In-hospital deaths per 1,000 discharges with pancreatic resection, ages 18 years and older. Includes metrics for discharges grouped by type of diagnosis and procedure. Excludes acute pancreatitis discharges, 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.]
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Overall:
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.
Stratum A:
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.
Stratum B:
Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.
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1.15 Denominator
Overall:
Discharges, for patients ages 18 years and older, with any-listed ICD-9-CM procedure codes for partial pancreatic resection or any-listed ICD-9-CM procedure codes for total pancreatic resection.
Stratum A:
Discharges, for patients ages 18 years and older, with either:
• any-listed ICD-9-CM procedure codes for partial pancreatic resection (see above) and any-listed ICD-9-CM diagnosis codes for pancreatic cancer; or
• any-listed ICD-9-CM procedure codes for total pancreatic resection (see above) and any- listed ICD-9-CM diagnosis codes for pancreatic cancer
Stratum B:
Discharges, for patients ages 18 years and older, with either:
• any-listed ICD-9-CM procedure codes for partial pancreatic resection (see above) without any-listed ICD-9-CM diagnosis codes for pancreatic cancer (see above); or
• any-listed ICD-9-CM procedure codes for total pancreatic resection (see above) without any-listed ICD-9-CM diagnosis codes for pancreatic cancer (see above)
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Exclusions
Overall:
Exclude cases:
• with any-listed ICD-9-CM diagnosis code for acute pancreatitis
• 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)
Stratum A:
Exclude cases:
• with any-listed ICD-9-CM diagnosis code for acute pancreatitis (see above)
• 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)
Stratum B:
Exclude cases:
• with any-listed ICD-9-CM diagnosis code for acute pancreatitis (see above)
• 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)
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Surgery Fall Cycle 2017Initial EndorsementLast UpdatedRemoval Date
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StewardAgency for Healthcare Research and QualitySteward Organization POC EmailSteward Organization Copyright
The AHRQ QI software is publicly available; no copyright disclaimers
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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