Evaluation of the Use of AHRQ and Other Quality Indicators

Figure 3.3. Sample AHRQ QI Report Used by a Hospital Association for Quality Improvement (Text Description)

Figure 3.3. depicts a sample AHRQ QI report in a tabular format. The data represented by this graph is contained in the following table.

AHRQ Quality Indicators Apr-Jun 2005 (Q2) Jul 2004-Jun 2005 (recent year)
Relative Performance Denom Observed Target Median Relative Performance Denom Observed Target Median
N Percent N Percent
Post Procedure Mortality (%)
CABG E 74 4.3 3.2 3.5 E 299 3.9 3.2 3.8
PTCA E 181 1.3 1.3 1.1 E 722 2.1 1.4 1.4
Carotid endarterectomy E* 16 0.8 0.6 0.0 E 65 0.6 0.7 0.0
AAA repair E* 6 10.9 12.6 0.0 E* 20 13.4 11.9 6.2
Esophageal cancer resection E* 2 2.5 4.9 0.0 E* 8 7.4 6.3 0.0
Pancreatic cancer resection E* 5 4.1 4.8 0.0 E* 18 3.7 5.1 0.0
Pediatric heart surgery E 28 6.0 5.0 2.2 E 90 4.6 7.1 3.1
Craniotomy E 84 6.1 5.8 4.9 E 313 6.6 5.9 5.5
Hip replacement E 36 0.1 1.2 0.0 E 133 0.1 1.2 0.0
In-Hospital Mortality (%)
AMI - Mortality E 88 8.3 7.6 5.8 E 360 8.0 7.9 7.1
AMI - Mortality without transfers E 62 7.6 7.9 5.8 E 248 7.7 8.4 6.9
HF E 137 3.0 4.3 2.9 E 527 3.3 4.3 3.1
Pneumonia E 125 6.0 6.2 5.5 E 492 6.0 6.0 5.7
Acute stroke E 83 12.6 13.5 12.8 E 316 12.8 13.2 13.5
GI hemorrhage E 55 2.7 6.1 2.6 D 221 2.9 6.1 2.7
Hip fracture E 26 3.1 3.1 1.7 E 98 2.8 3.0 2.6
Utilization Rates (%)
C section all   527 25.8   25.7   2072 26.0   25.6
C section primary   452 16.6   16.3   1779 17.1   16.6
VBAC all   93 17.5   16.9   361 19.0   17.9
VBAC uncomplicated   76 18.4   17.6   299 19.7   18.9
Volumes Observed Median Relative Performance Observed Target Median
N N N
CABG 75 55.5 D 302 100.0 230.0
PTCA 182 124.0 D 725 200.0 448.0
Carotid endarterectomy 16 12.0 E 65 50.0 41.0
AAA repair 6 4.0 E 20 20.0 13.0
Esophageal cancer resection 3 2.0 D 8 6.0 5.5
Pancreatic cancer resection 6 5.0 D 18 10.0 13.5
Pediatric heart surgery 26 16.0 E 90 90.0 48.0

Notes:
A = No Data Available;
B = Substantially Worse than Target;
C = Worse than Target;
D = Better than Target;
E = Meets Target;
* Interpret with caution (less than 25 cases)

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Page last reviewed October 2014
Internet Citation: Figure 3.3. Sample AHRQ QI Report Used by a Hospital Association for Quality Improvement (Text Description). October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/qualityindicators/chapter3-fig3-3text.html