"no difference": used only when specific literature exists that the measure is inconsequential to better outcomes."no evidence": should be applied to measures where no evidence can be found to warrant a better patient outcome from moving the measure up or down."more is better": means we want higher values, such as process of care measures."less is better": means we would want lower numeric values, such as mortality rates.When hospitals follow proven guidelines, patients get better and safer care and, in this case, that can mean fewer people die from their heart attacks.Įnum('more is better','less is better','no evidence','no difference','within_range_is_better')įor every measure Pellucid knows if there is literature-based evidence that moving the numbers for this measure in either direction is favourable, or if the evidence has shown the measure to be inconsequential. Iatrogenic pneumothorax excludes all trauma patients because these patients may be more susceptible to nonpreventable iatrogenic pneumothorax or may be miscoded for traumatic pneumothorax.Ī consumer-friendly rationale for improving and/or reporting the measure. The iatrogenic pneumothorax indicator is intended to flag cases of pneumothorax caused by medical care. Analyses of these and similar inexpensive, readily available administrative data sets may provide a screen for potential medical errors and a method for monitoring trends over time. Patient Safety Indicators (PSIs), which are based on computerized hospital discharge abstracts from the AHRQ’s Healthcare Cost and Utilization Project (HCUP), can be used to better prioritize and evaluate local and national initiatives. Clinical process interventions also have strong evidence for reducing the risk of adverse events related to a patient’s exposure to hospital care. Widespread consensus exists that health care organizations can reduce patient injuries by improving the environment for safety from implementing technical changes, such as electronic medical record systems, to improving staff awareness of patient safety risks. Usually gleaned from the measure spec, this rationale is intended for researchers and clinicians. Local or remote file reference to the measure specifications for this measure. If the author uses unique measure ids, capture it here. Excludes cases with chest trauma, pleural effusion, thoracic surgery, lung or pleural biopsy, diaphragmatic surgery repair, or cardiac procedures cases with a principal diagnosis of iatrogenic pneumothorax cases with a secondary diagnosis of iatrogenic pneumothorax present on admission and obstetric cases. Iatrogenic pneumothorax cases (secondary diagnosis) per 1,000 surgical and medical discharges for patients ages 18 years and older. Official measure description from the author. The value displayed is a ratio of observed to expected. This measure compares the observed number of collapsed lung caused by medical care per 1,000 patients with the statistically expected number of collapsed lung caused by medical care. Used primarily for disambiguation where measures share an official name or are overly similar or use varying units of measurement.įriendly description of what this measure measures. Pellucid's internal name, often the exact same as name_official.
While these measures could be grouped under "timely antibiotic" and displayed as one continuous measure, Pellucid considers them three distinct measures grouping or contiguity must be performed at the local application level after retrieval from Pellucid.įor information on groups of measures and specific measure data as they are reported, please see Measures Catalog Measures that are replaced by newer versions, such as PN-5, PN-5a and PN-5b. Measures are classified into measure domains. For example, in Pellucid "bed count" is a measure. Measures is not restricted to traditional quality measures. The measures are exactly the same, but the collection process differs as does the reporting period, therefore a new measure is created. For examples SCIP measures are captured from national CMS data but also captured from local sources that are one quarter more current. Measures may appear to be duplicated where there are two sources for the same measure data, or where measures have been versioned. author_id is a foreign key which links the measure to the ' measure_authors' table. The measures table primary key is the measures.
These include indicators of cost, quality and experience used to measure the numeric values found in the ' entity_values' table.
The measures table (asures) stores the specifications for the various measures for which Pellucid captures data values.
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