Wisconsin Inpatient Hospital Quality Indicators Report 2012 - 2014

The Wisconsin Inpatient Hospital Quality Indicators Report presents a "snapshot" of the general performance of Wisconsin hospitals across a number of inpatient quality and patient safety indicator areas.  The results are only descriptive, not conclusive, owing to such drawbacks as the limitations of billing data, and small numbers of procedures in many hospitals.

Below is a list of changes to the report:

  •  Added two population-based composite measures - Prevention Quality Indicators (PQI) 91 and 92 reported at the county level.
    • PQI 91 is a composite measure of acute conditions per 100,000 population, ages 18 years and older.  Includes admission with a principal diagnosis of one of the following conditions:  dehydration, bacterial pneumonia, or urinary tract infection.
    • PQI 92 is a composite measure of chronic conditions per 100,000 population, ages 18 years and older.  Includes admissions for one of the following:  diabetes with short-term complications, diabetes with long-term complications, uncontrolled diabetes without complications, diabetes with lower-extremity amputation, chronic obstructive pulmonary disease, asthma, hypertension, heart failure, or angina without a cardiac procedure.
  • Reported all individual indicators that comprise the composites above, and those that comprise the patient safety composite (PSI 90) that was added last year, except for PSI 7 (Central Venous CLABSI).  WHA reports a different CLABSI measure on CheckPoint that the WHA Measures Team concluded is better than the AHRQ measure.  For consistency purposes, the workgroup felt it was important to report all indicators that comprise the composites, except for PSI 7.
  • Removed Pediatric Indicator 14 (Asthma Admission Rate) as the statewide decrease in the rate from 78.19 to 27.58 cannot be explained methodologically.  We forwarded our concern to AHRQ with no resolution at this time.
  • Changed the sequence of measure reporting in the publication from body system-based to module-based.  The order is Inpatient Quality Indicators, one Pediatric Quality Indicator, individual Patient Safety Indicators (PSI) that are not part of the composite, composite PSI 90, individual PSIs that comprise PSI 90, Prevention Quality Indicator (PQI 9) [Low Birth Weight and the only individual PQI we reported last years that is not part of a composite], PQI 91, individual acute PQIs that comprise PQI 91, PQI 92, and individual chronic PQIs that comprise PQI 92.
  • Updated the table of contents to identify each indicator using the assigned AHRQ indicator number and name, and provided quick access links within the table of contents.

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