11  AHRQ PSI-11 Rates

The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 11 (PSI-11) Measure Rates dataset provides information on provider-level measure rates regarding one preventable complication (Postoperative Respiratory Failure) for Medicare Fee-For-Service discharges.

The PSI-11 measure data are solely reported for providers’ information and quality improvement purposes and are not a part of the Deficit Reduction Act (DRA), Hospital-Acquired Condition (HAC) Payment Provision or HAC Reduction Program.

Metadata

       [ROWS] 3319 
     [FIELDS] 9 
   [MODIFIED] 2020-12-08 
[PERIODICITY] Annually [R/P1Y] 
   [TEMPORAL] 2015-01-01 • 2016-12-31 
 [DICTIONARY] https://data.cms.gov/resources/agency-for-healthcare-research-and-quality-ahrq-patient-safety-indicator-11-psi-11-measure-rates-data-dictionary 
       [SITE] https://data.cms.gov/quality-of-care/agency-for-healthcare-research-and-quality-ahrq-patient-safety-indicator-11-psi-11-measure-rates 
 [REFERENCES] https://data.cms.gov/sites/default/files/2020-09/Agency%20for%20Healthcare%20Research%20and%20Quality%20%28AHRQ%29%20Patient%20Safety%20Indicator%2011%20%28PSI-11%29%20Measure%20Rates%20Methodology_0.pdf 
  [RESOURCES] https://data.cms.gov/data-api/v1/dataset-resources/7cf9662e-7c5c-4fe0-a8c6-828edf81a23c 
   [DOWNLOAD] https://data.cms.gov/sites/default/files/2020-09/Provider-Level_Measure_Rates_for_AHRQ_Patient_Safety_Indicator_11__PSI-11___-_2016.csv 

Resources

[CSV] 199.6K 2016 AHRQ PSI-11 Measure Rates
<https://data.cms.gov/sites/default/files/2020-09/Provider-Level_Measure_Rates_for_AHRQ_Patient_Safety_Indicator_11__PSI-11___-_2016.csv>
[PDF] 257.6K 2016 AHRQ PSI-11 Measure Rates Methodology
<https://data.cms.gov/sites/default/files/2020-09/Agency%20for%20Healthcare%20Research%20and%20Quality%20%28AHRQ%29%20Patient%20Safety%20Indicator%2011%20%28PSI-11%29%20Measure%20Rates%20Methodology_0.pdf>
[PDF] 91.8K  2016 AHRQ PSI-11 Measure Rates Data Dictionary
<https://data.cms.gov/sites/default/files/2020-12/Data-Dictionary_New-Content-Entry_07312020_DPS_Ha%20Edits_08_19_2020_0.pdf>

Dictionary

HOSP_ID
Provider's CCN (6-digit format).

ADM_DISC
Provider's number of eligible discharges used for
PSI-11 measure calculations.

RATE
Provider's PSI-11 smoothed measure rate (per 1k
discharges).

INTERVAL_LOWER_LIMIT
95% confidence interval lower limit surrounding
provider's smoothed measure rate.

INTERVAL_HIGHER_LIMIT
95% confidence interval upper limit surrounding
provider's smoothed measure rate.

START_QUARTER
First quarter of PSI-11 measure's performance
period.

START_DATE
First date of PSI-11 measure's performance period.

END_QUARTER
Last quarter of PSI-11 measure's performance
period.

END_DATE
Last date of PSI-11 measure's performance period.

Data

# A tibble: 3,018 × 9
   HOSP_ID ADM_DISC  RATE INTERVAL_LOWER_LIMIT INTERVAL_HIGHER_LIMIT
                                           
 1 010001      1763  9.86                 5.23                  14.5
 2 010005       218 17.6                  8                     27.2
 3 010007        57 11.4                  0                     23.4
 4 010011       791 15.4                  7.98                  22.9
 5 010012       127  9.61                 0                     19.6
 6 010016       629 11.7                  5.32                  18.1
 7 010018        30  9.22                 0                     20.1
 8 010019         5 13.6                  0.42                  26.8
 9 010021       139 24.1                 13.8                   34.4
10 010022         4 13.3                  0.28                  26.4
# ℹ 3,008 more rows
# ℹ 4 more variables: START_QUARTER , START_DATE ,
#   END_QUARTER , END_DATE 

Distribution

Variable              | Median |    MAD |   Mean |     SD |    IQR
------------------------------------------------------------------
ADM_DISC              | 395.00 | 469.98 | 711.18 | 894.13 | 826.25
RATE                  |  12.92 |   3.74 |  13.56 |   4.44 |   5.22
INTERVAL_LOWER_LIMIT  |   3.77 |   5.29 |   4.93 |   5.12 |   7.46
INTERVAL_HIGHER_LIMIT |  22.49 |   4.97 |  22.41 |   5.01 |   6.75

Variable              |            Range | Skewness | Kurtosis |    n | n_Missing
---------------------------------------------------------------------------------
ADM_DISC              | [3.00, 11795.00] |     2.92 |    15.11 | 3018 |         0
RATE                  |    [2.13, 39.08] |     1.11 |     2.31 | 3018 |         0
INTERVAL_LOWER_LIMIT  |    [0.00, 35.29] |     1.30 |     1.92 | 3018 |         0
INTERVAL_HIGHER_LIMIT |    [6.43, 45.37] |     0.20 |     0.46 | 3018 |         0