IQI91 AHRQ Inpatient Mortality for Selected Conditions

What is the source of these Clinical Data comparisons?
The clinical in hosptial mortality measures shown below have been identified by the Agency for Healthcare Research (AHRQ) as being important indicators of care quality. Upstate Medical University participates in these evidence based data collections by making clinical information available to support such efforts.

The "AHRQ Target" shown in these comparisons is a calculated measure developed by the Agency for Healthcare Research, and it is based on risk adjustment information about Upstate Medical University patients. It reflects the fact that some patients are sicker than others or have preexisting conditions that make death more likely. These measures show Upstate Medical University actual and predicted outcomes as well as Upstate Medical Universities performance in relationship to other academic medical centers, as represented by the "Academic Centers' Median" shown.


AHRQ - Inpatient Mortality for Selected Conditions Quality Indicator Composite
·A low number is better

What this means: This is a weighted average of reliability-adjusted ratios (RARs) for selected condition mortality indicators, with each RAR weighted with the NQF-selected weights. Composite = [indicator 1 RAR x weight] + [indicator 2 RAR x weight] + ... + [indicator N x weight]. The indicator RARs are a weighted average of the risk-adjusted ratios and the reference population ratios. The RAR weights are determined empirically by AHRQ. RAR = [risk-adjusted ratio x weight] + [reference population ratio x (1- weight)]. Indicator RARs are computed for the following: IQI 15 In-Hosp Mort AMI; IQI 16 In-Hosp Mort CHF; IQI 17 In-Hosp Mort Stroke; IQI 18 In-Hosp Mort GI Hemorrhage; IQI 19 In-Hosp Mort Hip Fracture; IQI 20 In-Hosp Mort Pneumonia.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - Inpatient Mortality for Selected Conditions Quality Indicator Composite
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - In hospital AMI inpatient mortality
·A low number is better

What this means: This measures the percentage of all Acute Myocardial Infarction (heart attack) patients who die during their hospital stay.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - In hospital AMI inpatient mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Heart failure mortality
·A low number is better

What this means: This measures the percentage of heart failure patients who die during their hospital stay. Heart failure is a progressive condition in which a damaged or weakened heart is not able to supply enough blood flow through the cardiovascular system.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - Heart failure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Acute stroke mortality
·A low number is better

What this means: This measures the percentage of acute stroke patients who die during their hospital stay. A stroke occurs when a blood clot blocks flow to the brain or when there is bleeding in the brain.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - Acute stroke mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Gastrointestinal hemorrhage mortality
·A low number is better

What this means: This measures the percentage of gastrointestinal hemorrhage patients who die during their hospital stay. Several conditions can cause bleeding to occur in the intestinal track, stomach or intestines, including ulcers, tumors, and gastritis.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - Gastrointestinal hemorrhage mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Hip fracture mortality
·A low number is better

What this means: This measures the percentage of hip fracture patients who die during their hospital stay.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - Hip fracture mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Pneumonia mortality
·A low number is better

What this means: This measures the percentage of pneumonia patients who die during their hospital stay. Pneumonia patients may have other health conditions, including cancer or neurologic disorders which makes pneumonia more difficult to treat.

Why is it important: A low mortality rate is one indicator of good patient care process. This measure shows how Upstate Medical University compares with AHRQ targets and other academic medical centers nationwide.

AHRQ - Pneumonia mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers