hospital industry data institute icd-10 transitional strategy
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Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 1 Revised July 2016
DELAY IN ICD-10 SOFTWARE READINESS AFFECTING SELECT INDICATORS: ISSUES IDENTIFIED AND PRODUCT IMPACT
ISSUES IDENTIFIED
Q: What ICD-10 transition and readiness issues are being considered? A: Hospitals transitioned to using ICD-10 diagnosis and procedure codes for all administrative
claims effective Oct. 1, 2015. The Agency for Healthcare Research and Quality and the Centers for Medicare & Medicaid Services have not yet released ICD-10 compliant versions of software programs used to produce risk-adjusted measures of quality, safety and readmissions used in a number of reports produced by HIDI.
Q: What HIDI reports and deliverables are impacted? A: All internal and external HIDI reporting and analytic deliverables involving risk-adjusted AHRQ
indicators and 30-day readmissions for discharges dated Oct. 1, 2015, forward, including reports available on HIDI Analytic Advantage® and HIDI Analytic Advantage® PLUS, as well as transparency initiative reporting displayed on the Focus on Hospitals website.
Q: How will the delayed availability of ICD-10 ready software impact these products? A: In the absence of action, risk-adjusted reporting of impacted reports and deliverables for ICD-
10 coded discharges would be suspended until ICD-10 ready software versions are made available by AHRQ and CMS.
PRODUCT IMPACT
Q: What is the plan for affected products? A: To provide continued support and delivery for affected measures, HIDI will use the GEM ICD-
10 to ICD-9 crosswalk provided by CMS to “backmap” ICD-10 coded discharges to comparable ICD-9 codes to the extent necessary to enable use of available software to produce risk-adjusted rates. For readmission measures, this means that selection criteria for condition-specific cohorts will be based on submitted ICD-10 codes that are then backmapped to ICD-9 codes. Condition codes used for risk-adjustment purposes will be based on all submitted ICD-10 codes backmapped to comparable ICD-9 codes. For AHRQ indicators, condition codes used to produce risk-adjusted calculations will be based on ICD-10 codes backmapped to comparable ICD-9 codes using the GEM crosswalk. AHRQ’s risk-adjusted calculations will continue to be based on expected rates calculated from 2012 nation data for the foreseeable future.
Hospital Industry Data Institute ICD-10 Transitional Strategy
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Q: What is the overall timeline for the strategy with impacted products to take effect? A: Programming and preparation to operationalize the strategy with impacted reporting is
complete, and scheduled to take effect with the April release of reports. HIDI plans to continue with this strategy until ICD-10 ready versions of affected programs are made available and fully evaluated.
Q: Are there specific things that report users need to consider once reporting with the transitions to ICD-10 coded data?
A: The transition to ICD-10 is a significant change that has numerous implications for measures and reporting based on administrative billing codes. Changes in measured performance corresponding with the Oct. 1, 2015, transition to ICD-10 should be evaluated carefully and interpreted with caution. The HIDI team has processes and plans in place to monitor measures through this transition with the aim of identifying systematic trends resulting from the transition. As always, we encourage report users to contact a HIDI representative if you have questions or concerns about measured performance.
CUSTOMER SUPPORT AND EDUCATION
Q: Will there be supporting client documentation for this ICD-10 readiness change? A: AHRQ and readmission detail methodology will be provided upon request.
Q: Will there be any special training for HIDI users around this to ICD-10 readiness? A: While no special training for HIDI users will be needed to support these changes, HIDI is
planning a small number of webinars to discuss strategies with ICD-10 affected reports and provide a forum for questions and feedback. As always, we encourage all our stakeholders to contact a HIDI representative by phone or email with questions or concerns.
Q: Will HIDI provide a mapping between ICD-9 and ICD-10? A: The GEM ICD-10 to ICD-9 crosswalk, as well as other information regarding GEM coding, can
be found on CMS’ website.
Q: With the transition to ICD-10, how will HIDI reporting support trending analyses? A: The transition to ICD-10 is a significant change with numerous implications for measures and
reporting based on administrative billing codes. Changes in measured performance corresponding with the Oct. 1, 2015 transition to ICD-10 should be evaluated carefully and interpreted with caution. The HIDI team has processes and plans in place to monitor measures through this transition with the aim of identifying systematic trends resulting from the transition. As always, we encourage report users to contact a HIDI representative if you have questions or concerns about measured performance.
Q: Who should I contact with questions? A: Contact a HIDI representative.
Hospital Industry Data Institute ICD-10 Transitional Strategy
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TECHNICAL MANUAL
ICD-10 TRANSITIONAL ACTIVITIES FOR READMISSION REPORTING
Hospitals transitioned to using ICD-10 diagnosis and procedure codes for all administrative claims effective Oct. 1, 2015. The Centers for Medicare & Medicaid Services has not yet released ICD-10 compliant versions of the software program used to produce risk-adjusted readmissions measures. However, CMS did provide a list of ICD-10 codes that they expect to be representative of the readmissions measures going forward. HIDI extracted records including appropriate ICD-10 codes, back-mapped those records using GEM coding to display ICD-9 codes, and used the ICD-9 compliant model to produce readmissions reports. HIDI plans to continue with this strategy until ICD-10 ready versions of affected programs are made available and fully evaluated. The transition to ICD-10 is a significant change that has numerous implications for measures and reporting based on administrative billing codes. Changes in measured performance corresponding with the Oct. 1, 2015, transition to ICD-10 should be evaluated carefully and interpreted with caution. The HIDI team has processes and plans in place to monitor measures through this transition with the aim of identifying systematic trends resulting from the transition.
GENERAL INFORMATION
HIDI readmissions reports present hospital-specific readmission measures for acute myocardial infarction, congestive heart failure, chronic obstructive pulmonary disease, stroke, hip/knee and pneumonia patients ages 18 and older residing in the state, with any payer. Hospital-wide readmissions also are included. Risk-adjusted metrics are considered unreliable for providers with fewer than 25 total readmissions during the 36-month period. The measures are developed by applying the methods used by the Centers for Medicare & Medicaid Services for public reporting and determining reimbursement penalties under the Hospital Readmission Reduction Program to the most recently-available 36 months of hospital discharge data.
Data Steward: HIDI Custom Measure and the Centers for Medicare & Medicaid Services.
Data Source: Discharge claims data Exclusions: Patient deaths, transfer patients, admissions with zero days to subsequent hospitalization, patients who leave against medical advice, obstetric and non-acute patients are excluded from the model cohorts, as are readmissions flagged by the CMS/Yale Planned Readmission Algorithm. Patient deaths are identified by discharge disposition codes of 20-Expired, 40-Expired at Home, 41-Expired in a Medical Facility, and 42-Expired in an Unknown Place. Transfer patients are identified by discharge disposition code 2-Short-Term General Hospital for Inpatient Care. Transfer
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 4 Revised July 2016
patient records are removed from the transferring facility and assigned to the final receiving facility. Zero-day patients are identified if the admission date is equal to the previous discharge date. Self-discharges AMA are identified by discharge disposition code 7-Left against medical advice or discontinued care. Non-acute patients are defined by inpatient place of services codes: 2-Psychiatric Unit, 3-Medical Rehabilitation Unit, 4-Alternate Level of Care, 5-Alcohol Rehabilitation Unit or 6-Drug Rehabilitation Unit. MDC 19 and MDC 20 also are omitted for psychiatric disorders and substance abuse. Obstetric patients are identified with MDC 14 — pregnancy, childbirth and puerperium.
Risk Adjustment: CMS/Yale Model — Hierarchical generalized logistic regression adjusted for age group, sex and medical condition. For each hospital, the models produce a predicted readmission rate, an expected readmission rate, a risk-standardized readmission ratio and a risk-standardized readmission rate. The predicted rate controls for patient-level risk. The expected rate controls for provider-level risk. The SRR is the ratio of predicted-to-expected readmission rates for each hospital. The SRR is similar to an observed-to-expected ratio where a value below one indicates lower than expected readmissions and a value above one indicates higher than expected readmissions. The hospital RSRRs are standardized by multiplying the SRR for each hospital by the observed readmission rate for the entire state. Hospital-specific estimates are shown along with estimates for all hospitals in the state.
Observed Rate = Number of Readmissions/Number of Index Admissions RSR Ratio = Predicted /Expected Readmission RSR Rate = RSR Ratio *Statewide Observed Rate RSR Ranking = Providers with 25 or more index admissions are ranked according to the number
of readmissions for each condition, with #1 indicating the lowest number of readmissions.
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ACUTE MYOCARDIAL INFARCTION
Measure Name: AMI
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The AMI measure includes index admissions for qualifying diagnoses and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a primary diagnosis of AMI, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a primary diagnosis of AMI, and who do not meet any exclusion criteria listed below. Index admissions for AMI were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM DIAGNOSIS CODE DESCRIPTION
Any 410.xx excluding 410.x2 ACUTE MYOCARDIAL INFARCTION
ICD-10-CM DIAGNOSIS CODE DESCRIPTION
I2101 STEMI INVOLVING LEFT MAIN CORONARY ARTERY
I2102 STEMI INVOLVING LEFT ANTERIOR DESCENDING CORONARY ARTERY
I2109 STEMI INVOLVING OTH CORONARY ARTERY OF ANTERIOR WALL
I2111 STEMI INVOLVING RIGHT CORONARY ARTERY
I2119 STEMI INVOLVING OTH CORONARY ARTERY OF INFERIOR WALL
I2121 STEMI INVOLVING LEFT CIRCUMFLEX CORONARY ARTERY
I2129 STEMI INVOLVING OTHER SITES
I213 ST ELEVATION (STEMI) MYOCARDIAL INFARCTION OF UNSP SITE
I214 NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
I220 SUBSEQUENT STEMI OF ANTERIOR WALL
I221 SUBSEQUENT STEMI OF INFERIOR WALL
I222 SUBSEQUENT NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION
I228 SUBSEQUENT STEMI OF SITES
I229 SUBSEQUENT STEMI OF UNSP SITE
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CONGESTIVE HEART FAILURE
Measure Name: HF
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The congestive heart failure measure includes index admissions for qualifying diagnoses and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a primary diagnosis of CHF, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a primary diagnosis of CHF, and who do not meet any exclusion criteria. Index admissions for CHF were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM DIAGNOSIS CODE DESCRIPTION
40201 MAL HYPERT HRT DIS W HF
40211 BENIGN HYP HT DIS W HF
40291 HYP HT DIS NOS W HT FAIL
40401 MAL HYP HT/KD I-IV W HF
40403 MAL HYP HT/KD STG V W HF
40411 BEN HYP HT/KD I-IV W HF
40413 BEN HYP HT/KD STG V W HF
40491 HYP HT/KD NOS I-IV W HF
40493 HYP HT/KD NOS ST V W HF
428.xx CONGESTIVE HEART FAILURE
ICD-10-CM DIAGNOSIS CODE DESCRIPTION
I110 HYPERTENSIVE HEART DISEASE WITH HEART FAILURE
I130 HYP HRT & CHR KDNY DIS W HRT FAILAND STG 1-4/UNSP CHR KDNY
I132 HYP HRT & CHR KDNY DIS W HRT FAILAND W STG 5 CHR KDNY/ESRD
I501 LEFT VENTRICULAR FAILURE
I5020 UNSPECIFIED SYSTOLIC (CONGESTIVE) HEART FAILURE
I5201 ACUTE SYSTOLIC (CONGESTIVE) HEART FAILURE
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ICD-10-CM DIAGNOSIS CODE DESCRIPTION
I5022 CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE
I5023 ACUTE ON CHRONIC SYSTOLIC (CONGESTIVE) HEART FAILURE
I5030 UNSPECIFIED DIASTOLIC (CONGESTIVE) HEART FAILURE
I5031 ACUTE DIASTOLIC (CONGESTIVE) HEART FAILURE
I5032 CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE
I5033 ACUTE ON CHRONIC DIASTOLIC (CONGESTIVE) HEART FAILURE
I5040 UNSP COMBINED SYSTOLIC AND DIASTOLIC (CONGESTIVE) HRT FAIL
I5041 ACUTE COMBINED SYSTOLIC AND DIASTOLIC (CONGESTIVE) HRT FAIL
I5042 CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HRT FAIL
I5043 ACUTE ON CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HRT FAIL
I509 HEART FAILURE, UNSPECIFIED
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PNEUMONIA
Measure Name: PN
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The pneumonia measure includes index admissions for qualifying diagnoses and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a primary diagnosis of pneumonia, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a primary diagnosis of pneumonia, and who do not meet any exclusion criteria. Index admissions for pneumonia were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM DIAGNOSIS CODE DESCRIPTION
4800 ADENOVIRAL PNEUMONIA
4801 RESP SYNCYT VIRAL PNEUM
4802 PARINFLUENZA VIRAL PNEUM
4803 PNEUMONIA DUE TO SARS
4808 VIRAL PNEUMONIA NEC
4809 VIRAL PNEUMONIA NOS
481 PNEUMOCOCCAL PNEUMONIA
4820 K. PNEUMONIAE PNEUMONIA
4821 PSEUDOMONAL PNEUMONIA
4822 H.INFLUENZAE PNEUMONIA
48230 STREPTOCOCCAL PNEUMN NOS
48231 PNEUMONIA STRPTOCOCCUS A
48232 PNEUMONIA STRPTOCOCCUS B
48239 PNEUMONIA OTH STREP
48240 STAPHYLOCOCCAL PNEU NOS
48241 METH SUS PNEUM D/T STAPH
48242 METH RES PNEU D/T STAPH
4870 INFLUENZA WITH PNEUMONIA
48811 FLU DT 2009 H1N1 W PNEU
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ICD-9-CM DIAGNOSIS CODE DESCRIPTION
48249 STAPH PNEUMONIA NEC
48281 PNEUMONIA ANAEROBES
48282 PNEUMONIA E COLI
48283 PNEUMO OTH GRM-NEG BACT
48284 LEGIONNAIRES’ DISEASE
48289 PNEUMONIA OTH SPCF BACT
4829 BACTERIAL PNEUMONIA NOS
4830 PNEU MYCPLSM PNEUMONIAE
4831 PNEUMONIA D/T CHLAMYDIA
4838 PNEUMON OTH SPEC ORGNSM
485 BRONCHOPNEUMONIA ORG NOS
486 PNEUMONIA, ORGANISM UNSPECIFIED CONVERT
ICD-10-CM DIAGNOSIS CODE DESCRIPTION
A481 LEGIONNAIRES’ DISEASE
J1100 FLU DUE TO UNIDENTIFIED FLU VIRUS W UNSP TYPE OF PNEUMONIA
J120 ADENOVIRAL PNEUMONIA
J121 RESPIRATORY SYNCYTIAL VIRUS PNEUMONIA
J122 PARAINFLUENZA VIRUS PNEUMONIA
J1281 PNEUMONIA DUE TO SARS-ASSOCIATED CORONAVIRUS
J1289 OTHER VIRAL PNEUMONIA
J129 VIRAL PNEUMONIA UNSPECIFIED
J13 PNEUMONIA DUE TO STREPTOCOCCUS PNEUMONIAE
J14 PNEUMONIA DUE TO HEMOPHILUS INFLUENZAE
J150 PNEUMONIA DUE TO KLEBSIELLA PNEUMONIAE
J151 PNEUMONIA DUE TO PSEUDOMOMAS
J1520 PNEUMONIA DUE TO STAPHYLOCOCCUS, UNSPECIFIED
J15211 PNEUMONIA DUE TO METHICILLIAN SUSCEP STAPH
J15212 PNEUMONIA DUE TO METHICILLIN RESISTANT STAPHYLOCOCUS AUREUS
J1529 PNEUMONIA DUE TO OTHER STAPHYLOCOCCUS
J153 PNEUMONIA DUE TO STREPTOCOCCUS, GROUP B
J154 PNEUMONIA DUE TO OTHER STREPTOCOCCI
J155 PNEUMONIA DUE TO ESCHERICHIA COLI
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ICD-10-CM DIAGNOSIS CODE DESCRIPTION
J156 PNEUMONIA DUE TO OTHER AEROBIC GRAM-NEGATIVE BACTERIA
J157 PNEUMONIA DUE TO MYCOPLASMA PNEUMONIAE
J158 PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA
J159 UNSPECFIFIED BACTERIAL PNEUMONIA
J160 CHYLAMIDIA PNEUMONIA
J168 PNEUMONIA DUE TO OTHER SPECIFIED INFECTIOUS ORGANISMS
J180 BRONCHOPNEUMONIA, UNSPECIFIED ORGANSIM
J181 LOBAR PNEUMONIA, UNSPECIFIED ORGANISM
J189 PNEUMONIA, UNSPECIFIED ORGANISM
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Measure Name: COPD
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The COPD measure includes index admissions for qualifying diagnoses and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a primary diagnosis of COPD, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a primary diagnosis of COPD, and who do not meet any exclusion criteria. Index admissions for COPD were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM DIAGNOSIS CODE DESCRIPTION
49121 OBS CHR BRONC W(AC) EXAC
49122 OBS CHR BRONC W AC BRONC
4918 CHRONIC BRONCHITIS NEC
4919 CHRONIC BRONCHITIS NOS
4928 EMPHYSEMA NEC
49320 CHRONIC OBST ASTHMA NOS
49321 CH OB ASTHMA W STAT ASTH
49322 CH OBST ASTH W (AC) EXAC
496 CHRONIC AIRWAY OBSTRUCTION, NOT ELSEWHERE CLASSIFIED
51881 (with 49121, 49122, 49321 or 49322)
ACUTE RESPIRATRY FAILURE
51882 (with 49121, 49122, 49321 or 49322)
OTHER PULMONARY INSUFF
58144 (with 49121, 49122, 49321 or 49322)
ACUTE AND CHRONIC RESP FAILURE
7991 (with 49121, 49122, 49321 or 49322)
RESPIRATORY ARREST
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ICD-10-CM DIAGNOSIS CODE DESCRIPTION
J418 MIXED SIMPLE AND MUCOPURULENT CHRONIC BRONCHITIS
J42 UNSPECIFIED CHRONIC BRONCHITIS
J439 EMPHYSEMA, UNSPECIFIED
J440 CHRONIC OBSTRUCTIVE PULMON DISEASE W ACUTE LOWER RESP INFCT
J441 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W (ACUTE) EXACERBATION
J449 CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED
J80 ACUTE RESPIRATORY DISTRESS SYNDROME
J9600 ACUTE RESPIRATORY FAILURE, UNSP W HYPOXIA OR HYPERCAPNIA
J9620 ACUTE AND CHR RESP FAILURE, UNSP W HYPOXIA OR HYPERCAPNIA
J9690 RESPIRATORY FAILURE, UNSP, UNSP W HYPOXIA OR HYPERCAPNIA
R092 RESPIRATORY ARREST
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STROKE
Measure Name: STROKE
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The ischemic stroke measure includes index admissions for qualifying diagnoses and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a diagnosis of ischemic stroke, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a diagnosis of ischemic stroke, and who do not meet any exclusion criteria. Index admissions for ischemic stroke were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM DIAGNOSIS CODE DESCRIPTION
43301 OCCLUSION AND STENOSIS OF BASILAR ARTERY WITH CEREBRAL INFRACTION
43311 OCCLUSION AND STENOSIS OF CAROTID ARTERY WITH CEREBRAL INFECTION
43321 OCCLUSION AND STENOSIS OF VERTEBRAL ARTERY WITH CEREBRAL INFARCTION
43331 OCCLUSION AND STENOSIS OF MULTIPLE AND BILATERAL PRECEREBRAL ARTERIES WITH CEREBRAL INFARCTION
43381 OCCLUSION AND STENOSIS OF OTHER SPECIFIED PRECEREBRAL ARTERY WITH CEREBRAL INFARCTION
43391 OCCLUSION AND STENOSIS OF UNSPECIFIED PRECEREBRAL ARTERY WITH CEREBRAL INFARCTION
43401 CEREBRAL THROMBOSIS WITH CEREBRAL INFARCTION
43411 CEREBRAL EMBOLISM WITH CEREBRAL INFARCTION
43491 CEREBRAL ARTERY OCCLUSION, UNSPECIFIED WITH CEREBRAL INFARCTION
ICD-10-CM DIAGNOSIS CODE DESCRIPTION
I6300 CEREBRAL INFARCTION DUE TO THROMBOS UNSP PRECEREBRAL ARTERY
I63011 CEREBRAL INFARCTION DUE TO THROMBOSIS OF R VERTEB ART
I6302 CEREBRAL INFARCTION DUE TO THROMBOSIS OF L VERTEB ART
I63019 CEREBRAL INFARCTION DUE TO THROMBOS UNSP VERTEBRAL ARTERY
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ICD-10-CM DIAGNOSIS CODE DESCRIPTION
I6302 CEREBRAL INFARCTION DUE TO THROMBOSIS OF BASILAR ARTERY
I63031 CEREBRAL INFRC DUE TO THROMBOSIS OF RIGHT CAROTID ARTERY
I63032 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CAROTID ARTERY
I63039 CEREBRAL INFARCTION DUE TO THROMBOSIS OF UNSP CAROTID ARTERY
I6309 CEREBRAL INFARCTION DUE TO THROMBOSIS OF PRECEREBRAL ARTERY
I6310 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSP PRECEREB ARTERY
I63111 CEREBRAL INFARCTION DUE TO EMBOLISM OF R VERTEB ART
I63112 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT VERTEBRAL ARTERY
I63119 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSP VERTEBRAL ARTERY
I6312 CEREBRAL INFARCTION DUE TO EMBOLISM OF BASILAR ARTERY
I63131 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CAROTID ARTERY
I63132 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CAROTID ARTERY
I63139 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSP CAROTID ARTERY
I6319 CEREBRAL INFARCTION DUE TO EMBOLISM OF PRECEREBRAL ARTERY
I6320 CERES INFRC DUE TO UNSP OCCLS OR STENOS OF UNSP PRECERB ART
I63211 CERES INFRC DUE TO UNSP OCCLS OR STENOS OF RIGHT VERTEB ART
I63212 CERES INFRC DUE TO UNSP OCCLS OR STENOSIS OF LEFT VERTEB ART
I63219 CERES INFRC DUE TO UNSP OCCLS OR STENOSIS OF UNSP VERTEB ART
I6322 CEREBRAL INFRC DUE TO UNSP OCCLS OR STENOSIS OF BASILAR ART
I63231 CERES INFRC DUE TO UNSP OCCLS OR STENOS OF RIGHT CAROTID ART
I63232 CERES INFRC DUE TO UNSP OCCLS OR STENOS OF LEFT CAROTID ART
I63239 CERES INFRC DUE TO UNSP OCCLS OR STENOS OF UNSP CAROTID ART
I6329 CEREBRAL INFRC DUE TO UNSP OCCLS OR STENOSIS OF PRECERB ART
I6330 CEREBRAL INFARCTION DUE TO THOMBOS UNSP CEREBRAL ARTERY
I63311 CERES INFRC DUE TO THOMBOS OF RIGHT MIDDLE CEREBRAL ARTERY
I63312 CEREBRAL INFRC DUE TO THOMBOS OF LEFT MIDDLE CEREBRAL ARTERY
I63319 CEREBRAL INFRC DUE TO THOMBOS UNSP MIDDLE CEREBRAL ARTERY
I63321 CEREBRAL INFRC DUE TO THOMBOS OF RIGHT ANT CEREBRAL ARTERY
I63322 CEREBRAL INFRC DUE TO THOMBOS OF LEFT ANT CEREBRAL ARTERY
I63329 CEREBRAL INFRC DUE TO THOMBOS UNSP ANTERIOR CEREBRAL ARTERY
I63331 CEREBRAL INFRC DUE TO THOMBOS OF RIGHT POST CEREBRAL ARTERY
I63332 CEREBRAL INFRC DUE TO THOMBOS OF LEFT POST CEREBRAL ARTERY
I63339 CEREBRAL INFRC DUE TO THOMBOS UNSP POSTERIOR CEREBRAL ARTERY
I63341 CEREBRAL INFRC DUE TO THROMBOSIS OF RIGHT CEREBLR ARTERY
I63342 CEREBRAL INFARCTION DUE TO THROMBOSIS OF LEFT CEREBLR ARTERY
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ICD-10-CM DIAGNOSIS CODE DESCRIPTION
I63349 CEREBRAL INFARCTION DUE TO THOMBOS UNSP CEREBELLAR ARTERY
I6339 CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTH CEREBRAL ARTERY
I6340 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSP CEREBRAL ARTERY
I63411 CEREB INFRC DUE TO EMBOLISM OF RIGHT MIDDLE CEREBRAL ARTERY
I63412 CEREB INFRC DUE TO EMBOLISM OF LEFT MIDDLE CEREBRAL ARTERY
I63419 CEREB INFRC DUE TO EMBOLISM OF UNSP MIDDLE CEREBRAL ARTERY
I63421 CEREBRAL INFRC DUE TO EMBOLISM OF RIGHT ANT CEREBRAL ARTERY
I63422 CEREBRAL INFRC DUE TO EMBOLISM OF LEFT ANT CEREBRAL ARTERY
I63429 CEREBRAL INFRC DUE TO EMBOLISM OF UNSP ANT CEREBRAL ARTERY
I63431 CEREBRAL INFRC DUE TO EMBOLISM OF RIGHT POST CEREBRAL ARTERY
I63432 CEREBRAL INFRC DUE TO EMBOLISM OF LEFT POST CEREBRAL ARTERY
I63439 CEREBRAL INFRC DUE TO EMBOLISM OF UNSP POST CEREBRAL ARTERY
I63441 CEREBRAL INFARCTION DUE TO EMBOLISM OF RIGHT CEREBLR ARTERY
I6339 CEREBRAL INFARCTION DUE TO THROMBOSIS OF OTH CEREBRAL ARTERY
I63442 CEREBRAL INFARCTION DUE TO EMBOLISM OF LEFT CEREBLR ARTERY
I63449 CEREBRAL INFARCTION DUE TO EMBOLISM OF UNSP CEREBLR ARTERY
I6349 CEREBRAL INFARCTION DUE TO EMBOLISM OF OTHER CEREBRAL ARTERY
I6350 CEREB INFRC DUE TO UNSP OCCLS OR STENOS OF UNSP CEREB ARTERY
I63511 CEREB INFRC D/T UNSP OCCLS OR STENOS OF RIGHT MID CEREB ART
I63512 CEREB INFRC D/T UNSP OCCLS OR STENOS OF LEFT MID CEREB ART
I63519 CEREB INFRC D/T UNSP OCCLS OR STENOS OF UNSP MID CEREB ART
I63521 CEREB INFRC D/T UNSP OCCLS OR STENOS OF RIGHT ANT CEREB ART
I63522 CEREB INFRC D/T UNSP OCCLS OR STENOS OF LEFT ANT CEREB ART
I63529 CEREB INFRC D/T UNSP OCCLS OR STENOS OF UNSP ANT CEREB ART
I63531 CEREB INFRC D/T UNSP OCCLS OR STENOS OF RIGHT POST CEREB ART
I63532 CEREB INFRC D/T UNSP OCCLS OR STENOS OF LEFT POST CEREB ART
I63539 CEREB INFRC D/T UNSP OCCLS OR STENOS OF UNSP POST CEREB ART
I63541 CEREB INFRC DUE TO UNSP OCCLS OR STENOS OF RIGHT CEREBLR ART
I63542 CEREB INFRC DUE TO UNSP OCCLS OR STENOS OF LEFT CEREBLR ART
I63549 CEREB INFRC DUE TO UNSP OCCLS OR STENOS OF UNSP CEREBLR ART
I6359 CEREB INFRC DUE TO UNSP OCCLS OR STENOSIS OF CEREBRAL ARTERY
I636 CEREBRAL INFRC DUE TO CEREBRAL VENOUS THOMBOS, NONPYOGENIC
I638 OTHER CEREBRAL INFARCTION
I639 CEREBRAL INFARCTION, UNSPECIFIED
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 16 Revised July 2016
TOTAL HIP/KNEE ARTHROPLASTY
Measure Name: TKA/THA
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The hip and knee replacement measure includes index admissions for qualifying procedures and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a hip and/or knee replacement procedure, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a hip and/or knee replacement procedure, and who do not meet any exclusion criteria. Index admissions for hip and knee replacements were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM PROCEDURE CODE DESCRIPTION
8151 TOTAL HIP REPLACEMENT
8154 TOTAL KNEE REPLACEMENT
ICD-10-CM PROCEDURE CODE DESCRIPTION
OSR9019 REPLACEMENT OF R HIP JT WITH METAL, CEMENT, OPEN APPROACH
OSR901A REPLACEMENT OF R HIP JT WITH METAL, UNCEMENT, OPEN APPROACH
OSR901Z REPLACEMENT OF RIGHT HIP JOINT WITH METAL, OPEN APPROACH
OSR9029 REPLACE R HIP JT W METAL ON POLY, CEMENT, OPEN
OSR902A REPLACE R HIP JT WITH METAL ON POLY, UNCEMENT, OPEN
OSR902Z REPLACEMENT OF R HIP JT WITH METAL ON POLY, OPEN APPROACH
OSR9039 REPLACEMENT OF R HIP JT WITH CERAMIC, CEMENT, OPEN APPROACH
OSR903A REPLACEMENT OF R HIP JT WITH CERAMIC, UNCEMENT, OPEN APPROACH
OSR903Z REPLACEMENT OF RIGHT HIP JOINT WITH CERAMIC, OPEN APPROACH
OSR9049 REPLACE R HIP JT W CERAMIC ON POLY, CEMENT, OPEN
OSR904A REPLACE R HIP JT W CERAMIC ON POLY, UNCEMENT, OPEN
OSR904Z REPLACEMENT OF R HIP JT WITH CERAMIC ON POLY, OPEN APPROACH
OSR907Z REPLACEMENT OF RIGHT HIP JOINT WITH AUTOL SUB, OPEN APPROACH
OSR90J9 REPLACE OF R HIP JT WITH SYNTH SUB, CEMENT, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 17 Revised July 2016
ICD-10-CM PROCEDURE CODE DESCRIPTION
OSR90JA REPLACE OF R HIP JT WITH SYNTH SUB, UNCEMENT, OPEN APPROACH
OSR90JZ REPLACE OF RIGHT HIP JOINT WITH SYNTH SUB, OPEN APPROACH
OSR90KZ REPLACEMENT OF R HIP JT WITH NONAUT SUB, OPEN APPROACH
OSRB019 REPLACEMENT OF L HIP JT WITH METAL, CEMENT, OPEN APPROACH
OSRB01A REPLACEMENT OF L HIP JT WITH METAL, UNCEMENT, OPEN APPROACH
OSRB01Z REPLACEMENT OF LEFT HIP JOINT WITH METAL, OPEN APPROACH
OSRB029 REPLACE L HIP JT W METAL ON POLY, CEMENT, OPEN
OSRB02A REPLACE L HIP JT W METAL ON POLY, UNCEMENT, OPEN
OSRB02Z REPLACEMENT OF L HIP JT WITH METAL ON POLY, OPEN APPROACH
OSRB039 REPLACEMENT OF L HIP JT WITH CERAMIC, CEMENT, OPEN APPROACH
OSRB03A REPLACE OF L HIP JT WITH CERAMIC, UNCEMENT, OPEN APPROACH
OSRB03Z REPLACEMENT OF LEFT HIP JOINT WITH CERAMIC, OPEN APPROACH
OSRB049 REPLACE L HIP JT W CERAMIC ON POLY, CEMENT, OPEN
OSRB04A REPLACE L HIP JT W CERAMIC ON POLY, UNCEMENT, OPEN
OSRB04Z REPLACEMENT OF HIP JT WITH CERAMIC ON POLY, OPEN APPROACH
OSRB07Z REPLACEMENT OF LEFT HIP JOINT WITH AUTOL SUB, OPEN APPROACH
OSRB0J9 REPLACE OF L HIP JT WITH SYNTH SUB, CEMENT, OPEN APPROACH
OSRB0JA REPLACE OF L HIP JT WITH SYNTH SUB, UNCEMENT, OPEN APPROACH
OSRB0JZ REPLACEMENT OF LEFT HIP JOINT WITH SYNTH SUB, OPEN APPROACH
OSRB0KZ REPLACEMENT OF LEFT HIP JOINT WITH NONAUT SUB, OPEN APPROACH
OSRC07Z REPLACEMENT OF R KNEE JT WITH AUTOL SUB, OPEN APPROACH
OSRC0J9 REPLACE OF R KNEE JT WITH SYNTH SUB, CEMENT, OPEN APPROACH
OSRC0JA REPLACE OF R KNEE JT WITH SYNTH SUB, UNCEMENT, OPEN APPROACH
OSRC0JZ REPLACEMENT OF R KNEE JT WITH SYNTH SUB, OPEN APPROACH
OSRC0KZ REPLACEMENT OF R KNEE JT WITH NONAUT SUB, OPEN APPROACH
OSRD07Z REPLACEMENT OF LEFT KNEE JOINT WITH AUTOL SUB, OPEN APPROACH
OSRD0J9 REPLACE OF L KNEE JT WITH SYNTH SUB, CEMENT, OPEN APPROACH
OSRD0JA REPLACE OF L KNEE JT WITH SYNTH SUB, UNCEMENT, OPEN APPROACH
OSRD0JZ REPLACEMENT OF LEFT KNEE JOINT WITH SYNTH SUB, OPEN APPROACH
OSRD0KZ REPLACEMENT OF L KNEE JT WITH NONAUT SUB, OPEN APPROACH
OSRT07Z REPLACE OF R KNEE JT, FEMORAL WITH AUTOL SUB, OPEN APPROACH
OSRT0J9 REPLACE R KNEE JT, FEMORAL W SYNTH SUB, CEMENT, OPEN
OSRT0JA REPLACE R KNEE JT, FEMORAL W SYNTH SUB, UNCEMENT, OPEN
OSRT0JZ REPLACE OF R KNEE JT, FEMORAL WITH SYNTH SUB, OPEN APPROACH
OSRT0KZ REPLACE OF R KNEE JT, FEMORAL WITH NONAUT SUB, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 18 Revised July 2016
ICD-10-CM PROCEDURE CODE DESCRIPTION
OSRU07Z REPLACE OF L KNEE JT, FEMORAL WITH AUTOL SUB, OPEN APPROACH
OSRU0J9 REPLACE L KNEE JT, FEMORAL W SYNTH SUB, CEMENT, OPEN
OSRU0JA REPLACE L KNEE JT, FEMORAL W SYNTH SUB, UNCEMENT, OPEN
OSRU0JZ REPLACE OF L KNEE JT, FEMORAL WITH SYNTH SUB, OPEN APPROACH
OSRU0KZ REPLACE OF L KNEE JT, FEMORAL WITH NONAUT SUB, OPEN APPROACH
OSRV07Z REPLACE OF R KNEE JT, TIBIAL WITH AUTOL SUB, OPEN APPROACH
OSRV0J9 REPLACE R KNEE JT, TIBIAL W SYNTH SUB, CEMENT, OPEN
OSRV0JA REPLACE R KNEE JT, TIBIAL W SYNTH SUB, UNCEMENT, OPEN
OSRV0JZ REPLACE OF R KNEE JT, TIBIAL WITH SYNTH SUB, OPEN APPROACH
OSRV0KZ REPLACE OF R KNEE JT, TIBIAL WITH NONAUT SUB, OPEN APPROACH
OSRW07Z REPLACE OF L KNEE JT, TIBIAL WITH AUTOL SUB, OPEN APPROACH
OSRW0J9 REPLACE L KNEE JT, TIBIAL W SYNTH SUB,CEMENT, OPEN
OSRW0JA REPLACE KNEE JT, TIBIAL W SYNTH SUB, UNCEMENT, OPEN
OSRW0JZ REPLACE OF L KNEE JT, TIBIAL WITH SYNTH SUB, OPEN APPROACH
OSRW0KZ REPLACE OF L KNEE JT, TIBIAL WITH NONAUT SUB, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 19 Revised July 2016
CORONARY ARTERY BYPASS GRAFTING
Measure Name: CABG
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The CABG measure includes index admissions for qualifying procedures and readmissions for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital with a CABG procedure, and who do not meet any of the exclusion criteria. Measures were calculated using discharge records from participating hospitals.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital with a CABG procedure, and who do not meet any exclusion criteria listed below. Index admissions for CABG were identified by the ICD-9-CM and ICD-10-CM (for discharges on or after Oct. 1, 2015) codes as follows.
ICD-9-CM PROCEDURE CODE DESCRIPTION
36.10 AORTOCORONARY BYPASS FOR HEART REVASCULARIZATION, NOT OTHERWISE SPECIFIED
36.11 (AORTO) CORONARY BYPASS OF ONE CORONARY ARTERY
36.12 (AORTO) CORONARY BYPASS OF TWO CORONARY ARTERIES
36.13 (AORTO) CORONARY BYPASS OF THREE CORONARY ARTERIES
36.14 (AORTO) CORONARY BYPASS OF FOUR OR MORE CORONARY ARTERIES
36.15 SINGLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS
36.16 DOUBLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS
36.17 ABDOMINAL-CORONARY ARTERY BYPASS
36.19 OTHER BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION
ICD-10-CM PROCEDURE CODE DESCRIPTION
0210093 BYPASS 1 COR ART FROM COR ART WITH AUTOL VN, OPEN APPROACH
0210098 BYPASS 1 COR ART FROM R INT MAMMARY W AUTOL VN, OPEN
0210099 BYPASS 1 COR ART FROM L INT MAMMARY W AUTOL VN, OPEN
021009C BYPASS 1 COR ART FROM THOR ART WITH AUTOL VN, OPEN APPROACH
021009F BYPASS 1 COR ART FROM ABD ART WITH AUTOL VN, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 20 Revised July 2016
ICD-10-CM PROCEDURE CODE DESCRIPTION
021009W BYPASS 1 COR ART FROM AORTA WITH AUTOL VN, OPEN APPROACH
02100A3 BYPASS 1 COR ART FROM COR ART WITH AUTOL ART, OPEN APPROACH
02100A8 BYPASS 1 COR ART FROM R INT MAMMARY W AUTOL ART, OPEN
02100A9 BYPASS 1 COR ART FROM L INT MAMMARY W AUTOL ART, OPEN
02100AC BYPASS 1 COR ART FROM THOR ART WITH AUTOL ART, OPEN APPROACH
02100AF BYPASS 1 COR ART FROM ABD ART WITH AUTOL ART, OPEN APPROACH
02100AW BYPASS 1 COR ART FROM AORTA WITH AUTOL ART, OPEN APPROACH
02100J3 BYPASS 1 COR ART FROM COR ART WITH SYNTH SUB, OPEN APPROACH
02100J8 BYPASS 1 COR ART FROM R INT MAMMARY W SYNTH SUB, OPEN
02100J9 BYPASS 1 COR ART FROM L INT MAMMARY W SYNTH SUB, OPEN
02100JC BYPASS 1 COR ART FROM THOR ART WITH SYNTH SUB, OPEN APPROACH
02100JF BYPASS 1 COR ART FROM ABD ART WITH SYNTH SUB, OPEN APPROACH
02100JW BYPASS 1 COR ART FROM AORTA WITH SYNTH SUB, OPEN APPROACH
02100K3 BYPASS 1 COR ART FROM COR ART WITH NONAUT SUB, OPEN APPROACH
02100K8 BYPASS 1 COR ART FROM R INT MAMMARY W NONAUT SUB, OPEN
02100K9 BYPASS 1 COR ART FROM L INT MAMMARY W NONAUT SUB, OPEN
02100KC BYPASS 1 COR ART FROM THOR ART W NONAUT SUB, OPEN
02100KF BYPASS 1 COR ART FROM ABD ART WITH NONAUT SUB, OPEN APPROACH
02100KW BYPASS 1 COR ART FROM AORTA WITH NONAUT SUB, OPEN APPROACH
02100Z3 BYPASS CORONARY ARTERY, ONE SITE FROM COR ART, OPEN APPROACH
02100Z8 BYPASS 1 COR ART FROM R INT MAMMARY, OPEN APPROACH
02100Z9 BYPASS 1 COR ART FROM L INT MAMMARY, OPEN APPROACH
02100ZC BYPASS 1 COR ART FROM THOR ART, OPEN APPROACH
02100ZF BYPASS CORONARY ARTERY, ONE SITE FROM ABD ART, OPEN APPROACH
0211093 BYPASS 2 COR ART FROM COR ART WITH AUTOL VN, OPEN APPROACH
0211098 BYPASS 2 COR ART FROM R INT MAMMARY W AUTOL VN, OPEN
0211099 BYPASS 2 COR ART FROM L INT MAMMARY W AUTOL VN, OPEN
021109C BYPASS 2 COR ART FROM THOR ART WITH AUTOL VN, OPEN APPROACH
021109F BYPASS 2 COR ART FROM ABD ART WITH AUTOL VN, OPEN APPROACH
021109W BYPASS 2 COR ART FROM AORTA WITH AUTOL VN, OPEN APPROACH
02110A3 BYPASS 2 COR ART FROM COR ART WITH AUTOL ART, OPEN APPROACH
02110A8 BYPASS 2 COR ART FROM R INT MAMMARY W AUTOL ART, OPEN
02110A9 BYPASS 2 COR ART FROM L INT MAMMARY W AUTOL ART, OPEN
02110AC BYPASS 2 COR ART FROM THOR ART WITH AUTOL ART, OPEN APPROACH
02110AF BYPASS 2 COR ART FROM ABD ART WITH AUTOL ART, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 21 Revised July 2016
ICD-10-CM PROCEDURE CODE DESCRIPTION
02110AW BYPASS 2 COR ART FROM AORTA WITH AUTOL ART, OPEN APPROACH
02110J3 BYPASS 2 COR ART FROM COR ART WITH SYNTH SUB, OPEN APPROACH
02110J8 BYPASS 2 COR ART FROM R INT MAMMARY W SYNTH SUB, OPEN
02110J9 BYPASS 2 COR ART FROM L INT MAMMARY W SYNTH SUB, OPEN
02110JC BYPASS 2 COR ART FROM THOR ART WITH SYNTH SUB, OPEN APPROACH
02110JF BYPASS 2 COR ART FROM ABD ART WITH SYNTH SUB, OPEN APPROACH
02110JW BYPASS 2 COR ART FROM AORTA WITH SYNTH SUB, OPEN APPROACH
02110K3 BYPASS 2 COR ART FROM COR ART WITH NONAUT SUB, OPEN APPROACH
02110K8 BYPASS 2 COR ART FROM R INT MAMMARY W NONAUT SUB, OPEN
02110K9 BYPASS 2 COR ART FROM L INT MAMMARY W NONAUT SUB, OPEN
02110KC BYPASS 2 COR ART FROM THOR ART W NONAUT SUB, OPEN
02110KF BYPASS 2 COR ART FROM ABD ART WITH NONAUT SUB, OPEN APPROACH
02110KW BYPASS 2 COR ART FROM AORTA WITH NONAUT SUB, OPEN APPROACH
02110Z3 BYPASS 2 COR ART FROM COR ART, OPEN APPROACH
02110Z8 BYPASS 2 COR ART FROM R INT MAMMARY, OPEN APPROACH
02110Z9 BYPASS 2 COR ART FROM L INT MAMMARY, OPEN APPROACH
02110ZC BYPASS 2 COR ART FROM THOR ART, OPEN APPROACH
02110ZF BYPASS 2 COR ART FROM ABD ART, OPEN APPROACH
0212093 BYPASS 3 COR ART FROM COR ART WITH AUTOL VN, OPEN APPROACH
0212098 BYPASS 3 COR ART FROM R INT MAMMARY W AUTOL VN, OPEN
0212099 BYPASS 3 COR ART FROM L INT MAMMARY W AUTOL VN, OPEN
021209C BYPASS 3 COR ART FROM THOR ART WITH AUTOL VN, OPEN APPROACH
021209F BYPASS 3 COR ART FROM ABD ART WITH AUTOL VN, OPEN APPROACH
021209W BYPASS 3 COR ART FROM AORTA WITH AUTOL VN, OPEN APPROACH
02120A3 BYPASS 3 COR ART FROM COR ART WITH AUTOL ART, OPEN APPROACH
02120A8 BYPASS 3 COR ART FROM R INT MAMMARY W AUTOL ART, OPEN
02120A9 BYPASS 3 COR ART FROM L INT MAMMARY W AUTOL ART, OPEN
02120AC BYPASS 3 COR ART FROM THOR ART WITH AUTOL ART, OPEN APPROACH
02120AF BYPASS 3 COR ART FROM ABD ART WITH AUTOL ART, OPEN APPROACH
02120AW BYPASS 3 COR ART FROM AORTA WITH AUTOL ART, OPEN APPROACH
02120J3 BYPASS 3 COR ART FROM COR ART WITH SYNTH SUB, OPEN APPROACH
02120J8 BYPASS 3 COR ART FROM R INT MAMMARY W SYNTH SUB, OPEN
02120J9 BYPASS 3 COR ART FROM L INT MAMMARY W SYNTH SUB, OPEN
02120JC BYPASS 3 COR ART FROM THOR ART WITH SYNTH SUB, OPEN APPROACH
02120JF BYPASS 3 COR ART FROM ABD ART WITH SYNTH SUB, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 22 Revised July 2016
ICD-10-CM PROCEDURE CODE DESCRIPTION
02120JW BYPASS 3 COR ART FROM AORTA WITH SYNTH SUB, OPEN APPROACH
02120K3 BYPASS 3 COR ART FROM COR ART WITH NONAUT SUB, OPEN APPROACH
02120K8 BYPASS 3 COR ART FROM R INT MAMMARY W NONAUT SUB, OPEN
02120K9 BYPASS 3 COR ART FROM L INT MAMMARY W NONAUT SUB, OPEN
02120KC BYPASS 3 COR ART FROM THOR ART W NONAUT SUB, OPEN
02120KF BYPASS 3 COR ART FROM ABD ART WITH NONAUT SUB, OPEN APPROACH
02120KW BYPASS 3 COR ART FROM AORTA WITH NONAUT SUB, OPEN APPROACH
02120Z3 BYPASS 3 COR ART FROM COR ART, OPEN APPROACH
02120Z8 BYPASS 3 COR ART FROM R INT MAMMARY, OPEN APPROACH
02120Z9 BYPASS 3 COR ART FROM L INT MAMMARY, OPEN APPROACH
02120ZC BYPASS 3 COR ART FROM THOR ART, OPEN APPROACH
02120ZF BYPASS 3 COR ART FROM ABD ART, OPEN APPROACH
0213093 BYPASS 4+ COR ART FROM COR ART WITH AUTOL VN, OPEN APPROACH
0213098 BYPASS 4+ COR ART FROM R INT MAMMARY W AUTOL VN, OPEN
0213099 BYPASS 4+ COR ART FROM L INT MAMMARY W AUTOL VN, OPEN
021309C BYPASS 4+ COR ART FROM THOR ART WITH AUTOL VN, OPEN APPROACH
021309F BYPASS 4+ COR ART FROM ABD ART WITH AUTOL VN, OPEN APPROACH
021309W BYPASS 4+ COR ART FROM AORTA WITH AUTOL VN, OPEN APPROACH
02130A3 BYPASS 4+ COR ART FROM COR ART WITH AUTOL ART, OPEN APPROACH
02130A8 BYPASS 4+ COR ART FROM R INT MAMMARY W AUTOL ART, OPEN
02130A9 BYPASS 4+ COR ART FROM L INT MAMMARY W AUTOL ART, OPEN
02130AC BYPASS 4+ COR ART FROM THOR ART W AUTOL ART, OPEN
02130AF BYPASS 4+ COR ART FROM ABD ART WITH AUTOL ART, OPEN APPROACH
02130AW BYPASS 4+ COR ART FROM AORTA WITH AUTOL ART, OPEN APPROACH
02130J3 BYPASS 4+ COR ART FROM COR ART WITH SYNTH SUB, OPEN APPROACH
02130J8 BYPASS 4+ COR ART FROM R INT MAMMARY W SYNTH SUB, OPEN
02130J9 BYPASS 4+ COR ART FROM L INT MAMMARY W SYNTH SUB, OPEN
02130JC BYPASS 4+ COR ART FROM THOR ART W SYNTH SUB, OPEN
02130JF BYPASS 4+ COR ART FROM ABD ART WITH SYNTH SUB, OPEN APPROACH
02130JW BYPASS 4+ COR ART FROM AORTA WITH SYNTH SUB, OPEN APPROACH
02130K3 BYPASS 4+ COR ART FROM COR ART W NONAUT SUB, OPEN
02130K8 BYPASS 4+ COR ART FROM R INT MAMMARY W NONAUT SUB, OPEN
02130K9 BYPASS 4+ COR ART FROM L INT MAMMARY W NONAUT SUB, OPEN
02130KC BYPASS 4+ COR ART FROM THOR ART W NONAUT SUB, OPEN
02130KF BYPASS 4+ COR ART FROM ABD ART W NONAUT SUB, OPEN
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 23 Revised July 2016
ICD-10-CM PROCEDURE CODE DESCRIPTION
02130KW BYPASS 4+ COR ART FROM AORTA WITH NONAUT SUB, OPEN APPROACH
02130Z3 BYPASS 4+ COR ART FROM COR ART, OPEN APPROACH
02130Z8 BYPASS 4+ COR ART FROM R INT MAMMARY, OPEN APPROACH
02130Z9 BYPASS 4+ COR ART FROM L INT MAMMARY, OPEN APPROACH
02130ZC BYPASS 4+ COR ART FROM THOR ART, OPEN APPROACH
02130ZF BYPASS 4+ COR ART FROM ABD ART, OPEN APPROACH
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 24 Revised July 2016
HOSPITAL-WIDE READMISSIONS
Measure Name: HWR
Measure Description: 30-day risk-standardized readmission rates and ratios using CMS methodology with and without sociodemographic factors. The hospital-wide measure includes readmissions for any cause for any cause to an acute care hospital within 30 days of discharge from an acute care hospital.
Numerator Statement: Patients, ages 18 and older, who were readmitted for any reason to an acute care hospital within 30 days of discharge from an acute care hospital, and who do not meet any exclusion criteria listed below. Measures were calculated using discharge records from participating hospitals. Index admissions for hospital-wide readmissions include almost all inpatient discharges.
Denominator Statement: All patients, ages 18 and older, discharged from an acute care hospital, and who do not meet the exclusion criteria.
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 25 Revised July 2016
ICD-10 TRANSITIONAL REPORTING
WinQI and ICD-10
Hospitals transitioned to reporting ICD-10 diagnosis codes for all administrative claims effective Oct. 1, 2015. The Agency for Healthcare Research and Quality has not yet released software that can use ICD-10 diagnosis codes to calculate AHRQ quality indicators. Therefore, HIDI will be translating ICD-10 diagnosis codes to ICD-9 diagnosis codes to allow for processing through AHRQ’s current WinQI software (version 5.0).
SUMMARY
HIDI has begun to evaluate the differences observed across quarters in AHRQ measures based on discharge data before and after the ICD-10 change. HIDI gauged the level of incompleteness of the federal fiscal year 2016 hospital discharge input file, as well as the associated numerator and denominator counts from the AHRQ WinQI output, pre- and post-ICD-10. Measure-specific summary statistics were produced to determine the level of change observed between ICD-9 and ICD-10 time periods; graphic representations of these data appear in the HIDI AHRQ Measures Transition Appendix.
In aggregate and at a measure-specific level, numerator and denominator magnitude of AHRQ quality indicators aligned with recent data points (see Charts 1a, 1b and 1c). The changes in numerator and denominator volume were not different in terms of direction or relativity versus data points observed throughout the last 12 quarters.
Chart 1a
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 26 Revised July 2016
Chart 1b
Chart 1c
Hospital Industry Data Institute ICD-10 Transitional Strategy
© Hospital Industry Data Institute 27 Revised July 2016
The federal fiscal year 2016 first quarter HIDI discharge file was observed to be possibly somewhat incomplete — perhaps about 5 percent short of expected, but it reached similar lows in the third and fourth quarters of FFY 2014 (see Chart 2). Other observed or unobserved trend divergences could be remnants of the built-in partial heterogeneity between ICD-9 and ICD-10. Additional intervening variables could be the lack of ICD-10 coding experience from MHA members’ coders, which may undergo correction throughout time, as well as the fact that the quarterly ICD-10 data point stands alone, compared to 12 prior quarters of ICD-9 trend produced under WinQI version 5.0.
Chart 2
Some measures were found to have an observed rate for Q1 FFY 2016 that was either higher or lower than at any other point in the previous 12 quarters (IQI-171 [17A], IQI-18, IQI-21, IQI-22, NQI-3, PDI-1, PSI-11, PSI-13). However, every one of these instances appeared to follow an established trend and no QI FFY 2016 measures violated the three standard deviation upper/lower limits. Comparatively, it’s noteworthy to mention that three ICD-9-based measures (pre-FFY 2016) produced data points that violated the three standard deviation upper/lower limit (PSI 17, PSI 18, PSI 19).
No alarming observations have been uncovered that would suggest GEM-coded Q1 FFY 2016 diagnoses are problematic in terms of AHRQ WinQI version 5.0 processing. However, the heterogeneity of the diagnostic sets suggests that there could be an observable difference in quality indicator rates when ICD-10-compliant risk-adjusted rate-producing software becomes available. Review will continue as future quarters of discharge data become available.
HIDI AHRQ Measures Transition Appendix4/28/2016
0.038999 0.040591738
IQI 8 Esophageal Resection Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 8 Esophageal Resection Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5
10
15
20
25
30
35
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
1
0.015662 0.016301111
PSI 4E Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum E - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
PSI 4E Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum E - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
300
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
2
0.03269 0.034025255
PSI 4D Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum D - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
PSI 4D Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum D - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
300
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
3
0.022364 0.023276712
PSI 4C Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum C - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
PSI 4C Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum C - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
300
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
4
0.009492 0.009879429
PSI 4B Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
PSI 4B Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
700
800
900
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
5
0.010286 0.010706336
PSI 4A Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
PSI 4A Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
300
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
6
0.004013 0.0041772
PSI 19 Obstetric Trauma Rate - Vaginal Delivery Without Instrument - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 19 Obstetric Trauma Rate - Vaginal Delivery Without Instrument - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
7
0.027549 0.02867432
PSI 18 Obstetric Trauma Rate - Vaginal Delivery With Instrument - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 18 Obstetric Trauma Rate - Vaginal Delivery With Instrument - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
700
800
900
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
8
0.00071 0.000738864
PSI 17 Birth Trauma Rate - Injury to Neonate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 17 Birth Trauma Rate - Injury to Neonate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
9
#DIV/0! #DIV/0!
PSI 16 Transfusion Reaction Count - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 16 Transfusion Reaction Count - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
0
0
0
0
1
1
1
1
1
1
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
10
0.000258 0.00026897
PSI 15 Accidental Puncture or Laceration Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 15 Accidental Puncture or Laceration Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
11
0.000774 0.000805545
PSI 14 Postoperative Wound Dehiscence Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 14 Postoperative Wound Dehiscence Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
0.30%
0.35%
0.40%
0.45%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
1,000
2,000
3,000
4,000
5,000
6,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
12
0.00149 0.001550955
PSI 13 Postoperative Sepsis Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 13 Postoperative Sepsis Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
1.40%
1.60%
1.80%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
13
0.00071 0.000739431
PSI 12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
0.80%
0.90%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
14
0.002287 0.002379882
PSI 11 Postoperative Respiratory Failure Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 11 Postoperative Respiratory Failure Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
1.40%
1.60%
1.80%
2.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
15
9.93E-05 0.000103372
PSI 10 Postoperative Physiologic and Metabolic Derangement Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 10 Postoperative Physiologic and Metabolic Derangement Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.02%
0.04%
0.06%
0.08%
0.10%
0.12%
0.14%
0.16%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
16
0.000645 0.000671104
PSI 9 Perioperative Hemorrhage or Hematoma Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 9 Perioperative Hemorrhage or Hematoma Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
0.80%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
17
4.23E-05 4.39807E-05
PSI 8 Postoperative Hip Fracture Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 8 Postoperative Hip Fracture Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.00%
0.00%
0.01%
0.01%
0.01%
0.01%
0.01%
0.02%
0.02%
0.02%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
18
5.92E-05 6.15923E-05
PSI 7 Central Venous Catheter-Related Blood Stream Infection Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 7 Central Venous Catheter-Related Blood Stream Infection Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.01%
0.01%
0.02%
0.02%
0.03%
0.03%
0.04%
0.04%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
19
6.33E-05 6.58925E-05
PSI 6 Iatrogenic Pneumothorax Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 6 Iatrogenic Pneumothorax Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.01%
0.02%
0.03%
0.04%
0.05%
0.06%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
20
#DIV/0! #DIV/0!
PSI 5 Retained Surgical Item or Unretrieved Device Fragment Count - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 5 Retained Surgical Item or Unretrieved Device Fragment Count - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
0
0
0
0
1
1
1
1
1
1
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
21
0.010049 0.010458912
PSI 4 Death Rate among Surgical Inpatients with Serious Treatable Complications - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
PSI 4 Death Rate among Surgical Inpatients with Serious Treatable Complications - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
22
0.000447 0.000465655
PSI 3 Pressure Ulcer Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 3 Pressure Ulcer Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
23
6.77E-05 7.04941E-05
PSI 2 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPSI 2 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.01%
0.02%
0.03%
0.04%
0.05%
0.06%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
24
0.000199 0.000207542
PDI 12 Central Venous Catheter-Related Blood Stream Infection Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 12 Central Venous Catheter-Related Blood Stream Infection Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.02%
0.04%
0.06%
0.08%
0.10%
0.12%
0.14%
0.16%
0.18%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
25
0.002308 0.002402258
PDI 11 Postoperative Wound Dehiscence Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 11 Postoperative Wound Dehiscence Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.10%
0.20%
0.30%
0.40%
0.50%
0.60%
0.70%
0.80%
0.90%
1.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
300
350
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
26
0.002498 0.002600477
PDI 10 Postoperative Sepsis Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 10 Postoperative Sepsis Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
1.40%
1.60%
1.80%
2.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
700
800
900
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
27
0.005234 0.005448119
PDI 9 Postoperative Respiratory Failure Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 9 Postoperative Respiratory Failure Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
28
0.002634 0.002741911
PDI 8 Perioperative Hemorrhage or Hematoma Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 8 Perioperative Hemorrhage or Hematoma Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
1.40%
1.60%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
700
800
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
29
#DIV/0! #DIV/0!
PDI 7 RACHS-1 Pediatric Heart Surgery Volume - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 7 RACHS-1 Pediatric Heart Surgery Volume - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
0
0
0
0
1
1
1
1
1
1
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
30
0.010127 0.010540835
PDI 6 RACHS-1 Pediatric Heart Surgery Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 6 RACHS-1 Pediatric Heart Surgery Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
31
7.58E-05 7.88977E-05
PDI 5 Iatrogenic Pneumothorax Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 5 Iatrogenic Pneumothorax Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.01%
0.01%
0.02%
0.02%
0.03%
0.03%
0.04%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
32
#DIV/0! #DIV/0!
PDI 3 Retained Surgical Item or Unretrieved Device Fragment Count - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 3 Retained Surgical Item or Unretrieved Device Fragment Count - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
0
0
0
0
1
1
1
1
1
1
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
33
0.000697 0.000725904
PDI 2 Pressure Ulcer Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 2 Pressure Ulcer Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
0.30%
0.35%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
34
0.000164 0.000170855
PDI 1 Accidental Puncture or Laceration Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsPDI 1 Accidental Puncture or Laceration Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.02%
0.04%
0.06%
0.08%
0.10%
0.12%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
35
0.007119 0.007410121
NQI 3 Neonatal Blood Stream Infection Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsNQI 3 Neonatal Blood Stream Infection Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
700
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
36
0.000456 0.000474274
NQI 2 Neonatal Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsNQI 2 Neonatal Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
0.30%
0.35%
0.40%
0.45%
0.50%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5,000
10,000
15,000
20,000
25,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
37
0.000291 0.000302957
NQI 1 Neonatal Iatrogenic Pneumothorax Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsNQI 1 Neonatal Iatrogenic Pneumothorax Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
-0.02%
0.00%
0.02%
0.04%
0.06%
0.08%
0.10%
0.12%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
1,400
1,600
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
38
0.032853 0.034194659
IQI 9B Pancreatic Resection Mortality Rate Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 9B Pancreatic Resection Mortality Rate Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5
10
15
20
25
30
35
40
45
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
39
0.023454 0.024412029
IQI 9A Pancreatic Resection Mortality Rate Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 9A Pancreatic Resection Mortality Rate Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
10.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
10
20
30
40
50
60
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
40
0.005538 0.005764641
IQI 17C Acute Stroke Mortality Rate Stratum C - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 17C Acute Stroke Mortality Rate Stratum C - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
41
0.016371 0.017039015
IQI 17B Acute Stroke Mortality Rate Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 17B Acute Stroke Mortality Rate Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
42
0.026433 0.02751284
IQI 17A Acute Stroke Mortality Rate Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 17A Acute Stroke Mortality Rate Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
20
40
60
80
100
120
140
160
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
43
0.006323 0.00658072
IQI 11D Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum D - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
IQI 11D Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum D - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
50
100
150
200
250
300
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
44
0.097241 0.101211649
IQI 11C Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum C - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
IQI 11C Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum C - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2
4
6
8
10
12
14
16
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
45
0.054327 0.056545165
IQI 11B Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
IQI 11B Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum B - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
5
10
15
20
25
30
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
46
0.121617 0.126583267
IQI 11A Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals
IQI 11A Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate Stratum A - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
1
2
3
4
5
6
7
8
9
10
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
47
0.011062 0.011513391
IQI 34 Vaginal Birth After Cesarean (VBAC) Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 34 Vaginal Birth After Cesarean (VBAC) Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
48
0.009581 0.009971791
IQI 33 Primary Cesarean Delivery Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 33 Primary Cesarean Delivery Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
20.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
49
0.005428 0.005649993
IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 32 Acute Myocardial Infarction (AMI) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
50
0.003644 0.00379282
IQI 31 Carotid Endarterectomy Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 31 Carotid Endarterectomy Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
1.40%
1.60%
1.80%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
100
200
300
400
500
600
700
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
51
0.003522 0.00366533
IQI 30 Percutaneous Coronary Intervention (PCI) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 30 Percutaneous Coronary Intervention (PCI) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
52
0.001208 0.001257056
IQI 25 Bilateral Cardiac Catheterization Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 25 Bilateral Cardiac Catheterization Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.20%
0.40%
0.60%
0.80%
1.00%
1.20%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
1,000
2,000
3,000
4,000
5,000
6,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
53
0.004353 0.004531188
IQI 24 Incidental Appendectomy in the Elderly Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 24 Incidental Appendectomy in the Elderly Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
54
0.009229 0.009606221
IQI 23 Laparoscopic Cholecystectomy Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 23 Laparoscopic Cholecystectomy Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
81.00%
82.00%
83.00%
84.00%
85.00%
86.00%
87.00%
88.00%
89.00%
90.00%
91.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
1,400
1,600
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
55
0.011145 0.01159962
IQI 22 Vaginal Birth After Cesarean (VBAC) Delivery Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 22 Vaginal Birth After Cesarean (VBAC) Delivery Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
56
0.008282 0.008620318
IQI 21 Cesarean Delivery Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 21 Cesarean Delivery Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
23.00%
24.00%
25.00%
26.00%
27.00%
28.00%
29.00%
30.00%
31.00%
32.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
57
0.004007 0.004170957
IQI 20 Pneumonia Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 20 Pneumonia Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
5.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
1,000
2,000
3,000
4,000
5,000
6,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
58
0.005302 0.005518017
IQI 19 Hip Fracture Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 19 Hip Fracture Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
5.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
1,400
1,600
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
59
0.003628 0.003776314
IQI 18 Gastrointestinal Hemorrhage Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 18 Gastrointestinal Hemorrhage Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
60
0.00796 0.008285398
IQI 17 Acute Stroke Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 17 Acute Stroke Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
61
0.003407 0.003545748
IQI 16 Heart Failure Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 16 Heart Failure Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
1,000
2,000
3,000
4,000
5,000
6,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
62
0.005214 0.005427205
IQI 15 Acute Myocardial Infarction (AMI) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 15 Acute Myocardial Infarction (AMI) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
63
0.000495 0.000515647
IQI 14 Hip Replacement Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 14 Hip Replacement Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
64
0.00734 0.007639288
IQI 13 Craniotomy Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 13 Craniotomy Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
65
0.003824 0.003980402
IQI 12 Coronary Artery Bypass Graft (CABG) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 12 Coronary Artery Bypass Graft (CABG) Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
200
400
600
800
1,000
1,200
1,400
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
66
0.023437 0.0243937
IQI 9 Pancreatic Resection Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting HospitalsIQI 9 Pancreatic Resection Mortality Rate - Observed Rate, FFY2013 - FFY2016 (Q1) - HIDI-Reporting Hospitals Average Denominator Magnitude
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
10.00%
Q1FFY2013 Q2FFY2013 Q3FFY2013 Q4FFY2013 Q1FFY2014 Q2FFY2014 Q3FFY2014 Q4FFY2014 Q1FFY2015 Q2FFY2015 Q3FFY2015 Q4FFY2015 Q1FFY2016
Observed Rate UL LL Linear (Observed Rate) 0
10
20
30
40
50
60
70
80
90
100
ICD-9 (FY 13-15) ICD-10 (Q1FY 16)
67
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