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Why use these indicators/measures?

 

APR-DRGs

Measures for average hospital charge are All Patient Refined Diagnosis Related Groups (APR-DRGs) for similar, though not identical, kinds of heart conditions and procedures in this report's quality of care section. APR-DRG software, widely used in health care research, organizes about 20,000 clinical diagnoses and procedures into about 300 groups.

Each APR-DRG has four severity of illness levels. This report shows average hospital charge for minor and moderate severity of illness levels combined and average hospital charge for major and extreme severity of illness levels combined. This report uses APR-DRG version 20.0, because the Agency for Healthcare Research and Quality (AHRQ) uses it for expected rate and risk-adjusted rate in the Inpatient Quality Indicators (IQIs).

Note that other Utah Department of Health reports that include average charge information use APR-DRG Version 15.0 for data from 2004 and earlier. Visit the 3M web site to learn more...

AHRQ Inpatient Quality Indicators

The Agency for Healthcare Research and Quality (AHRQ), a federal agency charged with overseeing quality of care, developed the Inpatient Quality Indicators (IQIs) used in this report. The IQIs allow comparison among Utah patients and other U.S. hospitals that treated similar patients based on the State Inpatient Databases 2005 through the expected rate. These databases represent about 90% of all inpatients in the U.S. from 37 participating states in 2005. The Health Care Cost and Utilization Project (HCUP) collects these data every year. Visit the AHRQ web site to learn more…

The AHRQ IQIs are nationally recognized indicators, in compliance with the mandates of Senate Bill 132, the Health Care Consumer’s Report Bill passed in 2005.

Please note that the number of patients for each IQI may not be the same as the number of patients for similar APR-DRGs. First, the IQIs are based on three years of data, because the annual number of deaths per indicator often is small. Second, the APR-DRGs are hierarchiNovember 21, 2007 12:51 PMquo;s APR-DRG reflects that patient’s most resource-intensive condition and/or procedure. Each IQI has patient exclusion and inclusion criteria that may not be the same as those for a similar APR-DRG. For more information, see technical document.

AHRQ Patient Safety Indicators

The Agency for Healthcare Research and Quality (AHRQ), a federal agency in charge of quality of care, developed the Patient Safety Indicators (PSIs) used for the hospital comparison reports when applicable. The PSIs allow comparison among Utah patients and other U.S. hospitals that treated similar patients based on the State Inpatient Databases 2005 through the expected rate. These databases represent about 90% of all inpatients in the U.S. from 37 participating states in 2005. The Healthcare Cost and Utilization Project (HCUP) collects these data every year. Read more at http://hcupnet.ahrq.gov/

The Patient Safety Indicators (PSIs) are used as a tool to help identify potential adverse events occurring during hospitalization.  Adverse events are undesirable and unintended injuries due to medical care or omission of necessary medical care.  Widespread consensus exists that health care organizations can reduce patient injuries by improving the environment for safety.  Read more at http://www.qualityindicators.ahrq.gov/

The AHRQ PSIs are nationally recognized indicators, in compliance with the mandates of Senate Bill 132, the Health Care Consumer’s Report Bill passed in 2005.

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Last updated: November 13, 2008 1:37 PM