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Death Rate in Low-Mortality Diagnosis Related Groups (PSI02)

CBE ID
0347
Project
Patient Safety
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Fall 2019
Is Under Review
No
Measure Description

In-hospital deaths per 1,000 discharges for low mortality (< 0.5%) Diagnosis Related Groups (DRGs) among patients ages 18 years and older or obstetric patients. Excludes cases with trauma, cases with cancer, cases with an immunocompromised state, and transfers to an acute care facility.

[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.]

  • Measure Type
    Outcome
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    Care Setting
    Inpatient/Hospital
    Numerator

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

    Denominator

    Discharges, for patients ages 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium), with a low-mortality (less than 0.5% mortality) MS-DRG code (LOWMODR). If an MS-DRG is divided into “without/with (major) complications and comorbidities,” both codes without complications/comorbidities and codes with (major) complications/comorbidities must have mortality rates below 0.5% in the reference population to qualify for inclusion.

    Exclusions

    Exclude cases:
    • with any listed ICD-10-CM diagnosis codes for trauma (Appendix G: TRAUMID)
    • with any listed ICD-10-CM diagnosis codes for cancer (Appendix H: CANCEID)
    • with any listed ICD-10-CM diagnosis codes for immunocompromised state (Appendix I: IMMUNID)
    • with any listed ICD-10-PCS procedure codes for immunocompromised state (Appendix I: IMMUNIP)
    • transfer to an acute care facility (DISP=2)
    • with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing)

    Testing Data Sources
    Claims Data
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Patient Safety Fall Cycle 2019
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date