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Hip Fracture Mortality Rate (IQI 19)

CBE ID
0354
1.4 Project
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

In-hospital deaths per 1,000 hospital discharges with hip fracture as a principal diagnosis for patients ages 65 years and older. Excludes periprosthetic fracture discharges, obstetric discharges, cases in hospice care at admission, 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 65 years and older, with a principal ICD-10-CM diagnosis code for hip fracture (MTHIPFD).

        • Exclusions

          Exclude cases:
          • With any-listed ICD-10-CM diagnosis codes for periprosthetic fracture (MTHIP2D)
          • Transferring to another short-term hospital (DISP=2)
          • Cases in hospice care at admission (PointOFOriginUB04=F)
          • 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 Surgery Fall Cycle 2019
          Initial Endorsement
          Last Updated
          Removal Date