\n tag: 'UsingQI-PreMDCExclusions',\r\n topic:\r\n 'Why are my Pre- MDC based exclusions not computed accurately in AHRQ QI products?',\r\n desc: \"Several Patient Safety Indicators (PSIs), such as PSI 11 (Postoperative Respiratory Failure) have exclusions based on the Major Diagnostic Category (MDC) to which a record was assigned. Users have noted that the AHRQ PSI software for ICD-10-CM/PCS generally uses the MDC previously assigned in the userās input data set, without modification or verification. Depending on what software was used to fill this MDC field, the value may be blank or missing when the record is assigned to a pre-MDC MS-DRG, such as any of the following:
- 001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC
- 002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC
- 003 ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.
- 004 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.
- 005 LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT
- 006 LIVER TRANSPLANT W/O MCC
- 007 LUNG TRANSPLANT
- 008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT
- 010 PANCREAS TRANSPLANT
- 011 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC
- 012 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC
- 013 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC
- 014 ALLOGENEIC BONE MARROW TRANSPLANT
- 016 AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC OR T-CELL IMMUNOTHERAPY
- 017 AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC
In this situation, MDC-based exclusions, such as the exclusions for MDC 4 (Diseases and Disorders of the Respiratory System) and 5 (Diseases and Disorders of the Circulatory System) in PSI 11, may not function as expected. AHRQ is developing a solution to this problem that is currently in testing and will be released with version 2019 of the PSI software.
\",\r\n },\r\n {\r\n tag: 'UsingQI-WhichModules503',\r\n topic: 'Which modules are impacted by v5.0.3 changes?',\r\n desc: 'Three modules include corrections in the updated v5.0.3 software. 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, 18, 90, 91 and 92). In addition, the PQI, IQI and PDI modules also include corrections to signal variance calculations that impact smoothed rates and the smoothed standard error, which calculates the confidence levels for the smoothed rates, for all PQIs and area-level IQIs and PDIs. Finally, the PQI module includes corrections to the reference population rates used to calculate risk-adjusted PQI rates.
The PSI module is not impacted by these changes.
',\r\n },\r\n {\r\n tag: 'UsingQI-WhichSpecificQIs',\r\n topic: 'Which specific QIs will be affected by this change?',\r\n desc: 'The PSI module is not impacted by these changes. Observed rates also are not impacted by these changes for any affected modules. Below, the specific changes to each module are listed.
- The expected, risk-adjusted, smoothed rates and upper and lower confidence intervals of the following PDIswere corrected as part of this software update:
- PDI14 Asthma Admission Rate
- PDI15 Diabetes Short-Term Complications Admission Rate
- PDI16 Gastroenteritis Admission Rate
- PDI18 Urinary Tract Infection Admission Rate
- PDI90 Pediatric Quality Overall Composite
- PDI91 Pediatric Quality Acute Composite
- PDI92 Pediatric Quality Chronic Composite
- The smoothed rates and smoothed standard error, which is used to calculate the smoothed confidence intervals, for the following area-level PDIs were corrected as part of this software update, specifically
- PDI14 Asthma Admission Rate
- PDI15 Diabetes Short-Term Complications Admission Rate
- PDI16 Gastroenteritis Admission Rate
- PDI18 Urinary Tract Infection Admission Rate
- The smoothed rates and smoothed standard error, which is used to calculate the smoothed confidence intervals, of all area-level IQIs were corrected as part of this software update, specifically
- IQI26 Coronary Artery Bypass Graft
- IQI27 Percutaneous Coronary Intervention (PCI) Rate
- IQI28 Hysterectomy Rate
- IQI29 Laminectomy or Spinal Fusion Rate
- The risk adjusted rates, smoothed rates and smoothed standard error, which is used to calculate the smoothed confidence intervals, of all PQIs were corrected as part of this software update
The original release of the v5.0 software (March 2015) contained discrepancies in the coefficients used to calculate expected, risk-adjusted and smoothed PDI rates. In addition, it contained discrepancies in signal variance calculations used to calculate smoothed rates and smoothed standard error, which is used to calculate the smoothed confidence intervals, for all PQIs and area-level PDIs and IQIs. Finally, an interim release v5.0.2 contained incorrect reference population rates for the PQI module. The updated software (v5.0.3) contains corrected coefficients, signal variance calculations and reference population rates and produces the correct risk-adjusted, expected and smoothed PDI rates and standard errors (used to calculate confidence intervals). Observed PDI, IQI and PQI rates are correct in both the original v5.0 and updated v5.0.3 software; no changes in these rates are expected. All rates for provider-level IQIs (reported by hospital) are correct. All rates for the PSI module are also correct.
',\r\n },\r\n {\r\n tag: 'UsingQI-How_will_these_changes',\r\n topic: 'How will these changes affect my rate?',\r\n desc: 'Hospital-level rates (those reported by hospital) are not impacted by this change. Only area-level rates are impacted, specifically for the PQIs, which are all reported for geographic areas such as county, and area-level PDIs and IQIs. The updated parameters files for the issue correct an overstatement of the signal noise estimates. The initial release resulted in an underweighting of the reference population rate when the smoothed rate is calculated. Users with a limited number of discharges will see their smoothed rate move closer to the reference population rate. The larger the number of discharges, the less likely the user will see an impact. The updated PQI reference population rates will result in higher risk-adjusted PQI rates than were seen before the correction. For example, rates calculated for PQI 13 with the new version of the software will be approximately 10 times higher than what they were before the correction.
',\r\n },\r\n {\r\n tag: 'UsingQI-used50Software',\r\n topic:\r\n 'I used the original v5.0 (March 2015) software that contained discrepancies. What do I need to do?',\r\n desc: 'If you do not use the PQIs, or area-level PDIs or IQIs, you do not need to do anything. If you have, or plan to, use the PQIs, IQIs or PDIs in the future, you should download and install the updated 5.0.3 software (available for SAS and Windows).
',\r\n },\r\n {\r\n tag: 'UsingQI-Runningv50',\r\n topic:\r\n 'I am running v5.0 (March 2015) software. What changes should I expect to see after installing and running the updated v5.0.3 software?',\r\n desc: 'Users re-running their data using the updated software should expect to see a change in the expected, risk-adjusted, and smoothed rates for PDI14, PDI15, PDI16, PDI18, PDI90, PDI91 and PDI92. They should also expect to see a change in smoothed rates and the smoothed standard error, which is used to calculate the smoothed confidence intervals, for all PQIs and area-level IQIs and PDIs. Finally, they should expect see a change in risk-adjusted PQI rates
',\r\n },\r\n {\r\n tag: 'UsingQI-WhatsNew50',\r\n topic: 'What is new in the AHRQ QI v5.0 software?',\r\n desc: \"The AHRQ QI software is updated on an annual basis to reflect changes in the AHRQ QI technical specifications. New software versions and updated technical specifications are released simultaneously. Routine annual updates include yearly International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), Medicare severity-Diagnostic Related Groups (MS-DRG), Major Diagnostic Categories (MDC), updated version of the 3MTM APR-DRG grouper, new Census population files and newly derived risk adjustment parameters.
Noteworthy upgrades to the AHRQ QI v5.0 include updates to risk-adjustment models for all of the AHRQ QI using 2012 reference population data, use of more current regression coefficients, and modifications to the technical specifications for 34 IQIs, 17 PQIs, 26 PSIs, and 24 PDIs. The technical specification modifications involve a combination of changes to numerator and denominator specifications, in addition to certain ICD/E-codes and DRG codes being added or removed. The v5.0 update also includes removal of the Prediction Module (PM) that estimates the prevalence of conditions as present on admission. Going forward, the user of the AHRQ QI v5.0 software will simply specify whether or not the input data includes POA data.
For complete information about all of the changes in the AHRQ QI v5.0, please refer to the software Release Notes on the SAS QI and WinQI software pages.
\",\r\n },\r\n {\r\n tag: 'UsingQI-Can_my_organization_use',\r\n topic: 'Can my organization use the AHRQ QIs and, if so, what data do I need?',\r\n desc: \"AHRQ provides the software to any interested organization for use with their own hospital discharge data. The Quality Indicators software is designed to read hospital administrative discharge data that generally conforms to HCUP specifications, in which each hospitalization is reported on a single record.
- The software expects that the DRG or ICD-9 code on any given discharge record is valid for the fiscal year of the discharge date. The software is designed to be backwards compatible with previous fiscal year versions.
- The AHRQ QI software is intended to be used with data that cover an entire patient population (e.g., all discharges from a hospital in a year) or that were sampled from a patient population using simple random sample. The software ONLY accepts three common data formats: Text (comma separated values), Microsoft Access®, and Microsoft Excel®. Two key formatting issues are that each row of data represents a separate discharge record and each column of data represents a single variable for all discharges.
No, once you download an updated version of the software, the previous version will be removed.
',\r\n },\r\n {\r\n tag: 'UsingQI-HowtoInterpret',\r\n topic: 'How do I interpret the output of the AHRQ QI software or specific cases?',\r\n desc: 'Documentation (SAS QI or WinQI) is available to help users with interpretation of software output. Unfortunately the AHRQ Quality Indicators technical support team does not provide support with interpretation of AHRQ QI results, individual cases or advice on how to apply codes to a specific case.
',\r\n },\r\n {\r\n tag: 'UsingQI-BenchmarkAvailable',\r\n topic:\r\n 'Is benchmark information available? How is the AHRQ QI benchmark information created?',\r\n desc: \"Yes. New benchmark tables have been created for SAS QI v6.0 software.
The Inpatient Quality Indicator v6.0 Benchmark Data Tables, Pediatric Quality Indicator v6.0 Benchmark Data Tables, Prevention Quality Indicators in Inpatient Settings v6.0 Benchmark Data Tables, and Patient Safety Indicator v6.0 Benchmark Data Tablesdocuments provide benchmark values, including average volumes, hospital level rates, and population rates across an aggregation of discharges across an aggregation of SID state files, depending on the type of indicator. In addition, the Technical Specifications document for each indicator lists all of the International Classification of Diseases, Clinical Modification (ICD-9-CM) and Medicare severity-Diagnostic.
Benchmark Data Tables are based on the discharges from an aggregation of the 2012 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) from 45 States. The resulting file included more than 30 million discharges from community hospitals that are not designated as rehabilitation or acute long-term care facilities. Users can refer to these tables to determine if their rates approximate the population rate and how their case-mix compares to the population rate.
- Version 6.0 Benchmark Data Tables can be found at the following links:
- For PQIs, Downloads/Modules/PQI/V60-ICD09/Version_60_Benchmark_Tables_PQI.pdf (PDF File, 578 KB)
- For PSIs, Downloads/Modules/PSI/V60-ICD09/Version_60_Benchmark_Tables_PSI.pdf (PDF File, 973 KB)
- For PDIs, Downloads/Modules/PDI/V60/Version_60_Benchmark_Tables_PDI.pdf (PDF File, 691 KB)
- For IQIs, Downloads/Modules/IQI/V60/Version_60_Benchmark_Tables_IQI.pdf (PDF File, 856 KB)
The AHRQ QI support line is available to answer your questions about the QI definitions and receive your feedback on those definitions; however, the QI support line does not provide consultation on appropriate use of the codes. If you have questions about individual cases or general coding guidelines please follow either of these approaches:
- If you have questions or disagreements about coding of individual cases, a special quarterly publication called Coding Clinic for ICD-9-CM provides interpretation and coding guidance on the proper use of ICD-9-CM. This quarterly resource is published by the American Hospital Association. However, the four Cooperating Parties for ICD-9-CM [i.e., American Hospital Association (AHA), American Health Information Management Association (AHIMA), Centers for Medicare and Medicaid Services (CMS) and National Center for Health Statistics (NCHS)] have final approval of the content of this official publication. The Editorial Advisory Board for Coding Clinic for ICD-9-CM is a voluntary advisory board. Any interested stakeholder may submit a case for coding adjudication to the American Hospital Association's Central Office on ICD-9-CM, following the procedure described here:
Note: As of Jan, 2014, the AHA Central Office shifted its attention to ICD-10-CM/PCS and no longer accepts nor responds to requests for ICD-9-CM coding advice. You can submit a question about ICD-10-CM/PCS using the online form available at: http://www.codingclinicadvisor.com
If you have questions or disagreements about general coding guidelines, the CMS and the NCHS are the two departments within the U.S. Federal Government's Department of Health and Human Services (DHHS). They are in charge of the ICD-9-CM Coordination and Maintenance Committee. They provide the official guidelines for coding and reporting using the International Classification of Diseases. These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-9-CM (i.e., AHA, AHIMA, CMS and NCHS). NOTE: Beginning with the September 2011 ICD-9-CM Coordination and Maintenance Committee meeting only proposals for new codes/revisions for a new disease/new technology procedure will be accepted for ICD-9-CM. All other proposals must be submitted as changes to ICD-10-CM/PCS using the required submission process.
\",\r\n },\r\n {\r\n tag: 'UsingQI-ICD10ConversionStatus',\r\n topic: 'What is the status of the AHRQ QI conversion to ICD-10-CM/PCS?',\r\n desc: \"The conversion from ICD-9-CM to ICD-10-CM/PCS requires re-specification of the AHRQ QI and development of new software to compute them. The AHRQ QIs will be updated for ICD-10-CM/PCS on a timeline that is consistent with the Centers for Medicare and Medicaid Services (CMS) implementation. There is currently a report, entitled “ICD-9-CM to ICD-10-CM/PCS Conversion of AHRQ Quality Indicators (PDF File, 295 KB)” available on the AHRQ QI website, which details some of the considerations that are part of the conversion.
The ICD-9-CM Coordination and Maintenance Committee implemented a partial freeze of the ICD-9-CM and ICD-10 (ICD-10-CM and ICD-10-PCS) codes prior to the implementation of ICD-10. On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services issued a final rule on August 4, 2014 that changed the compliance date for ICD-10 from October 1, 2014 to October 1, 2015. The final rule also requires HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.
Meanwhile, AHRQ’s QI software redesign will occur over a number of software releases and will include beta testing. AHRQ has provided free ICD-10 Alpha version of the SAS software for organizations to test data that they have converted to ICD-10, to help assess any impacts that may have occurred due to that data conversion. The Alpha version of the ICD-10 software, released on Feb. 27, 2015, and accompanying information can be found here.
\",\r\n },\r\n ],\r\n },\r\n InstallingandUsing: {\r\n topic: 'Installing and Using the Software',\r\n children: [\r\n {\r\n isMostPopular: true,\r\n mostPopularSeq: 4,\r\n tag: 'InstallingQI-Requirements',\r\n topic: 'What are the software requirements?',\r\n desc: 'The AHRQ Quality Indicators (QIs) software is designed to read hospital administrative discharge data that generally conforms to HCUP specifications, in which each hospitalization is reported on a single record. The AHRQ QI software is possible because many hospitals and health organizations collect data that have common data elements and common data values.
In the data source used with the AHRQ QI software, each record must conform to the specifications listed in the Data Elements and Coding Conventions in the Software Instructions for SAS and WinQI which are available on the AHRQ Quality Indicators website. With only a few exceptions, the same specifications apply to all four modules. They all require diagnosis codes and procedure codes in ICD-9-CM format, in which the codes are in character format with significant leading zeroes and trailing blanks. Other variables include sex, age, admission type, discharge status, and diagnostic related group (DRG). This last variable (DRG) generally requires a grouper program, available through Centers for Medicare and Medicaid Services (CMS) or a third-party vendor.
Once you get your data into the proper format, you will be able to calculate hospital-based (i.e., a specific hospital) observed rates because the numerator and the denominator for these are both drawn from your input data. However, area-based rates are available using Census data from the county in which the patients in your hospital reside. If this population is not meaningful for you, you may want to create your own alternate population file for more relevant denominators, as follows:
The software uses state and county FIPS codes to link the counties in which patients reside to a population file provided with the software. If your client or patient base is drawn from a wider area and Census data are not relevant, you can construct an alternate population file, assuming it contains a comparable data structure and uses the same coding conventions. The file must contain a record for each unique combination of state, county (FIPS codes), sex, age group (5 year bands), race, and population estimates for the years 1995 through 2014. While your alternate population file must contain these same data elements and coding conventions, you can use a unique identifier other than a FIPS state or county code to represent your alternate geographic entities, so long as the combination of these two codes can be matched to the PSTCO field in your input discharge data.
The Population File (POP95T14.TXT) must replicate the following format:
| Field | Variable | Column Position | Format | Codes |
| 1 | State | 1-2 | Zero Filled Numeric | FIPS Code |
| 2 | County | 3-5 | Zero Filled Numeric | FIPS Code |
| 3 | Sex | 7 | Numeric | 1=Male, 2=Female |
| 4 | Age Group | 9-10 | Numeric | 1=0-4 years 2=5-9 years 3=10-14 years 4=15-17 years 5=18-24 years 6=25-29 years 7=30-34 years 8=35-39 years 9=40-44 years 10=45-49 years 11=50-54 years 12=55-59 years 13=60-64 years 14=65-69 years 15=70-74 years 16=75-79 years 17=80-84 years 18=85+ years |
| 5 | Race | 12 | Numeric | 1=White, 2=Black, 3=Hispanic, 4=Asian & PI, 5=Amer. Indian, 6=Other |
| 6 | 1995 Population | 13-19 | Numeric | |
| 7 | 1996 Population | 20-26 | Numeric | |
| 8 | 1997 Population | 27-33 | Numeric | |
| 9 | 1998 Population | 34-40 | Numeric | |
| 10 | 1999 Population | 41-47 | Numeric | |
| 11 | 2000 Population | 48-54 | Numeric | |
| 12 | 2001 Population | 55-61 | Numeric | |
| 13 | 2002 Population | 62-68 | Numeric | |
| 14 | 2003 Population | 69-75 | Numeric | |
| 15 | 2004 Population | 76-82 | Numeric | |
| 16 | 2005 Population | 83-89 | Numeric | |
| 17 | 2006 Population | 90-96 | Numeric | |
| 18 | 2007 Population | 97-103 | Numeric | |
| 19 | 2008 Population | 104-110 | Numeric | |
| 20 | 2009 Population | 111-117 | Numeric | |
| 21 | 2010 Population | 118-124 | Numeric | |
| 22 | 2011 Population | 125-131 | Numeric | |
| 23 | 2012 Population | 132-138 | Numeric | |
| 24 | 2013 Population | 139-145 | Numeric | |
| 25 | 2014 Population | 146-152 | Numeric | |
',\r\n },\r\n {\r\n tag: 'InstallingQI-Capabilities',\r\n topic: 'What are the capabilities of the software?',\r\n desc: '
The Quality Indicators Windows Application is designed to run as a single-user application, meaning two or more users are unable to share a database. The application is only available in a SAS QI® and WinQI version for a Microsoft Operating system. In general, the ease-of-use and case level analysis capabilities of the Windows software (WinQI) are geared toward the needs of hospitals and the open-source flexibility of the SAS software (SAS QI) is geared toward researchers.
AHRQ does not recommend trying to modify the programming code because of its complexity and the fact that the stratification logic is embedded throughout the program. If the user decides to modify the programming code, AHRQ cannot provide support on the modified program.
',\r\n },\r\n {\r\n tag: 'InstallingQI-How_do_I_install',\r\n topic: 'How do I install the software?',\r\n desc: \"The installation instructions can be found here for SAS QI or WinQI.
\",\r\n },\r\n {\r\n tag: 'InstallingQI-How_do_I_upload',\r\n topic: 'How do I upload my data?',\r\n desc: \"Your input data need to follow the software Data Elements and Coding Conventions described in the software documentation (SAS QI or WinQI). Remember that even if you are using the Nationwide Inpatient Sample (NIS), you need to format the data for use with the AHRQ Quality Indicators software.
\",\r\n },\r\n {\r\n tag: 'InstallingQI-Will_my_data_work',\r\n topic: 'Will my data work with the program?',\r\n desc: \"The software expects that the DRG or ICD-9 code on any given discharge record is valid for the fiscal year of the discharge date. The software is designed to be backwards compatible with previous fiscal year versions. For the status of the AHRQ QI software conversion to ICD-10 codes, see the Using the AHRQ QI Software section.
The AHRQ QI software ONLY accepts three common data formats: Text (comma separated values), Microsoft Access® and Microsoft Excel®. Please take note of the following key formatting issues:
- Each row of data represents a separate discharge record
- Each column of data represents a single variable for all discharges.
Yes, you can report one quarter of data for hospital rates. The only caution in doing this is that the relatively low frequency of events means that with the shorter time interval the rates may fluctuate from quarter to quarter -- more so than when reporting annual rates. This fluctuation, however, will be accounted for in the confidence interval -- in other words, the CI for a quarter of data is wider than the CI for a year of data. Bear in mind that, for area rates, given the use of Census data for the denominators, which assume one year of data, it is necessary to perform a proportional adjustment.