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Pneumonia Mortality Rate (IQI #20)

CBE ID
0231
1.4 Project
Patient Safety
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Fall 2017
Is Under Review
No
1.3 Measure Description

In-hospital deaths per 1,000 hospital discharges with pneumonia as a principal diagnosis for patients ages 18 years and older. Excludes obstetric discharges and transfers to another hospital.

[NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges.]

    • 1.14 Numerator

      Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.

    • 1.15 Denominator

      Discharges, for patients ages 18 years and older, with a principal ICD-9-CM diagnosis code for pneumonia.

    • Exclusions

      Exclude cases:
      • transferring to another short-term hospital (DISP=2)
      • MDC 14 (pregnancy, childbirth, and puerperium)
      • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Fall Cycle 2017
      Initial Endorsement
      Last Updated
      Removal Date