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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.

Benefits of Outcomes Advisor

Reduce readmisions

One customer identified $2,000,000 in underpayments

Reduce write-offs

Recovered $750,000 in 1st 4 months

Improve productivity

One customer reduced admin work by 20%

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)
  • Opp Net % Num expected performance level for the measure was met (note: a negative percentage implies faborable 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

Outcomes Advisor is built on Dimensional Insight’s award-winning enterprise analytics platform and is part of the company’s library of off-the-shelf applications. Deploying these applications results in deep and sustained clinical, financial, and operational improvements that impact patient care and your organization’s bottom line. Diver Platform and Dimensional Insight’s Library of Applications satisfy your health system’s enterprise reporting needs.

Benefits to the Library of Applications approach

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Data trust across departments

Data governance ensures the use of consistent, standardized, validated, and documented business rules and measures across applications. This means all departments are using the same definitions for decision-making.

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Quick to implement

Dimensional Insight uses a proven process that leads to short implementation times and quick time to value. Applications build on previously implemented Dimensional Insight apps, leading to even shorter deployment times, especially when compared to department-specific apps from multiple vendors.

Lower overall costs

Because Dimensional Insight Applications are all built upon Diver Platform, hospitals do not incur the high costs associated with licensing and supporting solutions from multiple vendors.

Consistent look and feel across application areas

Applications all have a consistent, intuitive look and feel.  Moving from one application to another is seamless. Executives and other users do not have to learn several applications.

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Designed to be customizable

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

Built on the award-winning, healthcare enterprise analytics platform: Diver Platform®

8 time Best in KLAS winner from 2010 to 2021

Our customers have perennially rated Diver Platform #1.

Leading edge technology

Enterprise analytics platform combines ETL, data management, and self-service analytics to provide a powerful engine that generates results for all types of users.

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Data Governance

Rigorous processes that manage and protect data ensure data trust and consistency across the organization.

Custom development

Since Diver is a development platform, customers can modify existing Dimensional Insight applications or build new ones on their own.

Data when and where you want it

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

Multiple deployment options

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