Methods Applying AHRQ Quality Indicators to Healthcare ... - HCUP

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Primary expected payer2008 DisparitiesAnalysis File2008 NISPAY1 Frequency Percent Frequency Percent.: Missing 57,515 0.1 59,363 0.1.A: Invalid 7,090 0.0 8,240 0.01: Medicare 14,837,833 37.2 14,917,422 37.42: Medicaid 8,030,521 20.1 7,354,724 18.43: Private Insurance 13,506,103 33.9 14,108,326 35.44: Self-pay 1,985,225 5.0 1,912,058 4.85: No Charge 187,139 0.5 214,220 0.56: Other 1,273,695 3.2 1,310,766 3.3Patient race/ethnicity 72008 DisparitiesAnalysis File2008 NISRACE Frequency Percent Frequency Percent.: Missing 697,511 1.7 8,082,120 20.3.A: Invalid 3,694 0.0 9,144 0.01: White 26,428,543 66.3 21,640,795 54.32: Black 5,725,413 14.4 4,146,702 10.43: Hispanic 4,768,632 12.0 3,707,280 9.34: Asian/Pacific Islander 1,000,988 2.5 908,217 2.35: Native American 277,057 0.7 216,578 0.56: Other 983,283 2.5 1,174,285 2.9Location of patient residence2008 DisparitiesAnalysis File2008 NISPL_NCHS Frequency Percent Frequency Percent.: Missing 0 0 1,242,853 3.11: Large central metro 12,027,765 30.2 12,072,988 30.32: Large fringe metro 10,099,290 25.3 8,968,306 22.53: Medium metro 6,920,105 17.4 6,986,756 17.54: Small metro 3,620,426 9.1 3,325,294 8.35: Micropolitan (nonmetro) 4,088,133 10.2 4,455,368 11.26: Noncore (nonmetro) 3,129,401 7.8 2,833,555 7.17 Differences in race distribution are attributable to high rates of missing race on the NIS (20%). The2008 disparities analysis file uses a modified race variable with missing or invalid values imputed andNative American and Other combined into one racial group.Methods for HCUP Data in 2011 NHQR and NHDR A-4December 9, 2011
Top 24 DRGs(Combination of Top 24 DRGs for Disparities and NIS file)2008 DisparitiesAnalysis File2008 NISDRG, Version 25Frequency Percent Frequency Percent795: NORMAL NEWBORN 3,146,389 7.9 3,069,455 7.7775: VAGINAL DELIVERY W/O COMPLICATING 2,449,302 6.1 2,387,788 6.0DIAGNOSES885: PSYCHOSES 1,097,381 2.8 1,079,025 2.7766: CESAREAN SECTION W/O CC/MCC 946,931 2.4 904,258 2.3392: ESOPHAGITIS, GASTROENT & MISC DIGEST 841,636 2.1 865,121 2.2DISORDERS W/O MCC470: MAJOR JOINT REPLACEMENT OR834,007 2.1 912,097 2.3REATTACHMENT OF LOWER EXTREMITYW/O MCC794: NEONATE W OTHER SIGNIFICANT709,055 1.8 701,674 1.8PROBLEMS313: CHEST PAIN 583,335 1.5 605,633 1.5603: CELLULITIS W/O MCC 490,121 1.2 488,359 1.2765: CESAREAN SECTION W CC/MCC 480,637 1.2 472,330 1.2871: SEPTICEMIA W/O MV 96+ HOURS W MCC 477,282 1.2 472,912 1.2194: SIMPLE PNEUMONIA & PLEURISY W CC 472,053 1.2 470,397 1.2641: NUTRITIONAL & MISC METABOLIC446,247 1.1 451,807 1.1DISORDERS W/O MCC743: UTERINE & ADNEXA PROC FOR NON-440,584 1.1 429,963 1.1MALIGNANCY W/O CC/MCC690: KIDNEY & URINARY TRACT INFECTIONS 418,595 1.0 432,837 1.1W/O MCC247: PERC CARDIOVASC PROC W DRUG-364,593 0.9 389,818 1.0ELUTING STENT W/O MCC287: CIRCULATORY DISORDERS EXCEPT AMI, W 349,822 0.9 358,593 0.9CARD CATH W/O MCC291: HEART FAILURE & SHOCK W MCC 345,909 0.9 346,599 0.9292: HEART FAILURE & SHOCK W CC 341,687 0.9 342,736 0.9774: VAGINAL DELIVERY W COMPLICATING339,986 0.9 342,341 0.9DIAGNOSES195: SIMPLE PNEUMONIA & PLEURISY W/O337,220 0.8 333,989 0.8CC/MCC945: REHABILITATION W CC/MCC 336,724 0.8 303,770 0.8203: BRONCHITIS & ASTHMA W/O CC/MCC 328,736 0.8 310,221 0.8192: CHRONIC OBSTRUCTIVE PULMONARYDISEASE W/O CC/MCC328,250 0.8 334,821 0.8Methods for HCUP Data in 2011 NHQR and NHDR A-5December 9, 2011
Page 1: HCUP Methods Series
Page 6 and 7: Assign Additional Measures for Repo
Page 8 and 9: For the discharge-based PDIs, risk
Page 10 and 11: Data Elements for Exclusions: Three
Page 12 and 13: In a subsequent analysis, we invest
Page 17 and 18: QI No.IQI 22IQI 23IQI 24IQI 25IQI 2
Page 19 and 20: QI No.PSI 19PSI 21PSI 22PSI 23PSI 2
Page 21 and 22: Data Sources for the HCUP Nationwid
Page 23 and 24: Table 4. Use of Secondary Procedure
Page 25: Table 6. Number of Diagnosis and Pr
Page 28 and 29: APPENDICES
Page 30 and 31: HCUP Race DataHCUP coding includes
Page 34 and 35: Median income of Patient’s ZIP Co
Page 36 and 37: Typically, most States have no more
Page 38 and 39: . Standard error estimates for age/
Page 40 and 41: inpatient population distribution f
Page 42 and 43: IQI CompositeWeightNHQR/NHDRSummary
Page 44 and 45: APPENDIX E:COMPARISON OF INPATIENT
Page 46 and 47: Table E-1. List of PQIs and PDIs Us
Page 48 and 49: "clinical grouper" makes it easier
Page 50 and 51: APPENDIX G:STATE-LEVEL BIVARIATE AN
Page 52 and 53: AHRQPreventionQualityIndicators(PQI
Page 54 and 55: AHRQPreventionQualityIndicators(PQI
Page 56 and 57: APPENDIX H:PATIENT SAFETY IN HOSPIT

Methods Applying AHRQ Quality Indicators to Healthcare ... - HCUP

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