Precision Values for PSI 90 and Component Measures

$179 / year

This dataset includes the Patient Safety and Adverse Events measure (PSI-90) and the individual patient safety indicators. PSI-90 is a composite surgical complication measure composed of ten patient safety indicators. The measure provides an overview of hospital-level quality as it relates to a set of potentially preventable hospital-related events associated with harmful outcomes for patients. This data set includes six digit precision.

Complexity

This dataset provides an overview of hospital-level quality as it relates to a set of potentially preventable hospital-related events associated with harmful outcomes for patients. The Centers for Medicare & Medicaid Services (CMS) Patient Safety and Adverse Events Composite (CMS PSI 90) is a subset of the AHRQ Patient Safety Indicators that are more relevant for the Medicare population utilizing International Classification of Diseases, Tenth Revision (ICD-10) data. The Agency for Healthcare Research and Quality (AHRQ) developed measures that health providers can use to identify potential inhospital patient safety problems for targeted institution-level quality improvement efforts. These Patient Safety Indicators (PSIs) are comprised of 26 measures that highlight safety-related adverse events occurring in hospitals following operations, procedures, and childbirth. The PSIs were developed after a comprehensive literature review, analysis of available ICD codes, review by clinical panels, implementation of risk adjustment, and empirical analyses. In the modified version of PSI 90 (v6.0), weighting of the individual component indicators is based on two concepts, the volume of the adverse event and the harm associated with the adverse event.

– The volume weights were calculated based on the number of safety-related events for the component indicators in the all-payer reference population.
– The harm weights were calculated by multiplying empirical estimates of the probability of excess harms associated with each patient safety event by the corresponding utility weights.

These excess harm probabilities were estimated by comparing patients with a safety-related event to very similar, otherwise eligible patients without that safety-related event over up to one year after the discharge during which the index event happened.

Date Created

2017-09-22

Last Modified

2019-04-24

Version

2019-04-24

Update Frequency

Quarterly

Temporal Coverage

2015-10-01 to 2017-06-30

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Patient Safety Measure, Measures Hospital, Adverse Events Measure, Surgical Complication Measure, Hospital Related Events, Harmful Outcomes For Patients, Patient Safety Indicators, PSI-90

Other Titles

Precision Values For PSI 90 Patient Safety Indicators, Hospital Related Events About Harmful Outcomes For Patients, PSI 90 and Component Measures For Surgical Complication Measure, Potentially Preventable Hospital Related Events

NameDescriptionTypeConstraints
Provider_IDCMS certification number (CCN). Identification number of the hospital within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility.integerlevel : Nominal
Provider_NameName of the provider for Patient Safety and Adverse Events measure (PSI-90) and the individual patient safety indicators.string-
AddressMain street address information of the hospital.string-
CityMailing city. The city in the main street address of the hospital.string-
State_AbbreviationTwo-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: • All 50 states • District of Columbia: DC • Puerto Rico: PR • Virgin Islands: VA • Canada • Mexico: MX • American Samoa: AS • Guam: GU • Commonwealth of the Northern Marianas Islands: MPstring-
Zip_Code5 digit postal zip code in the mailing address of the hospital.integerlevel : Nominal
CountyMailing county of the hospital.string-
Measure_NameIndicates the name of the measure for Patient Safety and Adverse Events measure (PSI-90) and the individual patient safety indicators.string-
Measure_IDIndicates the measure identification (ID) of the Patient Safety and Adverse Events measure (PSI-90) and the individual patient safety indicators.string-
RateIndicates the overall rate for the Patient Safety and Adverse Events measure (PSI-90) and the individual patient safety indicators.numberlevel : Ratio
Footnote_CodeIt represents the code for an additional piece of information given separately for PSI 90 compiled data.integerlevel : Nominal
Footnote_DescriptionIt represents an additional piece of information given separately for PSI 90 compiled data.string-
LatitudeIdentifies the geographical location Latitude.number-
LongitudeIdentifies the geographical location Longitude.number-
Provider IDProvider NameAddressCityState AbbreviationZip CodeCountyMeasure NameMeasure IDRateFootnote CodeFootnote DescriptionLatitudeLongitude
420102GHS PATEWOOD MEMORIAL HOSPITAL175 PATEWOOD DRIVEGREENVILLESC29615GREENVILLEPostoperative Respiratory Failure RatePSI-116.41053434.852735-82.326115
430014AVERA ST LUKES305 S STATE ST POST OFFICE BOX 4450ABERDEENSD57401BROWNPressure soresPSI-30.11721545.461795-98.47935
421303WILLIAMSBURG REGIONAL HOSPITAL500 NELSON BOULEVARDKINGSTREESC29556WILLIAMSBURGSerious blood clots after surgeryPSI-1213.0Results cannot be calculated for this reporting period.33.660666-79.820239
430093SAME DAY SURGERY CENTER LLC651 CATHEDRAL DRIVERAPID CITYSD57701PENNINGTONBlood stream infection after surgeryPSI-131.0The number of cases/patients is too few to report.44.05919-103.229102
430013AVERA QUEEN OF PEACE525 N FOSTERMITCHELLSD57301DAVISONPerioperative Hemorrhage or Hematoma RatePSI-92.78509143.713842-98.007325
420082AIKEN REGIONAL MEDICAL CENTER302 UNIVERSITY PARKWAYAIKENSC29801AIKENPostoperative Respiratory Failure RatePSI-1117.81740333.56989-81.765071
420109MCLEOD HEALTH CLARENDON10 EAST HOSPITAL STREETMANNINGSC29102CLARENDONSerious complicationsPSI-901.11069733.687866-80.211767
420065BON SECOURS-ST FRANCIS XAVIER HOSPITAL2095 HENRY TECKLENBURG DRIVECHARLESTONSC29414CHARLESTONPerioperative Hemorrhage or Hematoma RatePSI-93.31340432.810751-80.042264
420105MCLEOD LORIS HOSPITAL3655 MITCHELL STREETLORISSC29569HORRYPerioperative Hemorrhage or Hematoma RatePSI-92.20408934.057697-78.897796
430027SANFORD USD MEDICAL CENTER1305 W 18TH ST POST OFFICE BOX 5039SIOUX FALLSSD57117MINNEHAHASerious complicationsPSI-900.82059243.536678-96.743388