IQI90 AHRQ Inpatient Mortality for Selected Procedures

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 Procedures Quality Indicator Composite
·A low number is better

What this means: This is a weighted average of reliability-adjusted ratios (RARs) for selected procedure 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 8 In-Hosp Mort Esophageal Resection; IQI 9 In-Hosp Mort Pancreatic Resection; IQI 11 In-Hosp Mort AAA Repair; IQI 12 In-Hosp Mort CABG; IQI 13 In-Hosp Mort Craniotomy; IQI 14 In- Hosp Mort Hip Replacement; IQI 30 In-Hosp Mort PTCA; IQI 31 In-Hosp Mort Carotid Endarterectomy.

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 Procedures Quality Indicator Composite
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Post esophageal resection procedure mortality
·A low number is better

What this means: This measures the percentage of esophageal resection procedure patients who die during their hospital stay. The esophagus connects the mouth to stomach and may be removed during treatment for cancer. Resection refers to the removal of the diseased part of the esophagus.

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 - Post esophageal resection procedure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Post pancreatic resection procedure mortality
·A low number is better

What this means: This measures the percentage of pancreatic resection procedure patients who die during their hospital stay. Pancreatic resection is the removal of all or part of the pancreas, usually to remove cancerous tissue.

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 - Post pancreatic resection procedure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Post AAA procedure mortality
·A low number is better

What this means: This measures the percentage of abdominal aortic aneurysm (AAA) procedure patients who die during their hospital stay. The abdominal aorta supplies blood to the lower part of the body. An aneurysm is an abnormal swelling of the aorta, making it prone to burst.

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 - Post AAA procedure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Post CABG procedure mortality
·A low number is better

What this means: This measures the percentage of coronary artery bypass graft (CABG) procedure patients who die during their hospital stay. The CABG procedure uses a vein graft to restore blood supply to heart muscle when an artery is blocked or narrowed.

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. PCI treatment within the first 90 minutes of arrival has been shown to improve patient outcomes.

AHRQ - Post CABG procedure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Post craniotomy procedure mortality
·A low number is better

What this means: This measures the percentage of craniotomy procedure patients who die during their hospital stay. Craniotomy is an operation that opens the skull. The majority of the procedures are performed to treat tumors; other conditions include treatment for stroke or trauma patients. Craniotomy may also be indicated to repair bleeding in the brain, repair abnormal blood vessels, to drain an abscess or to relieve pressure.

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 - Post craniotomy procedure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers

AHRQ - Post hip replacement procedure mortality
·A low number is better

What this means: This measures the percentage of hip replacement procedure 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 - Post hip replacement procedure mortality
Jun '12 - Jul '13

* National Comparison: 100+ Academic Medical Centers