Agency for Healthcare Research and Quality (AHRQ) Indicators

The Deficit Reduction Act (DRA) of 2005 authorized the Secretary of Health and Human Services to expand the number and types of inpatient quality measures in the Hospital Inpatient Quality Reporting (IQR) Program. To improve the quality of our nation's hospitals and in response to the authority granted by the DRA, the Centers for Medicare & Medicaid Services (CMS) adopted Patient Safety Indicators developed by the Agency for Healthcare Research and Quality (AHRQ) for the IQR Program.

The AHRQ Patient Safety Indicators (PSIs) reflect quality of care for adults inside hospitals and focus on potentially avoidable complications and iatrogenic events. The AHRQ measures were developed by a team of clinical and statistical experts from around the country, and most of the measures have also been endorsed by the National Quality Forum (NQF), a voluntary standard-setting, consensus-building organization representing providers, consumers, purchasers, and researchers.

2013 Public Reporting on Hospital Compare

AHRQ Patient Safety Indicators

The Centers for Medicare & Medicaid Services (CMS) anticipates publicly reporting two AHRQ measures on its Hospital Compare consumer website in October 2013:

  • PSI 90 Composite – Patient safety for selected indicators
  • PSI 04 – Death rate among surgical inpatients with serious treatable complications

CMS also anticipates reporting four measures in its downloadable database:

  • PSI 06 – Iatrogenic pneumothorax rate
  • PSI 12 – Postoperative pulmonary embolism or deep vein thrombosis rate
  • PSI 14 – Postoperative wound dehiscence rate
  • PSI 15 – Accidental puncture or laceration rate

Calculations for 2013 public reporting are based on discharges from July 2010 through June 2012 and use version 4.4 of the AHRQ software.

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