Outcomes Advisor™

700+ curated industry standard KPIs and benchmark data

Dimensional Insight’s Outcomes Advisor provides up-to-date and actionable data on outcomes measures and KPIs for your hospital or health system, as defined by CMS. These include those KPIs used in a variety of pay-for-performance programs.

Outcomes Advisor provides quality managers, hospital administrators, and providers with a succinct, intuitive, and actionable perspective on outcomes for a variety of ALOS, mortality, readmissions, and EDAC measures, and a number of IQI, PDI, and PSI measures.

Information is available through dashboards, reports, and ad hoc analytics. Users can view key metrics and then simply click on any number or graphical view to answer questions about the underlying detail.

The solution contains benchmark data from a Medicare claims dataset of more than 3,000 hospitals. Benchmark your performance against a peer group cohort and easily determine areas where you are performing better than or worse than expected. With this information, you can better focus efforts of your limited resources and maximize performance improvement.

Data is updated daily, meaning decision makers can take action to improve performance during a reporting period instead of having to wait until after the period ends and reports from external sources are already published. By then, it is too late and penalties may already be in place. With Outcomes Advisor, you can make decisions when they are still impactful.

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Benefits of Outcomes Advisor

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Reduce readmisions

One customer identified $2,000,000 in underpayments

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Reduce write-offs

Recovered $750,000 in 1st 4 months

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Improve productivity

One customer reduced admin work by 20%

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Make data more available and empower users

Self-service dashboards enable up to 90% reduction in the time spent collecting, analyzing, and visualizing data

Access to Industry Standard Out-of-the-Box Measures

Outcomes Advisor comes with 700+ out-of-the-box measures that can be quickly implemented in your hospital. These measures include:

Outcomes Measures

Average Length of Stay (ALOS)

Overall

Overall ALOS The average length of stay in days for all inpatient accounts, by discharge date
Total Discharge Days The total length of stay in days for all discharged inpatient accounts, by discharge date
Total Discharges The number of discharged inpatient accounts, by discharge date

Acute

Acute ALOS The average length of stay in days for acute inpatient accounts, by discharge date
Acute Discharge Days The total length of stay in days for discharged, acute inpatient accounts, by discharge date
Acute Discharges The number of discharged, acute inpatient accounts, by discharge date

AMI

AMI ALOS The average length of stay in days for inpatient accounts with a principal diagnosis of AMI that meet all index population criteria as specified by CMS, by discharge date
AMI Discharge Days The total length of stay in days for inpatient accounts discharged with a principal diagnosis of AMI that meet all criteria for the index population as specified by CMS, by discharge date
AMI Discharges The number of discharged, inpatient accounts with a principal diagnosis of AMI that meet all criteria for the length of stay index population as specified by CMS, by discharge date

CABG

CABG ALOS The average length of stay in days for inpatient accounts with a principal procedure of CABG that meet all index population criteria as specified by CMS, by discharge date
CABG Discharge Days The total length of stay in days for inpatient accounts discharged with a principal procedure of CABG that meet all criteria for the index population as specified by CMS, by discharge date
CABG Discharges The number of discharged, inpatient accounts with a principal procedure of CABG that meet all criteria for the length of stay index population as specified by CMS, by discharge date

COPD

COPD ALOS The average length of stay in days for inpatient accounts with a principal diagnosis of COPD that meet all index population criteria as specified by CMS, by discharge date
COPD Discharge Days The total length of stay in days for inpatient accounts discharged with a principal diagnosis of COPD that meet all criteria for the index population as specified by CMS, by discharge date
COPD Discharges The number of discharged, inpatient accounts with a principal diagnosis of COPD that meet all criteria for the length of stay index population as specified by CMS, by discharge date

Excess Days in Acute Care (EDAC)

AMI

AMI EDAC per 100 Discharges The average number of excess day in acute care per 100 inpatient discharges with a principal diagnosis of AMI that meet all criteria for the index population as specified by CMS, by discharge date
AMI EDAC The number of additional days an inpatient with a principal diagnosis of AMI that meets all criteria for the index population as specified by CMS spends in acute care within 30 days of initial discharge, including time spent in the emergency department, in observation, or as the result of an unplanned inpatient readmission, by discharge date
AMI EDAC Index Population The number of inpatients with a principal diagnosis of AMI that meet all criteria for the AMI EDAC index population as specified by CMS, by discharge date

HF

HF EDAC per 100 Discharges The average number of excess day in acute care per 100 inpatient discharges with a principal diagnosis of HF that meet all criteria for the index population as specified by CMS, by discharge date
HF EDAC The number of additional days an inpatient with a principal diagnosis of HF that meets all criteria for the index population as specified by CMS spends in acute care within 30 days of initial discharge, including time spent in the emergency department, in observation, or as the result of an unplanned inpatient readmission, by discharge date
HF EDAC Index Population The number of inpatients with a principal diagnosis of HF that meet all criteria for the HF EDAC index population as specified by CMS, by discharge date

PN

PN EDAC per 100 Discharges The average number of excess day in acute care per 100 inpatient discharges with a principal diagnosis of PN that meet all criteria for the index population as specified by CMS, by discharge date
PN EDAC The number of additional days an inpatient with a principal diagnosis of PN that meets all criteria for the index population as specified by CMS spends in acute care within 30 days of initial discharge, including time spent in the emergency department, in observation, or as the result of an unplanned inpatient readmission, by discharge date
PN EDAC Index population The number of inpatients with a principal diagnosis of PN that meet all criteria for the PN EDAC index population as specified by CMS, by discharge date
PN EDAC Opp Worse The total number of days more than the expected excess days in acute care, as defined by the peer cohort, for inpatients with a principal diagnosis of PN that meet all criteria for the index population as specified by CMS, by discharge date

30 Day Readmissions

HWR

HWR 30D Readmit Rate The percentage of all inpatient accounts that meet all criteria for the index population as specified by CMS readmitted to the hospital within 30 days of initial discharge, by discharge date
HWR 30D Indexes with Readmit The number of inpatient accounts that meet all criteria for the index population as specified by CMS that were readmitted to the hospital within 30 days of initial discharge, by discharge date
HWR 30D Index Population The number of inpatient accounts that meet all criteria for the readmission index population as specified by CMS, by discharge date

AMI

AMI 30D Readmit Rate The percentage of inpatient accounts with a principal diagnosis of AMI that meet all criteria for the index population as specified by CMS readmitted to the hospital within 30 days of initial discharge, by discharge date
AMI 30D Index Population The number of inpatient accounts with a principal diagnosis of AMI that meet all criteria for the readmission index population as specified by CMS, by discharge date
AMI 30D Indexes with Readmit The number of inpatient accounts with a principal diagnosis of AMI that meet all criteria for the index population as specified by CMS that were readmitted to the hospital within 30 days of initial discharge, by discharge date

CBG

CABG 30D Readmit Rate The percentage of inpatient accounts with a principal procedure of CABG that meet all criteria for the index population as specified by CMS readmitted to the hospital within 30 days of initial discharge, by discharge date
CABG 30D Indexes with Readmit The number of inpatient accounts with a principal procedure of CABG that meet all criteria for the index population as specified by CMS that were readmitted to the hospital within 30 days of initial discharge, by discharge date
CABG 30D Index Population The number of inpatient accounts with a principal procedure of CABG that meet all criteria for the readmission index population as specified by CMS, by discharge date

COPD

COPD 30D Readmit Rate The percentage of inpatient accounts with a principal diagnosis of COPD that meet all criteria for the index population as specified by CMS readmitted to the hospital within 30 days of initial discharge, by discharge date
COPD 30D Indexes with Readmit The number of inpatient accounts with a principal diagnosis of COPD that meet all criteria for the index population as specified by CMS that were readmitted to the hospital within 30 days of initial discharge, by discharge date
COPD 30D Index Population The number of inpatient accounts with a principal diagnosis of COPD that meet all criteria for the readmission index population as specified by CMS, by discharge date

HF

HF 30D Readmit Rate The percentage of inpatient accounts with a principal diagnosis of HF that meet all criteria for the index population as specified by CMS readmitted to the hospital within 30 days of initial discharge, by discharge date
HF 30D Indexes with Readmit The number of inpatient accounts with a principal diagnosis of HF that meet all criteria for the index population as specified by CMS that were readmitted to the hospital within 30 days of initial discharge, by discharge date
HF 30D Index Population The number of inpatient accounts with a principal diagnosis of HF that meet all criteria for the readmission index population as specified by CMS, by discharge date

Hospital Mortality

Overall

Overall Hospital Mortality Rate The percentage of all inpatient accounts with a discharge status of expired, by discharge date
Overall Hospital Mortality The number of inpatient accounts with a discharge status of expired, by discharge date
Overall Hospital Mortality Denominator The number of inpatient accounts that meet all criteria for the 30-day mortality index population as specified by CMS, by discharge date

AMI

AMI Hospital Mortality Rate The percentage of inpatient accounts with a principal diagnosis of AMI and a discharge status of expired, by discharge date
AMI Hospital Mortality The number of inpatient accounts with a principal diagnosis of AMI and a discharge status of expired, by discharge date
AMI Hospital Mortality Denominator The number of inpatient accounts with a principal diagnosis of AMI that meet all criteria for the 30-day mortality index population as specified by CMS, by discharge date

CABG

CABG Hospital Mortality Rate The percentage of inpatient accounts with a principal procedure of CABG and a discharge status of expired, by discharge date
CABG Hospital Mortality The number of inpatient accounts with a principal procedure of CABG and a discharge status of expired, by discharge date
CABG Hospital Mortality Denominator The number of inpatient accounts with a principal procedure of CABG that meet all criteria for the 30 day mortality index population as specified by CMS, by discharge date

COPD

COPD Hospital Mortality Rate The parentage of inpatient accounts with a principal diagnosis of COPD and a discharge status of expired, by discharge date
COPD Hospital Mortality The number of inpatient accounts with a principal diagnosis of COPD and a discharge status of expired, by discharge date
COPD Hospital Mortality Denominator The number of inpatient accounts with a principal diagnosis of COPD that meet all criteria for the 30 day mortality index population as specified by CMS, by discharge date

HF

HF Hospital Mortality Rate The percentage of inpatient accounts with a principal diagnosis of HF and a discharge status of expired, by discharge date
HF Hospital Mortality The number of inpatient accounts with a principal diagnosis of HF and a discharge status of expired, by discharge date
HF Hospital Mortality Denominator The number of inpatient accounts with a principal diagnosis of HF that meet all criteria for the 30 day mortality index population as specified by CMS, by discharge date

PN

PN Hospital Mortality Rate The percentage of inpatient accounts with a principal diagnosis of PN and a discharge status of expired, by discharge date
PN Hospital Mortality The number of inpatient accounts with a principal diagnosis of PN and a discharge status of expired, by discharge date
PN Hospital Mortality Denominator The number of inpatient accounts with a principal diagnosis of PN that meet all criteria for the 30-day mortality index population as specified by CMS, by discharge date

STK

STK Hospital Mortality Rate The percentage of inpatient accounts with a principal diagnosis of STK and a discharge status of expired, by discharge date
STK Hospital Mortality The number of inpatient accounts with a principal diagnosis of STK and a discharge status of expired, by discharge date
STK Hospital Mortality Denominator The number of inpatient accounts with a principal diagnosis of STK that meet all criteria for the 30-day mortality index population as specified by CMS, by discharge date

AHRQ Measures

Inpatient Quality Indicators (IQI)

IQI08

Esophageal Resection Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI08 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI08 Num The number of deaths for inpatient accounts that meet the IQI08 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI08 Denom The number of discharged inpatient accounts that meet the IQI08 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI09

Pancreatic Resection Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI09 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI09 Num The number of deaths for inpatient accounts that meet the IQI09 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI09 Denom The number of discharged inpatient accounts that meet the IQI09 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI11

Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI11 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI11 Num The number of deaths for inpatient accounts that meet the IQI11 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI11 Denom The number of discharged inpatient accounts that meet the IQI11 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI12

Coronary Artery Bypass Graft (CABG) Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI12 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI12 Num The number of deaths for inpatient accounts that meet the IQI12 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI12 Denom The number of discharged inpatient accounts that meet the IQI12 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI15

Acute Myocardial Infarction (AMI) Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI15 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI15 Num The number of deaths for inpatient accounts that meet the IQI15 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI15 Denom The number of discharged inpatient accounts that meet the IQI15 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI16

Heart Failure Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI16 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI16 Num The number of deaths for inpatient accounts that meet the IQI16 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI16 Denom The number of discharged inpatient accounts that meet the IQI16 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI17

Acute Stroke Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI17 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI17 Num The number of deaths for inpatient accounts that meet the IQI17 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI17 Denom The number of discharged inpatient accounts that meet the IQI17 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI18

Gastrointestinal Hemorrhage Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI18 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI18 Num The number of deaths for inpatient accounts that meet the IQI18 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI18 Denom The number of discharged inpatient accounts that meet the IQI18 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI19

Hip Fracture Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI19 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI19 Num The number of deaths for inpatient accounts that meet the IQI19 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI19 Denom The number of discharged inpatient accounts that meet the IQI19 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI20

Pneumonia Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI20 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI20 Num The number of deaths for inpatient accounts that meet the IQI20 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI20 Denom The number of discharged inpatient accounts that meet the IQI21 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI21

Cesarean Delivery Rate, Uncomplicated The rate of uncomplicated Cesarean deliveries without a hysterectomy procedure per 1000 deliveries for inpatient accounts that meet the IQI21 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI21 Num The number of uncomplicated Cesarean deliveries without a hysterectomy procedure for inpatient accounts that meet the IQI21 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI21 Denom The number of discharged inpatient accounts that meet the IQI21 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI22

Vaginal Birth After Cesarean (VBAC) Delivery Rate, Uncomplicated The rate of uncomplicated vaginal births per 1000 deliveries for inpatient accounts with previous Cesarean deliveries that meet the IQI22 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI22 Num The number of uncomplicated vaginal births for inpatient accounts with previous Cesarean deliveries that meet the IQI22 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI22 Denom The number of discharged inpatient accounts with previous Cesarean deliveries that meet the IQI22 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI30

Percutaneous Coronary Intervention (PCI) Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI30 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI30 Num The number of deaths for inpatient accounts that meet the IQI30 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI30 Denom The number of discharged inpatient accounts that meet the IQI30 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI31

Carotid Endarterectomy Mortality Rate The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI031 inclusion and exculsion criteria as specified by AHRQ, by discharge date
IQI31 Num The number of deaths for inpatient accounts that meet the IQI31 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI31 Denom The number of discharged inpatient accounts that meet the IQI31 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI32

Acute Myocardial Infarction (AMI) Mortality Rate, Without Transfer Cases The rate of deaths per 1000 discharges for inpatient accounts that meet the IQI32 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI32 Num The number of deaths for inpatient accounts that meet the IQI32 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI32 Denom The number of discharged inpatient accounts that meet the IQI32 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI33

Primary Cesarean Delivery Rate, UncomplicatedThe rate of uncomplicated, first-time Cesarean deliveries without a hysterectomy procedure per 1000 deliveries for inpatient accounts that meet the IQI33 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI33 Num The number of uncomplicated, first-time Cesarean deliveries without a hysterectomy procedure for inpatient accounts that meet the IQI33 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI33 Denom The number of discharged inpatient accounts that meet the IQI33 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI34

Vaginal Birth After Cesarean (VBAC) Rate The rate of vaginal births per 1000 deliveries for inpatient accounts with previous Cesarean deliveries that meet the IQI34 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI34 Num The number of vaginal births for inpatient accounts with previous Cesarean deliveries that meet the IQI34 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI34 Denom The number of discharged inpatient accounts with previous Cesarean deliveries that meet the IQI34 inclusion and exclusion criteria as specified by AHRQ, by discharge date

IQI03

Neonatal Blood Stream Infection Rate The rate of neonatal blood stream infections per 1000 discharges for newborns that meet the NQI03 inclusion and exculsion criteria as specified by AHRQ , by discharge date
IQI03 Num The number of neonatal blood stream infections for newborns that meet the NQI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date
IQI03 Denom The number of discharged newborns that meet the NQI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date

Pediatric Quality Indicators (PDI)

PDI05

Iatrogenic Pneumothorax Rate The rate of iatrogenic pneumothoraces per 1000 discharges for inpatient accounts that meet the PDI05 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI05 Num The number of iatrogenic pneumothoraces for inpatient accounts that meet the PDI05 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI05 Denom The number of discharged inpatient accounts that meet the PDI05 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PDI08

Perioperative Hemorrhage or Hematoma Rate The rate of perioperative hemorrhage or hematoma per 1000 elective surgical discharges for inpatient accounts that meet the PDI08 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI08 Num The number of perioperative hemorrhages or hematomas for inpatient accounts that meet the PDI08 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI08 Denom The number of discharged inpatient accounts that meet the PDI08 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PDI09

Postoperative Respiratory Failure Rate The rate of postoperative respiratory failure per 1000 elective surgical discharges for inpatient accounts that meet the PDI09 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI09 Num The number of postoperative respiratory failure cases for inpatient accounts that meet the PDI09 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI09 Denom The number of discharged inpatient accounts that meet the PDI09 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PDI10

Postoperative Sepsis Rate The rate of postoperative sepsis per 1000 surgical discharges for inpatient accounts that meet the PDI10 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI10 Num The number of postoperative sepsis cases for inpatient accounts that meet the PDI10 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI10 Denom The number of discharged inpatient accounts that meet the PDI10 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PDI12

Central Venous Catheter-Related Blood Stream Infection Rate The rate of central venous catheter-related blood stream infections per 1000 discharges for inpatient accounts that meet the PDI12 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI12 Num The number of central venous catheter-related blood stream infections for inpatient accounts that meet the PDI12 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PDI12 Denom The number of discharged inpatient accounts that meet the PDI12 inclusion and exclusion criteria as specified by AHRQ, by discharge date

Patient Safety Indicators (PSI)

PSI02

Death Rate in Low-Mortality Diagnosis Related Groups (DRGs)The rate of deaths per 1000 discharges for inpatient accounts that meet the PSI02 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI02 Num The number of deaths for inpatient accounts that meet the PSI02 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI02 Denom The number of discharged inpatient accounts that meet the PSI02 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PSI03

Pressure Ulcer Rate The rate of stage III or IV pressure ulcers per 1000 discharges for inpatient accounts that meet the PSI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI03 Num The number of stage III or IV pressure ulcers for inpatient accounts that meet the PSI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI03 Denom The number of discharged inpatient accounts that meet the PSI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PSI04

Death Rate among Surgical Inpatients with Serious Treatable Complications The rate of deaths per 1000 surgical discharges for inpatient accounts that meet the PSI04 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI04 Num The number of deaths for inpatient accounts that meet the PSI04 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI04 Denom The number of discharged inpatient accounts that meet the PSI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PSI06

Iatrogenic Pneumothorax Rate The rate of iatrogenic pneumothoraces per 1000 discharges for inpatient accounts that meet the PSI06 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI06 Num The number of stage III or IV pressure ulcers for inpatient accounts that meet the PSI03 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI Denom The number of discharged inpatient accounts that meet the PSI06 inclusion and exclusion criteria as specified by AHRQ, by discharge date

PSI07

Central Venous Catheter-Related Blood Stream Infection Rate The rate of central venous catheter-related blood stream infections per 1000 discharges for inpatient accounts that meet the PSI07 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI07 Num The number of central venous catheter-related blood stream infections for inpatient accounts that meet the PSI07 inclusion and exclusion criteria as specified by AHRQ, by discharge date
PSI07 Denom The number of discharged inpatient accounts that meet the PSI07 inclusion and exclusion criteria as specified by AHRQ, by discharge date

Generic & Benchmark Measures

Generic Measures

Observed The value of a specific measure (typically a rate, average, or count) as determined by the numerator and/or denominator of a population of encounters that meet the inclusion and exclusion criteria for the measure; for example, the observed value for HF ALOS (heart failure average length of stay) is the total of hospital discharge days divided by the number of discharges for inpatient accounts with a principal diagnosis of heart failure
Expected The benchmark value for a specific measure derived from a peer cohort dataset or another benchmark source (note: the expected values for outcomes measures included in Outcomes Advisor are computed by applying the logic for a particular measure, such as 30 day hospital-wide readmission rate, to the CMS limited data set which contains hospital encounter data by hospital for Medicare fee-for-service patients)
O/E Ratio The ratio of the observed measure value to the expected measure value (note: an O/E ratio less than one generally implies favorable performance, while a ratio greater than one suggests opportunity for improvement)
Observed Numerator The total number of qualifying events or quantities (such as deaths or hospital days) used in part to determine the observed measure value
Observed Numerator Adjusted The numerator value adjusted to the scale of the measure when applicable (note: not all measures have a scale and in these cases the Observed Numerator equals the Observed Numerator Expected); for example, HF EDAC (heart failure excess days in acute care) is represented as days per 100 discharges, thus the Observed Numerator is multiplied by 100 to give the Observed Numerator Adjusted measure value with the proper scale
Expected Numerator The benchmark total number of qualifying events or quantities (such as deaths or hospital days) used in calculating the expected value for a specific measure
Expected Numerator Adjusted The benchmark total number of qualifying events or quantities adjusted to the scale of the measure when applicable and used in calculating the expected value for a specific scaled measure (note: not all measures have a scale and in these cases the Expected Numerator will equal the Expected Numerator Adjusted)
Denominator The number of patient encounters that meet the inclusion and exclusion criteria for a specific measure
Denominator % Total The subcategory percentage of the entire denominator for a given measure; for example, when looking at HF ALOS (heart failure average length of stay) by Facility the denominator percent total would be the percentage of heart failure patients at each facility (totaling 100%)
Opp Better The sum of the observed numerators that are less than the expected numerator, indicating that performance was better than expected
Opp Better % Num The percentage of the numerator quantity with better than expected performance
Opp Worse The sum of the observed numerators that are greater than the expected numerator, indicating that performance was worse than expected
Opp Worse % Num The percentage of the numerator quantity with worse than expected performance
Opp Net The number of adverse events (such as deaths or readmissions) that would have been avoided if the observed performance for the measure met the expected level (note: a negative value for this measure implies favorable performance as compared to the expected level)

Benchmark Measures

Observed The value of a specific measure (typically a rate, average, or count) as determined by the numerator and/or denominator of a population of encounters that meet the inclusion and exclusion criteria for the measure; for example, the observed value for HF ALOS (heart failure average length of stay) is the total of hospital discharge days divided by the number of discharges for inpatient accounts with a principal diagnosis of heart failure
National Average The national average (mean) value for a specific measure for either all of the benchmark sample hospitals or a specific peer cohort (note: if the national average is derived from a benchmark data set, the average for a cohort is adjusted to the case mix of that cohort)
O/A Ratio The ratio of the observed measure value to the national average value for that measure (note: an O/A ratio less than one generally implies favorable performance, while a ratio greater than one suggests opportunity for improvement)
Nat Avg Numerator The numerator of the sample population used to compute the national average for a specific measure
Nat Avg Denominator The denominator of the sample population used to compute the national average for a specific measure
Numerator The total number of qualifying events or quantities (such as deaths or hospital days) used in part to determine the observed measure value
Denominator The number of patient encounters that meet the inclusion and exclusion criteria for a specific measure
Denominator % Total The subcategory percentage of the entire denominator for a given measure; for example, when looking at HF ALOS (heart failure average length of stay) by Facility the denominator percent total would be the percentage of heart failure patients at each facility (totaling 100%)
Case Mix Index Summary The measure value that describes a hospital’s severity and case load by considering both MS DRG weight and number of hospital discharges in its calculation
Observed Minimum The smallest measure value observed across all hospitals for either the national sample or the selected peer cohort
Observed Lower Fence Limit The measure value that determines the boundary for lower outliers such that values less than the lower fence limit are considered outliers as they are more than one and a half times the IQR away from the 25th percentile value
Observed Q1 The 25th percentile measure value for either the national sample of hospitals or the selected peer cohort
Observed Q2 The 50th percentile, or median, measure value for either the national sample of hospitals or the selected peer cohort
Observed Q3 The 75th percentile measure value for either the national sample of hospitals or the selected peer cohort
Observed Upper Fence Limit The measure value that determines the boundary for upper outliers such that values greater than the upper fence limit are considered outliers as they are more than one and a half times the IQR away from the 75th percentile value
Observed Maximum The largest measure value observed across all hospitals for either the national sample or the selected peer cohort
Observed IQR The interquartile range of the measure values defined by the 25th and 75th percentiles or the range of the middle 50 percent of the measure values

Examples of Outcomes Advisor dashboards:

Part of Dimensional Insight’s Library of Applications

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Users access 1,000s of off-the-shelf industry-standard business rules that can be deployed “as is” or adjusted to your unique requirements.

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Data when and where you want it

Users can easily access data from their desktop, laptop, tablet, or phone.

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Multiple deployment options

Organizations can host deployment on site, in the cloud, or via SaaS.

Outcomes Advisor™